Coronial
NSWother

Inquest into the death of David FLEMING

Deceased

David Fleming

Demographics

61y, male

Date of death

2015-02-05

Finding date

2016-03-08

Cause of death

pulmonary thromboembolus

AI-generated summary

David Fleming, a 61-year-old man with multiple comorbidities including above-knee amputation, ischaemic heart disease, emphysema, and recent laryngeal cancer surgery, died in Long Bay Correctional Hospital from pulmonary thromboembolus. He had complex medical needs requiring ongoing care and had signed a no-CPR order. Key clinical factors included post-operative complications from laryngectomy, which he complicated by refusing nasogastric feeding and adequate tracheostomy care. The coroner found no evidence of inadequate medical care, noting Fleming frequently refused offered treatments and was highly resistant to medical management. The coroner concluded appropriate healthcare was provided and nothing could have reasonably prevented his death given his medical complexity, treatment refusal, and self-care non-compliance.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • above-knee amputation
  • ischaemic heart disease
  • emphysema
  • post-operative complications following laryngectomy
  • patient refusal of nasogastric feeding
  • inadequate tracheostomy care
  • patient refusal of medical treatment
  • obesity
  • reduced mobility
Full text

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