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UVic Overdose Inquest Highlights Emergency Dispatch Software Gaps

Jurors press Priority Dispatch creator on rigid protocols that delayed life-saving treatment in Sidney McIntyre-Starko’s 2024 fentanyl overdose.

Overview

  • Sidney McIntyre-Starko died of oxygen deprivation after a fentanyl overdose, with naloxone and CPR delayed by 13 and 15 minutes, respectively.
  • Jurors questioned Dr. Jeff Clawson, creator of the Priority Dispatch system, on software restrictions that prevented call-takers from asking about drug involvement.
  • The software's seizure protocol misdirected the emergency response, as rigid prompts failed to address suspected overdoses or multiple-patient scenarios effectively.
  • Dr. Clawson acknowledged the need for changes, including prompts for suspected overdoses and improvements to breathing tests, but stated no formal proposals have been submitted by users.
  • An arm’s length report recommended loosening dispatch requirements from confirmed to suspected overdoses to expedite treatment, a proposal currently under review.