End-stage renal disease, with hypertension, ischaemic heart disease, and diabetes mellitus as other significant conditions
AI-generated summary
Edgar Hugh Sandow, a 75-year-old First Nations man, died from end-stage renal disease while incarcerated at Princess Alexandra Hospital Secure Unit. He had multiple comorbidities including heart failure, diabetes, hypertension, and ischaemic heart disease. During routine haemodialysis on 12 July 2021, he suffered acute hypotension and loss of consciousness. Subsequent attempts at dialysis were unsuccessful due to intractable hypotension. The coroner found he received appropriate, regular medical care from specialist teams at PAH and nursing staff at Wolston CC, managed by a multidisciplinary approach including cultural liaison. An Advanced Resuscitation Plan was in place. The coroner concluded the death was natural, expected, and not preventable, with no suspicious circumstances. The medical care provided met community standards.
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Specialties
nephrologycardiologyemergency medicinepalliative carecorrectional health
Multiple comorbidities including heart failure, cardiomyopathy, and chronic kidney disease
Intractable intradialytic hypotension
Progressive frailty and weight loss in final months
Advanced age with multiple pathologies
Coroner's recommendations
The coroner did not make formal recommendations specific to this case, noting that concerns raised by Dr P. regarding accommodation for infirm prisoners had been addressed in previous inquests and were being progressed by Queensland Health, including development of end-of-life care statements and arrangements with providers for aged and palliative care services expected by second half of 2023
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