Deceased
Carl Anthony Van Der Kaay
Demographics
50y, male
Date of death
2019-07-18
Finding date
2023-07-12
Cause of death
Cardiomegaly and ischaemic coronary artery disease
AI-generated summary
A 50-year-old man with significant cardiac risk factors (family history of heart disease, prior coronary stent, diabetes, hypertension, hypercholesterolaemia, smoking) collapsed in cardiac arrest on a V/Line train. Despite immediate CPR by an off-duty cardiac nurse and subsequent paramedic resuscitation lasting 70 minutes, he could not be revived. Autopsy confirmed cardiomegaly and ischaemic coronary artery disease as the cause. The coroner identified a systemic gap: V/Line trains lacked automated external defibrillators (AEDs), despite AEDs being available at 29 railway stations. The coroner recommended AED installation on all V/Line trains, noting that while feasibility had been assessed, implementation remained pending resolution of funding and logistical issues. Early defibrillation could have improved survival chances in this cardiac arrest.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Drugs involved
Clinical conditions
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