Coroner's Finding: PETTER Elemer
Deceased
Elemer Petter
Demographics
79y, male
Date of death
2005-02-03
Finding date
2006-12-14
Cause of death
myocardial infarction
AI-generated summary
A 79-year-old man with significant comorbidities (ischaemic heart disease, diabetes, peripheral vascular disease) was admitted to hospital with anorexia and weight loss. He developed acute confusion and delirium, initially refusing vascular intervention for gangrenous toes. He was detained under mental health legislation due to acute delirium and lack insight. Chest pain developed, indicating acute myocardial infarction. On the day of death, a MET call identified extensive acute MI. Given his age, comorbidities, poor prognosis, and refusal of invasive treatment, a palliative approach was agreed with his close friend. The coroner found treatment was of extremely high standard with appropriate clinical decision-making, though noted inadequate documentation of the 'not for resuscitation' decision and Dr L.'s unfamiliarity with relevant hospital protocol.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Drugs involved
Clinical conditions
Contributing factors
- acute delirium secondary to medical illness
- extensive acute myocardial infarction
- advanced age with multiple comorbidities
- severe peripheral vascular disease with gangrene
- patient refusal of invasive interventions
- poor prognosis limiting treatment options
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