The Service de police de la ville de Gatineau (SVPG) is making changes following an investigation into a 2020 decision to cancel an ambulance for a man who later died.

A Quebec coroner’s report is recommending police have better directives on when they are able to cancel ambulance services and more education on head trauma.

According to coroner Pascale Boulay’s French-language report, emergency services were called to a Gatineau apartment on Aug. 21, 2020 around 8:30 p.m. after a neighbour became concerned the man in question was in the “grip of great confusion.”

An SPVG member arrived and noted the man was confused, but an ambulance on its way to the scene was cancelled because the officer felt the man’s condition was a result of his age and not a medical emergency.