State of Kansas Office of Coroner

REPORT OF DEATH ---PERSONAL INFORMATION---

TIME: Notified 0527

Case Number: L11-09-002

Date: 9/1/2011

County Jurisdiction: Leavenworth Coroner: Mitchell

Name: Brandes Montez Russell Age: 20 DOB 10/4/1990 Sex: M Ethnic Code: AA

Address: Lansing Correctional Facility, Lansing, KS Zip:

--LOCATION INFOR11 - 1110.v---

Time Arrived

Time Departed

Officers Present:

Agency: Lansing Correctional Agency #:

Incident Location: Lansing Correctional Facility, Lansing, KS

Death Location: Cushing Memorial Hospital,

Date Pronounced Dead: 09/01/2011

Name of Pronouncer:

Date: 09/01/2011 Time: 0510

Date: 09/01/2011 Time: 0440

Time of Pronouncement: 0440

License #:

---NEXT -OF-KIN INFORMATION---

Next-of-Kin Name: Don Singleton (grandfather)

Mortuary of Choice: Jackson Morturary (Wichita, KS) 316-262-5431

Information By: Tim Roberts Informant Address: Lansing Correctional Facility (913-727-3235 ---IDLA I I TION INFORMATION----

Attending Physician:

Identified By: Prison Staff Identification Method: Visual

Body Sent To: First Call Morgue Exam Type: Autopsy

Exam By: Erik K. Mitchell, MD Manner of Death: Natural

Disposition of Body: Autopsied, Released

Diagnosis: status asthmaticus

Due To:

Due To: Due To:

Contributory Factors:

Reporting Investigator's Initials: RS

Lead Investigator

Coroner

FINALIZED: 12 - 21 - 2011 ekm

L11-09-002 LV

Brandes Russell 09-01-2011 Leavenworth County, Kansas

Initial Information

Tim Robinson, Lansing Correctional Facility, called at 0527 hours to report the death of 20-year-old African American male, Brandes Russell. Mr. Russell was an inmate at Lansing Correctional facility. Mr. Russell had history of asthma and appeared he was having an asthma attack. Mr. Russell was transported to Cushing Memorial hospital where death was pronounced on 09/01/2011. It was unknown when the death was pronounced.

Mr. Russell's further medical history was unknown to Tim Robinson at the time of this report.

The decedent was transported to First Call Morgue for an autopsy by Metro Removal. Dr. Mitchell was notified of the case. Prison staff was scheduled to attend the autopsy at 1030 hours on 08/02/2011. Due to incarceration, this case was not referred for tissue donation. Family had not yet chosen a funeral home.

The above is information available prior to complete investigation.

Renae Solko

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L11-09-002 LV Brandes Russell 09-02-2011

Leavenworth County, Kansas

AUTOPSY REPORT

AUTOPSY FINDINGS:

I. Tenacious mucus in the bronchi II. Negative drug screens

SUMMARY:

The decedent expires as a consequence of status asthmaticus: an acute asthma attack. No injury or other disease is detected.

Signed:

Erik K. Mitchell, M.D.

Date:

I 2{)

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L11-09-002 LV

Brandes Russell 09-02-2011 Leavenworth County. Kansas

INITIAL INFORMATION:

According to the initial information, the decedent was incarcerated. He had an apparent asthma attack to which he succumbed and could not be resuscitated.

CIRCUMSTANCES OF EXAMINATION:

The body is examined post-mortem at The First Call Morgue in Kansas City, Kansas on 9/2/2011 at 1205 hours on the authority of the Leavenworth County Coroner's Office.

WITNESSES:

Tim Robinson witnesses the examination. Steve Fulk and Chris Berry provide technical assistance.

IDENTIFICATION:

The decedent is visually identified by Mr. Robinson and also by chain of custody from the transporter. The body is in a body bag sealed with one-time lock #03342.

EXTERNAL EXAMINATION:

The body is a 65 inch, 128 pound, adult male of light skinned African American appearance.

The scalp has curly brown hair. There is mustache and jaw line beard hair.

The eyes are free of petechiae.

The mouth contains native teeth firmly in place.

Multiple scars adorn the body with a vertical scar over the area of the biceps on the right and long vertical scars over the length of the ventral left upper arm and left forearm.

A midline abdominal scar courses from xyphoid to umbilicus.

The left ventral chest wall, rostral to the shoulder joint, has a fairly broad remote scar that courses from right to left and downward.

The medial rostral aspect of the left breast has a 7/16 inch diameter, approximately circular, remote scar.

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L11-09-002 LV

Brandes Russell 09-02-2011 Leavenworth County, Kansas

Multiple tattoos are on the body.

The right upper arm has a six letter word.

There is a tattoo that includes "RIP" on the right forearm.

There is a tattoo not otherwise deciphered, but appears to be a word, on the volar aspect of the right wrist with a further tattoo on the volar aspect of the left wrist. There are multiple letters on the dorsal aspect of the distal left forearm and on the left hand the letters "cuzz".

The left upper arm distal to the deltoid insertion has a large number 1 rostral to which are three letters and then the right proximal dorsal forearm has the letter 3 rostral to which are the letters "TRE".

The dorsal aspect of the right hand has the letters "LIL" and there is a script inscription on the dorsal aspect of the right wrist.

The lower extremities are free of pitting edema. There is no area of skin breakdown.

Clothing consists of boxer shorts.

EVIDENCE OF MEDICAL INTERVENTION:

There are EKG stickers and an endotracheal tube has been inserted through the mouth. A urinary catheter is in place. An intravascular line is in the right antecubital fossa.

