Coroner's Finding: FORREST, John Michael
Deceased
John Michael Forrest
Demographics
68y, male
Date of death
2020-09-12
Finding date
2023-12-22
Cause of death
Multi-organ failure due to gram-negative sepsis on a background of recent myocardial infarction and coronary artery bypass graft and end-stage renal failure
AI-generated summary
A 68-year-old male prisoner with multiple comorbidities (diabetes, end-stage renal failure, COPD, morbid obesity) presented with acute myocardial infarction and underwent coronary artery bypass grafting. Post-operatively, he developed hospital-acquired pneumonia progressing to gram-negative sepsis and multi-organ failure. While the surgical intervention was timely and appropriate, his complex medical background—particularly advanced renal disease and underlying lung pathology—created vulnerability to post-operative complications. The coroner found no deficiencies in medical care and made no recommendations, though this case illustrates the challenging outcomes in elderly prisoners with advanced comorbidities undergoing major cardiac surgery.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Clinical conditions
Contributing factors
- hospital-acquired post-operative pneumonia
- end-stage renal failure
- chronic obstructive pulmonary disease
- morbid obesity
- diabetes with poor glycaemic control history
- prolonged mechanical ventilation during and after surgery
- underlying lung disease
- generally unfit physiological state
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