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custody_death · 2025-Q2

Bureau du coroner (Québec) · Bureau du coroner

Finding
Disposition
Cohort size
78

Redacted summary

A person with multiple neurodevelopmental disorders and significant comorbidities died from bilateral broncho-pneumonia in a long-term care facility. The circumstances surrounding the death raise questions about the medical evaluation after a fall, the decision to quickly orient care towards a comfort approach, and the keeping of medical records in the facility.

Officer

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Bureau du coroner (Québec): custody_death (2025-Q2) — The Ledger