Bradley Scott, a 43-year-old man with chronic alcohol dependence and hepatic cirrhosis, died from exsanguination following an incised right radial artery. After consuming significant quantities of alcohol and cannabis, he was given a courtesy lift home by police at 2:14am. Police assessed him as intoxicated but capable. Upon arriving home, Bradley fell onto a broken glass door frame, sustaining a severed radial artery. The coroner found this was misadventure, not preventable through police action. Key clinical lessons: severe hepatic cirrhosis and high-dose alcohol/benzodiazepine/cannabis combinations cause profound CNS depression, impaired judgment, and motor control loss, increasing fall risk and inability to self-protect from hemorrhage. Early recognition of liver disease and addiction severity should trigger comprehensive risk assessment and safer discharge protocols.
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Specialties
forensic medicinetoxicologyemergency medicineaddiction medicine
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