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equirements of Rule 37 of the Coroners’ Rules which lays down the procedure that must be followed before documentary evidence is put before an inquest instead of original viva voce evidence (page 17D 18C). In particular, he was not going to summarise the contents of the summaries and then invite the consent of the interested parties to this mode of adducing evidence as Rule 37 requires. He justified this departure from the requirements of Rule 37 on grounds of practicality. The mini-inquests of the six young men whose deaths are the subject of this Memorial took place between the 1st and 4th of May. Detailed accounts are included in the individual statements relative to the deceased individually which are appended herewith. But the six mini-inquests had the following features in common: (i) At each of them post-mortem evidence was given by pathologists to the effect that death was due to traumatic asphyxia or crush asphyxia. Put simply this means that the pressure of the crush of bodies on them prevented their chests from moving in or out so that they could not breathe and oxygen was cut off from their vital organs. As a result they lost consciousness and subsequently died. In each case, the pathologists claimed that the deceased would have lost consciousness in a matter of seconds and that they would have died within a matter of a few minutes.
At each of them the evidence of eye-witnesses relating to the deceaseds’ movements prior to death, the injuries they sustained, their condition on being found and the certification of death was primarily given by way of reading out a documentary ‘summary’ which collated and summarised the statements of the contemporary eye-witnesses. With few exceptions none of the eye-witnesses gave oral evidence and the families of the deceased had to rely on the accuracy of the summary presented in order to gain an account of the last hours of their sons’ deaths and the circumstances of their deaths. In four of the cases there was some evidence that the deceased were still alive after sustaining their initial crush injuries and for longer perhaps than had been said seemed to be possible by the pathologists. These were the cases of Paul Carlile, Ian Glover, and Kevin Williams and Michael Kelly. Coupled with the evidence that some of the other victims who survived were found unconscious after the initial crush but revived by timely medical intervention (see paragraphs 11-14), this has raised in the minds of the deceaseds’ families the question of whether their lives could have been saved by a more timely medical response and suitable efforts at resuscitation. This, in turn, raises the issue of whether the causation of their deaths was referrable to or "aggravated by" "lack of care" in the accepted sense of that expression as defined in cases such as ex_
Page 1 and 2: M. J. QREQQ, LL.B. J. J. M. HAWTHOR
Page 3 and 4: IN THE MATTER OF THE CORONERS* ACT
Page 5 and 6: Your Memorialists hereby seek your
Page 7 and 8: As is recorded in Lord Keith’s Ju
Page 9 and 10: 3.04pm a further surge caused by th
Page 11 and 12: Taylor’s findings, "it was too la
Page 13 and 14: So, despite his reservations about
Page 15 and 16: "There seemed to be a few St. John
Page 17 and 18: Mr. Eccleston Mr. Eccleston is a qu
Page 19 and 20: would have made in saving life. I d
Page 21: decreased was, when he died, as far
Page 25 and 26: himself up by holding onto Mr. Holl
Page 27 and 28: y a qualified person. The fact that
Page 29 and 30: whether he could have been resuscit
Page 31 and 32: injuries within seconds and irrecov
Page 33 and 34: suitable medical intervention at an
Page 35 and 36: of this evidence had been heard bec
Page 37 and 38: (iii) Moreover it meant that there
Page 39 and 40: who had been admitted to hospital w
Page 41 and 42: in their individual statements. Thi

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