Coronial

17 results for post-cardiac injury syndrome

ACThospital2019-11-04

Inquest into death of JEFFREY BROWN

72y · Male·Haemopericardium due to anti-coagulation treatment for pulmonary thromboemboliti…

Jeffrey Brown, a 72-year-old with recent cardiac surgery (CABG), died from haemopericardium due to anticoagulation treatment for pulmonary thromboembolism. Post-mortem examination revealed fibrinous pericarditis (a known…

cardiothoracic surgerycardiologywarfarin
SA2021-11-25

Coroner's Finding: Clark, Murray Eric

81y · Male·valvular heart disease with cardiac amyloidosis

…ray Eric Clark, 81-year-old prisoner with extensive cardiac history including aortic stenosis, sick sinus syndrome with pacemaker, and recent TAVI procedure, collapsed and died in prison infirmary on 20 September 2019. A…

cardiologyemergency medicineanticoagulants
SAhospital2012-11-15

Coroner's Finding: Butler Mark Andrew

49y · Male·pneumonia, hypoxic brain injury and cardiac arrest

…fter freeing himself and being restrained by security staff, he suffered cardiac arrest with hypoxic brain injury and died. Contributing factors included failure to recognise cannabis withdrawal contributing to delirium,…

colorectal surgerypsychiatrydiagnosticmedicationfentanyl
SA2021-06-02

Coroner's Finding: MORTIMER-SHEARER Lochlan Brodie

18y · Male·unascertained cause; possibly drowning, hypothermia, cold water immersion, or ca…

…ubmerged in a drainage ditch. Post-mortem examination revealed no significant natural disease or traumatic injury. Death likely resulted from drowning, hypothermia, cold water immersion, or sudden cardiac dysfunction sec…

forensic medicineemergency medicinemethamphetamine
QLDhospital2017-07-31

Mrs NSM - Non-inquest findings

81y · Female·left haemothorax and mediastinal haemorrhage from the insertion site of the perm…

…-old woman died from haemothorax and mediastinal haemorrhage following pacemaker insertion for sick sinus syndrome. Multiple venous punctures during the procedure caused vascular injury. Critical clinical lessons include…

cardiologyintensive carediagnosticcommunicationglyceryl trinitrate
QLD2016-07-06

Mickelo, Garnett Allan

48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)

…egrettable, did not causally contribute to the death, which was predictable given his extensive myocardial injury. Systemic improvements have since been implemented at WCC for discharge medication reconciliation, chest p…

cardiologycardiothoracic surgerymedicationcommunicationisosorbide mononitrate
VIChospital2018-03-29

Finding into death of Roy Irvin Dorner

64y · Male·Complications of redo thoracotomy/aortic valve replacement in a man with ischaem…

A 64-year-old physician with significant cardiac history (prior CABG, pacemaker, congestive failure, and newly severe aortic stenosis) underwent redo thoracotomy for aortic valve replacement. During sternal re-entry, the…

cardiothoracic surgerycardiology
SAhospital2000-05-31

Coroner's Finding: DELLATORRE Natale

54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…

…bility died from respiratory failure and acute renal failure secondary to rhabdomyolysis following a crush injury to his left thigh sustained while attempting to escape from a psychiatric hospital. He became trapped hang…

emergency medicinepsychiatrydiagnosticadrenaline
NSWhospital2025-08-22

Inquest into the death of Frank Valentine

83y · Male·Congestive cardiac failure due to ischaemic and valvular heart disease, with her…

…alance anticoagulation for atrial fibrillation against bleeding risk, and fluid management in acute kidney injury and heart failure. The coroner found no evidence that care provided by Corrective Services NSW, Justice He…

cardiologygastroenterologywarfarin
SAcommunity2007-12-12

Coroner's Finding: BAUMANIS Bronislawa Sonia

84y · Female·ischaemic heart disease

An 84-year-old woman with dehydration, fever, and confusion initially refused hospital admission due to fears of nursing home placement. Her GP appropriately obtained a Mental Health Act detention order when she refused …

general practiceemergency medicineadrenaline
VIChome2025-07-28

Finding into death of Heather Ida Simone Calgaret

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

…onitoring must be explicitly arranged and documented when departing from standard practice; (3) metabolic syndrome and obesity must be identified early and managed holistically; (4) Aboriginal prisoners require culturall…

general practiceaddiction medicinemedicationdiagnosticbuprenorphine
QLDhospital2016-03-18

McGuane, Shirley Fay - Non-inquest findings

84y · Female·Myocardial infarction

Shirley McGuane, 84, died from myocardial infarction following elective proctocolectomy. Post-operative care was deficient: chest pain on day 2 post-op with ECG showing atrial fibrillation and new right bundle-branch blo…

surgerycardiologydiagnosticcommunicationwarfarin
VIChospital2015-10-19

Finding into death of Daniella Francesca Sessarego

24y · Female·Pentobarbitone toxicity

24-year-old Daniella Sessarego died from pentobarbitone toxicity following intentional ingestion. She had borderline personality disorder and depression with a history of self-harm and suicidality. On 12 August 2014, she…

psychiatrypsychologysystempentobarbitone
NSWhospital2018-12-17

Inquest into the death of Jarrod Wright

42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …

…d Wright, a 42-year-old man admitted with cellulitis, developed sepsis-related acute respiratory distress syndrome (ARDS) requiring ICU care with non-invasive ventilation. Critical failures occurred in managing his agita…

intensive careinfectious diseasescommunicationsystemmeropenem
VICaged care2023-03-22

Finding into death of S M

91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…

…off, and nursing staff did not verify allergies before administration. The patient developed severe DRESS syndrome with anaphylaxis, acute kidney injury, liver dysfunction, and elevated inflammatory markers. He subsequen…

geriatric medicinegeneral practicediagnosticmedicationdiltiazem
VICaged care2026-01-19

Finding into death of Kevin Thomas Maloney

39y · Male·Mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) with contribut…

Kevin Thomas Maloney, a 39-year-old man with complex mental health conditions and substance use disorder, died from mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) while residing in a supported resident…

psychiatryaddiction medicinecommunicationsystemheroin
VIChome2016-03-24

Finding into death of Caroline Emily Lovell

36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…

Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…

midwiferyobstetricsdiagnosticcommunicationsyntocin

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