The data link Queensland the ambulance service apologized forthe treatment given to an indigenous man who died after being detained by police, acknowledging that "our performance was below our own high standards".
The man , known as Noomba, died at Townsville in 2018. Police were attempting to detain him for a mental health assessment after his partner called them, fearing he was suicidal.
Video footage and witness statements provided to Queensland Coroners' Court show Noomba, 39, suffered suspected cardiac arrest just yards away of his house. He was lying in the street surrounded by police and paramedics. He died shortly afterwards.
A Noomba's death inquest took place in April and Coroner Terry Ryan is expected to deliver his findings later this year.
Queensland Ambulance Service Medical Director Dr Stephen Rashford in a letter to Ryan in February recommended immediate changes requiring police and paramedics to treat people who present themselves as Noomba l 'did in a much more comprehensive fashion.
Rashford said in such scenarios - where a person in custody goes from "100 miles per hour to zero in a very short period of time "- police should be required to call the Queensland Ambulance Service to request cardiac arrest intervention. The nearest ambulance would be dispatched on priority conditions in addition to an intensive care pa medical unit if available.
Rashford said the case from Noomba shared a theme common to many he had examined for the coroner - a relatively rapid change in clinical state from very agitated to a depressed level of consciousness under restraint.
He said that despite several coronary recommendations to resolve the problem, more needs to be done.
Paramedics in Noomba's case had attempted to act in the patient's best interests and appeared empathetic and knowledgeable, but treatment fell below expected level, Rashford said, adding that he would refer the case to the mediator of the health.
"While I cannot say for sure that [Noomba's] cardiac arrest outcome has been altered, QAS care in this case did not optimize his chances of survival "he wrote to the coroner.
" This is a tragic case on several levels and I am assignedste for [Noomba] and hi family s. On behalf of Commissioner QAS, I sincerely apologize for the level of care that was provided to [Noomba] on this occasion.
"Our performance has fallen below our own standards and our commitment to "excellence in ambulance service" to all people in Queensland. "
Noomba had heart disease and had snorted gasoline shortly before his death - two factors which are believed to have contributed to his cardiac arrest.
Body-worn camera footage provided to the investigation showed an officer chasing Noomba on foot despite not responding to requests for an arrest. Noomba then launched an arm towards the policeman who, together with a colleague, pinned him to the ground.
A policeman said in his first interview that during the fight he had utilized a police technique known as Lateral Neck Vascular Restraint (LVNR) to gain control of Noomba. But the officer allegedly changed this evidence during the investigation to say that he did not believe he used the hold.
The Queensland Police did not include anything regarding the LVNR in their initial submissions to Ryan.
But after Guardian Australia reported in March that officers said they used the hold to restrain Noomba, Ryan asked Queensland Police to provide information on LVNR training, how its use is and how it is used in others jurisdictions.
An inquest into the incident - requested by the lawyer assisting the coroner and completed by Victor's former senior police officeria Emmett Dunne - Serious Misconduct Officers.
But Ryan is expected to determine whether Queensland Police should change their policy on how to respond to people deemed to be in risk of self-harm, especially if they are indigenous.
A letter provided to The Investigation by Gerry Georgatos, Coordinator of National Suicide Prevention and Trauma Recovery Project, found that about 10% of all suicides involving First Nations people in Australia in recent years have occurred in Townsville.
Georgatos said a short-stay center for suicidal First Nations people should be established in the city.