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SAhospital2011-09-19

Coroner's Finding: FERME Susan Jane

47y · Female·acute subendocardial septal myocardial infarction complicating hypertension and …

A 47-year-old woman with hypertension, high cholesterol, and significant family history of early cardiac disease presented to a country hospital ED with acute crushing central chest pain (10/10), shortness of breath, and…

emergency medicinegeneral practicediagnosticcommunicationglyceryl trinitrate
SA2011-09-19

Coroner's Finding: RIGNEY Vincent Norman

35y · Male·ischaemic heart disease due to coronary atherosclerosis

A 35-year-old Aboriginal man died of ischaemic heart disease due to coronary atherosclerosis whilst in prison custody. He presented with chest pain and arm tingling at 6:20am but received only Panadol and Mylanta from no…

cardiologyemergency medicinediagnosticdelayparacetamol
VIChome2011-09-15

Finding into death of Geordie Rose Duguid

16y · Female·Myocardial fibrosis (post myocarditic) resulting in fatal cardiac arrhythmia

Geordie Rose Duguid, 16 years old, collapsed and died at a private party after vomiting in a toilet. She had a history of glandular fever diagnosed late 2009. Post-mortem examination revealed myocardial fibrosis with wid…

cardiologyemergency medicineadrenaline
VIChome2011-08-22

Finding into death of Robert Lee Braun

37y · Male·cardiomegaly and recent ingestion of methadone

Robert Lee Braun, aged 37, died from cardiomegaly and methadone toxicity after ingesting methadone without a valid treatment permit. He was a long-term user of pain relief medication with a history of addiction. On 3 Dec…

forensic medicinecardiologymethadone
VIChospital2011-07-29

Finding into death of Marlene Kenny

64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…

Marlene Kenny, 64, presented to Orbost Hospital on 8 January 2007 with chest tightness, breathing difficulties and low oxygen saturation (83-86%). A doctor diagnosed panic attack and discharged her without investigation.…

emergency medicinegeneral practicediagnosticcommunicationdiazepam
NTcommunity2011-07-27

Inquest into the death of Marilyn Lalara

48y · Female·acute myocarditis resulting from systemic viral infection

A 48-year-old Aboriginal woman with chronic diseases (diabetes, COPD, ischaemic heart disease) presented with ongoing chest infection symptoms across multiple clinic visits between 30 March and 4 April 2010. Despite five…

emergency medicinecardiologydiagnosticdelayantibiotics
VICmental health2011-07-22

Finding into death of Lionel Raymond Perry

44y · Male·Cardiomegaly

Lionel Perry, a 44-year-old Aboriginal man with schizoaffective disorder and polysubstance abuse history, died from cardiomegaly (enlarged heart due to concentric ventricular hypertrophy) while an involuntary psychiatric…

psychiatryemergency medicinecommunicationdocumentationmethadone
NSW2011-07-01

Coroner's Finding: Michael Peter Magro

40y · Male·Hypoxic brain injury consequent upon cardiac disease, possible viral infection o…

Michael Peter Magro, a 40-year-old male inmate at a correctional facility, died on 27 December 2008 from hypoxic brain injury following cardiac disease and severe pneumonia. Critical failures in prison healthcare were id…

correctional healthgeneral practicediagnosticcommunicationmethadone
VIChome2011-06-28

Finding into death of Robert William Keith

34y · Male·Unascertained; likely fatal cardiac arrhythmia secondary to electrolyte disturba…

Robert William Keith, aged 34, was found deceased in his caravan on 28 June 2010. He had a long-standing history of paranoid schizophrenia managed with risperidone injections and oral medications under a Community Treatm…

psychiatryemergency medicinerisperidone
SAhospital2011-06-22

Coroner's Finding: LAWRENCE Rebecca Mary

41y · Female·acute myocardial infarction

Rebecca Lawrence, a 41-year-old woman with no significant cardiac history, presented to the Royal Adelaide Hospital Emergency Department with chest pain on 4 November 2008. She had experienced a myocardial infarction (AM…

emergency medicinecardiologydiagnosticsystempantoprazole
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of …

