The inquest examined the death of Samuel Brown in Brantford, Ont., in 2018.
Jurors at the inquest into the death of Samuel Brown also suggested the Ontario government draft and implement policies to ensure and improve 24-7 on-call availability of medical staff for students who stay at those schools.The suggestions were among 21 recommendations issued Thursday by jurors who heard the case of 18-year-old Brown, who died five years ago while attending the W. Ross Macdonald School for the Blind in Brantford.
Jurors heard that overnight staff at the school were shocked to find Brown unresponsive on the morning of his death after routinely checking on him through the night.Jurors recommended medical training be provided for staff at schools for disabled children on how to identify potential early symptoms of aspiration pneumonia, as well as mandatory training on ableism with a focus on the dangers it poses for those with disabilities.
Before finding him unresponsive, Rymon-Lipinski reported that Brown appeared “congested” and had a runny nose, but that was not out of the norm for the teen or cause for alarm. The inquest previously heard that Brown — who had been attending the school since he was four years old — had difficulty swallowing and had hospital admissions as a child for aspiration, which is when food or liquid enters one’s airways. As a result, most of his food had to be pureed and he had an additional risk of developing pneumonia, which he had been admitted to hospital for in the past.
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