Hospital officials said the stepfather and his stepdaughter were involved in a domestic altercation outside of the emergency room at about 7 p.m.
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The 73-year-old stepfather shot his 44-year-old stepdaughter in the face in the parking lot, a hospital spokesperson said. He then fatally shot himself inside of his car.
"I don't want to speculate at this time about the circumstances as we are in the early stages of our investigation," said Elmhurst Fire Department Deputy Fire Chief Bill Anaszewicz.
Thursday morning, police identified the stepfather as Robert Shek of Elmhurst.
The stepdaughter ran back into the emergency room and was eventually transported to Loyola Hospital where she is being treated. Elmhurst Hospital was placed on lockdown at 7:12 p.m. as a precaution due to the shooting and returned to normal operations at 7:25 p.m.
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Police said they were called to the hospital for a report of a man with a gun after the woman ran back into the emergency room following the shooting. They said they found the man in his car with a gunshot wound. He was taken back into the hospital where he was pronounced dead.
Emergency officials have not said what led up to the shooting or why the man and his stepdaughter came to the Elmhurst Hospital Wednesday night. The shooting remains under investigation.