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TAShospital2024-09-30

Coroner's Finding: Newell, Warren James

71y · Male·raised intracranial pressure caused by left frontal-temporal-parietal subdural h…

Warren James Newell, a 71-year-old man with oesophageal cancer, presented with acute coronary syndrome on 29 September 2022 and was appropriately diagnosed and treated with anticoagulation and dual antiplatelet therapy. …

cardiologyemergency medicinemedicationsystemenoxaparin
QLDaged care2024-08-15

Non-inquest findings into the death of Donald Richard Gunthorpe

81y · Male·Carcinoid tumour (metastasis) / metastatic cancer

Donald Richard Gunthorpe, an 81-year-old man with metastatic rectal carcinoma, was appropriately transitioned to end-of-life (palliative) care at a residential aged care facility after hospitalisation for abdominal pain.…

palliative caregeneral practicemedicationdocumentationmorphine
NSWhospital2023-09-27

Inquest into the death of John O'Donnell

73y · Male·Complications of metastatic neuroendocrine lung carcinoma

John O'Donnell, aged 73, died in custody from complications of metastatic neuroendocrine lung cancer while hospitalised at Westmead Hospital. The coroner identified two systemic issues during his brief incarceration at S…

oncologypalliative carecommunicationsystemlanreotide
VIChospital2022-10-18

Finding into death of Heather Jean Lucas

80y · Female·Anaphylaxis complicating chemotherapy for the treatment of metastatic fallopian …

Ms Heather Jean Lucas, 80-year-old woman with metastatic fallopian tube cancer, died from anaphylaxis during her third carboplatin chemotherapy infusion. She had experienced a documented Grade 2 hypersensitivity reaction…

oncologyemergency medicinemedicationcommunicationcarboplatin
QLDhospital2022-09-23

Adams, Adrian John

76y · Male·Small bowel obstruction and acute renal failure, due to or as a consequence of m…

Adrian Adams, aged 76, died in Princess Alexandra Hospital from small bowel obstruction and acute renal failure secondary to metastatic colorectal cancer. He was serving an eight-year sentence for sexual offences at the …

palliative careemergency medicinemedicationsystemdutasteride
WAhospital2022-01-05

Inquest into the Death of Terrence Alexander Penman WELLS

61y · Male·metastatic oesophageal neuroendocrine carcinoma

Terrence Wells, a 61-year-old prisoner, died from metastatic oesophageal neuroendocrine carcinoma in December 2018. Cancer was diagnosed in April 2018 after he reported difficulty swallowing, which was initially attribut…

oncologypalliative caremedicationsystempantoprazole
VIChospital2021-06-10

Finding into death of Carlene Margaret Salveson

80y · Female·pulmonary thromboembolism in the setting of deep leg vein thrombosis; squamous c…

An 80-year-old woman with treated squamous cell carcinoma of the pyriform fossa died from pulmonary thromboembolism secondary to bilateral deep vein thrombosis. She was admitted to hospital with poor oral intake, dehydra…

radiation oncologyoncologymedicationsystem
SAhospital2018-06-01

Coroner's Finding: MCRAE Christopher, PINXTEREN Johanna, HIGHAM Bronte, BAIRNSFATHER Carol

acute myeloid leukaemia

Four patients with acute myeloid leukaemia died after receiving chemotherapy consolidation therapy that was administered once daily instead of the intended twice daily schedule due to a protocol error. The error originat…

haematologyoncologymedicationsystemcytarabine
QLDhospital2017-10-23

Non Inquest Findings TO

73y · Male·Sepsis (gram-negative septic shock) secondary to complications of selective inte…

A 73-year-old man died from gram-negative septic shock following selective internal radiation therapy (SIRT) for metastatic gastric cancer. He had previously undergone a Whipple procedure in 2014, which creates a direct …

radiologyemergency medicinediagnosticmedication
VIChome2014-06-12

Finding into death of Maree Arthur

45y · Female·Pethidine toxicity

Maree Arthur died from pethidine toxicity at home on 2 February 2008, aged 45. She had complex chronic pain from previous surgeries and motor vehicle injury. Her GP, Dr Phillips, prescribed large quantities of pethidine …

general practicepain medicinemedicationdiagnosticpethidine
SAhospital2013-03-08

Coroner's Finding: PAULEY Cynthia Joy

72y · Female·Intrathecal toxicity of bupivacaine and morphine

A 72-year-old woman with terminal metastatic parotid cancer died from intrathecal toxicity of bupivacaine and morphine. She was admitted to Ashford Hospital for pain management of pathological pelvic fractures. An intrat…

palliative careoncologymedicationproceduralmorphine
QLDhospital2007-10-29

Cvitic, Nardia Annett

30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…

Ms Cvitic, a 30-year-old woman with cervical cancer, underwent radical hysterectomy on 11 February 2002. She collapsed on 14 February with signs of hypovolaemic shock (haemoglobin 5.3 g/dL). Dr W. performed emergency lap…

oncologygeneral surgerydiagnosticmedicationheparin

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