FOLLOW-UP INVESTIGATIONS CORONER'S INVESTIGATION The Office of the Sheriff-Coroner of Contra Costa County (hereinafter "Coroner") conducted an investigation of Kiefer's death (Case No. According to the Coroner's report, Kiefer's death was reported to the Coroner at 9:05 AM on February 3, 1993. The time of death is listed as 8:20 AM and the cause of death classified as "natural." In the section concerning Kiefer's medical history, the report states: "Acute exacerbation of chronic paranoia schizophrenia -- meds -- Thorazine, Ativan, Benadryl, Haldol," and then refers the reader to the medical records for further information. The investigation report states: "[t]his report concerns the death of a 38 year old male that died at East Bay Hospital (Intensive Care Unit Second Floor Seclusion Room)." The report notes that Kiefer had no significant medical history except for treatment of his mental disability. The Coroner's investigation report further stated: [Psychiatrist #1] admitted Marc on a 72 hour hold for psychiatric care and was admitted to the locked intensive care unit. Marc was highly agitated and confused and said that he had used crack cocaine in the recent past. The toxicology test proved negative. Marc had to be placed in four point restraints because of his marked agitated confused state of mind, and hyperverbal condition, for his own safety. Marc was placed in the restraints at approx. 0100 hrs this morning. Marc was in the seclusion room by himself and checked on by the staff approx. every fifteen to twenty minutes. Marc was last seen alive by staff at approx. 0730 hrs. Marc was diccovered [sic] unresponsive at 0747 hrs and was pronounced dead by [Psychiatrist #1] at 0820 hrs. An autopsy was performed by a forensic pathologist, on February 4, 1993, at 12:30 PM. The autopsy report lists Kiefer's diagnoses as: Chronic schizophrenia (by history)
FOLLOW-UP INVESTIGATIONS CORONER'S INVESTIGATION The Office of the Sheriff-Coroner of Contra Costa County (hereinafter "Coroner") conducted an investigation of Kiefer's death (Case No. According to the Coroner's report, Kiefer's death was reported to the Coroner at 9:05 AM on February 3, 1993. The time of death is listed as 8:20 AM and the cause of death classified as "natural." In the section concerning Kiefer's medical history, the report states: "Acute exacerbation of chronic paranoia schizophrenia -- meds -- Thorazine, Ativan, Benadryl, Haldol," and then refers the reader to the medical records for further information. The investigation report states: "[t]his report concerns the death of a 38 year old male that died at East Bay Hospital (Intensive Care Unit Second Floor Seclusion Room)." The report notes that Kiefer had no significant medical history except for treatment of his mental disability. The Coroner's investigation report further stated: [Psychiatrist #1] admitted Marc on a 72 hour hold for psychiatric care and was admitted to the locked intensive care unit. Marc was highly agitated and confused and said that he had used crack cocaine in the recent past. The toxicology test proved negative. Marc had to be placed in four point restraints because of his marked agitated confused state of mind, and hyperverbal condition, for his own safety. Marc was placed in the restraints at approx. 0100 hrs this morning. Marc was in the seclusion room by himself and checked on by the staff approx. every fifteen to twenty minutes. Marc was last seen alive by staff at approx. 0730 hrs. Marc was diccovered [sic] unresponsive at 0747 hrs and was pronounced dead by [Psychiatrist #1] at 0820 hrs. An autopsy was performed by a forensic pathologist, on February 4, 1993, at 12:30 PM. The autopsy report lists Kiefer's diagnoses as: Chronic schizophrenia (by history)
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