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EMS head, pathologist to testify at inquest for Indigenous woman who died of sepsis in Ontario hospital

Posted on: Apr 17, 2026 18:28 IST | Posted by: Cbc
EMS head, pathologist to testify at inquest for Indigenous woman who died of sepsis in Ontario hospital

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Testimony in the coroner’s inquest for Heather Winterstein is nearing its end, with proceedings today expected to hear again from an EMS commander who spoke yesterday about how busy the ambulance service was on Dec. 10, 2021.

Pearson testified the paramedic service was being overloaded with calls around that time. The inquest, which began March 30, previously heard that the COVID-19 pandemic had led to increasing patient loads and understaffing. 

Winterstein, 24, was taken by ambulance to hospital twice, on Dec. 9 and 10, and faced lengthy emergency department waits. She died hours after collapsing while waiting to see a doctor.

During testimony by a triage nurse, it was learned that Winterstein had been suffering body pain for six days after a fall. 

A hospital official was questioned yesterday about the ER doctor who saw Winterstein during her first hospital visit and sent her home with Tylenol, telling her to return to the hospital if she got worse.

Family, friends and a physician previously said they believe racism and bias affected the quality of care Winterstein received.

Also yesterday, Dr. Rafi Setrak, the regional chief of emergency medicine at Niagara Health, which runs the hospital (now named Marotta Family Hospital), testified the health system "failed" Winterstein.

Earlier this week, Niagara Health president and CEO Lynn Guerriero said, "There's absolutely systemic racism and Indigenous racism in health care.” But she said she's struggling to accept that anti-Indigenous racism played a part in Winterstein's death, because front-line medical staff who were involved in her care have said they didn't know she was Indigenous.

Scott Cronkwright, a peer support navigator who interacted with Winterstein on both Dec. 9 and 10 at the hospital, described how much pain she was in when he found her lying on the floor of the emergency waiting room on Dec. 10. 

He said it was obvious Winterstein's condition was extremely serious and she should have had a bed instead of being in the waiting room.

The inquest was originally scheduled to hear witnesses for 13 days. It's not clear if testimony will conclude today or if it will stretch to Monday, when the charge to the jury is expected to take place.

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