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EMS and Death
How to respond to and interact
with other agencies when involved
with death
____________________________
Three Kinds of ‘Death Scenes’
1 - Called to a scene where condition of
patient fails and eventually dies
2 - Called to a scene where condition of
patient is unknown but found deceased
(call comes in as “unresponsive”)
3 - Called to a scene of a known death
Coroner’s Role
 Investigate sudden/unexpected or suspicious deaths
 Whether medical or trauma incident
 Does not pronounce death
Who does pronounce death?Who does pronounce death?
+ doctor or nurse – unless very obvious
+ not required that someone ‘pronounce’
Coroner and Your Community
Almost every community has a coroner. Who doesn’t?
– DBay
– Tagish
– Marsh Lake
– Pelly Crossing
– Eagle Plains
“Coroner residing nearest the place where death occurred or place
where body is found or nearest the route of travel by which that
place can be most readily reached has jurisdiction to act as a
coroner respecting a deceased person”
Call the Chief Coroner:
 Kirsten McDonald
 1-867-334-3501
 1-800-661-0408, ext 5317
Coroners in Community
Beaver Creek – Beat J. Ledergerber
Carcross – Linda Henry
Carmacks – Kendall Tricker
Dawson – Heinz Naef
Faro – Ted Baker
Haines Jct – Doug Makkonen, Tickie Hayes, Allan Biggs
Mayo – Blair Andre
Ross River – Brian Hemsley
Teslin – John McCormick, James Clark, David Hett, Marian Horne
Watson Lake – Scott Cole, Dale Rudd
Things to Know
Scenario #1 & 2
 EMS should be prepared and expect the Coroner service to request
a copy of the PCR for their file
 Advise the Coroner service immediately if any samples (blood) were
taken; may request a warrant for them
 Do not remove anything from the body, including IV tubes, defib
pads, etc. Necessary for the pathologist to understand what
happened
 If there are possible physical findings from resuscitation efforts
(CPR) such as broken ribs, helpful to let Coroner know for when
they do an external examination
 Always let the Coroner know position of body when found, prior to
cutting down, extricating from vehicle etc. Critical to determining
positional asphyxia, rigor, lividity, etc.
Things to Know (con’t)
fill out an occurrence report:

as per our YEMS Policy and Procedures:

GE-23 – any sudden or accidental death

may be used in an inquest
inform your Area Supervisor and Director
be prepared for a CIS debrief
may get involved with providing counselling
Things to Know
(Scenario #3)
 Most deaths that EMS becomes aware of will be
reported by the RCMP
 RCMP will call the Coroner service
 EMS and Coroner service are not trained, nor
should they ever assess, whether a death is
considered “suspicious”; RCMP makes that call
 If suspicious, RCMP lead; if not, Coroner leads
2007 Directive
Chief Coroner, A/Director YEMS and RCMP Criminal Operations:
“The Yukon Ambulance Services will, if requested by a
member of the RCMP who is in attendance at the scene
of a death, remove the body from the scene and deliver
it to the local RCMP detachment. The RCMP will make
this request where there is anticipated delay in the arrival
of the funeral service and where authority to remove the
body has been granted by the coroner. However, a
deceased body will not be transported along with a live
body in the ambulance”
* RCMP should provide the body bag ** RCMP should provide the body bag *
2007 Directive
Chief Coroner, A/Director YEMS and RCMP Criminal Operations:
“The Yukon Ambulance Services will, if requested by a
member of the RCMP who is in attendance at the scene
of a death, remove the body from the scene and deliver
it to the local RCMP detachment. The RCMP will make
this request where there is anticipated delay in the arrival
of the funeral service and where authority to remove the
body has been granted by the coroner. However, a
deceased body will not be transported along with a live
body in the ambulance”
* RCMP should provide the body bag ** RCMP should provide the body bag *

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EMS and death

  • 1. EMS and Death How to respond to and interact with other agencies when involved with death ____________________________
  • 2. Three Kinds of ‘Death Scenes’ 1 - Called to a scene where condition of patient fails and eventually dies 2 - Called to a scene where condition of patient is unknown but found deceased (call comes in as “unresponsive”) 3 - Called to a scene of a known death
  • 3. Coroner’s Role  Investigate sudden/unexpected or suspicious deaths  Whether medical or trauma incident  Does not pronounce death Who does pronounce death?Who does pronounce death? + doctor or nurse – unless very obvious + not required that someone ‘pronounce’
  • 4. Coroner and Your Community Almost every community has a coroner. Who doesn’t? – DBay – Tagish – Marsh Lake – Pelly Crossing – Eagle Plains “Coroner residing nearest the place where death occurred or place where body is found or nearest the route of travel by which that place can be most readily reached has jurisdiction to act as a coroner respecting a deceased person” Call the Chief Coroner:  Kirsten McDonald  1-867-334-3501  1-800-661-0408, ext 5317
  • 5. Coroners in Community Beaver Creek – Beat J. Ledergerber Carcross – Linda Henry Carmacks – Kendall Tricker Dawson – Heinz Naef Faro – Ted Baker Haines Jct – Doug Makkonen, Tickie Hayes, Allan Biggs Mayo – Blair Andre Ross River – Brian Hemsley Teslin – John McCormick, James Clark, David Hett, Marian Horne Watson Lake – Scott Cole, Dale Rudd
  • 6. Things to Know Scenario #1 & 2  EMS should be prepared and expect the Coroner service to request a copy of the PCR for their file  Advise the Coroner service immediately if any samples (blood) were taken; may request a warrant for them  Do not remove anything from the body, including IV tubes, defib pads, etc. Necessary for the pathologist to understand what happened  If there are possible physical findings from resuscitation efforts (CPR) such as broken ribs, helpful to let Coroner know for when they do an external examination  Always let the Coroner know position of body when found, prior to cutting down, extricating from vehicle etc. Critical to determining positional asphyxia, rigor, lividity, etc.
  • 7. Things to Know (con’t) fill out an occurrence report:  as per our YEMS Policy and Procedures:  GE-23 – any sudden or accidental death  may be used in an inquest inform your Area Supervisor and Director be prepared for a CIS debrief may get involved with providing counselling
  • 8. Things to Know (Scenario #3)  Most deaths that EMS becomes aware of will be reported by the RCMP  RCMP will call the Coroner service  EMS and Coroner service are not trained, nor should they ever assess, whether a death is considered “suspicious”; RCMP makes that call  If suspicious, RCMP lead; if not, Coroner leads
  • 9. 2007 Directive Chief Coroner, A/Director YEMS and RCMP Criminal Operations: “The Yukon Ambulance Services will, if requested by a member of the RCMP who is in attendance at the scene of a death, remove the body from the scene and deliver it to the local RCMP detachment. The RCMP will make this request where there is anticipated delay in the arrival of the funeral service and where authority to remove the body has been granted by the coroner. However, a deceased body will not be transported along with a live body in the ambulance” * RCMP should provide the body bag ** RCMP should provide the body bag *
  • 10. 2007 Directive Chief Coroner, A/Director YEMS and RCMP Criminal Operations: “The Yukon Ambulance Services will, if requested by a member of the RCMP who is in attendance at the scene of a death, remove the body from the scene and deliver it to the local RCMP detachment. The RCMP will make this request where there is anticipated delay in the arrival of the funeral service and where authority to remove the body has been granted by the coroner. However, a deceased body will not be transported along with a live body in the ambulance” * RCMP should provide the body bag ** RCMP should provide the body bag *