E.K. On November 6, 2014 a convict E.K. died in the Institution N18 of the Penitentiary Department. According to the records submitted for an examination the convict was placed in a treatment facility 18 for the convict and accused on November 3, 2014. Upon the admission, the patient reported a pain in under the right side of the abdomen in the area of the bile. According to E.K he had suffered from pains for the past 10 years. S/he also stated that he suffered a myocardial infraction in 2011. The patient was tested with EKG, chest X-ray, abdominal echoscopy, EDG (esophagogastroduodenoscopy), biochemical blood test. A cardiologist paid a visit to the patient. The preliminary diagnosis was calculus cholecystitis, post-operational ventral hernia, post nephrectomy and gastrectomy period, post myocardial infraction, arterial hypertension of II degree. The patient was transferred to a surgical unit for a scheduled operation. The patient underwent the operation under endotracheal anesthesia, upper-mid laparatomy, sinechiolisis, cholecystechtomy, sanitation of the abdominal cavity. After the operation the patient was transferred to an intensive care unit. In about half an hour after the completion of the operation, bleeding started through the drainage with nasogastric fluid. The doctors concluded that the patient was suffering from intra-abdominal bleeding and proceeded with an urgent intervention, relaparatomy. The medical staff operating on the patient observed that the bile duct and the artery were still attached and that there was bleeding in the area of bed. The patient was administered necessary manipulations and the wound was stitched. According to the medical record, the patient’s condition gravely deteriorated in about an hour with cardiac arrest. Resuscitation did not yield desired outcomes and the patient died at 21:40. According to the report N006078514 of the National Forensics Bureau, the death was causes by an acute cardiovascular insufficiency resulting from an acute ischemic damage to cardyomyocitis. The forensic report indicates the following diagnosis: vascular atherosclerosis of the brain-tunic, swelling of the brain and brain-tunic, coronary atherosclerosis, postinfraction scars on the myocardium, an acute ischemic damage to cardiomyocitis, myofibrosis, aortal atherosclerosis, pulmonary emphysema, inflammation of the bile ducts, extra- and inter Glisson’s capsule extravasations, nephric atheroarteriosclerosis, post cholecystectomy condition. Even though a letter from the Medical Department of the Ministry of Corrections corroborate the record of myocardium infraction sustained by the patient in 2011, the same letter does not provide a proof that the deceased was tested for cardiovascular diseases (except for EKG before the operation). Based on the above said, it is evident that there are problems related to timely and adequate medical services which require immediate resolution. We find it critical that particular attention be paid to screening of cardiovascular and respiratory diseases in NATIONAL PREVENTIVE MECHANISM OF GEORGIA 129