CORONIAL LAW – First Nations death in custody – section 23 mandatory inquest – prisoner attempting escape during medical escort – shot by firearm discharged by correctional officer – findings as to manner and cause of death – whether training of correctional officers adequate – consideration of Crimes (Administration of Sentences) Regulation 2014 – whether regulations surrounding use of force and discharge of firearms by correctional officers clear – whether recommendation for legislative change ought be made under section 82 Coroners Act