Patient suffered cardiac arrest after restraint: forensic pathologist

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Patient suffered cardiac arrest after restraint: forensic pathologist
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Paul Spencer’s 2019 death was the result of a combination of factors including physical restraint, cardiovascular disease and medication for schizophrenia, a coroners inquest heard

The 2019 death of a patient following an altercation with security at Royal Jubilee Hospital was most likely caused by cardiac arrest brought on by a combination of factors, says the forensic pathologist who conducted an autopsy on Paul Spencer.

The forensic pathologist said restraint can cause serious issues with metabolism and potassium levels, while risperidone can affect the heart muscle over time. McKinnon, who works for the B.C. Coroners Service, said her determination of the cause of death took into account Spencer’s medical history, medical records from around the time of death, autopsy findings and toxicological results.

After a struggle in which one of the guards hit him on the back with a closed fist, Spencer was wrapped in a blanket from the shoulders down and placed face-down on a mattress in a secure room.

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