Deceased
Graham John BUTLER
Demographics
76y, male
Coroner
Coroner Jenkin
Date of death
2023-10-22
Finding date
2025-06-12
Cause of death
out-of-hospital cardiac arrest in a man with coronary artery atherosclerosis and background history of diabetes mellitus
AI-generated summary
Graham John Butler, aged 76, died from out-of-hospital cardiac arrest secondary to coronary artery atherosclerosis and diabetes whilst imprisoned at Acacia Prison. He had significant cardiac history including prior myocardial infarction and stroke. Butler received appropriate and timely medical care in custody, with regular specialist reviews, prompt response to acute presentations including sepsis and COVID-19, and appropriate emergency resuscitation. The coroner found his care equivalent to or better than community standard. His death resulted from natural causes related to pre-existing severe cardiovascular disease. No systemic failures in care, supervision, or clinical management were identified. Early escalation and resuscitation were appropriate and timely.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
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…
45y · Male·atherosclerotic heart disease
Lex Gregory Maher, a 45-year-old Aboriginal man imprisoned at Greenough Regional Prison, died of atherosclerotic heart disease while playing basketball. He had abnormal ECGs detected in March and May 2022 and was appropr…
40y · Male·coronary artery atherosclerosis
Shane Narrier, a 40-year-old Aboriginal man, died from coronary artery atherosclerosis on 5 June 2020 at Acacia Prison. On 27 May 2020, he reported chest pains via the Custody Messaging System (CMS) to a prison nurse. Th…
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