Inquest into the death of John Cribb
Deceased
John Cribb
Demographics
67y, male
Date of death
2018-02-21
Finding date
2023-05-05
Cause of death
Haemopericardium arising from a ruptured aorta (aortic dissection)
AI-generated summary
John Cribb, a 67-year-old man with known cardiac disease (coronary artery disease, aortic regurgitation, hypertension), died in custody from haemopericardium due to ruptured aortic dissection. He had signed a not-for-resuscitation directive and advanced care plan in August 2017, explicitly declining life-prolonging medical interventions. He was last observed at 2:34pm on 20 February and found unresponsive on 21 February. A failure to conduct a head check during the morning 'let go' on 21 February was identified but deemed not contributory given his pre-existing fatal cardiac condition and expressed wishes. The coroner found no policy deficiencies, appropriate management throughout custody, and proper responses to the fatal incident. No recommendations were made.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Contributing factors
- moderate non-obstructive coronary disease
- aortic regurgitation
- hypertension
- family history of heart disease
- failure to conduct head check at morning 'let go' (deemed non-contributory by coroner)
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