Coronial

12 results for poor weight gain

VIC2024-12-13

Finding into death of Michael Garry Suckling

41y · Male·Cardiomegaly in a man with WHO Class III obesity

…, a 41-year-old Aboriginal man, died in prison from cardiomegaly secondary to morbid obesity (BMI 54.5). He gained approximately 117kg during his 3-year incarceration, with rapid initial weight gain from 82kg to 175kg. W…

general practicepsychiatrysystemcommunicationmethadone
VIC2023-08-30

Finding into death of Baby A

0y · Female·Sudden infant death syndrome (SIDS) category 2

…ith neonatal abstinence syndrome due to maternal methadone use and was hospitalised twice within 3 days for poor weight gain and jaundice. The coroner found that whilst medical staff made reasonable clinical decisions ab…

neonatologypaediatricssystemcommunicationmethadone
ACThospital2023-05-19

Inquest into the death of NICOLE LOUISE ABBOTT

43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…

…ropriate. While her father raised concerns about antipsychotic medication (zuclopenthixol) contributing to weight gain, the coroner found the medication choice was clinically appropriate given her serious mental illness,…

psychiatrycardiologyzuclopenthixol
VICcommunity2013-06-21

Finding into death of Dennis Anderson

47y · Male·Unascertained natural causes, probably sudden cardiac arrhythmia

…d a sudden natural cardiac event, likely arrhythmia, while diving. Contributing factors included excessive weight (29.18 kg total, exceeding BCD lift capacity by 12 kg), diving alone without a buddy, inexperience in weig…

systemcommunication
VIChome2016-03-16

Finding into death of AA (Baby D)

0y · Female·head injuries

…ng unrecognized postnatal depression during the stressful period of managing unsettled twins with colic and poor weight gain. The case reveals critical clinical failures: bruising observed on both immobile twins at the f…

general practicepaediatricsdiagnosticcommunication
TASaged care2021-11-04

Coroner's Finding: Rosendale, Dwayne Edward

36y · Male·Complications of morbid obesity, including cardiac enlargement, aspiration of ga…

…Bayview Lodge could not provide; FMHS identified the housing mismatch but failed to relocate him; there was poor discharge communication (summary sent to a GP he hadn't seen in 4 years, not to FMHS); and medication super…

psychiatrygeneral medicinesystemdelayzuclopenthixol
TAScommunity2015-06-30

Coroner's Finding: Stephenson, Jason Scott

40y · Male·drowning whilst engaged in scuba diving

…noea. The coroner found drowning was the primary cause, likely precipitated by cardiac arrhythmia given his poor fitness level, obesity, and 40% left anterior descending artery stenosis. Critical clinical lessons include…

diving medicinehyperbaric medicine
SAhome2014-09-05

Coroner's Finding: HARRISON Noah Alexander Edward

0y · Male·unascertained; possibly asphyxiation related to sleeping position

Noah Harrison, aged 12 weeks, died of unascertained cause in October 2010. He was found face-down in a pram with unsafe sleeping arrangements. At prior hospital admission on 17 September 2010 for fever and reported haema…

emergency medicinepaediatricsdiagnosticcommunication
WAcommunity2011-02-28

Inquest into the Death of Collins

0y · Male·cardiac arrhythmia associated with surgically corrected congenital heart disease

… could have been saved. The nurse's failure to escalate care was the critical clinical error, compounded by poor documentation and lack of adherence to available triage guidelines requiring doctor notification for all in…

emergency medicinegeneral practicediagnosticcommunication
QLDhospital2024-10-18

Findings into the death of John Ainsworth

68y · Male·Cerebrovascular disease

…68-year-old prisoner, died of cerebrovascular disease following a severe stroke on 25 November 2020. He had poorly controlled Type II diabetes, hypertension, and high cholesterol. Prior to his acute stroke, he experience…

neurologyemergency medicinedelaymetformin
NSWcommunity2024-05-03

Inquest into the death of Keith Titmuss

20y · Male·exertional heat stroke

…tdoor training in moderate temperature/high humidity, he underwent intense indoor training in a hot, humid, poorly ventilated facility (Dojo) while dehydrated. He developed seizures, hyperthermia (41.9°C), and multi-orga…

sports medicineemergency medicinesystemdelaymidazolam
VIChome2025-07-28

Finding into death of Heather Ida Simone Calgaret

30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…

… stabilisation on sublingual Suboxone. She was opioid-naïve or with very low tolerance, obese (BMI 54), had poorly controlled diabetes, and was prescribed quetiapine. Following injection on 22 November 2021, she experien…

general practiceaddiction medicinemedicationdiagnosticbuprenorphine

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.