MONTREAL – A confusion at the level of the communications and the organization of the marathon of Montreal has contributed to the death of a young rider of 24 years last September.
This is what is shown in the report of the coroner on the circumstances surrounding the death of Patrick Neely, who has given up the ghost a few hours after having suffered a cardiopulmonary arrest during the last kilometer of the race a half-marathon in which he was participating. The document, made public Monday, shows multiple misfires.
The case had caused much ink to flow at the time, since the help seemed to have been slow to grasp the runner. This was not the only kerfuffle of the day: the marathon was started with 50 minutes of delay for lack of manpower, while the race director had resigned a few days later.
At 9h51 September 22, 2019, Patrick Neely collapsed to close to a officer of the Service de police de la Ville de Montréal (SPVM). He was then still conscious, but was struggling to speak.
Over the minutes that followed, his condition deteriorated and the officer has “at least” three requests for assistance, according to the report signed by the coroner Géhane Kamel.
“During our meetings, we learn that at 9: 57, the application for assignment of the ambulance has failed,” wrote the coroner.
It is only 9: 59, the dispatcher is reached to assign a transport ambulance for Mr. Neely. The paramedics finally arrived at 10.03 a.m., two minutes after the firefighters, who were on the scene after a police officer was rushed to the barracks closest to you.
The paramedics were still positioned very close to the rider. They were not, however, in their vehicle, but rather in the mobile clinic, as requested by the organizers of the marathon.
The medical team of the marathon then informed the BOYFRIEND that a person in cardiopulmonary arrest en route to the hospital while this was not the case; the rider was taken to the hospital of Our Lady.
Mr. Nelly was a young athlete in good physical shape and had an exercise tolerance is significantly above average for his age. He had no counter-indication to physical exercise, even if it was followed up annually for aortic disease moderate and stable for years.
The coroner Kamel believes that a rapid administration of a defibrillator “could help him save the life” and makes a number of recommendations in its report:
- Emergency-health should be aware of the position of its vehicles and of its staff when it has contractual commitments with sponsors; and
- The ministry of Health should direct patients in cardiopulmonary arrest to a hospital offering services in hemodynamics rather than to the hospital closest;
- The SPVM should develop a plan for training and retraining in cardiopulmonary resuscitation (cpr), mandatory for all patrol officers;
- The City of Montreal should ensure that the medical infrastructure and organizational are consistent with the standards for all events.