Deceased
Kevin Ernest McCRACKEN
Demographics
58y, male
Coroner
Coroner Urquhart
Date of death
2020-07-11
Finding date
2022-05-20
Cause of death
Hypertensive and valvular heart disease
AI-generated summary
Kevin McCracken, 58, died of hypertensive and valvular heart disease following sudden cardiac collapse in a prison pre-release unit. He had complex pre-existing cardiac disease including previous valve replacement and aortic surgery with severe left ventricular hypertrophy. The coroner found his medical management in prison was appropriate and commensurate with community care standards, with regular cardiology review, comprehensive monitoring, and timely acute management. However, a Code Red medical emergency was not called initially despite prison procedures requiring it for life-threatening incidents—though this did not adversely affect outcomes given the rapid response by nearby staff. Five medication errors occurred over three years but were detected promptly with no adverse consequences. The death was not preventable given his underlying cardiac pathology and the extensive investigations and monitoring that had been undertaken.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
24y · Male·Cardiac arrest in a man with Sotos syndrome and multiple comorbidities, includin…
Joshua Fredrik Van Malssen, a 24-year-old man with Sotos syndrome, complex cardiac disease, asthma, and obesity, died from cardiac arrest after being restrained in the prone position during a lawful arrest by Public Tran…
33y · Male·Complications of out of hospital cardiac arrest in a man with atherosclerotic ca…
A 33-year-old Indigenous man with Type 2 diabetes, hypertension and dyslipidemia collapsed while playing football in a prison in July 2023, sustaining an out-of-hospital cardiac arrest from which he did not recover. Auto…
58y · Male·complications of oesophageal cancer, with terminal palliative care
Stephen Joseph Schipp, a 58-year-old sentenced prisoner, died from complications of oesophageal cancer with terminal palliative care at Bunbury Regional Hospital. He had been diagnosed with oesophageal carcinoma in Janua…
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. Some material may have been redacted or restricted by court order or privacy requirements. 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 — report an inaccuracy here.