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Finding into death of Brad Anthony Godressi

Deceased

Brad Anthony Godressi

Demographics

40y, male

Date of death

2020-11-09

Finding date

2023-06-05

Cause of death

Cardiomyopathy in the setting of immersion and amphetamine use

AI-generated summary

Brad Godressi, a 40-year-old man with end-stage dilated cardiomyopathy recently discharged against medical advice from ICU, died from cardiomyopathy in the setting of immersion and amphetamine use while operating a boat on Port Phillip Bay. He had consumed amphetamine, which can precipitate cardiac arrhythmias in the setting of myocyte hypertrophy and interstitial fibrosis. Critical clinical lessons include: stimulant substances are contraindicated in advanced cardiomyopathy; patients discharged against medical advice require robust safety counselling about high-risk activities; and coordination between medical teams and licensing authorities regarding fitness to operate vessels is lacking. The coroner identified a legislative gap whereby motor vehicle licence disqualifications for drug/alcohol offences do not extend to marine licences, potentially enabling unsafe operation of vessels by individuals deemed unfit to drive.

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

Contributing factors

  • End-stage dilated cardiomyopathy with myocyte hypertrophy and interstitial fibrosis
  • Recent discharge against medical advice from ICU
  • Amphetamine use with known cardiac disease
  • Stimulant-induced cardiac arrhythmia potential in context of underlying cardiac pathology
  • Disqualification from motor vehicle driving for drug-related activity but continued marine licence validity
  • Legislative gap linking motor vehicle and marine licence suspensions/cancellations
  • Operation of unregistered vessel with minimal safety equipment
  • Recreational activity (boating) undertaken despite severe cardiac impairment

Coroner's recommendations

  1. That the Secretary for the Department of Transport and Planning consider amending the current legislative framework so that if a person has been disqualified from driving a motor vehicle for offences relating to drug and alcohol use or on medical grounds, the disqualification should also extend to their Marine Licence. Further, consideration should be given as to whether disqualification of a person's marine licence for drug alcohol offences or medical grounds should be extend to their vehicle licence.
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