%0 Journal Article
%T Insights from coronial recommendations for preventing natural deaths in sport and recreation in Québec, Canada.
%A Richard P
%A Perron PA
%A Sylvain-Morneau J
%A Poirier P
%J Front Public Health
%V 12
%N 0
%D 2024
%M 39145173
%F 6.461
%R 10.3389/fpubh.2024.1389675
%X <B>UNASSIGNED: </B>This descriptive retrospective study analyzed coronial recommendations for natural deaths in sport and recreation from January 2006 to December 2019 using data from the Bureau du coroner du Québec.<BR><B>UNASSIGNED: </B>Reports with recommendations were analyzed by sex, age group, cause of death, context, and activity. The nature of recommendations was assessed using a public health-based model. Thematic analysis was conducted following a four-phase approach in which themes developed were emphasized and further connected with existing literature.<BR><B>UNASSIGNED: </B>Reports involving individuals aged 18-24 and reports related to ice hockey were significantly more likely to contain recommendations. Reports related to individuals ≥45 years old, or related to cycling or hunting had higher death frequencies, but relatively low recommendation rates. Most recommendations aligned with the public health-based model but specifying implementation time frames was rare (11.7%). Nearly 60% of coroner's recommendations focused on automated external defibrillator implementation, delivery and training.<BR><B>UNASSIGNED: </B>Mitigation of sudden cardiac arrest risk for individuals ≥45 years old, timely treatment of life-threatening arrhythmias especially for activity practiced in remote regions and specifying implementation time frames were identified as improvement areas. The multi-faceted approach to enhancing public access defibrillation developed by the International Liaison Committee on Resuscitation in 2022 addresses recurrent themes covered by coroners and holds the potential to inform evidence-based decision making.