Coronial
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72 results

TAShome2022-07-04

Coroner's Finding: Wallace., Vivienne Lorraine

73y · Female·atherosclerotic and hypertensive coronary vascular disease

Ms Wallace, a 73-year-old woman with hypertension and other comorbidities, developed atrial fibrillation during orthopaedic surgery for a fibula fracture. She was discharged on flecainide 50mg daily, metoprolol, and riva…

cardiologyorthopaedic surgeryflecainide
VIChome2022-05-25

Finding into death of Margaret Anne Brown

68y · Female·Cardiomyopathy with atrial fibrillation, pulmonary hypertension, and alcohol int…

Margaret Brown, a 68-year-old woman with significant cardiac disease (cardiomyopathy, atrial fibrillation, pulmonary hypertension) and chronic alcohol abuse, died at home from cardiomyopathy with alcohol intoxication as …

cardiologyemergency medicineamiodarone
NSWmental health2022-05-06

Inquest into the death of Diane EASTCOTT

71y · Female·ischaemic cardiovascular disease

Diane Eastcott, a 71-year-old involuntary mental health patient, died of ischaemic cardiovascular disease on 10 July 2018 at Macquarie Hospital. Following an unwitnessed fall on 22 June 2018, she was admitted to Ryde Hos…

emergency medicinecardiologymedicationcommunicationmetoprolol
QLDhospital2022-04-26

Jessen, Tyson Lee

28y · Male·Gunshot wounds of the neck, chest and abdomen

Tyson Jessen, a 28-year-old man wanted for armed robbery in Victoria, was arrested in Queensland and admitted to Ipswich Hospital with cardiac symptoms. While in police custody, he remained under guard in hospital. Senio…

emergency medicinecardiologycommunicationsystemmetoprolol
VIChospital2022

Finding into death of Mr E

67y · Male·Fulminant liver failure

A 67-year-old man presented to his GP with discoloured urine. Blood tests revealed acute liver toxicity but critical results were communicated via facsimile, with unclear timing of GP's review. The patient deteriorated r…

general practiceemergency medicinecommunicationdelayibuprofen
VIChospital2021-12-10

Finding into death of Peta Hickey

43y · Female·Multisystem organ failure and hypoxic/ischaemic encephalopathy following anaphyl…

Peta Hickey, a 43-year-old company executive with no cardiac history, died from anaphylaxis to CT coronary angiogram contrast after her employer commissioned an inappropriate screening program. The referral lacked clinic…

radiologyemergency medicinediagnosticmedicationomnipaque 350 contrast dye
VIC2021-10-15

Finding into death of Raymond John Cassar

47y · Male·Pneumonia (1(a)), Motor neurone disease (1(b))

Raymond Cassar, a 47-year-old man with motor neurone disease requiring ventilatory support, died of pneumonia at a disability accommodation service. He had been diagnosed with a chest infection on 19 June 2018 and prescr…

general practicepalliative careclonazepam
VIChome2021-08-02

Finding into death of Mark Marian Milewski

71y · Male·Mixed drug toxicity

A 71-year-old man with multiple chronic conditions including obesity, diabetes, heart failure, and chronic pain died from mixed drug toxicity involving oxycodone, codeine, diazepam, and alcohol. The coroner determined he…

general practicegeriatric medicinediagnosticoxycodone
VIChospital2021-05-18

Finding into death of David John Campbell

59y · Male·Intracerebral haemorrhage

A 59-year-old man imprisoned at Hopkins Correctional Centre collapsed on 16 July 2019 with a left thalamic intracerebral haemorrhage with intraventricular rupture. He was transferred to Royal Melbourne Hospital where an …

neurosurgeryintensive carelevetiracetam
TAShome2021-05-06

Coroner's Finding: Bowerman, Valerie Joy

80y · Female·acute subdural haematoma following a fall while on warfarin for atrial fibrillat…

Mrs Bowerman, aged 80, fell at home on warfarin anticoagulation and sustained a minor head injury with no initial neurological signs. Paramedic Turnbull assessed her as requiring no transport (TNR), despite her anticoagu…

paramedicineemergency medicinediagnosticcommunicationwarfarin
VICcommunity2020-05-22

