Coronial
NTother

Inquest into the death of Terrence Daniel Briscoe

Deceased

Terence Daniel Briscoe (Kwementyaye Briscoe)

Demographics

27y, male

Date of death

2012-01-04

Finding date

2012-09-17

Cause of death

Airway obstruction due to a combination of positional asphyxia, aspiration and acute alcohol intoxication

AI-generated summary

27-year-old Aboriginal man died in Alice Springs Watch House from airway obstruction due to acute alcohol intoxication, positional asphyxia and aspiration. He was detained in protective custody after being found intoxicated near Flynn Drive. Unknown to police, he consumed approximately 350ml of rum during van transport, reaching a blood alcohol level of 0.350 g/100ml (lethal range). Critical failures in care included: absence of Watch House Keeper, failure to conduct proper health assessment despite obvious incapacity, dragging the detainee rather than assisting him to walk, failure to recognise head injury despite bleeding, inadequate cell checks during overnight shift, failure to respond to call button from other prisoners hearing distress sounds at time of death. Officers stated he was "annihilated" but permitted him to remain in custody. No escalation to medical care occurred despite multiple warnings. Systemic failures included inadequate staffing with inexperienced probationary constables, lack of training on duty of care, failure to implement previous coronial recommendations from 2010 Cedric Trigger inquest, and absence of auditing procedures. Death was preventable.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • Acute alcohol intoxication with blood alcohol level of 0.350 g/100ml (lethal range)
  • Consumption of 350ml Bundaberg Rum in police van unknown to officers
  • Failure to conduct proper health assessment despite obvious incapacity
  • Dragging detainee from Cell 1 to reception instead of assisting to walk
  • Failure to recognise severity of head injury and provide first aid
  • Failure to provide urgent medical care when indicated
  • Absence of Watch House Keeper on both shifts
  • Inadequate staffing with inexperienced probationary constables
  • Failure to conduct regular 15-minute cell checks as required
  • Failure to respond to call button from prisoners hearing distress sounds at 11.44pm
  • Inadequate search of detainees before van transport
  • Closure of door between reception and cells preventing prisoner calls for help
  • Failure to refer to hospital earlier despite signs of severe intoxication
  • Poor supervision and training of junior staff
  • Lack of implementation of previous coronial recommendations from 2010 Cedric Trigger inquest
  • Absence of formal auditing procedures for Watch House practices
  • Head trauma from multiple falls while in custody
  • Possible concussion from head injuries
  • Positional asphyxia from face-down position on mattress

Coroner's recommendations

  1. Police be directed that dragging detainees on the ground in Watch House is unacceptable and should not occur except in most exceptional circumstances; where prisoners unable to walk they should be assisted to feet and helped to walk; when not possible multiple officers should assist and carry them
  2. Police consider obtaining wheelchair, stretcher or suitable device for each Watch House to safely transport prisoners unable to move themselves
  3. Police implement and maintain rigorous auditing of Watch House rosters to ensure role of Watch House Keeper is maintained
  4. NT Government give urgent attention to providing nursing staff on daily basis to Watch Houses in Darwin, Alice Springs, Katherine and Tennant Creek, with suitably equipped medical rooms
  5. NT Government convene urgent meeting with Alice Springs stakeholders including Licensing Commission, Police, Department of Health and People's Alcohol Action Coalition to commit to reasonable measures to reduce supply of excess alcohol from take-away outlets
  6. Government meets urgently with all major stakeholders to consider circumstances of this case and how deceased came to have access to excessive alcohol and consider further measures to deter binge drinking in Alice Springs
Full text

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