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“There was no response. I pinched his neck and there was still no response.”

Francis said he put his hand on Sinclair’s forehead and his head was stiff and tough to push back.

His eyes were completely black

“His eyes were completely black.”

Francis wheeled Sinclair over to two nurses who were talking and said, “I need help. I think this fellow is dead.”

“They looked at me and thought I was joking.”

When a male nurse took Sinclair’s pulse, they “realized I was speaking the truth.” Sinclair was taken into a resuscitation room where Francis helped lift him onto a bed.

“His entire body was stiff as a board.”

Doctors tried to revive him, but he was pronounced dead several minutes later, Francis said. Francis tried to get Sinclair’s chart from the nurse on duty because he needed it for his report. He was told no chart had been created.

“He was never triaged at all.”

Another security guard testified that he had raised concerns about how long Sinclair had been waiting. Ed Latour said he was working the 12-hour night shift when Sinclair first arrived.

Latour said he got worried when Sinclair was still in the same spot in the waiting room the following night.

“He was slumped over in his chair,” Latour said. “He had his head bowed.”

He said he went to the triage desk and spoke to the nurse on duty.

“I expressed that concern to the triage nurse and asked if he was going to be seen,” Latour told the inquiry. “(The nurse) said he had been there the previous night, had been treated, gone home and returned.”