Finding into death of Christina Maree Chamberlain

60y · Female·Multiple injuries sustained in a motor vehicle incident (driver)

Christina Maree Chamberlain, aged 60, died when her vehicle drifted across lanes and collided with a tree on Great Alpine Road. She was taking multiple medications including oxycodone, amitriptyline, sertraline, diazepam…

emergency medicineforensic medicineoxycodone
VIChospital2020-02-28

Finding into death of Keith Walter Sharp

63y · Male·Cerebral infarction complicating vertebral artery dissection following motor veh…

Keith Walter Sharp, 63, sustained a motor vehicle collision causing vertebral artery dissection and subsequent cerebral infarction. At Albury Base Hospital, initial CT imaging at 10:44am identified significant cervical s…

emergency medicineradiologydelaydiagnosticaspirin
WA2019-08-20

Inquest into the Death of Judy Sonia BOLTON

44y · Female·acute myocardial infarction due to coronary thrombosis

A 44-year-old Aboriginal woman died from acute myocardial infarction (heart attack) due to coronary thrombosis while in custody at Bandyup Women's Prison in Western Australia. She had multiple cardiovascular risk factors…

cardiologyemergency medicinediagnosticsystemmetoprolol
TAShospital2019-04-18

Coroner's Finding: Kenney, Margaret Patricia

83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…

Margaret Patricia Kenney, 83, died from upper gastrointestinal bleeding complicated by cardiac arrest while anticoagulated for atrial fibrillation. She had been diagnosed with gastro-oesophageal reflux disease (GORD) in …

general medicinecardiologymedicationdiagnosticpantoprazole
WAhospital2018-03-22

Inquest into the Death of Steven John COLLOFF

47y · Male·Organ failure following use of synthetic cannabinoids and consequent hyperthermi…

A 47-year-old man died from organ failure following synthetic cannabinoid use and consequent heat stroke. After smoking synthetic cannabinoids (AB-CHMINACA and 5F-AMB), he became confused and dehydrated in a hot environm…

toxicologyintensive careab-chminaca
NSWhospital2017-12-22

Inquest into the death of Colin Parker

41y · Male·Complications of blunt force injuries of the head

Colin Parker, aged 41, suffered an unwitnessed fall with head injury while experiencing syncope from atrial fibrillation in early May 2014. He was admitted to Campbelltown Hospital but his serious intracranial pathology …

cardiologyemergency medicinediagnosticcommunicationenoxaparin
QLDhospital2017-06-22

PS - Non-inquest findings

68y · Female·Coronary heart disease

A 68-year-old woman with diabetes, hypertension, hypercholesterolaemia, COPD and chronic renal failure presented with chest pain and dyspnoea. She was admitted with suspected congestive cardiac failure; troponins were no…

cardiologyemergency medicinediagnosticcommunicationfurosemide
QLDhome2017-02-07

ES, a 87 year old lady

87y · Female·Multiple opioid drug toxicity (morphine and fentanyl) in combination with conges…

An 87-year-old woman with multiple comorbidities (ischaemic heart disease, emphysema, chronic kidney disease) was discharged home for palliative care after a hospital admission. Her family administered excessive doses of…

general practicepalliative caremedicationcommunicationmorphine
NT2017-01-09

Inquest into the death of Noel Ramage

75y · Male·Accidental drowning

A 75-year-old man died by drowning after his modified recreational boat capsized on Saltwater Arm River. The boat had been fitted with unauthorised side panels and modified seating that compromised stability and exceeded…

citalopram
QLDhospital2016-10-25

Hemsley, Joanne - non-inquest findings

55y · Female·Cardiac tamponade due to haemopericardium due to acute ruptured myocardial infar…

A 55-year-old woman with extensive coronary artery disease presented for elective stent placement to her left anterior descending artery. During the procedure, a small diagonal branch vessel was occluded—a recognised com…

cardiologycardiothoracic surgerydiagnosticcommunicationticagrelor

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