Gordon Currie, 58, died of coronary atherosclerosis while performing manual labour (whipper snipping) at a banana plantation within Palen Creek Correctional Centre. He complained of left shoulder pain, which was likely referred cardiac pain, then collapsed. Bystander CPR was initiated immediately and continued until clinical nurse arrival. Autopsy revealed severe coronary atherosclerosis with 90% blockage of right coronary and left anterior descending arteries, plus a thrombus. Medical review found appropriate care throughout incarceration; while ECG guidelines for inmates over 50 stated 'if clinically indicated', the clinical nurse determined one was not needed given Mr Currie's asymptomatic presentation and normal vital signs. Expert review confirmed an ECG would likely not have identified the disease and was not negligent to omit. The death was not preventable.
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