Jesus Ramos Gonzales

CUSTODIAL DEATH REPORT Agency Information CDR Number: 21-1665-CJ Version Type: AMENDED Report Date: 7/12/2022 2:17 PM Status: Submitted Agency/Facility Information Guadalupe County Agency Name: Agency Address: 2617 N. Guadalupe Sheriff's Office Agency City: Seguin Agency State: TX Agency Zip: 78155 Director Information Director Salutation: Sheriff Director First Name: Arnold Director Middle Name: Director Last Name: Zwicke Robert Reporter Name: Reporter Email: [email protected] Hernandez Decedent Information Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- Identity of Deceased First Name: Jesus Middle Name: Ramos Last Name: Gonzales Suffix: Date of Birth: 12/24/1957 Sex: Male Race: Hispanic or Latino Age At Time Of Death: 63 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 11/19/2018 3:40 Incident: PM Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): 11/24/2021 8:52 Death Date and Time: PM 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) Manner of Death: Natural Custodial Death Report :: Page 2 of 6 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Inmate was placed on palliative care and entered into hospice category with a signed Do Not Resuscitate Order. Gonzales had inadequate blood supply to organs/heart. Blood clots in his veins due GIST cancer, Hepatitis C, Hypertension, Cirrhosis and had refused all medications and treatment on 1/14/2021 Intestinal Ischemia due to Mesenteric and Portal Vein Thromboses due to Poorly Differentiated Carcinoma and Hepatitis C Liver Cirrhosis manner of death Natural Had the decedent been receiving treatment for the medical condition that caused the death after admission to your jail's jurisdiction? Medical Treatment: Yes If death was an accident, homicide or suicide, who caused the death? Who caused the death?: Not applicable 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 Not Applicable death?: Was the cause of death the result of a pre-existing medical condition or did the decedent develop the condition after admission? Pre existing medical Pre-existing medical condition?: condition If death was an accident, homicide or suicide, what was the means of death? Not applicable, cause of death was Means of Death: illness/natural cause Custodial Death Report :: Page 3 of 6 --- PAGE BREAK --- Location / Custody Information Where did the event causing the death occur? 2617 N. Guadalupe Street Address: City: Seguin Street County: Guadalupe Zip: 78155 What location category best describes where the event causing the death occurred? Law Enforcement Location Category: Facility 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: Jail - multiple occupancy cell 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): 11/19/2018 3:40 Entry Date Time: PM Where did the death occur? Law enforcement Death Location: facility/booking center Custodial Death Report :: Page 4 of 6 --- PAGE BREAK --- General Information Did any other law enforcement agencies respond to calls for service related to this incident? 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: Indecency W/Child Sexual Contact Offense 2: AFSS/Online Solicit Minor Offense 3: Were the Charges:: Filed What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Crimes Against Type of Offense: Child(ren) 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: Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- Appear intoxicated (alcohol or Unknown Make suicidal statements?: Unknown drugs): Exhibit any mental health Unknown Exhibit any medical problems?: Yes problems?: At any time during the incident and/or entry into the law enforcement facility, did the decedent: 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 Unknown N/A 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 11/24/2021 at 1819 hours a code1 was called in the infirmary M-12 cell. Medical Staff and Detention Staff remained with inmate Gonzales until the Texas Ranger arrived. Inmate Gonzales had been in the hospital since 11/21/2021. On 11/24/2021 at 1329 inmate was transported back to the jail and placed under palliative care at the jail. When the code was called medical staff entered the cell and began following their evaluation protocols. An 3ECG machine was placed on the inmate. The ECG machine alarmed that no pulse was detected on Inmate Gonzales. CPR was not performed due to a Do Not Resuscitate Order (DNR) that Inmate Gonzales had in place. Custodial Death Report :: Page 6 of 6