Coronial
NSWhospital

Inquest into the death of Malcolm Baker

Deceased

Malcolm George Baker

Demographics

76y, male

Coroner

Decision ofDeputy State Coroner Baptie

Date of death

2024-06-23

Finding date

2025-12-01

Cause of death

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.

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

Specialties

emergency medicineneurologypalliative carepsychiatrycorrectional health

Clinical conditions

cerebrovascular accidentatrial fibrillationposterior cerebral artery infarctionleft hemiparesishypertensionhypercholesterolaemiaschizophreniaschizoaffective disorderdelusional disorderparanoid personality disorder

Procedures

percutaneous endoscopic gastrostomyelectrocardiogramCT brainEEG

Contributing factors

  • prior posterior cerebral artery strokes (2020, 2021)
  • atrial fibrillation with ventricular couplets
  • intolerance to oral anticoagulants
  • advanced age and frailty
  • baseline severe disability from prior stroke
Full text

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