Coronial
VIChome

Finding into death of Medzit Jakupi

Deceased

Medzit Jakupi

Demographics

66y, male

Coroner

Coroner Rosemary Carlin

Date of death

2014-06-09

Finding date

2016-07-05

Cause of death

Unascertained (natural causes)

AI-generated summary

Mr Jakupi, a 67-year-old man with hypertension, hypercholesterolaemia, type 2 diabetes and smoking history, called emergency services at 5:12am reporting shortness of breath. Ambulance paramedics were dispatched but could not locate him at the caravan park despite two attempts because his site number was initially unknown, poor lighting, lack of clear site numbering, and obscured caravan number delayed finding him by 43 minutes. He was found unresponsive at 5:55am and declared deceased at 6:00am. The cause of death was unascertained natural causes; without autopsy confirmation, it is unclear whether earlier paramedic arrival would have changed the outcome. System improvements in emergency address identification and caravan park signage have since been implemented.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

emergency medicineparamedicineforensic medicine

Error types

systemcommunication

Drugs involved

codeinedoxylamine

Clinical conditions

dyspneahypertensionhypercholesterolaemiatype 2 diabetesbilateral pleural effusions

Contributing factors

  • Ambulance paramedics unable to locate patient at caravan park initially
  • Site number not ascertained from emergency call
  • Caravan park poorly lit with no obvious site plan and unclear site numbering
  • Patient's caravan number obscured by vehicles
  • ESTA dispatcher protocol did not include question about type of residence
  • Emergency contact numbers not visible to paramedics
  • 43-minute delay between emergency call and paramedics locating patient

Coroner's recommendations

  1. That ESTA protocols be amended to include an additional question after asking for the address such as 'What type of residence is that?' or 'Is that a house or a flat or something else?'
Full text

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