Coroner's Finding: MAVRIDIS Emanuel
Deceased
Emanuel Mavridis
Demographics
64y, male
Date of death
2018-09-23
Finding date
2020-12-22
Cause of death
Heart failure secondary to alcohol related liver disease, coronary obstructive pulmonary disease and ischaemic/alcoholic cardiomyopathy
AI-generated summary
Emanuel Mavridis, aged 64, died of heart failure secondary to alcohol-related liver disease, COPD, and ischaemic/alcoholic cardiomyopathy. He presented to Royal Adelaide Hospital hypotensive with metabolic acidosis and was admitted to ICU. By 18 September, he wished to self-discharge against medical advice despite being very unwell with impaired decision-making capacity (hepatic encephalopathy/delirium). An Inpatient Treatment Order was appropriately placed and confirmed by psychiatry. On 22 September, after acute deterioration with severe cardiac dysfunction (EF 15-20%), senior clinicians determined CPR would be non-beneficial, prolonging life in a moribund state without prospect of recovery. A resuscitation alert was appropriately documented. He died the following morning. The coroner found the ITO lawful and appropriate, medical care standards appropriate, and the decision not to resuscitate lawful and medically justified. No clinical errors or preventable factors were identified.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Contributing factors
- alcohol use disorder
- hepatic encephalopathy
- delirium
- acute cardiac decompensation
- severe left ventricular dysfunction
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