Derrick Dante Ellison

CUSTODIAL DEATH REPORT Agency Information CDR Number: 22-1712-CJ Version Type: AMENDED Report Date: 4/14/2023 1:41 PM Status: Submitted Agency/Facility Information Bexar County Agency Name: Agency Address: 200 N. Comal Sheriff's Office Agency City: San Antonio Agency State: TX Agency Zip: 78207 Director Information Director Salutation: Sheriff Director First Name: Javier Director Middle Name: Director Last Name: Salazar Reporter Name: Crystal Esquibel Reporter Email: [email protected] Decedent Information Identity of Deceased Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- First Name: Derrick Middle Name: Dante Last Name: Ellison Suffix: Date of Birth: 10/6/1975 Sex: Male Black or African Race: American Age At Time Of Death: 47 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 6/25/2022 7:45 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 12/5/2022 2:27 AM Manner / Cause of Death Has a medical examiner or coroner conducted an evaluation to determine a cause of death? Medical Examiner/Coroner Yes, results are Evaluation?: available What was the manner of death? (select only one) Could not be Manner of Death: determined Custodial Death Report :: Page 2 of 6 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Sepsis / periorbital cellulitis / periocular hemorrhage, swelling, discoloration Had the decedent been receiving treatment for the medical condition that caused the death after admission to your jail's jurisdiction? Medical Treatment: No If death was an accident, homicide or suicide, who caused the death? Unknown whether Who caused the death?: decedent sustained a fatal injury If a weapon caused the death, what type of weapon caused the death? (Hold CTRL to select all that apply) Type of weapon that caused Unknown death?: Was the cause of death the result of a pre-existing medical condition or did the decedent develop the condition after admission? Deceased Pre existing medical developed condition condition?: after admission If death was an accident, homicide or suicide, what was the means of death? Means of Death: Unknown Location / Custody Information Custodial Death Report :: Page 3 of 6 --- PAGE BREAK --- Where did the event causing the death occur? University Hospital Street Address: City: San Antonio 4502 Medical Drive County: Bexar Zip: 78229 What location category best describes where the event causing the death occurred? Location Category: Other, specify Other Location Category: Hospital What type of custody/facility was the Decedent in at the time of death: Type of Custody: County Jail Specific type of custody/facility: Specific Type of Custody/Facility: Hospital/Infirmary What was the time and date of the deceased's entry into the law enforcement facility where the death occurred (mm/dd/yyyy hh:mm AM/PM): Entry Date Time: 6/25/2022 7:45 PM Where did the death occur? Death Location: Medical facility General Information Did any other law enforcement agencies respond to calls for service related to this incident? Custodial Death Report :: Page 4 of 6 --- PAGE BREAK --- Other Agencies Respond?: Yes What were the most serious offense(s) with which the deceased was (or would have been) charged with at the time of death? Offense 1: Criminal Trespass - PR Offense 2: Offense 3: Were the Charges:: Filed What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Crime Against Type of Offense: Property At any time during the incident and/or entry into the law enforcement facility, did the decedent display or use a weapon? Decedent display/use of No weapons: At any time during the incident and/or entry into the law enforcement facility, did the decedent: Attempt to Injure Others?: No At any time during the incident and/or entry into the law enforcement facility, did the decedent: Appear intoxicated (alcohol or No Make suicidal statements?: Unknown drugs): Exhibit any mental health Yes Exhibit any medical problems?: No problems?: At any time during the incident and/or entry into the law enforcement facility, did the decedent: Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- Barricade self or initiate Resist being handcuffed or No No standoff?: arrested?: Physically attempt/assault Gain possession of officer's No No officer(s): weapon: Verbally threaten other(s) Escape or attempt to No No including law: escape/flee custody: Attempt gain possession No officer's weapon: Was the deceased under restraint in the time leading up to the death or the events causing the death? Under Restraint: No Summary of Incident Summary of How the Death Occurred: (max. 30,000 characters) Summary: On 12/04/2022, at approximately 2015, a medical emergency was initiated for Inmate Ellison, Derrick #1159665 because he was experiencing difficulty breathing. The level of emergency required transfer to the University Hospital Emergency Room for a higher level of care. On 12/05/22, at approximately 0208 hours, a medical emergency was initiated at UHER. Life saving measures were administered, however were deemed unsuccessful. At approximately 0227 hours, Inmate Ellison was pronounced deceased by University Health Care MD, Prianka Kandhal. Custodial Death Report :: Page 6 of 6