In the hours before his death, Mullen was coughing up an "orange-red fluid" and having trouble breathing, according to the investigation. Even as he repeatedly refused advanced medical care, he appeared to be choking on his words and gasping for air as if he was drowning. But the personnel assigned to check on Mullen and other SEAL candidates, known as watch standers, had no medical or emergency care training.
In the end, the investigation found "failures across multiple systems" that put candidates at a high risk of serious injury, Garvin wrote. In October, following a separate investigation that focused specifically on Mullen's death, the Navy took administrative actions against the former commanding officer of Basic Training Command, Capt. Bradley Geary; the commander of Naval Special Warfare Center, Capt. Brian Drechsler; and senior medical staff under their command. An administrative action is typically in the form of a letter to the service member instructing them on correcting deficient performance.
The investigation also looked at how to handle the use of performance enhancing drugs during the course. In September, a naval special warfare senior officer who spoke to CNN on condition of anonymity said there is "beyond a reasonable doubt that a significant portion of the candidate population is utilizing a wide range of performance enhancing drugs.
Source: Healthcare Press (healthcarepress.net)
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