I read this report with horror.
For the n'h time.....the "reports" so far are daily updates from the likes of the Press Association who are reporting on an
ongoing case in a UK coroner's court.
AFAIK we have yet to hear the whole story from all those involved. According to the media proceedings are supposed to be completed by late Friday, by which point everybody ( family, medic, crew and perhaps others) will have been able to give their version of events to the Coroner and we may at last be able to get a more complete picture....
So we could wait for the full story (which is what the Coroner will do) ...or we could simply rush to cast judgement and possibly look pretty stupid.
Your choice.