Coronial

17 results for acute diabetic ketoacidosis

VICcommunity2016-01-19

Finding into death of Benjamin Hodgson

29y · Male·Diabetic ketoacidosis

… arranging fasting blood tests for the following day. Mr Hodgson was found deceased the next morning from diabetic ketoacidosis with markedly elevated glucose (45 mmol/L). The coroner found that performing a bedside fing…

general practicepathologydiagnosticdelaycefalexin
VIChome2012-01-20

Finding into death of Patricia Chan

Female·diabetic ketoacidosis

Patricia Chan died on 25 August 2006 from diabetic ketoacidosis following dental extraction four days earlier. She had type 2 diabetes. Her condition deteri…

dentistrygeneral medicinedelay
TAShospital2024-12-17

Coroner's Finding: Brown, Paul Louis

64y · Male·Subdural haematoma with mass effect following thrombolysis for acute myocardial …

…g diabetes, mental illness, chronic alcohol misuse, and previous traumatic brain injury was admitted with diabetic ketoacidosis and acute kidney injury. He developed acute myocardial infarction (STEMI) and received throm…

intensive carecardiologytenecteplase
VICcommunity2013-12-20

Finding into death of Kylie Anne Lightfoot

24y · Female·diabetic ketoacidosis in the setting of diabetes mellitus

Kylie Anne Lightfoot, a 24-year-old woman with type 1 diabetes, died from diabetic ketoacidosis. She presented to Dr S.'s practice on 4 May 2007 with abdominal pain, having not checked her…

general practiceendocrinologycommunicationsysteminsulin
NSW2026-05-20

Inquest into the death of Mr Edward Curic aka Grahovac

49y · Male·Diabetes Mellitus and the Consequences thereof

…diabetes for 30 years with severe complications including bilateral amputations, Fournier's gangrene, and diabetic ketoacidosis. Recently diagnosed with metastatic pancreatic cancer with six-month life expectancy, he was…

correctional healthgeneral medicinemethadone
VICaged care2025-01-06

Finding into death of C M

55y · Male·Diabetic ketoacidosis

CM, a 55-year-old man with severe congenital disabilities and Type 2 Diabetes, died from diabetic ketoacidosis while residing in a disability support facility. In the week preceding death, he experienced…

general practiceemergency medicinediagnosticlevetiracetam
NSWhospital2025-08-14

Inquest into the death of Wilfred Whippy Williams

45y · Male·Diabetic ketoacidosis with multi-organ failure caused by pneumonia

…al vital signs including tachycardia, he left before seeing a doctor and died at home 12 hours later from diabetic ketoacidosis with pneumonia and multi-organ failure. The critical failure was the triage nurse not notify…

emergency medicineendocrinologycommunicationdiagnosticmetformin
VICaged care2022-10-14

Finding into death of Beryl Eileen Brindley

74y · Female·Diabetic ketoacidosis

A 74-year-old woman with Type 1 diabetes died from diabetic ketoacidosis (DKA) in an aged care facility. Between 7-10 December 2016, her blood glucose levels remaine…

general practiceendocrinologydiagnosticcommunicationinsulin
WAcommunity2009-04-24

Inquest into the Death of Halford

17y · Female·Multi System Failure following acute onset (Acute Diabetic Ketoacidosis) Diabete…

Lee Rebecca Halford, a 17-year-old girl, died of acute diabetic ketoacidosis (DKA) following undiagnosed Type 1 diabetes. She initially presented to a GP with vo…

general practiceemergency medicinediagnosticcommunicationmetoclopramide
TAShospital2023-05-31

Coroner's Finding: Richardson Rebecca Eileen

29y · Female·acute myocardial infarction due to stenotic coronary vessel (left anterior desce…

Rebecca Richardson, a 29-year-old with type 1 diabetes and coronary artery disease, died of acute myocardial infarction on 7-9 May 2019. She presented to NWRH ED on 6 May with abdominal pain and vomiting,…

emergency medicinecardiologydiagnosticcommunicationinsulin
VICcommunity2023-12-20

Finding into death of Lachlan McMahon Cook

16y · Male·Hypoxic/ischaemic encephalopathy in the context of diabetic ketoacidosis

A 16-year-old with Type 1 Diabetes died from diabetic ketoacidosis (DKA) precipitated by acute gastroenteritis acquired while on a school trip to Vietnam. Desp…

endocrinologygeneral practicediagnosticcommunicationinsulin
TAShome2024-10-23

Coroner's Finding: Earl, Kathleen May

58y · Female·Complications of poorly controlled type 2 diabetes

…nisation; and failure to maintain regular attendance at diabetes clinic. Her GP correctly identified poor diabetic control on 10 March and 6 June 2022 but did not re-refer to specialist clinic or escalate care. IHCS term…

general practiceendocrinologysystemcommunicationryzodeg
VIC2025-10-28

Finding into death of Christopher Gerard McIntosh

54y · Male·Respiratory failure secondary to prolonged ventilation for the management of sep…

…in wound care despite self-managing dressings; health staff failed to monitor regularly (2-week gap before acute deterioration); specialist referrals were delayed; and documentation was poor. When acute sepsis with spre…

correctional healthgeneral medicinecommunicationsystem
VIChospital2025-10-28

Finding into death of Christopher Gerard McIntosh

54y · Male·Respiratory failure secondary to prolonged ventilation for management of sepsis …

…onal Centre when his condition deteriorated. Critical clinical lessons include: (1) patients with chronic diabetic ulcers refusing treatment require enhanced vigilance and structured monitoring; (2) wound care management…

infectious diseasesvascular surgerydiagnosticsystemantibiotics
QLDhospital2024-07-30

PATELESIO, Etevise

29y · Female·Hypoxic-ischaemic encephalopathy due to cardiac arrest of undetermined cause

… multiple comorbidities (Turner syndrome, type 1 diabetes, end-stage renal disease) presented to the ED in acute behavioural disturbance, requiring physical and chemical restraint. She received 5mg droperidol IM for sed…

emergency medicineintensive caremonitoringsystemdroperidol
WAhome2016-11-22

Inquest into the Death of Maria Carmel NICEFORO

75y · Female·organ failure due to sepsis, likely from infected pressure sores, in the context…

Maria Carmel Niceforo, a 75-year-old woman with poorly controlled diabetes and ischaemic heart disease, died from septic shock secondary to extensive infected sacral pressure wounds. She received home care through KinCar…

general practiceemergency medicinecommunicationsystem
NSWhospital2025-05-28

Inquest into the Death of Garry Small

71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …

A 71-year-old man with diabetes, ischaemic heart disease and osteomyelitis presented with fever and hypoglycaemia. He met Red Zone sepsis criteria (lactate 4.5mmol/L) but antibiotics were significantly delayed—ceftriaxon…

emergency medicinegeriatric medicinemedicationdelayceftriaxone

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