Coronial

11 results for poor dental health

NThospital2021-01-07

Inquest into the death of Edgar Forrester

56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…

…hile in custody. He presented with progressive dysphagia from September 2019, initially managed as benign (dental abscess, rib fracture). Critical delay occurred: swallowing difficulties were documented but endoscopy not…

general practicecardiologydiagnosticdelay
VIC2018-01-17

Finding into death of John Gale

64y · Male·Aspiration pneumonia in a man with dysphagia and acquired brain injury

…ferred back to the care facility for palliative management in July 2016 but deteriorated significantly with poor oral intake, weight loss, and various infections. His carers expressed concern that the facility lacked ade…

general practicegastroenterologysystemdelay
VIC2020-12-09

Finding into death of Alma Lynette Honeychurch

76y · Female·Ludwig's angina

A 76-year-old woman with Ludwig's angina presented to urgent care with facial swelling and fever. She was appropriately diagnosed and arrangements made for transfer to a tertiary centre. However, staff failed to recognis…

emergency medicinedentistrydiagnosticcommunicationantibiotics
VICcommunity2011-03-30

Finding into death of Geoffery Reginald Bragge

26y · Male·amylobarbital overdose

…were reopened in 2011 and identified as likely his, based on consistent amylobarbital overdose toxicology, dental similarities, timeline, and absence of any subsequent records. Clinically, this case highlights the vulner…

psychiatryemergency medicinecommunicationsystemamylobarbital
WAcommunity2025-05-28

Inquest into the Suspected Death of Ian Steven TOLLI

54y · Male·unknown, possibly drowning, with possible contribution from marine predation or …

…sible rather than stored, and the dangers of water activities when fatigued, potentially intoxicated, or in poor health. His significant medical history including cancer treatment, chronic pain, weight loss, and recent d…

alcohol
NThospital2006-10-02

Inquest into the death of Freddie Peterson

30y · Male·diffuse alveolar damage, a complication of bacterial endocarditis

…ion. Key clinical learning: bacterial endocarditis can present acutely and progress rapidly; his underlying poor health from chronic alcoholism, diabetes, chronic pancreatitis, and coronary atherosclerosis created vulner…

cardiologyinfectious diseasesranatidine
WAhospice2021-01-15

Inquest into the Death of Stuart William DUGAN

70y · Male·carcinoma of the lung

…e missed opportunities for earlier diagnosis. While smoking-related lung cancer commonly presents late with poor prognosis, regular annual health checks were not consistently performed during his 6+ years at Acacia Priso…

general practicerespiratory medicinediagnosticcommunicationtramadol
QLDhospital2005-08-24

Sabadina, Kathryn Marnie

28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…

A 28-year-old woman died during routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, …

anaesthesiadentistrydiagnosticproceduralpropofol
QLDhome2012-12-06

Bramble, Julie Anne

50y · Female·septicaemia

…despread infection (heart, lungs, kidneys, abscess formation), likely precipitated by intravenous drug use, poor dentition, or possible chest/bowel infection. The coroner found that appropriate medical intervention calle…

emergency medicineparamedicinedelaycommunicationmethamphetamine
VICcommunity2021-03-31

Finding into death of Bruce Vernon Taylor

53y · Male·Complications of old brain injury in prior motor vehicle incident

…accommodation and received support through NDIS. In the 12 months before death, his cognitive and physical health deteriorated significantly. His treating neurologist and rehabilitation physician recommended gradual cess…

general practiceneurologysodium valproate
QLDhospital2011-09-20

Anderson, John Clive

36y · Male·infective endocarditis

…n failure. Key clinical lessons: prisoners have elevated infective endocarditis risk due to IV drug use and poor dentition; when endocarditis is suspected, urgent specialist review is essential; referring doctors must ac…

general practicecardiologydelaycommunicationamoxicillin

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