Coronial
NSWother

Inquest into the death of Siosiua Mateaki He Lotu Meyer

Deceased

Siosiua Mateaki He Latu Meyer

Demographics

48y, male

Coroner

Decision ofDeputy State Coroner Ryan

Date of death

2021-10-23

Finding date

2024-02-19

Cause of death

Complications of infective exacerbation of bronchiectasis with cor pulmonale

AI-generated summary

A 48-year-old man with a significant history of bronchiectasis died in police custody from infective exacerbation of bronchiectasis with cor pulmonale. The inquest examined whether police took appropriate steps to obtain medical assistance and whether earlier intervention would have improved survival prospects. The death occurred in hospital following custody-related events. Clinical lessons centre on recognition of respiratory deterioration in patients with chronic lung disease, timely escalation of care in custodial settings, and ensuring medical assessment occurs promptly when signs of acute illness develop. The coroner's focus on the adequacy and timing of medical assistance suggests delays or gaps in clinical evaluation may have been contributory factors.

AI-generated summary — refer to original finding for legal purposes. Report an inaccuracy.

Specialties

respiratory medicineemergency medicinegeneral medicine

Error types

delaysystem

Contributing factors

  • police custody environment
  • delays in obtaining medical assistance
  • adequacy of medical care provision in custody
Full text

CORONERS COURT OF NEW SOUTH WALES nquest: 'Inquest into the death of Siosiua Mateaki He Lotu Meyer :Hearing dates: :6 8 February 2024 i Date of findings: , i19 February 2024 :Place of findings: iNSW Coroners Court - Lidcombe ;Findings of: 1 Magistrate Elizabeth Ryan, Deputy State Coroner Catchwords: CORONIAL LAW- death of a man in police custody­ did police take appropriate steps to obtain medical '.assistance - would earlier medical assistance have improved prospects for survival.

File number: 2021/00302513 'Representation: Counsel Assisting the inquest: K Beattie of Counsel i/b NSW Crown Solicitors Office The NSW Commissioner of Police: H Bennett of .Counsel i/b Office of the General Counsel.

Findings in the Inquest into the death of Siosiua Mateaki He Lotu Meyer

Conclusion

  1. I offer sincere sympathy to Mr Meyer's family for the loss of their much loved brother.

  2. I thank the Assisting team for the high quality of their assistance and support throughout this inquest, and the cooperative approach taken by the legal team representing the NSW Commissioner. I acknowledge also the excellent work undertaken by the Officer in Charge, Detective Inspector Allcroft, in investigating Mr Meyer's case and compiling the coronial brief of evidence.

Findings required by s81(1) As a result of considering all of the documentary evidence and the oral evidence heard at the inquest, I am able to confirm that the death occurred and make the following findings in relation to it.

Identity The person who died is Siosiua Mateaki He Latu Meyer Date of death: Siosiua Mateaki He Latu Meyer died on 23 October 2021.

Place of death: Siosiua Mateaki He Latu Meyer died in Liverpool Hospital, Liverpool NSW.

Cause of death: The cause of Siosiua Mateaki He Latu Meyer's death is the complications of infective exacerbation of bronchiectasis with car pulmonale.

Manner of death: Siosiua Mateaki He Latu Meyer died of natural causes while he was in lawful custody.

I close this inquest.

?)___,..,....

Magistrate E Ryan Deputy State Coroner, Lidcombe Date 19 February 2024 Findings in the Inquest into the death of Siosiua Mateaki He Latu Meyer

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