SA国际传媒

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EMS industry reacts after EMTs charged with first degree murder

鈥... As frustrated as I鈥檝e ever been on a call, I can鈥檛 fathom doing any of these things to a patient,鈥 one commenter wrote

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Ill. EMTs Peter Cadigan and Peggy Finley were charged with first degree murder and booked into the county jail on $1 million bond each after a coroner report found that a patient in their care died as a consequence of 鈥減rone facedown restraint on a ... cot/stretcher.鈥

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Two EMTs were charged with first degree murder after a patient died in their care.

This is not the first high-profile case of charges filed against EMS providers in recent years. In 鈥淢alpractice or murder: When do EMS providers cross the line from negligence to crime?鈥, Page, Wolfberg & Wirth attorneys Doug Wolfberg, Esq., and Steve Wirth, Esq., break down the facts of the case and the important lessons to be learned for EMS professionals nationwide, and explain why bodycam footage carries substantial weight in determining criminal charges. The two also discuss how a guilty verdict comes down to a 鈥済uilty state of mind.鈥

Are first-degree murder charges warranted in this case? Should EMS providers be protected from criminal charges when caring for patients? See how readers weighed in on an SA国际传媒 poll and share your thoughts with us at editor@ems1.com to be included in our ongoing coverage of this case.

Two Ill. EMTs were arrested after an autopsy report found a patient died in their care from 鈥渃ompressional and positional asphyxia鈥 due to, or as a consequence of 鈥減rone facedown restraint on a ... cot/stretcher by tightened straps across the back鈥 during a December call.

Shortly after the cause of death was issued by the coroner, the providers, Peter Cadigan and Peggy Finley, were charged with first degree murder and booked into the county jail on $1 million bond each.

Bodycam footage of the incident was released a day after the pair were charged. The 24-minute video sent shockwaves through the industry, with many viewers commenting on an apparent lack of compassion exhibited by the providers on scene, as well as the way the patient was secured to the stretcher.

What are your thoughts on this incident? Are first degree murder charges justified or an overreach? Take our reader poll or share your comments below.

Reader reactions

鈥淔irst thing I do if someone tells me they can鈥檛 breathe is vitals whether I believe them or not. This is pure complacency and it鈥檚 unethical. Your job is to help people no matter if they deserve it or not. Enjoy prison.鈥 鈥 Kim Bridge

鈥淏efore I saw the footage I thought, 鈥極h they should have restrained him with meds.鈥 No, they were just too plain lazy to roll him over and monitor him. He wasn鈥檛 fighting them. He walked most of the way to the cot.鈥 鈥 Asa Snouffer

鈥淓MS got some positive publicity on the world stage for a few days until these 2 came along. What an embarrassment to the profession. This is not an accurate depiction of good EMS providers.鈥 鈥 Jane Clukey

鈥淣o one on scene did good by this man! The medics are clearly lazy, he was halfway on his side. Would have been very easy to roll him on his back.鈥 鈥 Heather Bainter

鈥淭hink about how many other patients were treated so unprofessional and without compassion like this and there鈥檚 no footage to show. This partnership was a disaster waiting to happen. If either had any shred of humanity left, they would have insisted on getting this patient out of the prone position and into safety. My guess is she was primary caregiver and he was the driver 鈥 the thought of how she treated and spoke to him on the ride to the hospital before he passed makes me shudder.鈥 鈥 Sarah Debbink


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When lots of red flags are waving, assess the patient, provide compassionate care and always take 鈥淚 can鈥檛 breathe鈥 seriously


鈥淚 will say that I鈥檓 extremely thankful that I have not seen anyone trying to defend these two or give them even the slightest bit of excuse. I鈥檓 mortified and as frustrated as I鈥檝e ever been on a call, I can鈥檛 fathom doing any of these things to a patient. My heart breaks for this man that genuinely needed help.鈥 鈥 Amanda Jackson

鈥淒TS is a real emergency. He appears to be in late stage already. It will definitely be hard to treat him if he starts seizing and having cardiac issues while prone. This is boiling my blood. Not one of them thought that maybe he physically can鈥檛 get up and walk ?. They don鈥檛 have one leg to stand on in court and I am glad they can鈥檛 use one excuse to swindle their way out of this mess.鈥 鈥 Angel D. Winefine

