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Story summary
- Coroner Mary Hassell reported that six-month-old Ismaeel Islam died on 7 March 2025 after an alarm was set low.
- The infant desaturated and suffered respiratory arrest on 3 November 2024, unnoticed for about 30 minutes.
- The nurse missed the event while caring for another baby.
- Hassell sent a Prevention of Future Deaths report to Masimo UK with a 56-day reply deadline.
- Barts Health NHS Trust will raise alarm volume and improve cot visibility.