INTERNAL EXAMINATION:

The scalp is without bruise over an unbroken calvarium.

The 1420-gram brain has symmetric structure and clear meninges. There is no intracranial hemorrhage. The gyri remain rounded and there is uniform grey matter ribbon. The deep grey structures are symmetric. Cerebellar folia are full. Mammillary bodies are symmetric and intracranial vessels are thin-walled structures.

The tongue has symmetric structure without lateral margin scar.

The airway contains a well placed endotracheal tube.

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L11-09-002 LV

Brandes Russell 09-02-2011 Leavenworth County, Kansas

The hyoid and larynx show no fracture of the hyoid. The left superior horn of the larynx has fracture with hemorrhagic discoloration of the surrounding soft tissues. The epiglottis is free of petechiae. Esophageal muscularis deep to the larynx is without bruise. Strap muscles and associated fascial planes are without hemorrhage. The pre cervical fascia is pale and the cervical spine is stable to manipulation.

The thyroid has finely divided red tissue without mass lesion.

The chest wall shows some scarring of the soft tissues with dense scar in the pleural cavity.

The 290-gram heart has a smooth epicardial surface without adhesion. Coronary arteries are thin-walled structures free of any plaque. There is no luminal clot. The myocardium is red, contracted, and firm with even thickness of the left ventricle and 0.3-0.4 cm right ventricular thickness. The endocardium is clear and smooth. Valves are delicate without vegetation.

The 400-gram right lung and 300-gram left lung have thick opaque mucus that tenaciously fills the airways. The vessels contain only liquid blood. The tissue is red on section. The distal airways contain mucus plugs.

The peritoneal cavity has extensive fibrous adhesions.

The 1200-gram liver has a mildly blunted ventral margin and red soft tissue with even internal texture. The biliary tree contains a small amount of liquid bile without calculus.

The 260-gram spleen has fibrous adhesions of the capsular surface. The tissue is red with slightly apparent white pulp granulations.

Within the thorax the esophagus has smooth uninterrupted mucosa. The stomach is nearly empty except there is a slight amount of mucoid tan fluid on the surface. There is no injection or ulceration. The small and large bowel are free of bloody or melanotic content with soft brown stool in the colon.

The pancreatic lobulations are pink. There is no dilatation of duct and no fat necrosis.

Adrenals have approximately 0.1 cm thick, bright yellow, even cortex.

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L11-09-002 LV

Brandes Russell 09-02-2011 Leavenworth County, Kansas

The 120-gram right and 120-gram left kidney have smooth red cortical surfaces with full uniform cortex. Papillae are rounded and smooth and there is no ulceration of calculus. Ureters are without dilatation or obstruction.

The bladder is empty except for a catheter tip. There is light pink bladder mucosa.

The prostate is approximately 4 centimeters diameter and has light pink tissue.

SPECIMEN EXAMINATION:

Specimens are retained for submission to Saint Louis University Laboratory for toxicologic evaluation with archival specimens retained frozen. Tissues are retained also for histologic examination with archival specimens retained in 10% Formalin.

MICROSCOPIC EXAMINATION:

Lung: edema in alveolar airspaces. Bronchi are dilated by mucus plugs within which are curled strands of mucus and increased numbers of eosinophils. Markedly thickened bronchial basement membrane. Aggregates of eosinophils are in bronchial walls.

Liver: without vacuolar change, necrosis, fibrosis, or inflammation.

Spleen: acute congestion.

Pancreas: focal autolysis.

Adrenal: without significant pathologic lesion.

Kidney: without significant pathologic lesion. Vessels are congested. Intact red cell morphology.

Brain: without significant pathologic lesion.

Pituitary: without significant pathologic lesion.

TOXICOLOGIC EXAMINATION:

A preliminary screening of the urine is presumptively negative for 10 common families of drugs abused and presumptively negative for ethanol. Toxicologic assays with definitive methods detect no drugs.

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L11-09-002 LV Brandes Russell Leavenworth County, Kansas

09-02-2011

St. Louis University Toxicology Laboratory Report 6039 Helen Ave, Berkeley, Missouri 63134

Name: RUSSELL, BRANDES MONTEZ Tox # 2011-6493 Age: Race: Sex:

Requesting Agency: LEAVENWORTH/MITCHELL MMES.:3E1110MM 111=C M M=MMM=MMM=MWMIMM=M

Blood:

Alcohol: Ethanol: Negative Acetone: Negative Isopropanol: Negative Methanol: Negative

Blood Drug Screen: FEMORAL Amphetamines: Negative Antidepressants: Negative Barbiturates: Negative Benzodiazepines: Negative Cannabinoids (TEC): Negative Cocaine/Metabolites: Negative Lidocaine: Negative Methadone: Negative Non-Opiate Narcotic Analgesic: Negative Opiates: Negative Phencyclidine: Negative Phenothiazines: Negative Propoxyphene: Negative Acetaminophen: Negative Salicylates: Negative Oxycodone: Negative Pentanyl: Negative Oxymorphone: Negative

K2 Screen: Jwh-18: Jwh-73: Jwh-81: Jwh-122:

Negative Negative Negative Negative

Urine:

K2 Screen: jwh-18: Jwh-73: Jwh-81: Jwb-122:

Negative Negative

Negative Negative

=M=MMIM ME

Requested by: LANSING CORRECTIONAL

Received in Lab:

Report by: DR. CHRI IPHER LONG

Date: 09/02/11

Date/Time: 09/07/11//09:45 AM

Date/Time: 09/21/2011//07:10 AM

Signed: Date: 2-c 4 //

Erik K. Mitchell, M.D.

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