Overview
- An emergency care expert told the inquest that the 30‑minute rescue window should start when the first responder arrives, not from uncertain bystander timings.
- He said responders did not follow that guidance and urged a default mindset of starting a rescue clock on arrival in similar water entrapments.
- The expert outlined a narrow survival timeline, with the best chance in the first five minutes of submersion and survival unlikely after about 25 minutes, though an air pocket could extend it.
- The first paramedic at the scene told police nothing could be done and had not been trained to take charge, as firefighters freed Saffron Cole‑Nottage and began CPR without lifesaving kit brought to the rocks.
- A scripted 999 process delayed recognition of the fast‑rising tide by seven minutes, which the coroner called clunky, and a working group is now exploring faster questions on when a head goes under.
- Toxicology showing high alcohol levels and an unusually rapid post‑full‑moon tide set the context for an inquest now testing how training and multi‑agency command should change.