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QLDhospital2008-10-03

McKenzie, Jillian Peta

47y · Female·Cardiac arrhythmia due to severe coronary artery atherosclerosis

A 47-year-old woman presented to a level one rural hospital with chest pain. The doctor diagnosed muscular pain (99% certain) and discharged her without troponin testing or admission, despite chest pain being the present…

emergency medicinecardiologydiagnosticcommunicationibuprofen
SAhospital2008-09-19

Coroner's Finding: ALLEN Richard Grant

60y · Male·haemopericardium due to rupture of right ventricle complicating removal of cardi…

Richard Allen, a 60-year-old man with a permanent pacemaker for sick sinus syndrome, died from haemopericardium due to rupture of the right ventricle during pacemaker lead extraction on 2 November 2005. The 14mm perforat…

cardiologyanaesthesiadiagnosticdelaypropofol
NTcommunity2008-09-01

Inquest into the death of Robert Daly

38y · Male·coronary atherosclerosis

Robert Taylor Daly, a 38-year-old Aboriginal man, died of coronary atherosclerosis with severe coronary artery blockage and pulmonary edema. He collapsed in a drinking area after consuming alcohol while acutely ill with …

emergency medicinecardiologydiagnosticcommunicationcough mixture
SAaged care2008-02-07

Coroner's Finding: WELLS Gladys Ruth

71y · Female·undetermined

71-year-old woman found dead in unusual position at Brighton aged care facility. Her body was positioned with head resting against bed pole, with marks on neck and bruising observed by carers. The death was certified as …

geriatric medicinegeneral practicediagnosticsystem
NThome2008-01-02

Inquest into the death of John Russell Ralkurra Marika

43y · Male·Myocardial infarction secondary to coronary atherosclerosis

A 43-year-old Aboriginal man died from myocardial infarction secondary to severe coronary atherosclerosis. He was a heavy smoker with undiagnosed heart disease who attended health services regularly but had no recorded c…

cardiologypathologydiagnostic
QLDhospital2008

Maggable, Kenneth

70y · Male·Acute coronary occlusion due to extensive coronary atherosclerosis

Kenneth Maggable, a 70-year-old man with chronic obstructive pulmonary disease, asthma, and prostate cancer, presented twice to Cairns Base Hospital on 8 August 2005 with respiratory complaints. After discharge at 4:50 A…

emergency medicinegeneral practicecommunicationsystemprednisone
QLDhome2007-12-12

Whittington, Frank Maurice

66y · Male·Coronary atherosclerosis

Frank Maurice Whittington, aged 66, died from coronary atherosclerosis on 24 February 2004, shortly after day surgery to replace a catheter on his intrathecal morphine pump. Dr R. and RN Couper administered a 0.26ml over…

anaesthesianeurosurgerymedicationsystemmorphine sulphate
NTcommunity2007-11-12

Inquest into the death of Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen

Male·Angel Blanco-Puerto: acute heart failure as result of long-standing damage from …

Four men died from acute heart failure after ambulance officers declined or inadequately pursued hospital transport. In Angel Blanco-Puerto, no potentially life-threatening condition was identified at the time. However, …

emergency medicinecardiologydiagnosticcommunication
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
QLDhome2007-09-13

Babington, Lynette

64y · Female·Pulmonary embolism secondary to deep vein thrombosis in right leg, with contribu…

Lynette Babington, a 64-year-old woman, died from acute pulmonary embolism secondary to deep vein thrombosis in her right leg, complicated by severe pulmonary hypertension and cardiomegaly. She had presented with progres…

general practicecardiologyatenolol
WAhome2007-07-27

Inquest into the Death of Chubby

64y · Female·Acute bronchopneumonia in a woman with liver failure

Patsy Chubby, 64, died from acute bronchopneumonia complicated by terminal liver failure and multiple chronic conditions (cardiac cirrhosis, heart failure, COPD, diabetes, pulmonary hypertension). Discharged from hospita…

general medicinecardiologycommunicationdiagnostic
QLDhospital2007-04-05

Smith, Arthur Lawrence

75y · Male·Acute cardiac failure due to mitral valve disease (surgically treated)

Arthur Lawrence Smith, 75, underwent successful mitral valve repair and coronary artery bypass grafts at TPCH on 2 August 2004 and was discharged 5 days later. On 19 August, his wife called TPCH reporting acute shortness…

cardiothoracic surgeryemergency medicinecommunicationdiagnosticadrenaline
QLDhome2007-03-22

Dee, Fiona Jane

32y · Female·Hypoxic brain injury due to a combination of factors arising from subdural haema…

A 32-year-old fit and healthy woman died from hypoxic brain injury following complications of spinal anaesthesia for caesarean section. She developed a subdural haematoma (rare complication) and persistent post-dural pun…

obstetricsanaesthesiacommunicationdiagnosticcarbamazepine
SA2007-01-30

Coroner's Finding: CHALKLEN Stuart Murray

38y · Male·ischaemic heart disease due to severe coronary atherosclerosis

Stuart Murray Chalklen, aged 38, died in Adelaide Remand Centre from ischaemic heart disease due to severe coronary atherosclerosis. He complained of left shoulder pain (a recognised symptom of cardiac disease) to cellma…

cardiologyemergency medicinediagnosticsystem
SA2006-11-16

Coroner's Finding: HARKIN Leonard Norman

51y · Male·ischaemic heart disease

A 51-year-old prisoner died from ischaemic heart disease after suffering a cardiac event while being transferred between prison units. He had complained of chest pain to correctional officers, was directed to walk to the…

cardiologyemergency medicineproceduraldelaymirtazapine
QLDhospital2006-08-10

Casey, Lenard John

39y · Male·Coronary thrombosis caused by coronary atherosclerosis

Lenard Casey, a 39-year-old Aboriginal man with severe coronary artery disease, died of acute coronary thrombosis while in custody. Arrested for assault on his partner, he developed chest pain at the police station and w…

cardiologyemergency medicinecommunicationmorphine
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…

cardiologycardiothoracic surgerydiagnosticproceduralramipril
SAhospital2006-05-18

Coroner's Finding: PAHL-CADMAN Emma Rose

20y · Female·cardiac dysrhythmia/arrest in a 20 year old Down's Syndrome female following abd…

A 20-year-old woman with Down syndrome and Eisenmenger syndrome (cyanotic heart disease with ventricular septal defect) was admitted with abdominal obstruction. After appropriate diagnostic workup, laparotomy was perform…

general surgeryanaesthesiadiagnosticcommunication
QLDmental health2006-02-03

Muckan, David Jones

49y · Male·Obstructive sleep apnoea, contributed to by the sedating effects of therapeutic …

David Muckan, a 49-year-old man with schizophrenia, was admitted to a psychiatric unit in April 1998 with suspected obstructive sleep apnoea (OSA). He was sedated with benzodiazepines (Midazolam, Diazepam) and other psyc…

psychiatryrespiratory medicinemedicationmonitoringthioridazine
SAhospital2006-01-25

Coroner's Finding: RAPHAEL Glenn Howard

74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…

Glenn Howard Raphael, 74-year-old admitted for infected ischaemic toe secondary to diabetes mellitus. During his 17-day hospital stay, he developed acute renal failure leading to cardiac arrest and death. Critical failur…

vascular surgerygeneral medicinemedicationcommunicationgentamicin

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