"Very impressive," to watch the Moukoko Blessing film sets out the basin head to swim along with his classmates, says Colonel Quebec Louie Normandin. "You see it going, and you do not see it coming back … It's very frightening … We see everything of it, according to the look, and we see all the errors that have been achieved. "
The voice of the Coroner of Quebec, Louis Normandin, was thick and emotional as he described the 14th birthday Claudevy Moukoko greeting film that swim two parts of the Center's Marquette Père pool at Rosemont on the morning of February 15.
The Normandin report, released on Monday, sets out how Moukoko, who was unable to swim, was having trouble from the bottom to the bottom and then sink to the bottom of the pool during a secondary school swim lesson. Thirty-thirty minutes went before anyone on the dec noticed he was missing. The boy died six days later of damage to the brain due to lack of oxygen, and the coroner died.
"A very striking" to watch the Moukoko movie sets out the basin head to swim along with his classmates, says Normandin. "You see it going, and you do not see it coming back … It's very frightening … We all see it, apparently, and We see all the errors that have been achieved and it hurts my heart, because it's gone and it was just 14 years old. "
In his report, Normandin came to the conclusion Moukoko Death accidentally, but avoids. Schools recommended to suspend their swim programs immediately unless and until they can guarantee that such teachers are supervised by trained coaches and coaches. He also said courses on how to avoid drowning, rather than the direction of swimming techniques, should be the first priority of any basic swimming course offered by schools.
That morning, Moukoko took part, with 18 alumni, in his third swimming pool in the urban pool, as part of a required gym class at nearby Père Marquette high school.
The course was taught by a new teacher, who had devoted to teaching the swimming class despite the fact that he had not completed swimming courses as part of a physical education degree. The dutyguard, who had fully certified, helped the teacher teacher to teach the course, so no one was dedicated to life-saving at the time of the event.
Many students told the police that Moukoko could not swim, he was afraid of water, and he would knit to the edge of the pond while in the deep end. Yet, at 9:02, he made his two guys. He was already struggling in the head, resting twice to stand up and hold his breath.
Normandin described how nobody was – not the lifeguard, not the gym teacher, not his fellow pupils – notice that Moukoko once in the deep end had risen to the bottom of the pool. The lesson ended with a free five-minute swim, with some swimmers scary at the baseball, some diving from the diving board, others chatting on the dec. During this time, the teacher and the lifeguard were on the right at the baseball. Nobody was on the life-saving chair, although some students used the plumbing board, notes and coroner.
Before going to the showers, the students went one by one to the teacher to give a lesson self-assessment. When Moukoko did not appear, the teacher assumed he had already gone to the changing room. (Curiously, the teacher gave a score of four in five on his assessment in Moukoko anyway.)
By 9:40 a.m., students who filed for the next class had begun to collect on the dec in the deep end. That's when I notice something so tall in the water, they think it's a boy. She was told the lifeguard, she was coming in and brought Moukoko, who was in a heart attack, to the right.
It was transported to hospital but the damage caused by the brain was serious and irrecoverable. He died on February 21, six days after the events in the pond.
No criminal charges are charged in relation to the Moukoko drowning, said the Directeur des poursuites criminelles et pénales (DPCP) and Tuesday afternoon.
SPP spokesperson Jean Pascal Boucher, after studying the investigation carefully said, "the prosecutor assigned to analyze the case has informed the deceased family that the Crown is not in a position to show that a criminal act has occurred. "
A lawyer representing the Moukoko family, Jean-Pierre Ménard, said the family will be holding a Wednesday morning news conference. He would not say if the family intend to file a civil suit.
The coroner recommends that anyone who gives school swimming courses should have completed a 90 hour training instruction in a swim direction or has a Level 2 coach certificate. A teacher should run a swimming course, with a qualified lifeguard he is a duty that has the sole task of overseeing swimmers, he says.
Education minister Isabelle Charest said the provincial government will not stop school swim courses immediately, although he said that the government will follow the coroner's report.
"We are still in the process of looking at the recommendations and we will be discussing this issue further," he said. "There's a very tragic event. I feel very sad and I feel for the family."
The Mayor of Montreal, Valérie Plante, is called drowning an unbearable tragedy. He called on the school school scolaire de Montréal (CSDM) of the Commission to identify the report and take steps to ensure that it will not happen again.
"It's just broken my heart. I'm hard to think about this teacher who was there when it happened." It's awful, "he said. "So let's make our children know how to behave in water and let us ensure that school boards have enough resources so they can make sure everyone is safe."
"Our duty is to do our best to reinforce our practices in order to avoid something like this again," said president of CSDM, Catherine Harel Bourdon.
Marian Scott and Philip Authier from the Montreal Gazette contributed to this report