Inquest begins into waiting room death of Brian Sinclair
CBC News<http://www.cbc.ca/news/credit.html>
Posted: Aug 6, 2013 7:00 AM CT
Last Updated: Aug 6, 2013 9:57 AM CT
http://www.cbc.ca/news/canada/manitoba/story/2013/08/06/mb-sinclair-inquest-emergency-waiting-room-death-winnipeg.html
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[cid:[email protected]]Brian Sinclair 
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LIVE | Follow inquest into ER death of Brian 
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A search for answers begins today into how a homeless man could die in his 
wheelchair after waiting 34 hours for care in a Winnipeg hospital waiting room.

A long-awaited inquest, led by a provincial court judge, is to examine what 
happened between the time Brian Sinclair came to the Health Sciences Centre ER 
in September 2008 and when someone else in the waiting room told a security 
guard they believed Sinclair was dead.

Emily Hill, a lawyer with Aboriginal Legal Services of Toronto, which has 
standing at the inquest, said there are a lot of questions that need to be 
answered.

"Why did he fall through the cracks? How could this happen in a big urban 
centre with a well-equipped ER that is there to meet the needs the most 
vulnerable in our community?"

She also wants to learn more about what kind of assumptions might have been 
made about Sinclair when he turned up at the ER.

"I think bias may have played a role in some of the assumptions and may have 
contributed to what would appear to be some indifference with regard to his 
health needs," she said.

Security tape at the Health Sciences Centre (HSC) shows Sinclair, a 45-year-old 
double amputee, went to the triage desk and spoke to an aide before wheeling 
himself into the waiting room.

That appears to have been his only interaction with staff.

Almost a day-and-a-half later, another person in the waiting room finally spoke 
up about Sinclair. Efforts to revive him were unsuccessful.

His death was later attributed to a treatable bladder infection. Manitoba's 
chief medical examiner said Sinclair would have lived if his blocked catheter 
had been changed and his infection treated.

"Brian's death did come as a shock and the shock hasn't worn off," said Vilko 
Zbogar, the lawyer for the Sinclair family.

"Brian's name has been in the press as a news story but to his family he was a 
loved one."

Like Hill, Zbogar also hopes the inquest shows whether Sinclair was treated 
differently because he was a low-income aboriginal.

"There will be some analysis of the systemic issues - whether his race, his 
disability, his socio-economic status affected the treatment he received, or 
the indifference he received."

Zbogar said the other goal of the inquest is to identify ways to prevent 
similar deaths. But Sinclair's sister, Esther Grant, said nothing hospital 
workers can say will excuse what happened to her brother.

"Never. I'll never forget what happened to my baby brother," she said.

"It's gonna be in my heart 'till the day I die. I'm never gonna forget it."

The HSC has already made changes to the registration and triage process and the 
physical layout of the ER waiting room.

Police and the Crown attorneys office investigated the death to see if charges 
of criminal negligence or failing to provide the necessities of life might have 
applied. But they decided no charges were warranted.

The Winnipeg Regional Health Authority has paid $110,000 in damages to the 
Sinclair family for loss of care, guidance and companionship.



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