Benoit Lauzon, who had Down syndrome, was living in supportive housing in Gatineau when, on Nov. 2, 2021, he began to experience breathing problems. He was taken to the Hull Hospital, arriving at 11:18 p.m., where he was diagnosed with sepsis secondary to pneumonia.
At around 7:40 a.m. Nov. 4, Lauzon became agitated and was prescribed 1 mg of Ativan to be administered intravenously, but he was actually given 5 mg, the coroner found. Lauzon began hyperventilating, had a rapid heartbeat and became comatose. His mother was called and he died a short time later.there was no autopsy at the time of Lauzon's death. His mother submitted concerns to the Outaouais public health unit, the CISSSO, which brought it to the attention of corner Francine Danais, who agreed to launch an investigation. This investigation revealed the medical error in the hours before Lauzon passed away.
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