524 results
10y · Male·Unascertained - sudden and unexpected death; evidence did not allow determinatio…
Ezekiel Howard, a 10-year-old boy, died suddenly in his sleep on 12 September 2011. His death remains unexplained despite extensive investigation. The coroner could not determine whether death resulted from undiagnosed e…
77y · Male·Stroke; cardiogenic shock; severe aortic stenosis with three vessel coronary art…
Mr Neitsch, a 77-year-old with severe aortic stenosis, peripheral vascular disease, and reduced left ventricular function, underwent elective coronary angiography at Princess Alexandra Hospital on 21 May 2015. The proced…
88y · Female·combined effects of an overdose of hydromorphone and complications of pneumonia …
An 88-year-old woman with chronic lung disease, heart disease, and recent pneumonia following faecal transplant for clostridium difficile colitis was prescribed 0.5 mg hydromorphone subcutaneously for respiratory distres…
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…
36y · Female·myocardial infarction as a consequence of severe focal coronary artery atheroscl…
Krista Lloyd, 36-year-old woman with undiagnosed coronary artery disease presenting with prior chest pain radiating to neck/jaw, suffered sudden out-of-hospital cardiac arrest on 1 May 2015 at home. Initial ECG showed po…
62y · Female·end-stage heart failure due to cardiac amyloidosis
A 62-year-old woman with end-stage cardiac amyloidosis died from cardiogenic shock approximately 90 minutes after being placed on a Level 1 inpatient treatment order. She had wished to discontinue treatment, reflecting h…
23y · Male·intra-cerebral haemorrhage following methylamphetamine use
Tyler John Broomhall, a 23-year-old factory worker, died from intracranial haemorrhage following methylamphetamine use during a football match. He had suffered a prior unreported work-related head injury 4-6 weeks earlie…
45y · Female·Bronchiectasis
A 45-year-old Aboriginal woman with severe bronchiectasis, COPD, and cor pulmonale died at a sobering-up shelter after police protective custody. She had 15 hospital admissions in 2015 for acute exacerbations related to …
73y · Male·Acute subdural haematoma
Kerry James Murphy, 73, died from acute subdural haematoma following a fall in Royal Darwin Hospital's overcrowded Emergency Department. He was admitted with pneumonia, NSTEMI, and dizziness—significant fall risk factors…
37y · Male·Combination of methylamphetamine toxicity and restraint leading to physiological…
A 37-year-old man died after being physically removed and restrained by NSW TrainLink staff at Cootamundra Station. He was displaying erratic, agitated behaviour consistent with methylamphetamine intoxication and possibl…
53y · Male·Coronary atherosclerosis; chronic obstructive airways disease; chronic cholecyst…
Gregory Bert Smallwood, a 53-year-old prisoner with morbid obesity, hypertension, diabetes, and COPD, died from acute myocardial infarction due to severe coronary atherosclerosis. He called for help at 3:06am reporting i…
48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)
Garnett Mickelo, aged 48, died from myocardial infarction due to coronary atherosclerosis while in custody at Woodford Correctional Centre on 24 November 2012, shortly after discharge from Princess Alexandra Hospital fol…
38y · Male·Pulmonary thromboembolism due to bilateral deep calf vein thrombi
A 38-year-old man with schizo-affective disorder, bipolar disorder, and asthma presented to the emergency department with presumed pneumonia based on fever, pleuritic chest pain, and respiratory symptoms. His general pra…
5y · Male·Acute bronchopneumonia and diffuse alveolar damage due to acute rheumatic cardit…
A 5-year-old boy with rheumatic heart disease and acute mitral valve regurgitation presented to Mt Isa Hospital with acute heart failure. Although initially recognised as deteriorating by the paediatrician on-call, the s…
1y · Female·Dilated cardiomyopathy
An 18-month-old girl died from dilated cardiomyopathy masquerading as croup. While initially misdiagnosed as croup was reasonable, the failure to reassess when clinical improvement did not occur was critical. Key failure…
62y · Male·Global cerebral ischaemia secondary to intra-operative hypotension following the…
A 62-year-old man died from global cerebral ischaemia following intra-operative hypotension after protamine administration during a cardiac ablation procedure. He had suffered a severe hypotensive reaction to protamine 8…
77y · Female·combined effects of ischaemic heart disease and calcific aortic valve sclerosis
Margaret Wynne Newett, 77, had moderate aortic stenosis diagnosed in 2011 but was never monitored with follow-up echocardiography as guidelines recommend. On 30 December 2013, she collapsed in a supermarket. At West Coas…
66y · Female·Cardiac failure due to atherosclerotic and hypertensive heart disease
A 66-year-old woman died from cardiac failure due to atherosclerotic and hypertensive heart disease. She presented to a rural GP with ankle oedema, cough, and palpitations during interstate travel. The GP diagnosed mild …
59y · Female·acute cardiogenic shock, with acute mechanical obstruction of a remote mechanica…
Ida Romeo, 59, died during cardiac catheterisation at Liverpool Hospital when a pressure wire became trapped in her mechanical aortic valve. She had consented to a right heart study to investigate suspected constrictive …
84y · Female·Myocardial infarction
Shirley McGuane, 84, died from myocardial infarction following elective proctocolectomy. Post-operative care was deficient: chest pain on day 2 post-op with ECG showing atrial fibrillation and new right bundle-branch blo…
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