Summary
The Healthcare Safety Investigation Branch (HSIB) launched an investigation following the referral of a case from an acute trust involving failure of oxygen delivery during a resuscitation. The case highlighted several issues related to the safe delivery of oxygen from portable systems.
HSIB report: Investigation into the design and safe use of portable oxygen systems (November 2018)
https://www.hsib.org.uk/investigations-cases/design-and-safe-use-portable-oxygen-systems/
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