Assess the scene get guards to protect the entrance to the cell.
check for state approved signs of death,
Cut inmate down at CENTER of ligature between nots
if no livitaty etc , Cpr protocols, arouse, chk breath and sounds, two rescue breaths, then chest compressions etc,
Contact Mcep for approval to discontinue and pronounce if no response
HEAVY documentation and guard interview
I'm new to ems but I did 2 years clinical autopsy and 3 years criminal autopsy. It would be very easy to become complisate in this death. Also at that point if negligence is proved by an angry family member, it becomes a very sticky homicide. Usually resulting in correction officer firings either way.
The inmate autopsy is very intensive including a neck to ankle "fillet" to look for any signs of foul play. Inmates "hang" themselves all the time, from what I saw of all "suicides" it was about 30% suspicious, 30% homicide, 30% actual suicide.
Most swingers use a bed post or chair. It doesnt have to be high it only has to occlude the carotids
