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Inquest findings into an Indigenous man who died in a Sydney jail has found the response to his medical emergency was confused, uncoordinated and unreasonably delayed .
Deputy state coroner Elizabeth Ryan handed down her findings on Thursday into the death of Nathan Reynolds of Anaiwan and Dunghutti heritage.
Ms Ryan said the delayed response to Mr Reynolds acute asthma attack deprived him of at least some chance of surviving . She has made a number of recommendations to prevent similar deaths.
The inquest also examined how First Nations people in Australian prisons were grossly over-represented, a fact first found in a 1991 Royal Commission Inquiry into Aboriginal Deaths in Custody.