Coronial

99 results for coagulopathy

QLDhome2025-10-15

Inquest into the death of Tristian Jaemes Frahm

11y · Male·Brown snake envenomation

…bited early collapse symptoms (dizziness, vomiting, slurred speech) consistent with snake venom-induced coagulopathy. Three adults, including his father, were informed of possible snakebite but found no obvious fang mark…

emergency medicinetoxicologydiagnosticdelay
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 anti…

surgeryvascular surgerycommunicationsystemdalteparin
TAScommunity2020-10-02

Coroner's Finding: Fish, Winston William

78y · Male·Multiple organ failure in the setting of neuropathy and coagulopathy caused by t…

…ICU where he received medical treatment but did not recover. Tiger snake venom causes neurotoxicity and coagulopathy leading to organ failure. The coroner noted this is an extremely rare death (three since 1948 in Tasman…

emergency medicineintensive caretiger snake antivenom
VIChospital2015-04-02

Finding into death of Linda Elizabeth Parker

39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…

…y after discovering morbidly adherent placenta likely allowed development of disseminated intravascular coagulopathy and uncontrollable bleeding; (3) Earlier hysterectomy would probably have prevented coagulopathy and ma…

obstetricsanaesthesiadiagnosticdelay
SAhospital2020-06-05

Coroner's Finding: HANCKEL Jonathan Mark

58y · Male·effects of chronic alcoholism

…anckel, aged 58, died from chronic alcoholism complicated by Child C cirrhosis, hepatic encephalopathy, coagulopathy, sepsis, and multiple intracranial haemorrhages. While he sustained a fall on 13 October 2016 whilst un…

gastroenterologypsychiatry
VIChospital2018-10-05

Finding into death of Mrs Z

70y · Female·Tiger snake envenomation

…ith national guidelines. Despite appropriate antivenom administration, she developed severe consumptive coagulopathy and life-threatening intra-abdominal haemorrhage, dying in ICU. The coroner accepted expert opinion tha…

toxicologyemergency medicinepossibly diagnostic or management; guideline application unclear in severe envenomingcsl tiger snake antivenom
VIChospital2016-04-14

Finding into death of Kelly Maree Richards

29y · Female·Exsanguination post tubal ligation procedure

…hards' condition became irreversible within 30-60 minutes due to uncontrollable haemorrhage and massive coagulopathy. Clinical lessons include: avoiding excessive trochar insertion pressure during laparoscopy; the critic…

general surgerygynaecologyproceduralcommunicationpacked red blood cells
QLDhospital2006-09-13

Rawson, Robert Donald

68y · Male·Internal haemorrhage due to coagulopathy and upper gastrointestinal varices, cir…

…rocedure unlikely contributed significantly to death, which resulted from rapid hepatic decompensation, coagulopathy, gastrointestinal bleeding, and acute cardiac events. The coroner recommended Queensland Health address…

general surgeryrespiratory medicinesystemproceduralfresh frozen plasma
VIChospital2022-10-18

Finding into death of Kenneth Ernest O'Brien

74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair

…atient's underlying chronic liver disease (from severe tricuspid regurgitation) created an unrecognised coagulopathy risk. Earlier recognition and aggressive management might have allowed exploratory laparotomy and bleed…

general surgeryanaesthesiadiagnosticcommunicationapixaban
VIChospital2014-04-17

Finding into death of Grazia Giosserano

61y · Female·Acute renal failure and dehydration in the setting of cirrhosis (secondary to he…

…ehicle collision. She was discharged from the ED after 6 hours despite her underlying liver disease and coagulopathy. She deteriorated rapidly 3 days later with acute renal failure, dehydration and internal bleeding, dyi…

emergency medicinesurgerydiagnosticdelaytramadol
NSWhospital2021-09-28

Inquest into the death of Gwenith ELKINGTON

60y · Female·acute cerebral bleed resulting from blunt trauma and late haemorrhagic progressi…

…on 23 September when she attended a medical centre) might have allowed assessment and correction of her coagulopathy from liver cirrhosis, the injury was ultimately non-survivable. The delay in seeking medical attention,…

emergency medicineneurosurgerydelaycommunicationibuprofen
NSWhospital2017-06-06

Inquest into the death of Helen Ashburn

46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…

Helen Ashburn, a 46-year-old woman with history of alcohol use, coagulopathy and seizures, died from prolonged effects of a severe head injury sustained on 25 October 2011. She pre…

emergency medicineneurosurgerycommunicationdiagnostic
SAhospital2013-04-05

Coroner's Finding: RICCI John Peter

57y · Male·Acute renal failure complicating end stage liver cirrhosis with resultant enceph…

…d-stage alcoholic liver cirrhosis died of acute renal failure complicated by hepatic encephalopathy and coagulopathy while detained under mental health legislation. He presented with severe liver disease, ascites, cellul…

psychiatrygastroenterologylactulose
WAhospital- 27 May 2014

Inquest into the Death of Brian John DAVIES

57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy

…rtiary hospital on day 2 but died from multi-organ failure and intra-abdominal haemorrhage secondary to coagulopathy. Key learning: very high-risk patients with extensive comorbidities may benefit from tertiary centre ma…

surgeryanaesthesiasystemdelaymorphine
VIChospital2018-08-21

Finding into death of Shane Kyle Tatti

27y · Male·Complications of snake bite

…nsfers to Bairnsdale and Austin Hospitals, he developed severe progressive myotoxicity, rhabdomyolysis, coagulopathy, renal failure and shock, dying 2 days later. The coroner found conflicting expert opinion: two toxicol…

emergency medicinetoxicologypossibly diagnostic - uncertainty regarding adequacy of venom neutralisationpossibly medication - debate over antivenom dosingtiger snake antivenom
VIChospital2022-05-05

Finding into death of PX O

49y · Male·Complications of a right superficial femoral artery injury (operated) following …

…CU management including resuscitation, he died from the combined effects of profound blood loss, shock, coagulopathy, and hypoxic brain injury from prolonged cardiac arrest. The deceased was a newly employed labourer who…

trauma surgeryvascular surgerysystemcommunication
VIChome2013-12-16

Finding into death of Kenneth John Lister

52y · Male·Head injury sustained in a fall following excessive consumption of alcohol

…consumption. This case highlights the serious risks of alcohol abuse in patients with liver disease and coagulopathy, where even minor head trauma can be fatal.

forensic medicineemergency medicinealcohol
VIChospital2026-02-10

Finding into death of David James Dorling

59y · Male·multiorgan failure complicating paracetamol toxicity

David James Dorling, a 59-year-old man with multiple sclerosis, ischaemic heart disease, and diabetes, ingested 90-100 paracetamol tablets on 1 February 2024 with suicidal intent. He attended court the next day and was r…

emergency medicineintensive careparacetamol
VIChospital2015-10-20

Finding into death of THI DIEP ANH LU

36y · Female·Haemorrhage complicating elective caesarean section (placenta praevia accreta)

Ms. Thi Lu, aged 36, died from massive hemorrhage following caesarean section for placenta praevia with underlying placenta accreta. Although imaging could not definitively exclude accreta preoperatively, high-risk prepa…

obstetricsanaesthesiadelayprocedural
WA2016-09-29

Inquest into the Death of Troy Allan ROGINSON

35y · Male·head injury in a man with chronic liver disease

…s of high standard. The death highlights how a single blow, particularly in individuals with underlying coagulopathy from liver disease, can have catastrophic consequences. Clinical lesson: awareness of increased bleedin…

neurosurgeryemergency medicinemethadone

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