Coronial

17 results for behavioral disturbance

WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

…He had been prescribed thioridazine (Mellaril) for approximately 39 years from early childhood to manage behavioral disturbance. In September 2000, his GP discontinued Mellaril due to its well-documented severe long-term…

general practicepsychiatrythioridazine
SAhospital2018-07-27

Coroner's Finding: CUTTS Charles Desmond

70y · Male·aspiration pneumonia due to seizures

…onfusion on admission (possibly alcohol withdrawal), progressing to severe depression with agitation and behavioral disturbance. A seizure on 8 June 2015 with suspected aspiration led to ICU admission; he deteriorated wi…

emergency medicinepsychiatryrisperidone
VIChospital2021-02-26

Finding into death of MrJ

22y · Male·Drowning

A 22-year-old university student with recent substance use presented to ED following violent behaviour. He had facial trauma with mild head injury and abnormal metabolic parameters. Initial management appropriately prior…

emergency medicinepsychiatrysystemdelayMDMA
NSWaged care2020-02-11

Inquest into the death of Neville Clutton

78y · Male·complications of head injuries; antecedent cause: dementia

…entable gaps in risk assessment, clinical communication, incident reporting, and proactive management of behavioral escalation.

geriatric medicinegeneral practicediagnosticcommunicationrisperidone
SA2016-09-22

Coroner's Finding: HENEKER Scott Maxwell

36y · Male·Hypoxic ischaemic encephalopathy due to cardiac arrest occurring during restrain…

…kely triggered by amphetamine use. He had signs of undiagnosed mental illness and was showing concerning behavioral changes in the weeks prior. Critical clinical lessons include: the need for early recognition of acute p…

psychiatryemergency medicinedelaycommunicationmethamphetamine
SAhospital2020-11-02

Coroner's Finding: DAVIES Brian

79y · Male·myocardial infarction

… rapid atrial fibrillation, managed medically rather than invasively given his dementia and behavioural disturbance. The coroner found care appropriate throughout both admissions. The case illustrates challenges in mana…

geriatric medicinepsychiatrymedicationoxazepam
SAaged care2016-08-22

Coroner's Finding: SCHULZ Bertha Anna

89y · Female·Multiple organ failure with cachexia on a background of chronic lower limb ulcer…

…. She had been under guardianship following hospitalization in January 2013 for deteriorating ulcers and behavioral changes concerning for dementia. Despite consideration of amputation, conservative wound management was …

geriatric medicinegeneral medicine
NSWhospital2017-07-07

Inquest into the death of Benjamin Gilligan

22y · Male·Multiple injuries caused when the vehicle he was driving collided with a tree

…ns: formalize gate leave documentation with families; establish coordinated state-wide approach to acute behavioral disturbance in EDs; implement discharge planning before leave; ensure family understanding of clinical d…

psychiatryemergency medicinecommunicationsystemmethamphetamine
TASaged care2024-12-18

Coroner's Finding: Martin, Shirley Dorothy

91y · Female·exacerbation of behavioural and psychological symptoms of dementia following sur…

Shirley Dorothy Dawn Martin, an 91-year-old with advanced Alzheimer's disease and multiple comorbidities, sustained a hip fracture from an unwitnessed fall at an aged care facility on 8 August 2022. She underwent surgica…

geriatric medicineorthopaedic surgery
NSWhospital2020-02-14

Inquest into the death of Tristan Naudi

23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…

Tristan Naudi, 23, died from acute cardiac arrhythmia during MDMA intoxication while being restrained prone at hospital. Police appropriately placed him in a police vehicle after finding him violently agitated at home. A…

emergency medicinetoxicologysystemdelayMDMA
NThospital2004-01-21

Inquest into the death of Rita Anderson

43y · Female·unknown

Rita Anderson, a 43-year-old Aboriginal woman with chronic alcohol-related organic brain damage, was admitted to Royal Darwin Hospital in March 2002 for stabilization and placement planning. Unable to safely live indepen…

psychiatrygeneral medicinesystemcommunicationdroperidol
NSWhospital2015-10-28

Inquest into the death of Michael NELSON

62y · Male·multiple co-morbidities including dementia, Parkinson's disease, undernourishmen…

Michael Nelson, 62, died at Westmead Hospital on 3 May 2014 with multiple comorbidities including early-onset dementia, Parkinson's disease, neck dystonia (torticollis), and undernourishment. He presented to ED with inab…

emergency medicineneurologymedicationcommunicationmidazolam
VICcommunity2015-12-18

Finding into death of Paul Bermingham

38y · Male·Toxicity to methylamphetamine

Paul Bermingham, a 38-year-old man with a history of recreational drug use, experienced acute behavioural changes consistent with methamphetamine intoxication on 15 December 2013. He displayed paranoid delusions, hyperac…

toxicologyemergency medicinemethamphetamine
SAhospital2022-08-15

Coroner's Finding: Kelley, John Michael

83y · Male·General inanition and aspiration pneumonia on a background of end-stage Alzheime…

An 83-year-old man with end-stage Alzheimer's dementia died from general inanition and aspiration pneumonia while subject to a Mental Health Act order in hospital. He had experienced two episodes of aspiration pneumonia …

psychiatrygeriatric medicineantibiotics
NT2011-11-25

Inquest into the death of Bird

46y · Male·Acute hypoxic brain damage resulting from intentional self-inflicted hanging

A 46-year-old male prisoner died from acute hypoxic brain damage following self-inflicted hanging in custody. He had a history of physical health issues including HIV and mental health concerns including anger management…

psychiatrypsychology
VICcommunity

Tylercassidypart2 554208

Male·Multiple gunshot wounds from police shooting

Tyler Cassidy, 18, died after police shot him multiple times when he advanced on them with two knives in a public park. The coroner found that while Tyler's actions were deliberate, they were not voluntary—he was overwhe…

psychiatrycommunicationsystemalcohol
QLDmental health2004-09-30

Cif Lee Ja 20040930

23y · Male·compression of the neck, secondary to coronary arteriosclerosis

…incident in the Mental Health Unit at Cairns Base Hospital. Admitted voluntarily after exhibiting marked behavioral changes, he became increasingly agitated that evening. During attempts to manage his aggressive behavior…

psychiatryemergency medicineproceduralcommunicationdroperidol

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