Coronial
QLDhospital

Conlon, Edgar

Deceased

Edgar Hugh Sandow

Demographics

75y, male

Coroner

Ryan

Date of death

2021-07-17

Finding date

2023-07-05

Cause of death

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.

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

Specialties

nephrologycardiologyemergency medicinepalliative carecorrectional health

Drugs involved

aspirinisosorbide mononitratebisoprololcalcitriolcinacalcetcoloxylsennaironmagnesiumpantoprazoleperindoprilsertralineumeclidinium-vilanterolsalbutamolipratropium

Clinical conditions

end-stage renal diseaseheart failurecardiomyopathydiabetic nephropathyischaemic heart diseaseacute myocardial infarctionatrial fibrillationhypertensiontype 2 diabetes mellituschronic obstructive pulmonary diseaseidiopathic thrombocytopenic purpurabrachio-cephalic fistula stenosisintradialytic hypotensionpleural effusion

Procedures

haemodialysisangioplastyfistuloplasty

Contributing factors

  • 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

  1. 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
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.