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The CPR said Ms Woods' report had been shared with Ms Pickles and the reviewers and would "assist the CPR review team in relation to key events".

Hughes said staff immediately started CPR after doing so, disputing a statement by an emergency responder that none had been administered when he arrived.

When police and fire personnel arrived at the scene of the incident, they found Dale unconscious and Rylaarsdam performing CPR, according to the affidavit.

Ally and another crew member performed CPR for 40 minutes without success.

Speaking publicly for the first time since his death, she described racing to the scene to find medics carrying out CPR, saying she wished she had been able to hold her son.