James Cummins, a 48-year-old prisoner, died of subarachnoid haemorrhage from a ruptured cerebral aneurysm while in the exercise yard at Townsville Correctional Centre. He had chronic spinal stenosis managed with pregabalin, tramadol, and amitriptyline, and was under neurosurgical follow-up with a scheduled appointment in October 2021. He collapsed suddenly without preceding warning symptoms like acute headache or neck pain. The coroner found he received appropriate medical care during incarceration and that no staff action or inaction contributed to his death. The underlying aneurysm would have been difficult to detect clinically, and it is unclear whether earlier neurological investigation would have identified or changed management of the asymptomatic vascular abnormality. Death was from natural causes with no preventable factors identified.
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