A report into the handling of a 999 call after a toddler suffered fatal head injuries in Cork found a number of failures in the ambulance control centre, and it makes 12 recommendations for dealing with future calls.
The review was set up after the death of Vakaris Martinaitis (2) in Midleton in May this year after he fell from a first-storey bedroom window of his home.
The report from the Health Service Executive (HSE) finds that ambulance control room staff failed to properly assess the child's condition when the 999 call was made, and staff also failed to provide the appropriate post-dispatch advice to the caller.
The report says the decision not to dispatch the emergency ambulance was not based on correct or complete information.
The review has made 12 recommendations following the incident; including that higher priority should be given to a call when the person making it does not speak English or when there is limited information available.
Staff are also being asked whether it is appropriate to refer callers to a GP out of hours.
Speaking to Cork's RedFM, medical director of the National Ambulance Service, Dr. Cathal O'Donnell, says he has apologised to the family for what happened.