Coronial
SAother

Coroner's Finding: DISARIO Antonio

Deceased

Antonio Di Sario

Demographics

26y, male

Date of death

2000-07-21

Finding date

2003-03-28

Cause of death

gastric aspiration

AI-generated summary

A 26-year-old remanded prisoner died from gastric aspiration at Adelaide Remand Centre. He was a heroin user experiencing withdrawal, having been offered but declined infirmary treatment and methadone on arrival. Cellmate observations noted severe illness, vomiting, and sweating on 20 July. A corrections officer observed him in foetal position and in pain; the nurse was informed he declined to see her. The deceased later consumed approximately 2 litres of fluid and unidentified green plant material. Post-mortem revealed massively distended stomach with no detected common drugs or alcohol. The coroner found the deceased had been offered appropriate medical assessment; he refused infirmary admission and evening nursing contact, stating he was 'fine'. The emergency response was prompt. The cause of aspiration remained unclear—possibly related to the plant material or rapid fluid intake—but no preventable medical error was identified.

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

Contributing factors

  • massively distended stomach with 2 litres of semi-digested green vegetable matter and fluid
  • consumption of unidentified green plant material of unknown toxicity
  • consumption of approximately 2 litres of fluid
  • heroin withdrawal
  • possible impairment of swallowing and airway protection
  • refusal of infirmary treatment and methadone program
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