A recent inquest led by Deputy State Coroner Kasey Pearce has concluded that the paramedic care delivered to Phillip Mark Walton while in custody at Casino Police Station in northern NSW was inadequate. The coroner noted that the duration of the paramedic's examination lasted only 45 seconds and that essential checks, such as assessing Walton's vital signs, were neglected. This lack of proper medical attention is deemed to have contributed to his death, prompting concerns about the quality of emergency medical responses in similar situations.

While Coroner Pearce acknowledged that the police actions in restraining Walton were appropriate given the circumstances, she clarified that these actions nonetheless played a role in his tragic death. This nuanced view of the events suggests that accountability should be considered for multiple parties involved in custody situations. The findings raise broader questions about the standards of care provided by paramedics in New South Wales and whether these standards are consistently met.

Following these findings, the coroner has referred the two paramedics involved to the Paramedicine Council of NSW for further review. This move signals a potential review of protocols within the New South Wales Ambulance Service, particularly concerning training and operational guidelines that govern paramedic responses in custody cases. The implications of this case may influence policy changes aimed at improving emergency care in custody environments, safeguarding the welfare of vulnerable individuals engaged with law enforcement.