The deputy state coroner has recommended the SA Ambulance Service (SAAS) undertake an urgent review of its resourcing after two patients died waiting for a paramedic more than two years ago.
Ian White spent 22 days investigating whether delays in ambulance response times contributed to the deaths of 54-year-old Craig Malcolm Files in January 2019 and 70-year-old Virginia Anne Weekes in April 2020.
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