Finding into death of Medzit Jakupi
Deceased
Medzit Jakupi
Demographics
66y, male
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.
Error types
Drugs involved
Clinical conditions
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
- 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
Related cases
Source and disclaimer
This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.
Content may be incomplete, reformatted, or summarised. All court orders for redaction and non-publication are respected; documents with technically defective redaction have been excluded from the database entirely. Always refer to the original court publication for the authoritative record.
Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction —