custody_injury · 2025-Q4
Bureau du coroner (Québec) · Bureau du coroner
Redacted summary
A person died from complications of extensive cellulitis of the right lower limb, which led to multi-organ failure, in a community. They had been found on the ground twice in less than 24 hours without any clinical follow-up after the first event. The circumstances surrounding the death raise concerns about the initial refusal of ambulance transport, the lack of post-fall surveillance, and the communication and coordination of care in a private residence for the elderly.
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