DRP & Interference with Michael’s medical care

                                                      Duty of care and negligence to provide necessities of life

  • EMS – Ambulance Call Report for Michael listed the dispatch problem code as “Unknown Injuries

      After multiple emails requesting an explanation from the SIU for the indication of “Trauma 

Unknown” and the lack of medical care we feel Michael received – we finally received our answer          on the evening of June 3rd from Winslow Taylor (SIU).

    

Winslow :    Okay, so shortly after that information is communicated, or discovered, an ambulance                             asked to move into the area and they are listed for unknown trouble because they were                           asked to be put on standby.

Joanne:       what does that mean?

Winslow:     this is, in my experience, a common police practice when a person is in some sort of                               medical distress, and officers have yet to apprehend them, they will call an ambulance to                         get closer to the area and wait.

Eileen:         for Michael?

Winslow:     yes.  So the ambulance is called into the area to wait and is put on standby, so this is why                       it is listed as unknown at that time.  This was when the ambulance was called in. 

Why "Unknown Trauma"? - SIU Explaination
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  •  In the days following the above preposterous explanation, we contacted the Ministry of Health Investigative department – again, being forced to take other avenues to get “honest” answers into Michael’s death.

  • When asked if there was an ambulance on standby that day – for Michael - we were told NO; and that this is NOT a police policy.  In fact, this is NOT even a common practice – except for possibly in the case of a suicide attempt.   

  •      But, on the morning of December 2, 2013 there was NO ambulance on standby OR requested to be on standby by Durham Regional Police for anyone – including Michael. 

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  •      Based on this explanation and clarification – we, Michael’s family – officially requested that the Ministry of Health & Long Term Care Investigation Services conduct a thorough investigation into the quality of patient care provided to Michael on the morning of his shooting.

  •      We received a full report on May 6th, 2015 and our worst case scenario was confirmed …. Not only did this report verify that there was - in fact - NO ambulance on STANDBY for Michael as we were informed by the SIU … It also proved that 911 dispatchers @ DRP Services did NOT relay that Michael had been shot to EMS?  And Not only did Durham 911 dispatch NOT relay Michael’s injuries to ACO/EMS - But that the initial ambulance for Michael was intentionally delayed – in fact at one point it was EVEN CANCELLED.

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  • An accountable care organization (ACO) is an association of hospitals, providers and insurers in which all parties assume accountability for the quality of patient care, and how money is spent as it pertains to a population.

Unsure of Injuries #1 - Unknown Artist
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Unsure of Injuries #1 - Unknown Artist
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Unsure of Injuries - 911 DRPS Cancel Ambulance
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Unsure of Injuries - 911 DRPS Cancel Ambulance
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Ministry of Health Report Indicates:  

  • Almost 3 minutes passed from the time of the first ambulance being cancelled before a second ambulance was finally requested for Michael …. And all this time Michael had been shot, lying naked on the cold asphalt with 2 hollow point bullets in his body for almost 4 minutes.

  • As incredible and unthinkable as it is …... while Michael laid at the feet of 3 Durham Police officers (photo below) – and despite the fact that ACO / EMS asked 4 times what Michael’s injuries were …. They were NEVER informed that Michael had multiple gunshot wounds or that he was naked, outside on a cold December morning.

  • They (DRP & DRP 911) did however think it was important to mention, multiple times, that Michael was severe MHA and Aggressive with Police!!!

Unknown Track - Unknown Artist
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Unknown Track - Unknown Artist
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  • Something that was a complete surprise to his wife and family and would have been an outright shock to Michael –this is a complaint directly against DRPD and we will address toward the end of this summary. 

  • Audio Clip #2 – Actual Dispatch and 911 calls re: “trama unknown”

  • CODE 4 as noted above:  Non-Urgent

  •       That the patient’s condition is stable and there is no threat to life or function.

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  • Yet when our family directly asked the SIU if Michael’s injuries were communicated to EMS

  • Clip #3 The SIU response:  

  • Marianne:            So the officer called for the ambulance?  Is there a recording of him disclosing                                         Michael’s injuries?

  • Winslow :            I will check back, but I do believe there was some communication as to what                                             happened. 

Were EMS told of Michael Injuries? - SIU
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  • This indicates to us, that although Durham Police Officers felt it important to relay that “2 females had been assaulted” – which was unsubstantiated and NOT proven … that, one was “punched in the head” and the other was “vomiting” …. YET - Not one person – police officer or 911 dispatchers - felt it was important to notify EMS that Michael had been shot twice?

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  • Yet when paramedics did arrive on scene …. They had no hesitation indicating Michael’s injuries; most importantly that he had “Multiple gunshot wounds”.

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  • It is obvious that the officers on scene – the subject officer Taylor and the 2 witness officers – clearly knew that Michael had been shot … but, we can also prove that Durham 911 were also FULLY AWARE that shots had been fired.

  • Clip #4 – 911 Operator:        “I think we got the gunshots”  ** 2 seconds after shots were fired!! **AT Position 12 - in the backgoungd .

DRP 911 "I think we got the gunshots" - 911
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  • Yet, to further interfere and frustrate Michael’s medical care – regardless of if it was intentional or just a result of plain ignorance - Michael’s medical information was NOT conveyed to Rouge Valley Hospital.  Subsequently, Michael was given a drug, via IV, called Rocuronium – a drug that is NOT to be given to people who are taking anti-seizure medications.  And both Lamictal and Topamax ARE anti-seizure Medications.

  • Shortly after receiving this drug (Rocuronium) CPR had to be started for Michael as he had 0 pulse.  And hospital records indicate that this is the first time since the shooting that Michael went into Cardiac Arrest.

