Coronial
VICother

Finding into death of Raymond John Cassar

Deceased

Raymond John Cassar

Demographics

47y, male

Coroner

Coroner Darren Bracken

Date of death

2018-06-20

Finding date

2021-10-15

Cause of death

Pneumonia (1(a)), Motor neurone disease (1(b))

AI-generated summary

Raymond Cassar, a 47-year-old man with motor neurone disease requiring ventilatory support, died of pneumonia at a disability accommodation service. He had been diagnosed with a chest infection on 19 June 2018 and prescribed antibiotics. On the morning of 20 June, after receiving clonazepam and morphine for anxiety and abdominal pain, he experienced chest discomfort, lost consciousness during nebuliser administration, and could not be resuscitated. The Disability Services Commissioner review found Yooralla staff provided attentive care consistent with his support plans, though minor documentation shortfalls existed. No clinical errors or preventable factors were identified. The death resulted from natural causes—pneumonia in the context of advanced motor neurone disease—and the care provided was deemed reasonable and appropriate.

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

Specialties

general practicepalliative careparamedicine

Drugs involved

clonazepammorphinerisperidonesertralinemetoprololchlorpheniramineparacetamol

Clinical conditions

motor neurone diseasepneumoniabulbar dysfunctionischaemic heart diseaseasthmaschizophreniaanxietydepression

Procedures

percutaneous endoscopic gastrostomyventilation supportcardiopulmonary resuscitation

Contributing factors

  • Motor neurone disease with advanced bulbar dysfunction
  • Respiratory compromise from MND
  • Acute respiratory infection
  • Underlying ischaemic heart disease
Full text

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