A four-year-old girl suffered major brain damage in a swimming pool accident when on holiday, and later died when she was being flown back to the UK.
Indianna Maddison was on holiday with her parents and eight siblings in December 2017 at the Jaz Makadi Aquaviva Hotel in Egypt.
After falling into the pool, she got into some difficulty and another holidaymaker was forced to jump in to save her.
They performed CPR on her before she was rushed to the closest hospital, 35 minutes away by ambulance.
When she was at the hospital she began to have seizures and a stroke.
It is then believed she suffered brain damage before she was flown home to the UK on Christmas Eve.
Indiana would tragically die on Boxing Day after suffering a cardiac arrest.
Now, an inquest into the tragic death of the young girl has said that she died “due to the effects of near drowning in Egypt to which deficiencies of local emergency care and hospital care contributed.”
The coroner also said that she wanted to consider more evidence from TUI about whether warnings should be issued to customers about the quality of medical care available in the country.
Indianna’s mum, Kelly, 42, and dad, Tommy, 48, are from Bishop Auckland.
In a statement issued after the hearing at Newcastle Coroners Court, the couple said: "We miss our beloved Indianna every single day.
"She was our happy little girl and we always protected her in any way we could, so to lose her how we did was absolutely devastating and something we'll never get over.
"To know that we'll never see her grow up alongside her brothers and sisters, or mark milestones like starting school, getting married and having her own children, is so difficult to accept.
"It's now four years since it happened, but the pain never goes away. Going through everything again at the inquest has been hard, but we're grateful to have answers."
Daniel Matchett, a specialist international serious injury lawyer, said: "This is an absolutely tragic case in which a young girl has lost her life and a family has suffered the devastating loss of their loved one.
"Understandably the last few years and trying to come to terms with Indianna's death and the circumstances surrounding it has been incredibly difficult for her family, in particular Tommy and Kelly.
"While the inquest has been tough they were determined to honour Indianna's memory. While nothing can make up for their loss we're pleased that we have at least been able to provide the family with the answers they deserve regarding Indianna's death.
"We'll continue to support the family at this distressing time."
