Coronial

108 results for blood test

QLDhospital2023-03-13

Timms, Peter John

71y · Male·Acute myeloid leukaemia due to transformation from chronic myelomonocytic leukae…

…tic leukaemia. He made over 40 health service requests while incarcerated, including repeated requests for blood tests starting in February 2020. A blood test ordered on 19 February 2020 was delayed 9 days and showed ab…

haematologypalliative caredelaydiagnosticoral antibiotics
SA2025-08-28

Coroner's Finding: RJR

65y · Male·metastatic rectal cancer with extensive lung metastases

… sentence. He had presented with rectal bleeding symptoms since 2011 and returned a positive faecal occult blood test in March 2015 recommending colonoscopy. However, he subsequently declined multiple colonoscopy offers…

colorectal surgeryoncologyapixaban
WAhospital2017-09-29

Inquest into the Death of Jared Charles OLSEN

41y · Male·Fulminant sepsis (Klebsiella pneumoniae) with multi-organ failure complicating s…

… deficiency (present in ~0.3% of population) that rendered him unable to metabolise the drug safely. A TPMT test was ordered but results were not communicated to treating clinicians. Additionally, critical post-discharge…

gastroenterologyintensive carediagnosticsystem6-mercaptopurine
SAhospital2003-03-28

Coroner's Finding: BUTLER Irene

72y · Female·haemorrhage from penetrating duodenal ulcer

…-year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not properly acted upon by the admit…

emergency medicinegeneral medicinediagnosticcommunicationaspirin
VIChospital2014-12-04

Finding into death of Leroy William Scott

1y · Male·Staphylococcus aureus septicaemia of unknown origin

…y, and poor oral intake. He was triaged as semi-urgent and not seen by a doctor until 5 AM, 8 hours later. Blood cultures drawn at 5:50 AM showed positive growth (Staphylococcus aureus) by 8 PM Sunday, with gram-positiv…

paediatricsemergency medicinediagnosticcommunicationparacetamol
WAhospital2026-03-27

Inquest into the Death of Sandipan DHAR

1y · Male·Complications of acute lymphoblastic leukaemia

…a three-week history of intermittent fever, had seen three GPs, and carried a referral letter recommending blood tests and sepsis screening. The ED consultant did not order blood tests, instead waiting for urine and PCR…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
TAS2018-09-19

Coroner's Finding: Peart, Alexander Alfred and Ruby Rose

18y · Male·Alexander Alfred Peart: chest and abdominal injuries sustained in single vehicle…

…a. An 18-year-old L1 novice driver, operating unaccompanied and therefore illegally, evaded a random breath test site by performing a U-turn and high-speed driving. The vehicle reached minimum speeds of 116 km/h in a 60 …

cannabis
TAScommunity2025-04-24

Coroner's Finding: de-identified FG

53y · Male·Acute myocardial infarction due to triple vessel atherosclerosis and thrombosis …

A 53-year-old man with chest pain on exertion presented to his GP in March 2022. Initial investigations (blood tests, chest X-ray) were ordered but follow-up was delayed until July 2022. A cardiology referral was made…

cardiologygeneral practicediagnosticdelayrosuvastatin
VICcommunity2013-12-20

Finding into death of Kylie Anne Lightfoot

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

… ketoacidosis. She presented to Dr S.'s practice on 4 May 2007 with abdominal pain, having not checked her blood sugar or taken insulin that day. Dr S.'s glucometer was broken, so she instructed Kylie to return home and…

general practiceendocrinologycommunicationsysteminsulin
SAhospital2022-04-13

Coroner's Finding: Cook, Courtney Liza

20y · Female·multi-organ failure due to polypharmacy overdose

…polypharmacy overdose (13 grams of paracetamol among 78 tablets). She was admitted to the ED where initial blood testing at 3 hours post-ingestion showed 757 μmol/L paracetamol (below 1000 μmol/L threshold), and NAC was…

emergency medicinegastroenterologydiagnosticcommunicationparacetamol
SAhospital2000-05-31

