Coronial
VICother

Finding into death of ED

Demographics

42y, male

Coroner

Coroner Rosemary Carlin

Date of death

2014-08-14

Finding date

2017-05-25

Cause of death

Hypoxic/ischaemic encephalopathy; cardiac arrest; cardiomegaly

AI-generated summary

A 42-year-old man with schizophrenia died from hypoxic-ischaemic encephalopathy following an out-of-hospital cardiac arrest at a mental health community care unit. He had been admitted voluntarily for alcohol rehabilitation and was clinically stable with regular psychiatric and physical monitoring. He collapsed outside the unit 30 minutes after a telephone call to his mother reporting feeling unwell and very tired. CPR was initiated promptly by staff and continued by paramedics; he had brief return of spontaneous circulation but suffered another arrest at hospital. The coroner found his medical care reasonable and identified no preventable factors. The case highlights elevated sudden death risk in schizophrenia due to multiple modifiable factors including smoking, hypertension, obesity, physical inactivity, and substance abuse, coupled with potential medication effects and social disadvantage.

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

Specialties

psychiatryemergency medicineintensive careparamedicine

Drugs involved

risperidone

Clinical conditions

schizophreniacardiomegalyhepatitis_chypertensionobesityacute_myocardial_infarctioncardiac_arresthypoxic_ischaemic_encephalopathy

Procedures

intubationECGcomputed_tomography_braincardiopulmonary_resuscitation

Contributing factors

  • Schizophrenia
  • Hepatitis C
  • Obesity
  • Hypertension
  • History of alcohol abuse
  • Cardiomegaly
  • Elevated modifiable risk factors for mortality in schizophrenia including smoking, obesity, physical inactivity

Coroner's recommendations

  1. The Victorian Government Department of Health and Human Services promote research into the underlying reasons for and the prevention of sudden death in people with schizophrenia through means such as the multidisciplinary and cross-sectional Mental Illness Research Fund
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