Pt inhales nasopharengeal blood(cause of death), pt requires restraint, dies in transport. Logical?

Question

Contributing factors included cocaine level of 89 ng, alcohol level, 1.9, myocardium abridgment & edema. Pt had been physically attacking a woman for about 20 minutes before, himself, being physically stopped. Medical conclusion was he was being hit so fast that he inhaled blood, which caused his death. He had a bloody nose & face, but suffered no broken bones, no cartilage damage, no dental damage, no cranial damage, etc.

He was removed from the woman's apartment to the yard, where he was hit again. When police & EMS arrived he was so verbally & physically violent as to require restraint to be transported. He was restrained face-down and died en route to the hospital.

Answer 1

just a guess but i'd say the blood was not from being struck and restrained i would suggest the cocaine presumably inhailed through the nose caused a failure /rupture of the sinus cavity Similar to overdose and the man was oding before he was beaten and restrained it just took 20 mins or so for the od to fully kick in the cocaine may not have fully absorbed into the bloodstream by the time he was tested / after the sinus was already destroyed preventing more from showing up in the bloodwork. but that's just an uneducated guess.

Answer 2

From my point of view, the chances are less for a patient to have asphyxiation when he is facing down (restrined).