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WAhospital- 27 May 2014

Inquest into the Death of Brian John DAVIES

57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy

A 57-year-old man with multiple comorbidities (obesity, diabetes, hypertension, COAD, sleep apnoea) underwent elective laparoscopic cholecystectomy at a regional hospital. The procedure was converted to open due to dense…

surgeryanaesthesiasystemdelaymorphine
WAhospital2013-11-11

Inquest into the Death of Kerr

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

Henry Edwin Kerr, 86, died of acute myocardial ischaemia following left inguinal hernia surgery at Esperance District Hospital. He had significant cardiac history including valvular disease, ischaemic heart disease, and …

general surgeryanaesthesiacommunicationsystemglyceryl trinitrate
QLDhospital2013-10-28

Loveday, Marcia Joy

74y · Female·Cardio-renal failure due to gangrene of calculous gallbladder, with significant …

An elderly woman with a documented penicillin allergy, wearing a MedicAlert bracelet, presented to emergency with respiratory distress and chest pain. She was administered intravenous Ampicillin without allergy verificat…

emergency medicineintensive carediagnosticmedicationampicillin
WAhospital2013-09-24

Inquest into the Death of Whiteford, Carol Freda

68y · Female·Anaphylaxis in a woman with atherosclerotic cardiovascular disease and emphysema

A 68-year-old woman with severe COPD and undiagnosed atherosclerotic heart disease underwent cataract surgery at Northam Hospital. Post-operatively, she was prescribed Diamox (acetazolamide), a sulphonamide medication. D…

ophthalmologyanaesthesiadiagnosticmedicationdiamox
VIChospital2013-07-02

Finding into death of Bradley Piper

4y · Male·perinatal asphyxia

Bradley Piper was born prematurely (34 weeks) at Kilmore Hospital on 22 January 2007 and died from perinatal asphyxia. Expert evidence established that the hypoxic-ischaemic insult occurred before the last hour of labour…

obstetricsneonatologycommunicationdelaypethidine
SAhospital2013-06-23

Coroner's Finding: BAKER Neville Ronald

56y · Male·respiratory failure due to adenocarcinoma of the lung and chronic obstructive lu…

Neville Ronald Baker, aged 56, died from respiratory failure due to adenocarcinoma of the lung and chronic obstructive lung disease. He was a life prisoner serving a sentence for murder. He had been a heavy smoker throug…

respiratory medicineoncologysalbutamol
QLDhospital2013-04-16

Hornby, Geoffrey John

58y · Male·Respiratory failure due to or as a consequence of Chronic Obstructive Pulmonary …

Geoffrey Hornby, a 58-year-old prisoner with significant COPD, ischemic heart disease, and multiple comorbidities, died from respiratory failure secondary to COPD. He was admitted to hospital with COPD exacerbation and d…

respiratory medicineemergency medicinecommunicationdelaysalbutamol
VIChospital2013-03-15

Finding into death of Rolden Ablis

5y · Male·Brainstem encephalitis (viral)

Rolden Ablis, aged 5, presented to Frankston Hospital Emergency Department with fever, vomiting, and dehydration on 10 December 2007. He was diagnosed with gastroenteritis and admitted for fluid resuscitation. Despite cl…

paediatricsemergency medicinediagnosticdelayparacetamol
SAhospital2013-02-08

Coroner's Finding: FENSOM Angela Catherine and TAANKINK Johaanes Andrew

Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …

Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…

emergency medicinegeneral practicediagnosticcommunicationoseltamivir
WAhospital2013

Inquest into the Death of Zappacosta, Palmerino

86y · Male·Sepsis associated with a pericolic abscess, complicated by terminal large intest…

An 86-year-old life-sentenced prisoner died from sepsis associated with a pericolic abscess complicated by terminal gastrointestinal haemorrhage. He had extensive comorbidities including bilateral amputations, cardiac fa…

emergency medicinegeneral medicinevenlafaxine
WAhospital2013

Inquest into the Death of Kerr, William

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

An 86-year-old man with atrial fibrillation, ischaemic heart disease and hypertension underwent left inguinal hernia repair under general anaesthesia at a regional hospital. He experienced a small acute myocardial infarc…

anaesthesiageneral surgerycommunicationdiagnosticglyceryl trinitrate
WAmental health2013

Inquest into the Death of Ibbotson, Graeme Ross

57y · Male·Ischaemic Heart Disease

A 57-year-old man with extensive medical history including ischaemic heart disease, hypertension, hypercholesterolaemia and chronic airways disease died of acute myocardial infarction whilst being transferred by ambulanc…

psychiatrycardiologyprednisolone
QLDhospital2012-10-18

Plumb, Joshua Jai

7y · Male·Joshua died due to a combination of physical entrapment of his head which occlud…

Joshua, a 7-year-old boy with spastic quadriplegia, epilepsy, and neurological impairment, died following entrapment of his head between hospital bed rails covered with bed bumpers while in hospital for gastroenteritis. …

paediatricsemergency medicinecommunicationsystembaclofen
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following susp…

emergency medicinegeneral practicediagnosticdelaymorphine
QLDhospital2012-05-31

Watson, Eric Handley

75y · Male·Carcinomatosis due to carcinoma of the left lung (metastatic adenocarcinoma)

Eric Watson, a 75-year-old prisoner, died from metastatic lung cancer (adenocarcinoma) on 17 January 2011 at Rockhampton Base Hospital. He had presented to correctional centre medical staff multiple times from September …

oncologyrespiratory medicinesalbutamol
NSW2012-05-15

Grainger ,helen finding 1767 08 2012 05 31 14 40 06 300

29y · Female·Hypoxic Encephalopathy consequent upon Cardiorespiratory Arrest arising from eit…

Helen Grainger, 29, with polycystic kidney disease and asthma, underwent pregnancy termination at Lambton Road Day Surgery in April 2007. She developed anaphylaxis post-procedure (likely cephalosporin-triggered) with car…

general practiceobstetricsproceduralsystemcephalosporin
VIChospital2012-02-06

Finding into death of David Crisfield

43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…

David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compr…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
SAaged care2011-12-22

Coroner's Finding: PORTER John Bruce

72y · Male·inanition of terminal metastatic carcinoma of the left lung

A 72-year-old man with chronic mental illness detained under the Mental Health Act died of inanition from terminal metastatic lung cancer at an aged care facility. He had advanced lung disease from chronic smoking and wa…

psychiatrypalliative careolanzapine
VIChospital2011-12-01

Finding into death of Tyler Di Blasi

1y · Male·Parainfluenza, pneumonitis and asthma; haemorrhagic mucositis of the bowel and g…

Tyler Di Blasi, aged 14 months, died from complications of acute lymphoblastic leukaemia (ALL) treatment. He developed parainfluenza pneumonitis, severe asthma, chemotherapy-induced neutropenia, thrombocytopenia, and gas…

intensive careoncologychemotherapy
QLDhome2010-12-13

King, Brenda Elizabeth

58y · Female·Acute subdural haemorrhage due to blunt force trauma to the head

Brenda Elizabeth King, 58, died from acute subdural haemorrhage following blunt head trauma. She had chronic alcoholism and documented history of falls when intoxicated. The coroner could not definitively determine wheth…

pathologyemergency medicinecommunicationsystemalcohol

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