Overview
- Coroner Michael Jenkin confirmed Jamie Ginn, 50, died in custody from cocaine toxicity at the Perth Watch House on October 10, 2023.
- The inquest could not determine how or when the drug was ingested, with a packaging-swallowing theory unsupported by post-mortem findings.
- Supervision was deemed poor after the cells control officer failed to detect an apparent seizure for about 15 minutes during evening checks.
- CPR began at 7:07pm, paramedics arrived at 7:13pm, and Ginn was declared dead at 8:05pm, with no finding that the absence of a nurse contributed.
- Seven recommendations call for staffing reviews, consideration of mandatory body scanning, AI-assisted monitoring and equipment upgrades, and two nurses are now rostered at the facility.