Deceased
Rebecca Eileen Richardson
Demographics
29y, female
Date of death
2019-05-07
Finding date
2023-05-31
Cause of death
acute myocardial infarction due to stenotic coronary vessel (left anterior descending artery with 60% stenosis)
AI-generated summary
Rebecca Richardson, a 29-year-old with type 1 diabetes and coronary artery disease, died of acute myocardial infarction on 7-9 May 2019. She presented to NWRH ED on 6 May with abdominal pain and vomiting, initially attributed to cannabis use. Her behaviour was disruptive; she refused full assessment and treatment. The coroner found her management at NWRH was reasonable given available guidelines. However, a more detailed management plan existed at LGH (dated 18 months later) that prioritised medical stabilisation and admission rather than discharge. The critical learning is that when management plans differ between hospitals, they must be communicated and accessible to all treating facilities. The coroner noted the LGH approach of treating behaviour as secondary to medical conditions likely achieved better outcomes. Mrs Richardson's dehydration from uncontrolled diabetes precipitated sudden cardiac death.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
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