Inquest into the death of ANTHONY ROMANAS CARISTO

The inquest into the death of Anthony Romanas Caristo, held in the Coroners Court of Victoria, examined the circumstances surrounding the death of Mr Caristo, who died in police custody after being subjected to the use of a conducted electrical weapon (CEW) by Victoria Police officers. The primary legal issue was to determine the cause and manner of Mr Caristo's death, particularly whether it could be attributed to excited delirium syndrome, methylamphetamine toxicity, or the use of the CEW. The inquest also needed to ascertain whether the officers' use of force was justified and whether it complied with the relevant police training and protocols.

The court meticulously examined the evidence presented by the police officers, medical experts, and other witnesses. It considered the timeline of events, the officers' observations of Mr Caristo's behaviour, the administration of first aid, and the medical treatment he received. The court also evaluated the role of methylamphetamine toxicity and whether it contributed to the events that transpired. The coroner further explored the adequacy of the officers' training in the use of CEWs and their understanding of the risks associated with their use. Ultimately, the court concluded that the use of the CEW was a significant contributing factor to Mr Caristo's death, although other factors such as the presence of methylamphetamine in his system also played a role.

In its findings, the court determined that Mr Caristo's death was a deemed death in custody and highlighted several matters of public safety. The coroner emphasised the need for improved training and protocols regarding the use of CEWs by police officers, particularly in relation to individuals exhibiting signs of excited delirium syndrome or under the influence of drugs. The court also noted the importance of ensuring that police officers are adequately trained to recognise and manage such situations without resorting to excessive force. The coroner exercised their power to make comments on these issues, aiming to prevent similar tragedies in the future.

The final orders of the inquest included recommendations for policy and procedural changes within Victoria Police to address the identified shortcomings in training and the use of CEWs. The coroner also called for a review of the protocols for managing individuals exhibiting signs of excited delirium syndrome or under the influence of drugs, with a focus on de-escalation techniques and the appropriate use of force. These recommendations were intended to enhance public safety and ensure that police officers are better equipped to handle such situations effectively and lawfully.