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  • Durham PC Craik (# 3565) had been given the information of Michael’s medication by PC Griffin (#3665) – yet did NOT provide the proper medical information to Rouge Valley Hospital when Michael was admitted.   In fact, Const. Crank indicates that Michael told her himself that he took NO home meds – while an ambulance was still NOT dispatched for Michael and as she was providing “Veterinary Care” to him.  

Medication Relay - Medication Relay
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  • OIPRD NOTES:

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  • Veterinary Tech.!  At this time DRP had still NOT dispatched an ambulance for Michael & and the ref. to “Veterinary” although QUITE insulting could – confirms DRP opinion & treatment of Michael on the morning of Dec. 2, 2013 !

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  • FOI NOTES:

  • Clip #5 – 911 Operator:        CST Griffin & CST Craik exchange information on Michael’s                                                      Medications

  • Although we can clearly establish that DRP and Cst. Crank were aware of Michael’s home meds - inaccurate information was provided to Rouge Valley Hospital by the very people that we feel were responsible for his care … and the erroneous information provided by them – only added to Michael’s suffering.

Confirming Medication - Confirming Medication
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  • As Michael’s wife (Marianne NOT Mary Ellen) and family were NOT notified of the shooting until after 12 pm …. Not only were NONE of Michael’s family present @ Rouge Valley hospital @ 10:50 am … We question WHO told Rouge Valley Hospital that Micheal’s next of kin were present? 

  • Yet when we questioned the SIU again, during our meeting on June 3, 2014, why Rouge Valley Hospital noted that Michael took 0 home meds, had 0 allergies & indicated that his family / next of kin were present at hospital.   They (SIU) blatantly deceived our family- this is the explanation we received.

  • Clip #6:          

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  • Winslow Taylor (SIU):     “If I had evidence to say that, a police officer willfully provided false                                 information to a medical staff and cause Michael harm we would also be having a different                     conversation.  I don’t think we would be having the same conversation if they just walked                       away” 

If I Had Evicence ... - Winslow Taylor SIU
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  • We contend it would have been quite clear if Winslow Taylor and the SIU had actually looked at the “evidence” – the medical records, Ornge air ambulance, EMS as well as St. Michael’s records, etc.  to establish that Michael did not receive the care he was entitled to, with the urgency required or the care that was available to him.  In addition, our claim is that the delay in medical care – trauma care - affected Michael’s chance of survival. 

    • In trauma there is a timeframe know as the “Golden Hour”:

    • In emergency medicine, the golden hour (also known as golden time) refers to a time period lasting for one hour, or less, following traumatic injury being sustained by a casualty or medical emergency, during which there is the highest likelihood that prompt medical treatment will prevent death.[1] It is well established that the patient's chances of survival are greatest if they receive care within a short period of time after a severe injury; however, there is no evidence to suggest that survival rates drop off after 60 minutes. Some have come to use the term to refer to the core principle of rapid intervention in trauma cases, rather than the narrow meaning of a critical one-hour time period.

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    • Although, ACO/EMS were NOT told Michael had been shot – based on the Ambulance Call report and confirmed in the MOH Investigation report – we know that the severity of Michael’s injuries required critical care.  And that Michael met not just one but ALL the Field Trauma Triage Guidelines – why was there no Ornge Air ambulance sent?   Did the lack of information provided by Durham Police and 911 interfere with his care?    Every Second Counted for Michael’s chance of survival.

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    • Once Michael’s first emergency surgery ended, and a surgical resident, Dr. (James) spoke with our family, he indicated that their assumption was that “Sometime with the first hour of arriving at St. Mike’s Michael had been shot”.  In fact, it took 3 hours for Michael to reach a trauma center.  

    • The Dr. then went on to explain that although Michael had sustained very serious injuries from the bullets, the main problem was “blood loss” because of damage to the Abdominal Aorta.

  • Dr. James:      I am James, I am one of the surgical residents working with the trauma team I am not                              sure what you guys know or what you don’t know and I certainly; I didn’t see Michael                              when he first came in but I was involved with his operation so I know that there is a fair                            bit that you don’t know so I will just reiterate what I do know.

  •                         About an hour or so before he came here (actually 3 hours before NOT 1 hour) we                                    understood that he had been shot twice, once in the abdomen, sort of at the top of the                              abdomen – another time in the right shoulder. 

  •                         When he was on the way here we heard that he had essentially lost all vital signs, twice.                          Basically, you know, the reason why all of this is happening on the way is essentially                              blood loss, because of that.  

St. Michaels Hosp - Dr. explaining bloodloss
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  • Yet, even our complaint to the OIPRD was met with, what we recognize now – to be the typical, misleading, “blue coloured” response when accusations are launched against police officer’s and/or a police force in Ontario. 

  • OIPRD RESPONSE: 

  • How do the actions of DRP Service on Dec. 2, 2013, at the very least, NOT warrant at least a charge of "failing to provide the necessities of life"  in Michael’s case?

  • Are the police NOT are under a legal duty to take care of persons in their custody?  Is their duty NOT enhanced where a person is in need of medical care?  Is there NO obligation on the police to protect those under their care from undue risks?!?

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  • Durham Regional Police Department – through the actions of Cst. Brian Taylor “detained” Michael the second he shot him.  And by choosing to shoot Michael DRP took away Michael’s control over his life.  Including his ability to provide and care for himself. 

  • If our police, or ANY Agency is going to take away a person’s ability to keep him – or herself alive … then we argue that the agency MUST assume responsibility for doing so!