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
NSWcommunity2011-05-26

Coroner's Finding: Wayne Lawler

Coronary Artery Thrombosis due to Coronary Artery Atherosclerosis

Wayne Lawler died on 30 July 2009 from Coronary Artery Thrombosis due to Coronary Artery Atherosclerosis (acute myocardial infarction) at Concord Hospital. An inquest was held in May 2011 before State Coroner Mary Jerram…

paramedicineemergency medicinesystem
VICaged care2011-05-24

Finding into death of Dorothy Plumb

65y · Female·Ischaemic heart disease (coronary artery atherosclerosis); probable cardiac arrh…

Dorothy Plumb, a 65-year-old woman with intellectual disability living in a residential unit, was found unresponsive in bed and pronounced dead. Autopsy revealed significant coronary artery atherosclerosis with triple ve…

cardiologygeneral practicedocumentationcommunication
VICcommunity2011-03-17

Finding into death of Stuart Judd

39y · Male·Ischaemic heart disease with complete occlusion of the left anterior descending …

Stuart Judd, a 39-year-old Parks Victoria Ranger, died of acute myocardial infarction due to left anterior descending coronary artery occlusion with ruptured plaque. Eight days before death, he presented to GP Dr V. with…

general practicecardiologydiagnosticdelayomeprazole
NSWcommunity2011-03-11

Coroner's Finding: Shayne Hamilton McMahon

20y · Male·Widespread hypoxic brain injury secondary to cardiac arrhythmia, ventricular fib…

Shayne McMahon, 20, died on 7 April 2007 from cardiac arrhythmia and hypoxic brain injury after exposure to butane from a severed LPG gas line at North Star Holiday Resort. As an unlicensed apprentice plumber/gasfitter, …

emergency medicineintensive careproceduralsystem
WAcommunity2011-02-28

Inquest into the Death of Collins

0y · Male·cardiac arrhythmia associated with surgically corrected congenital heart disease

Edward Thomas Collins was a 3-month-old neonate with surgically corrected congenital heart disease (Total Anomalous Pulmonary Venous Drainage) who died on 14 January 2007 from cardiac arrhythmia. On 13 January 2007, he p…

emergency medicinegeneral practicediagnosticcommunication
VIChospital2011-02-25

Finding into death of Michael Peysack

69y · Male·Head injury post-collapse secondary to ventricular tachycardia due to ischaemic …

Mr Peysack, a 69-year-old with complex cardiac disease on Warfarin, collapsed at work with witnessed loss of consciousness and occipital laceration. Despite meeting criteria for urgent head CT imaging (age >65, head inju…

emergency medicinecardiologydiagnosticcommunicationwarfarin
NSWhome2010-12-13

Coroner's Finding: Paul Justyn Brauer

64y · Male·Large pulmonary embolus (origin undetermined)

Paul Brauer, 64, died of pulmonary embolus at Leeton District Hospital following a complex admission involving psychiatric depression, atrial fibrillation, urinary retention, and multiple comorbidities. The coroner ident…

psychiatrygeneral medicinediagnosticmedicationlactulose
VIChospital2010-12-10

Finding into death of Angela Budaj

60y · Female·haemopericardium following thoracic aortic dissection Type A

Angela Budaj, a 60-year-old woman with hypertension and smoking history, presented to the ED with back pain, vomiting, incontinence, and sore throat. An abnormal ECG was obtained but not appropriately interpreted. She ha…

emergency medicinecardiologydiagnosticcommunicationibuprofen
VIChospital2010-12-08

Finding into death of Antonio Totaro

81y · Male·Head injuries sustained in a motor vehicle incident (pedestrian) in a man with i…

An 81-year-old man with ischaemic cardiomyopathy, diabetes, previous stroke, and peripheral vascular disease was struck by a motor vehicle while crossing Cranbourne Road in Frankston. He sustained severe head injuries wi…

trauma surgerycardiology
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