Hilario Cabrera Trejo
Hilario Cabrera Trejo, 60, was held at the Adams County Correctional Center in Mississippi, a federal prison facility, in April 2011. He reported shortness of breath and had abnormal heart readings, but his trip to the emergency room was delayed for hours because the nurse on duty could not reach the facility physician by phone. He died of a heart attack in an ambulance on the way to the hospital. Federal Bureau of Prisons monitors described his death as following botched care.
Cause of death, as reported: Died of illness (neglect alleged). BOP monitors said he died of a heart attack in an ambulance after a nurse on duty could not reach the facility physician by phone, which delayed his emergency room trip for hours.
Reported by: BOP monitors (outside investigators).