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VIChospital2010-05-31

Finding into death of Paul Alexander Goodwin

85y · Male·Ruptured abdominal aortic aneurysm

An 85-year-old man with known inoperable abdominal aortic aneurysm died from rupture of this aneurysm while hospitalized for acute exacerbation of COPD. A medication error occurred at admission when Dr T. inadvertently i…

general medicinerespiratory medicinemedicationgabapentin
WAhospital2009-09-11

Inquest into the Death of Gordon

1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)

Jezelle Lisa Gordon, a 1-year-old child, died of staphylococcal pneumonia on 26 February 2006 in Port Hedland, Western Australia. She presented to Halls Creek Hospital on 25 February with fever, elevated respiratory rate…

general practiceemergency medicinediagnosticdelayparacetamol
SAhospital2009-05-22

Coroner's Finding: ROBERTS Jarrad Delroy

10y · Male·sepsis (fusobacterium necrophorum) complicating right otitis media

Jarrad Roberts, a 10-year-old with learning disabilities and likely ADHD, died from sepsis due to untreated right otitis media caused by Fusobacterium necrophorum. He had been acutely ill for 5-7 days before finally seei…

paediatricsgeneral practicedelaysystemamoxicillin
QLDhospital2007-11-23

Scholz, Karl David

31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…

Karl Scholz, 31-year-old male, died from upper airway obstruction due to pharyngeal abscess originating from untreated dental infection. He presented with severe facial cellulitis and abscess following dental procedures …

intensive careanaesthesiadiagnosticcommunicationamoxicillin
SAhospital2006-06-16

Coroner's Finding: SMITH Ian Myles

2y · Male·morphine toxicity

A 2-year-old boy died from morphine toxicity approximately 35 hours after suspected ingestion of up to 7 Kapanol (slow-release morphine) capsules accessed from his father's medication left unguarded in the home. Hospital…

emergency medicinepaediatricssystemdelaymorphine
NThospital2005-03-01

Inquest into the death of Debbie Douglas

3y · Female·Complications resulting from progressive right ventricular failure as a conseque…

Debbie Anne Douglas, a 3-year-old Aboriginal girl with DiGeorge syndrome and complex congenital heart disease, died from progressive right ventricular failure. She had been in state care since August 2003 due to parents'…

paediatricscardiologyamoxicillin
WAhospital2004-06-17

Inquest into the Death of Edmiston

41y · Female·Peritonitis following surgical procedure to the urinary bladder, due to infected…

Cheryl Lee Edmiston, a healthy 41-year-old woman, died of peritonitis and sepsis following minor bladder procedures (cystoscopy, hydrodilatation, and biopsy) at Joondalup Health Campus on 14 February 2003. The biopsies w…

urologygeneral surgerydiagnosticmedicationamoxicillin
WAhospital2003-08

Inquest into the Death of Richard Christopher Jankowski

39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…

Richard Christopher Jankowski, a 39-year-old man, died from hypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment with antibiotics, …

anaesthesiageneral surgeryproceduralcommunicationpropofol

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