complications of cerebrovascular accident on a background of atrial fibrillation
AI-generated summary
Malcolm George Baker, a 76-year-old prisoner serving a life sentence, died from complications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leaving him bed-bound and dependent on PEG feeding. On 10 June 2024, he presented with acute drowsiness and gaze deviation. CT brain showed no acute bleed or infarction, and EEG ruled out seizures. He was deemed not suitable for CPR, transitioned to end-of-life care on 15 June, and died on 23 June 2024. The coroner found the death natural, with appropriate medical care provided throughout custody. No medical intervention would have changed the outcome. The case highlights appropriate palliative care management in a terminally ill, frail elderly prisoner with multiple comorbidities.
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Specialties
emergency medicineneurologypalliative carepsychiatrycorrectional health
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