Deceased
Salvatore Giovanni OTRANTO
Demographics
68y, male
Coroner
Deputy State Coroner Linton
Date of death
2020-06-09
Finding date
2022-06-08
Cause of death
Complications following myocardial infarction and its treatment in a man with multiple severe co-morbidities
AI-generated summary
Salvatore Otranto, a 68-year-old prisoner with multiple severe comorbidities including ischaemic heart disease, diabetes, COPD, and chronic kidney disease, died from complications of myocardial infarction and its treatment. Admitted to hospital on 30 May 2020 with suspected NSTEMI, he developed acute-on-chronic renal failure requiring dialysis. A VasCath was inserted into the right subclavian artery instead of the vein but was promptly identified and surgically removed without complication on 5 June. Despite appropriate medical management, he deteriorated with cardiogenic shock and died on 9 June. The coroner found no major contributing factors from the VasCath error. The only identified systemic issue was the Department's failure to initiate Royal Prerogative of Mercy procedures when his terminally ill status escalated to Stage 3, though this was unlikely to have resulted in release given the serious nature of his offending.
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
64y · Male·bronchopneumonia and sepsis with chronic obstructive pulmonary disease in a man …
Edward Ivan Africh, a 64-year-old sentenced prisoner, died from bronchopneumonia and sepsis with chronic obstructive pulmonary disease (emphysema) in the setting of advanced chronic myelomonocytic leukaemia and heart fai…
31y · Female·hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia comp…
Cally Graham, age 31, died from hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia complicating cardiorespiratory arrest associated with probable Takotsubo cardiomyopathy and methylamphetamine ef…
23y · Male·hypoxic brain injury and bronchopneumonia complicating ligature compression of t…
Jordan Robert Anderson, 23, died by suicide in Hakea Prison through ligature compression of the neck. Critical delays occurred when he was discovered unresponsive: 3 minutes 40 seconds elapsed before his cell door was un…
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.