Coronial
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WAhospital2008-02

Inquest into the Death of Evans

45y · Female·Extensive retroperitoneal haemorrhage following bone marrow biopsy procedure wit…

Susan Denise Evans, a 45-year-old woman with complex medical history including neurofibromatosis type 1, essential thrombocytosis, prior cancers, and recent cerebral infarcts on warfarin, underwent bone marrow biopsy at …

haematologygeneral medicinewarfarin
SAhospital2006-04-21

Coroner's Finding: EDWARDS Ruby Mabel

77y · Female·haemorrhagic diathesis due to warfarin toxicity

Ruby Mabel Edwards, 77, died from haemorrhagic diathesis due to warfarin toxicity after 84 days in a rural hospital. She had a prosthetic aortic valve requiring anticoagulation. INR monitoring was inadequate: no tests fo…

general practicehaematologymedicationdelaywarfarin
SAhospital2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

John Matthew Murray, aged 35, died of pulmonary thromboembolism complicating pelvic and leg fractures sustained in a motorcycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic sur…

orthopaedic surgerytrauma surgerymedicationsupervisionheparin
NThospital2005-08-26

Inquest into the death of Sampson Paii

35y · Male·Disseminated Lymphoblastic Lymphoma

A 35-year-old Aboriginal man died from disseminated lymphoblastic lymphoma while in prison custody. He presented with progressive symptoms including oedema, shortness of breath, and difficulty walking. Dr J. appropriatel…

haematologycardiologycommunicationdiagnostic
SAhospital2005-01-18

Coroner's Finding: SQUIRES Dorothy Alberta

90y · Female·incompatible blood transfusion resulting in haemolysis and multi-organ failure c…

A 90-year-old woman with acute myocardial infarction and cardiogenic shock died after receiving an incompatible blood transfusion (A- instead of O+), which caused haemolysis and multi-organ failure. The registered nurse …

cardiologyintensive careproceduralcommunication
SAhospital2003-03-12

Coroner's Finding: STOLL Ruth Sophie

71y · Female·massive acute haemolysis leading to severe anaemia and multi-system failure as a…

Ruth Stoll, 71, died from massive acute haemolysis and multi-system failure after receiving incompatible blood transfusions during aortic aneurysm repair. Pre-operative blood samples from Stoll and another patient (Koven…

cardiothoracic surgeryanaesthesiadiagnosticprocedural
SAhospital2003-03-04

Coroner's Finding: VASSALLO Virginia

59y · Female·multiple cerebral infarction due to infective endocarditis

A 59-year-old woman with known mitral valve disease presented to the Emergency Department on 19 October 2000 with widespread body pain, severe back pain, and fever. She was undoubtedly suffering from staphylococcus aureu…

emergency medicinecardiologydiagnosticdelayparacetamol/codeine
SAhospital2001-11-08

Coroner's Finding: STEWART Margaret May

77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…

A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surgery. While Fragmin anticoagulation was …

surgeryvascular surgerycommunicationsystemdalteparin

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