Coronial

55 results for low blood pressure

NSWcommunity2024-01-23

Inquest into the disappearance and suspected death of Bruce Robinson

72y · Male·The available evidence does not allow for any finding to be made as to the cause…

…recurrent psychotic episodes. In the months before his death, his physical health declined significantly following severe community-acquired pneumonia with septic shock. On the day of his death, Mr Robinson was discharg…

psychiatryemergency medicinesystemolanzapine
NSW2020-04-22

Inquest into the death of Robert HOWLETT

74y · Male·Ischaemic heart disease and coronary atherosclerosis

…er, expert cardiological opinion determined that withholding nifedipine was appropriate given his measured blood pressures were already low (101-116 systolic), and that had it been known nifedipine was his usual medicat…

cardiologygeneral practicecommunicationnifedipine
NSWhospital2015-12-02

Inquest into the death of Jessica Martin

24y · Female·peri-myocarditis in the presence of sub clinical Addison's disease

…2009 and was diagnosed with viral pleurisy without specific investigations for Addison's disease. While her low-normal blood pressure and significant weight loss were features of Addison's, the expert found these were a…

emergency medicineradiation oncologydiagnosticneurofen
NSWhospital2010-09-03

Woodcock 2011 06 14 12 49 10 862

Male·Myocardial failure resulting from excessive pulmonary blood flow and consequenti…

…gestation weighing approximately 1 kilogram, died from myocardial failure secondary to excessive pulmonary blood flow in the context of severe congenital heart disease (pulmonary atresia with intact ventricular septum a…

neonatologyintensive caremedicationproceduralpropofol
QLDhospital2014-09-01

SG - Non-inquest findings

68y · Female·Haemorrhage secondary to right subclavian artery lacerations sustained during ce…

A 68-year-old woman died from massive blood loss following inadvertent puncture of the right subclavian artery during central venous line insertion. T…

anaesthesiageneral surgeryheparin
QLD2023-01-25

Civic, Mirko

70y · Male·Coronary atherosclerosis

…; (3) No consistent long-term management plan existed across multiple correctional facilities; (4) Regular blood pressure monitoring and follow-up were inadequate. While expert cardiologists opined the secondary prevent…

cardiologygeneral practicediagnosticmedicationaspirin
WAhospital2010-03-03

Inquest into the Death of McLevie

38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)

…year-old woman, died on 6 April 2006 from untreated Group A Streptococcal septicaemia (puerperal sepsis) following childbirth at Osborne Park Hospital. She developed fever (38°C) at 3am on 5 April, only three hours afte…

obstetricsmidwiferydiagnosticcommunicationparacetamol/codeine
NSWcommunity2017-08-21

Inquest into the death of Samuel SEETO

29y · Male·Florid myocarditis

…. Key clinical lessons: syncope is concerning and mandates cardiac evaluation; young patients with fatigue, low blood pressure, and syncope require careful differential diagnosis including cardiac causes; chest ausculta…

general practicecardiologydiagnosticcommunicationibuprofen
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

74y · Male·small intestinal ischaemia caused by aortic atherosclerosis

A 74-year-old man presented to hospital with abdominal pain following a fall. He developed hypotension, fever, tachycardia, and elevated inflammatory markers consistent with …

emergency medicineorthopaedic surgerydiagnosticcommunication
QLDaged care2015-06-11

Ms C - Non-inquest findings

90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia

…-year-old woman with dementia, admitted to aged care in September 2012, developed a large necrotic sacral pressure ulcer despite nursing interventions. She was markedly dehydrated and malnourished, repeatedly refusing or…

general practicegeriatric medicinecommunicationdelayfentanyl
QLDcommunity2016-12-08

Floyd, Leah Elizabeth

48y · Female·Sepsis due to pulmonary and cutaneous infections, with urinary tract infection a…

A 48-year-old tetraplegic woman died from sepsis originating from a necrotic sacral pressure wound. Multiple system failures contributed: inadequate pressure sore prevention at the disability care p…

neurologypsychiatrycommunicationsystemdiazepam
TASaged care2022-11-08

Coroner's Finding: Kerr,Anthony Neville

81y · Male·pneumonia due to traumatic internal bleeding of the chest wall sustained in fall…

…itnessed fall on 6 June 2021, sustaining a right-sided chest wall haematoma. Staff found him at 7:40am with low blood pressure and bruising; his doctor was contacted at 11:00am and an ambulance called at 3:00pm when che…

geriatric medicineemergency medicinedelaysystem
VIC2025-12-11

Finding into death of Narelle Marie Compton

57y · Female·Deterioration in setting of advanced dementia on a background of down syndrome

A 57-year-old woman with Down syndrome and advanced Alzheimer's dementia died from natural causes following a period of functional decline. She was residing in a Specialist Disability Accommodation facility and r…

palliative caregeneral practice
NThospital2008-12-18

Inquest into the death of Paulo Melo

29y · Male·Blunt head and neck injuries sustained in an unintentional motor vehicle acciden…

…cervical spinal cord injuries in a motor vehicle accident. He remained unconscious with high intracranial pressure and C5 spinal cord transection. After 12 days with no improvement, ICU specialists (supported by multiple…

intensive caretrauma surgerycommunicationmorphine
NTcommunity2007-11-12

Inquest into the death of Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen

Male·Angel Blanco-Puerto: acute heart failure as result of long-standing damage from …

…ccepted his explanation of bad fish and chips without hospital evaluation. Barry Gaykamangu had a systolic blood pressure of 70 (critically low) combined with elevated pulse suggesting shock, but officers did not recogn…

emergency medicinecardiologydiagnosticcommunication
NSW2016-07-15

Inquest into the death of Sheila Drysdale

75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …

A 75-year-old woman with advanced frontal lobe dementia died from hypovolaemic shock following uncontrolled bleeding after an unproven stem-cell liposuction procedure. Critical failures included: fai…

plastic and reconstructive surgerygeriatric medicinemedicationproceduralaspirin
VIChospital2025-03-24

Finding into death of Isobel Francis

65y · Female·Status epilepticus complicating cerebral palsy

…liative care was initiated. Clinical lesson: patients with cerebral palsy and dysphagia require careful swallowing assessment and aspiration precautions; recurrent aspiration pneumonia suggests need for specialist input…

general medicineneurologyantiepileptics
WAhospital2021-11-29

Inquest into the Death of Miss T (Name Subject to Suppression Order)

16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…

…her second presentation on 24 December, she was discharged home without a clear diagnosis despite abnormal blood tests (elevated white cell count, raised inflammatory markers, metabolic acidosis) suggestive of possible …

emergency medicinegeneral practicediagnosticsystemcannabis
NSWhospital2022-04-05

Inquest into the death of Ronald TURNER

81y · Male·Consequences of bowel obstruction

…reported abdominal symptoms; initial assessment was reasonable. On 23 January, he deteriorated acutely with low blood pressure and vomiting, appropriately transferred to hospital. Flexible sigmoidoscopy achieved success…

colorectal surgerygeriatric medicine
VIChospital2021-07-21

Finding into death of Lorinda Stacey Ruff

55y · Female·Complications of metastatic colorectal carcinoma

…esented to her GP on 29 July 2019 with three days of appetite loss and suspected abdominal pain, exhibiting low blood pressure, low pulse, and abdominal tenderness. She was referred to ED and admitted to ICU with septic…

general practiceemergency medicine

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