Coronial
QLDhospital

Collins, Francis Ronald Llewelyn

Deceased

Francis Ronald Llewelyn Collins

Demographics

85y, male

Coroner

Ryan

Date of death

2015-08-20

Finding date

2018-01-23

Cause of death

respiratory failure due to chronic obstructive pulmonary disease

AI-generated summary

An 85-year-old man with COPD, diabetes, and peripheral vascular disease died from type 1 respiratory failure due to mucous plugging of airways. He presented with a foot ulcer and acute respiratory exacerbation, was admitted to hospital and managed with antibiotics, steroids, and physiotherapy. He suffered a possible anaphylactoid reaction to iron polymaltose infusion but recovered. Despite aggressive management including supplemental oxygen and attempts to clear airway secretions, he deteriorated and died. The coroner found medical care was appropriate and death could not have been reasonably prevented. The treating team managed his complex acute-on-chronic respiratory disease appropriately according to expert review.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

general medicinerespiratory medicineallergy and immunologyhaematologyphysiotherapyinfectious diseases

Drugs involved

salbutamolenoxaparinantibioticssteroidsiron polymaltose

Clinical conditions

chronic obstructive pulmonary diseaseemphysematype-1 respiratory failurecoronary atherosclerosisdiffuse vasculopathyperipheral vascular diseasediabetes mellitus type 2hypertensionaortic stenosispulmonary hypertensionanaphylactoid reaction

Procedures

chest X-rayCT scanechocardiogramlung function testsiron infusionchest physiotherapy

Contributing factors

  • emphysema with focal consolidation
  • mucous plugging obstructing airways
  • inadequate gas exchange due to reduced functional reserves
  • type 1 respiratory failure
  • 20-year history of chronic cough
  • recent respiratory tract infection
  • possible anaphylactoid reaction to iron infusion
Full text

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.