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Edson Isidoro GUIMARAES
Crimes
Guimarães worked as a nurse in the Salgado Filho
Hospital in the Méier district of Rio de Janeiro, Brazil. He was caught
in 1999 when a hospital porter saw Guimarães fill a syringe with
potassium chloride and inject a comatose patient who immediately died.
The police were informed and a higher than average death rate on his
ward increased their suspicions. On his arrest he confessed to five
murders.
He told a television reporter prior to his trial, "I
don't regret what I did", adding "I did it to those in irreversible
comas and whose families were suffering."
He was convicted on February 21, 2000, of the murders
of four patients and sentenced to 76 years in prison.
He is thought to have killed up to 131 patients
between January 1 and May 4 1999.
He told reporters: "The oxygen mask was taken away,
yes. There were five patients that this happened to... I chose the
patients I saw suffering, generally patients with AIDS, patients who
were almost terminal. I am in peace because the patients were in a coma
and had no way of recovering."
One possible motive for the murders is thought to be
the fact that he was paid $60 dollars a time to inform local funeral
homes of a patient's death so that they could contact the deceased's
relatives. According to Josias Quintal, Rio's secretary for public
security, "He may have begun doing it to earn money and then just lost
control".
Edson Isidora
Guimaraes (5+)
For two years, officials at Rio's Salgado Filho Hospital could not
understand the high death rate in the hospital's emergency intensive-care
unit. The patients--many victims of grave accidents, cancer, strokes or
heart disease--never had a particularly bright outlook. Still, the
public hospital had invested in high-tech equipment, in new procedures
and training, and the death rate had stubbornly refused to fall. That is,
until they discovered the cause of the discrepancy: longtime nurse's
aide Edson Guimaraes, a purported serial killer.
Guimaraes, 42, initially confessed to five murders,
saying he had ended the patients' lives to ease their suffering. He also
admitted to racing to notify the city's highly competitive funeral homes
of the deaths, in hopes of earning a $60 tip if he was the first to
report the death and the family signed a contract with the funeral home.
"He's no Dr. Kevorkian," said Flavio Silveira, the
administrator of Salgado Filho, one of Rio's largest public hospitals. "This
guy said he wanted to abbreviate suffering and also make some money on
the side, because everybody gets some money on the side." Guimaraes'
victims were mostly unconscious or comatose patients, whom he killed by
lethal injection or by removing oxygen masks, prosecutors charge.
In late April a cleaning lady first spotted the gray-haired
aide drawing a syringe of deadly potassium chloride from the supply room,
slipping it into his pocket and then strolling into the intensive-care
unit, doctors and prosecutors say. While Guimaraes made his rounds, the
woman reported, he quietly pressed the needle into the IV drip bag of
one of the unit's half-dozen patients and hit the plunger. Moments later
the patient was dead. Alerted, administrators as a test transferred
Guimaraes to an outpatient unit on his next shift. The death rate in
intensive care fell to zero. When Guimaraes returned three days later,
on May 4, four patients died, even as police waited in a nearby office
to make an arrest.
A check of hospital records since has revealed that
the unit's death rate doubled during Guimaraes' 12-hour shifts, from an
average of just under two deaths to four or more. Between 1 January and
4 May, 131 of 225 deaths in the hospital's emergency ward occurred while
Mr Guimaraes was on dutyAfter Guimaraes' arrest and confession, his
lawyer appeared to be preparing an insanity defense. In a recent court
deposition, however, Guimaraes, who has hired a new lawyer, changed his
story. He said he confessed only because he was threatened by police.
Asked by reporters at a press conference if he had
poisoned patients, Guimaraes said: "Some patients, yes." Asked if he had
taken away patients' oxygen masks, he said: "The oxygen mask was taken
away, yes. There were five patients that this happened to... I chose the
patients I saw suffering, generally patients with AIDS, patients who
were almost terminal. I am calm because the patients were in a coma and
had no way of recovering."