Hadlow, Barry Gordon

65y · Male·Acute myocardial infarction due to or as a consequence of coronary atherosclerosis

Barry Hadlow, a 65-year-old prisoner with known coronary artery disease, presented to prison medical centre on 13 July 2007 with chest pain, coughing up blood, fever and shortness of breath. He was appropriately diagnosed with lower respiratory tract infection and transferred to Princess Alexandra Hospital. Despite initial stabilisation, he deteriorated acutely between 20:00-22:20 hours with signs of cardiac failure. A medical review was appropriately requested but before assessment could occur, he suffered acute myocardial infarction and could not be resuscitated. Autopsy revealed severe coronary atherosclerosis with acute and chronic infarcts. The coroner found medical care adequate throughout, with appropriate diagnostic decisions, timely transfer, and comprehensive emergency response. No clinical failures were identified.