Coronial
NSWhospital

Inquest into the death of Neville Betteridge

Deceased

Neville Gilbert Betteridge

Demographics

72y, male

Coroner

Decision ofState Coroner Mabbutt

Date of death

2017-02-27

Finding date

2018-07-18

Cause of death

Ruptured abdominal aortic aneurysm

AI-generated summary

A 72-year-old man died from a ruptured abdominal aortic aneurysm while in custodial care. He was admitted to Prince of Wales Hospital following a fall in prison with symptoms of light-headedness and tunnel vision. Clinical assessment identified urinary tract infection, chest infection, and cardiac concerns. He deteriorated rapidly, was transferred to ICU, and despite intubation and resuscitation, died. The coroner found his care and treatment whilst in custody was appropriate, with timely transfer to hospital when required. The death was of natural causes, and no clinical negligence or failures in care were identified. Clinicians appropriately declined invasive cardiac intervention as unsuitable. The case highlights the challenge of detecting AAA in elderly patients with multiple comorbidities.

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

Specialties

emergency medicinegeriatric medicinecardiologyintensive carevascular surgeryrespiratory medicinecorrectional healthpathology

Clinical conditions

ruptured abdominal aortic aneurysmurinary tract infectionpneumoniachronic obstructive pulmonary diseasevascular diseasecardiac conduction abnormalityrespiratory distress

Procedures

intubationresuscitation

Contributing factors

  • Advanced age
  • Vascular disease
  • Chronic obstructive pulmonary disease
  • History of smoking
  • Cardiac conduction abnormalities
  • Underlying infection (urinary tract and chest)
Full text

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