Clarke, Jon Edward Norman
Deceased
Jon Edward Norman Clarke
Demographics
22y, male
Coroner
Taylor
Date of death
2007-02-08
Finding date
2009-02-09
Cause of death
multi-organ failure secondary to heatstroke
AI-generated summary
Jon Edward Norman Clarke, a 22-year-old man with chronic schizophrenia-paranoid type managed with Clozapine 500mg daily plus Solian and Efexor XR, collapsed from heatstroke while working as a trolley boy on 27 January 2007 and died from multi-organ failure on 8 February 2007. He was employed through STEPS Employment and appropriately advised about hydration and heat prevention by his treating psychiatrist Dr N., employment consultant, and worksite supervisor. Despite being monitored during his work shift and carrying water, he developed heatstroke in humid conditions. The coroner found no evidence that Clozapine was a major contributing factor, though some patients may have genetic susceptibility to heatstroke. The coroner recommended that assessment information forms for employment should be completed by the treating doctor with specific recommendations about suitable work types and hours, rather than generic health information alone.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Contributing factors
- prolonged outdoor work in humid conditions
- possible individual genetic susceptibility to heatstroke
- potential theoretical compromised thermoregulation from antipsychotic medication
- inadequate initial work shift design (full six-hour day rather than graduated hours)
Coroner's recommendations
- Request for assessment information forms and attended reports should be completed in all respects by the patient's treating doctor, who is better placed to comment on the patient's medical circumstances in the context of a working environment, including recommendations about suitable types and hours of work
Full text
Source and disclaimer
This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.
Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.
Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.