Coronial

25 results for possible acute systemic illness

QLDhome2008-12-11

Fenner, Christine Maria

48y · Female·Unknown

…found her deceased but cause and circumstances unknown. The case illustrates the importance of recognizing acute medical emergencies (possible stroke or serious systemic illness) and the need for family members or carer…

delaysystem
VIChospital2021-02-26

Finding into death of MrJ

22y · Male·Drowning

…ed medical assessment and resuscitation before mental health evaluation. He was sedated and restrained for acute agitation, with restraints removed after 3 hours when settled. During morning shift, he appeared compliant…

emergency medicinepsychiatrysystemdelayMDMA
WAhospital2024-09-24

Inquest into the death of Raymond Sydney CHEEK

89y · Male·Complications in association with a gastrointestinal illness in an elderly man w…

… multiple comorbidities including insulin-dependent diabetes, died from complications of gastrointestinal illness with acute renal failure. While medical care at Casuarina Prison was generally appropriate, there was one…

emergency medicineendocrinologymedicationsystemryzodeg insulin
NTcommunity2005-09-02

Inquest into the death of Anne Chantell Millar

21y · Female·Multiple blunt trauma with acute alcohol toxicity as a significant contributing …

…er occurred over the preceding two months, but police failed to consistently enforce it. Key clinical and systemic issues: acute alcohol toxicity was a contributing factor to her death; one officer (Senior Constable Cury…

communicationsystemsertraline
VIChome2021-06-29

Finding into death of HM

15y · Male·Gastric perforation with early peritonitis; Acute gastric distension and chronic…

…rum disorder and depression, died from spontaneous gastric perforation with early peritonitis secondary to acute gastric distension. He had dysfunctional eating patterns, poor school attendance, social isolation, and re…

paediatricspsychiatrysystemdelaylovan
NTcommunity2011-07-27

Inquest into the death of Marilyn Lalara

48y · Female·acute myocarditis resulting from systemic viral infection

…lly ill and awaiting air evacuation to hospital ICU, no aircraft were available due to maintenance, pilot illness, and another category-1 patient. She arrested during waiting and died. The coroner found inadequate escal…

emergency medicinecardiologydiagnosticdelayantibiotics
WAhome2005-07

Inquest into the Death of taylor

29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath

…build his life through education at Edith Cowan University. He was in emotional distress, struggling with systemic distrust, financial difficulties, and family issues. Two weeks before death, he consulted Dr S., who asse…

psychiatrygeneral practicecannabis
WAcommunity2022-08-17

Inquest into the Death of Quoc Xuan TRAN

36y · Male·Immersion (drowning)

…April 2019 with accommodation concerns; staff conducted a risk assessment documented as non-urgent with no acute mental health issues identified. The coroner found appropriate clinical care was delivered within availabl…

psychiatryemergency medicinesystempaliperidone
VIChome2025-06-24

Finding into death of Jessica Geddes

27y · Female·Complications of multiple blunt force injuries

…r Robert Rickerby through multiple blunt force injuries on 6 November 2020. The autopsy revealed extensive acute, subacute and chronic injuries inconsistent with accidental trauma, indicating prolonged abuse. Jessica ha…

general practicepsychiatrydiagnosticsystemmethamphetamine
NTcommunity2009-06-10

Inquest into the death of Robert Plasto-Lehner and David Gurralpa aka Moscow

Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…

…int asphyxia following police restraint in hospital while awaiting psychiatric assessment. Both men became acutely agitated during restraint and ceased struggling suddenly, which should have triggered immediate medical …

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
VIC2014-12-09

Finding into death of Ling Gong Tang

53y · Male·decompensated alcoholic liver disease in the setting of gastro-intestinal haemor…

…ysical half-hourly checks despite police procedures requiring them, failure to recognise signs of serious illness during interview (complaining of abdominal pain, wanting hospital), inappropriate interview conducted thr…

emergency medicinehepatologycommunicationdelayalcohol
QLDhospital2012-12-06

McNaught, Judith

69y · Female·Septic shock due to biliary peritonitis as a consequence of laparoscopic cholecy…

…iotics at ward round despite sepsis indicators; (3) delayed surgical response despite documented critical illness; (4) poor communication between surgical team, with provisional diagnoses and operative plans not documen…

surgeryanaesthesiadiagnosticmedicationmorphine
NSWhome2020-06-01

Inquest into the death of A P

2y · Female·drowning

A 2-year-old child died by drowning at her home in September 2016. Her mother was suffering from acute psychosis and had stopped taking antipsychotic medication days before the death. Critical failures occurre…

general practicepsychiatrycommunicationsystemtriflouperazine
WAmental health2000-01

Inquest into the Death of Steven Charles Indich

20y · Male·Ligature Compression of the Neck (Hanging)

…Hospital on 13 November 1998. He was admitted involuntarily after assaulting his brother and father whilst acutely psychotic. Despite appropriate antipsychotic medication and close observation during his 3-day admission…

psychiatryintensive caresystemhaloperidol
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately ingested benzodiazepines and possibly other substances in a self-harm attempt. However…

forensic medicinegeneral practicesystemdelaybenzodiazepines
NThome2016-10-17

Inquest into the death of Krista Lloyd

36y · Female·myocardial infarction as a consequence of severe focal coronary artery atheroscl…

…ng women (which may be atypical), ensuring completion of stress testing, and recognising aspiration during acute illness. The case also highlights systemic delays in autopsy reporting and coronial investigation that pro…

cardiologyemergency medicinediagnosticdelaymorphine
QLDhospital2016-06-03

James, Kesler Lee

5y · Male·Acute bronchopneumonia and diffuse alveolar damage due to acute rheumatic cardit…

A 5-year-old boy with rheumatic heart disease and acute mitral valve regurgitation presented to Mt Isa Hospital with acute heart failure. Although initially recog…

paediatricsintensive carediagnosticcommunicationfurosemide
NTmental health2019-09-27

Inquest into the death of Jordan Allen

34y · Male·self-inflicted hanging

…uary 2018 after absconding from Alice Springs Mental Health Unit during supervised cigarette leave. He was acutely psychotic with persecutory delusions related to methamphetamine use and prescribed dexamphetamine overus…

psychiatryemergency medicineclinicalcommunicationdexamphetamine sulfate
VICcommunity2021-07-26

Finding into death of Adam Laufer

32y · Male·Multiple injuries sustained in a fall from a height

…or compulsory detention based on his calm presentation, despite his father's assertion he was experiencing acute psychosis. Ambulance paramedics attended but conducted no formal assessment. Adam left the scene by taxi a…

psychiatrypsychologysystemcommunication
SAcommunity2004-09-10

Coroner's Finding: CORNISH Peter Henry

43y · Male·aspiration of vegetable matter with occlusion of the upper airway

Peter Cornish, a 43-year-old man with a 17-year history of bipolar disorder, died on 25 September 2001 from aspiration of vegetable matter while experiencing a severe manic episode. In the two weeks before his death, mul…

psychiatryemergency medicinediagnosticsystemcannabis

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