Coroner's Finding: DELLATORRE Natale

54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…

…itial assessment at Royal Adelaide Hospital ED missed early signs of rhabdomyolysis (elevated potassium on blood tests), though the coroner found this was not a serious error given rhabdomyolysis's rarity in isolated th…

emergency medicinepsychiatrydiagnosticadrenaline
SAhospital2024-03-27

Coroner's Finding: Collins, Jennifer Ann

30y · Female·tricuspid valve bacterial endocarditis

…ED on 20 August 2018 with chest tightness, fever, and tachycardia (heart rate 150). The ED did not perform blood cultures or investigate for pulmonary embolism, discharging her with a diagnosis of viral illness. Four da…

emergency medicinecardiologydiagnosticcommunicationmethamphetamine
SAhospital2010-10-25

Coroner's Finding: CAMERON Louise Cherise

32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage

…r doctor diagnosed oesophagitis, ordered morphine, and discharged her after ~2 hours with a single troponin test and ECG. She died the next day from acute coronary thrombosis complicated by upper gastrointestinal haemorr…

emergency medicinecardiologydiagnosticproceduralmorphine
VIChospital2015-04-29

Finding into death of John Manias

63y · Male·Multisystem organ failure, pneumonitis and sepsis; complications arising from a …

…spital with rib fractures and pelvic injuries. Clinical deterioration occurred over several days. Critical blood tests showing elevated creatinine (229 mmol/L) and CRP (401.3) were taken on 8 March 2008 but not reviewed…

trauma surgeryorthopaedic surgerydiagnosticcommunicationceftriaxone
SAhospital2011-04-07

Coroner's Finding: WATKINS Maureen

56y · Female·pulmonary thromboembolism due to left calf deep vein thrombosis

…surgery. On 13 July, an intern noted oxygen saturation of 95% on supplemental oxygen and obtained arterial blood gas tests showing hypoxia, raising concern for pulmonary embolism. However, the registrar was not informed…

general medicinepsychiatrydiagnosticcommunicationdiazepam
VIChospital2015-07-01

Finding into death of Robert Charles Avery

86y · Male·Septic shock secondary to urosepsis

…luid restriction, bowel preparation, and insulin adjustment. Despite overnight clinical deterioration (low blood pressure, rectal bleeding, poor oral intake), he was discharged on day 2. An emergency physician reviewed …

surgerygastroenterologycommunicationsystemmixtard insulin
VICcommunity2016-01-19

Finding into death of Benjamin Hodgson

29y · Male·Diabetic ketoacidosis

…and hypertension. The GP diagnosed a urinary tract infection and prescribed antibiotics, arranging fasting blood tests for the following day. Mr Hodgson was found deceased the next morning from diabetic ketoacidosis wit…

general practicepathologydiagnosticdelaycefalexin
QLDcommunity2009-11-05

Cullen, Matthew Raymond

21y · Male·Internal haemorrhage due to chest and abdominal injuries sustained in motorcycle…

…fter losing control of his motorcycle at high speed while attempting to evade police during a random breath test intercept in Bundaberg. He had a blood alcohol level of 0.14%. After ignoring police direction at the RBT s…

QLDcommunity2017-07-26

Stephenson, Ethan

14y · Male·Head injuries resulting from a motor vehicle collision (pedestrian)

…sion occurred during civil dusk with poor visibility. While the coroner found police procedures for alcohol testing adequate and no prior footpath was required by design standards, systemic issues were identified: inadeq…

forensic medicinesystemdelay
QLDhospital2016-03-18

McGuane, Shirley Fay - Non-inquest findings

84y · Female·Myocardial infarction

…th ECG showing atrial fibrillation and new right bundle-branch block was not investigated with troponin or blood tests despite this indicating possible myocardial infarction. Significant anaemia (Hb 72, down from 127) a…

surgerycardiologydiagnosticcommunicationwarfarin

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