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VIChospital2026-02-10

Finding into death of David James Dorling

59y · Male·multiorgan failure complicating paracetamol toxicity

David James Dorling, a 59-year-old man with multiple sclerosis, ischaemic heart disease, and diabetes, ingested 90-100 paracetamol tablets on 1 February 2024 with suicidal intent. He attended court the next day and was r…

emergency medicineintensive careparacetamol
SAhospital2025-06-12

Coroner's Finding: Salter, Kathleen Ethel

76y · Female·multi-organ failure and sepsis due to complications of cholecystectomy

A 76-year-old woman died from multi-organ failure and sepsis following a laparoscopic cholecystectomy at a rural hospital. During surgery, the surgeon became misoriented in the inflamed surgical field and divided the com…

general surgeryanaesthesiadiagnosticproceduralapixaban
VIChospital2024-03-04

Finding into death of Frank Allen Hall-Bentick

69y · Male·Septic arthritis of the knee

Frank Hall-Bentick, a 69-year-old man with severe muscular dystrophy and restrictive lung disease dependent on 24-hour BiPAP, presented to Austin Hospital with septic arthritis of the right knee and septic shock. A multi…

intensive careemergency medicineantibiotics
VIChospital2023-10-30

Finding into death of BCT

2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …

BCT was a 2-year-old Aboriginal child with complex needs from a genetic disorder (CAMTA1 mutation) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endosco…

gastroenterologyradiologydiagnosticcommunicationceftriaxone
QLDhospital2019-09-05

Mrs MDF - Non-inquest findings

76y · Female·multisystem organ failure due to or as a consequence of ischaemic small intestin…

A 76-year-old woman presented to hospital with abdominal pain and was found on CT scan to have ischaemic colitis with signs of profound shock. The Consultant Surgeon decided on conservative management with fluid resuscit…

surgeryintensive carediagnosticcommunicationtramadol
VIChospital

Finding into death of Mr C

55y · Male·Ascending cholangitis due to choledocholithiasis

A 55-year-old man with Down syndrome died from ascending cholangitis due to choledocholithiasis following recurrent biliary sepsis. He had multiple comorbidities including Alzheimer's disease, depression, and cardiac dys…

intensive caregeneral medicineantibiotics

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