Portland Adventist Medical Center officials and Police Chief Mike Reese stood together at a news conference today to address last Thursday's response to an emergency in the hospital's parking garage that ended with the death of a 61-year-old man.

The hospital released its video surveillance images of the parking garage, and the

. The news conference followed several meetings between hospital officials and police to try to mend relations.

"One thing I am certain of, everyone who responded to the incident that morning did everything they could have and exactly what they should have to save this man's life," said Tom Russell, Adventist Medical Center president and chief executive officer.

Yet Russell said the hospital staff's communication with police could have been better.

The charge nurse, relayed through a hospital staffer at the emergency room's triage window, told police to call 9-1-1.

"The part that we should have said: 'And we will be right with you,' " Russell said. "Next time the response needs to be 'we'll be right with you.' "

"It was not a matter of response, but it was certainly a matter of communications."

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Reese spoke briefly, thanking the officers involved for their "lifesaving efforts" in providing CPR.

"It seems clear the hospital was preparing a response to aid Mr. Marin-Fuentes," Reese said. Following his brief statement, Reese left the news conference to attend a city council session on the Joint Terrorism Task Force.

Dr. Kelli Westcott, the hospital's vice chairwoman of emergency services, said the hospital's protocols were followed. As she showed the video surveillance images, she said the charge nurse called 9-1-1 and sent out a paramedic who was in the ER at the time.

Hours after the incident, Portland police expressed frustration that morning that they couldn't get immediate medical help when an officer at 12:47 a.m. was flagged down to a crash inside the hospital's parking garage, a couple of hundred feet from the emergency room entrance.

Portland Officers Angela Luty, a one-year member of the bureau, found Birgilio Marin-Fuentes' black Kia Spectra running with minor front-end damage. The driver's window was down, but Marin-Fuentes was unresponsive. Officer Kevin Tully helped Luty remove the driver from the car, and Officer Robbie Truong used his pocket knife to cut Marin-Fuentes' T-shirt.

Officer Robert Quick, a nine-year bureau member, grabbed a breathing mask and worked together with Luty to try to revive Marin-Fuentes, who had driven himself to the hospital but suffered a heart attack and had crashed into a pillar in the first-level of the hospital's parking garage.

Luty did chest compressions on Marin-Fuentes and Quick gave him breaths. Meanwhile, another officer, Andrew Hearst, ran inside the ER to seek medical help at 12:50 a.m., the video surveillance showed.

"Hospital said they won't come out," Hearst radioed to dispatch. "We need to contact AMR first."

In the document released this morning by Portland police, Hearst gives this account:

Hospital officials said they followed protocol by calling 9-1-1 to the crash scene. Forty-six seconds after Hearst entered the ER, the charge nurse at 12:40:46 a.m. sent a paramedic who was in the ER and two security officials who have a mobile defibrillator to the parking garage.

Police said they did not get any medical assistance until an ambulance arrived minutes after they were flagged down.

The video shows AMR paramedic Steve Polzel stuffing a pillow in a pillowcase on a gurney, walking to a parked ambulance in the hospital's bay, grabbing a First Aid kit, and then walking back to the ambulance to grab a cervical collar. He then is seen walking to the parking garage.

When Polzel arrived at 12:53:21 am, the two officers were doing CPR on the motorist, who was lying on the pavement.

Polzel said he asked if he could check the man's pulse or take over with the CPR, and he said the police told him they had already found no pulse and they continued their resuscitation. An American Medical Response Inc. ambulance pulled up at 12:53:48, seconds after Polzel got to the garage.

In the video surveillance, hospital security were seen walking to the garage. The charge nurse walked out into the hospital bay, but turned back into the ER to make sure they were prepared to receive the trauma victim, Westcott said.

Two Portland sergeants and 8 Portland officers had responded. Several wrote that they never saw any hospital staff assisting them in the parking garage. A few wrote they saw security guards, but they were not actively providing medical assistance, the police reports said.

The hospital staff defended their response.

Russell said the security didn't notice the crash until a bystander did 22 minutes after it occurred. He said that's because there are just two eyes on 190 camera screens, and often those security are pulled away, Russell said. He also said that multiple cars had driven by the black Kia, including security and police, without noticing something was wrong.

"It's not unusual to see cars parked a little askew,'' Russell said.

The hospital president said a federal review of this case will proceed, which is common procedure. Russell said he has also shared details of the response with US Rep. Earl Blumenauer.

Russell expressed his condolences to the Marin-Fuentes family. He said he has not been able to meet with the family, who have retained attorneys.

Russell also praised the police.

"Thank you to the officers who responded who did everything they could to save the life of this man," Russell said.

Westcott said hospitals exist to take care of people, and have protocols in place to save lives.

"Last Thursday, those protocals were in place; and we followed them; unfortunately, the outcome is not what anybody would have wanted,'' Westcott said.

Attorneys for the

saying the news conference raised more questions than answers. Attorneys Greg Kafoury and Mark McDougal said the hospital's remarks and video surveillance still do not answer why no one from the hospital responded to Marin-Fuentes, only police and an ambulance paramedic.

"The police reports show 10 officers made it to the scene prior to Mr. Marin-Fuentes being taken into the ER, and none observed any Adventist medical personnel responding to a man who was 'unconscious and not breathing' within 260 feet of the ER entrance on the Adventist campus,'' the attorneys' statement said.

They also said they were disturbed that no one at the hospital noticed the accident. The hospital's video showed Marin-Fuentes' car driving erratically on the wrong side of the road as he approached the hospital's parking garage, colliding with the entrance to the parking structure and then stalling and re-starting before it parked at a 45-degree angle across two spaces.

Across town, Legacy Health's hospital policies call for the dialing of 9-1-1 and the sending out of hospital staff , led by an ER doctor, to provide emergent care if there's a medical emergency on one of its campuses.

If a person is unresponsive, a Code blue response occurs, requiring a 911 call and immediate initiation of CPR by hospital staff, according to Maegan Vidal, a Legacy spokeswoman.

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