鈥淭hose two were done a long time ago. How they still had a job in this profession is beyond me. Even if he had not died, that is not the way to treat patients and should be termination immediately. The dude....since when do we slam patients down especially face first? I don鈥檛 care if it is on a cot and pillow! And then, pulling down on the straps as far as he could while he is laying face down! What did they think was gonna happen? Obviously neither one of them cared at all. If they did, there would be no video for us to watch. Shame on them two. The cops did what they could and spoke to him with compassion. I am outraged to see how the ambulance crew went about this call. I don鈥檛 care if it is someone you see every shift. That kind of patient care is 100% unacceptable and I do hope the punishment is not light!鈥 鈥 Jennifer Westcott

鈥淚f 鈥榯ime to leave the streets鈥 were people. Their burnout is palpable. Completely inexcusable they didn鈥檛 at least flip him over.鈥 鈥 Bob Stanley

鈥淭his is sickening. There was absolutely no reason to restrain the patient in a prone position and there鈥檚 absolutely no reason why the female medic treated the patient that way. I鈥檓 also surprised PD didn鈥檛 question them placing him on the stretcher that way. The whole scenario makes me so angry! This man needed help and compassion!鈥 鈥 Megan Duda Trawick

鈥淚 stopped counting the mistakes. There were too many. This was disturbing to watch, and I hope they both rot in prison where they belong.鈥 鈥 Rebecca Dewberry Hinyub

鈥淧aramedic of the year right there, disgusting! That agency should be ashamed to hire such awful people. We all have had bad days but no excuse for the attitude right from the start. Great assessment, she never put a hand on him at all or asked any questions.鈥 鈥 Steve Lewis

鈥淚 watched this with the sound muted and immediately saw the EMS crews disdain for having to be there. The lack of care in the looks in their faces and body language. Then when the male medic or EMT picked up the patients upper body and slammed him face first into the gurney, well that sent me. Neither of these two belong in emergency health care. Just sickening.鈥 鈥 Stephen Procedo

鈥淚鈥檝e had late nights鈥 burnouts鈥. Everything. But one thing I鈥檝e never done is provide insufficient care to a patient because I don鈥檛 want to deal with them. Let鈥檚 be honest, 90% of ems calls aren鈥檛 true 鈥渆mergencies鈥 like how we would classify them. But it is still your JOB to provide the best care possible. If a daycare worker was fed up with a baby who was crying all day shook that child, it doesn鈥檛 matter how fed up the worker is, it doesn鈥檛 matter what the child did. That is the workers JOB to protect and take care of them. Even the way the personnel on scene was talking to the patient was gross in my opinion.鈥 鈥 Payton Hale-Simpson

鈥淚 teach EMTs and Paramedics at a college in MI. We not only teach proper patient management procedures but also appropriate affective behavior when dealing with patients, family, bystanders, and other emergency workers and healthcare professionals. What I witnessed in the video was totally inappropriate affect of the female EMT 鈥 no empathy or compassion, no actual assessment of a patient in obvious distress, plus (now also involving her partner) improper positioning of the patient on the stretcher and clear inappropriate strapping of a patient (clearly the straps were too tight over the back inhibiting the patient鈥檚 ability to breathe). The police officers displayed totally appropriate behavior in that situation and though they were the ones placing the patient on the stretcher (this should have been the responsibility of the EMTs), they are not responsible for the medical care of a patient.鈥 鈥 Denise Martin


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鈥淲hen the prosecutor sees and hears compassion, competence and professionalism, even in the face of significant errors being made, it becomes much harder to justify filing criminal charges.鈥


Rachel Engel is an award-winning journalist and the senior editor of FireRescue1.com and SA国际传媒.com. In addition to her regular editing duties, Engel seeks to tell the heroic, human stories of first responders and the importance of their work. She earned her bachelor鈥檚 degree in communications from Cameron University in Lawton, Oklahoma, and began her career as a freelance writer, focusing on government and military issues. Engel joined Lexipol in 2015 and has since reported on issues related to public safety. Engel lives in Wichita, Kansas. She can be reached via email.

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