The end “particularly repugnant [e]” of a detainee death “after his breath” in a solitary cell in the infirmary of Bordeaux should result in “fundamental changes” in the care provided in prisons in Quebec, according to a coroner’s report
Suspected simulate his respiratory problems despite an official diagnosis two days earlier at the hospital, Van Duc Tran could not see the doctor present at the prison shortly before dying, in spring 2013. Instead, it was locked, in all likelihood private medical visits imposed by Regulation, and has encountered indifference when asked for help, reported the coroner Jacques Ramsay in his recent report and in an interview with The press.
A nurse was found dead at 9:40 p.m.. Mr. Tran was 53 years old and was detained awaiting trial for drug production. He died of complications from asthma.
Describing the death of “avoidable”, Dr. Ramsay has recommended to the Ministry of Public Security to require all its prisons of infirmaries to open their doors to an independent body to be evaluated and possibly certified.
While all health facilities are subject to this process of “approval”, “It’s embarrassing to note that only the health services in detention facilities beyond this basic control quality,” he wrote. “The responsibility of health workers is even larger than the inmate has a captive status.”
Tran Van Duc, who suffered from asthma, was the return trip several times between his cell and the infirmary of the prison during his last weeks of life, due to a severe respiratory problem called “bronchospasm “.
It even led to the hospital emergency Sacred Heart two days before his death, March 19, 2013. The doctors treated overnight before returning to prison, “stating that Mr. must represent if the array empire “recounts the report.
On 22 March, Mr. Tran is conducted early in the afternoon to the hospital because he complained of breathing difficulties. He quickly returned to his unit – smoky cigarette by his fellow prisoners. He “collapses the floor” on the way back, but to no avail: his behavior earned him criticism and returns cell.
The same day at 18:30, “a fellow prisoner activates the alarm button as Tran is too sick to do it,” says Jacques Ramsay’s report. Transported to the hospital, he would have been “negative comments on the part of the health care team,” which simulates believes his problems. It is placed in an isolation cell in the infirmary and “everything indicates that it was not entitled to visits every fifteen minutes and Regulation stipulates,” the coroner.
To 9:20 p.m., “Mr. Tran strike on his door to ask for help, but his request was greeted with indifference. ”
This is a nurse who find him lifeless at 9:40 p.m.. “After his breath die without access to the most basic aid has a particularly unsavory character,” says Dr. Ramsey. “There is every reason to believe that a minimum of diligence would have maintained Tran alive.”
“Tragically, it appears that a doctor was present that night [in Bordeaux] but the medical team did not see fit to disturb him,” he added.
“The death of Mr. Tran suggests to me that there are gaps” in health services provided to inmates, said Jacques Ramsay on the phone. “It’s not an easy environment. This is even more important to try to mark it and improve it. ”
The doctor is even harder in his report.
“Profound changes are probably indicated to bring a new culture of care in the hospital” of Bordeaux, he writes, in addition to recommending that all dispensaries are subject to the accreditation process.
Otherwise, “I fear” that the situation does not lead to “accusations of discrimination” against the state, says Ramsay.
The Department of Public Safety did not call La Presse.