Coronial
QLDother

Smallwood, Gregory Bert

Deceased

Gregory Bert Smallwood

Demographics

53y, male

Date of death

2014-11-28

Finding date

2016-07-28

Cause of death

Coronary atherosclerosis; chronic obstructive airways disease; chronic cholecystitis

AI-generated summary

Gregory Bert Smallwood, a 53-year-old prisoner with morbid obesity, hypertension, diabetes, and COPD, died from acute myocardial infarction due to severe coronary atherosclerosis. He called for help at 3:06am reporting inability to breathe. Nurses commenced CPR within minutes, finding him unresponsive. A 13-minute delay occurred in obtaining the crash cart from 400m away, but expert review concluded this was unlikely to have altered outcome given his severe underlying disease and already unresponsive state upon nurse arrival. Medical care provided was appropriate and met community standards. The death was not preventable; it resulted from longstanding severe natural disease in a morbidly obese man who could have died at any time.

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

Contributing factors

  • Severe coronary atherosclerosis
  • Chronic obstructive pulmonary disease
  • Morbid obesity
  • Hypertension
  • Diabetes mellitus
  • History of smoking
  • Sedentary lifestyle and poor diet adherence

Coroner's recommendations

  1. Continued negotiations with Queensland Health to place additional crash carts in closer proximity to residential units at LGCC (already underway at time of finding)
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