Coronial

276 results for cardiac symptoms

WAmental health2023-02-13

Inquest into the Death of Philip SULLEY

58y · Male·coronary artery arteriosclerosis (natural causes)

…at BMHU, making examination unsafe; antipsychotic medications were necessary and not excessive. The fatal cardiac disease remained undetected as he refused assessment and complained of no cardiac symptoms. Clinical lear…

psychiatryemergency medicinecommunicationolanzapine
WA2023-09-14

Inquest into the Death of Shane Reynold NARRIER

40y · Male·coronary artery atherosclerosis

Shane Narrier, a 40-year-old Aboriginal man, died from coronary artery atherosclerosis on 5 June 2020 at Acacia Prison. On 27 May 2020, he reported chest pains via the Custody Messaging System (CMS) to a prison nurse. Th…

cardiologyemergency medicinediagnosticcommunicationescitalopram
QLDhospital2016-10-25

Hemsley, Joanne - non-inquest findings

55y · Female·Cardiac tamponade due to haemopericardium due to acute ruptured myocardial infar…

… direction for post-procedure management. The patient was discharged the next morning without appropriate cardiac enzyme testing or extended observation despite having chest pain and ECG changes following the procedure.…

cardiologycardiothoracic surgerydiagnosticcommunicationticagrelor
VIChospital2022-08-31

Finding into death of Cindy Jane Martin

40y · Female·Complications of WHO Class III Obesity

…th treatment-resistant schizophrenia, WHO Class III obesity, and obstructive sleep apnoea, died of sudden cardiac complications seven days after psychiatric admission. She was sedated with multiple antipsychotic medicat…

psychiatryrespiratory medicinesystemdelaysodium valproate
VICaged care2022-11-30

Finding into death of Ian Dunlop

74y · Male·Pericarditis post aortic valve surgery with large pericardial effusion leading t…

…ite abnormal observations falling within alert ranges on the Observation Response Chart. Staff attributed symptoms to post-operative pain and anxiety rather than seeking medical review. A doctor was not called despite cl…

cardiothoracic surgerycardiologycommunicationsystemapixaban
NTcommunity2003-09-05

Inquest into the death of Mark Corbett

48y · Male·Acute cardiac dysrhythmia of unknown cause; acute alcohol toxicity was a signifi…

Mark Corbett, a 48-year-old Aboriginal man, died from acute cardiac dysrhythmia while in police protective custody in Tennant Creek. He was apprehended twice for public into…

emergency medicineanaesthesiacommunicationsystemalcohol
WAhospital2019-04-04

Inquest into the Death of Maris KUGIS

68y · Male·Bronchopneumonia in a man with chronic obstructive pulmonary disease

…llenges, and that late presentation of malignancy (pancreatic cancer) may underlie apparently psychiatric symptoms like hyponatraemia. The combination of non-compliance and pain-driven behaviour severely hindered optimal…

psychiatryrespiratory medicinehaloperidol
TAS2023-05-22

Coroner's Finding: Hyde-Wyatt, Michael Phillip

61y · Male·Pulmonary aspiration of gastric contents (post seizure) due to chronic communica…

…nt later. Critical clinical lessons: (1) support workers must check client medical histories when unusual symptoms appear; (2) any unexplained seizure-like episode warrants immediate ambulance attendance, not observation…

general practiceneurologycommunicationdelay
VICcommunity2014-02-07

Finding into death of Bayden Joel Quilkey

30y · Male·unascertained

Bayden Quilkey, 30, died from unascertained causes on 13 March 2008 during an acute psychotic episode while being restrained by police. He had recently moved from Queensland showing signs of paranoid schizophrenia with s…

psychiatryemergency medicinesystemcommunication
WAhospital2013

Inquest into the Death of Kerr, William

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

…hest pain from his previous hernia surgery three months earlier. Had the anaesthetist known of this prior cardiac event, cardiology review would have been sought before proceeding.

anaesthesiageneral surgerycommunicationdiagnosticglyceryl trinitrate
VICcommunity2015-04-05

Finding into death of James Michael Hoctor

93y · Male·Complications following colectomy for Clostridium difficile pancolitis in the se…

…ly. Clostridium difficile infection was not considered or investigated during several days of progressive symptoms. When he acutely deteriorated with sepsis, he was transferred back to the tertiary hospital where C. diff…

general practiceinfectious diseasesdiagnosticpenicillin
VIChospital2019-04-04

Finding into death of Isabella Estelle Rees

1y · Female·Gastrointestinal haemorrhage due to aorto-oesophageal fistula caused by lodged b…

…dical records. The coroner found the emergency care was reasonable and appropriate given the non-specific symptoms and difficulty of diagnosing occult battery ingestion. Clinical lessons centre on recognising subtle clue…

emergency medicinepaediatricsdiagnosticcommunicationondansetron
VIChospital2015-12-02

Finding into death of Khodr El Mustapha

77y · Male·Complications of reaction to an iron infusion in a man with ischaemic heart dise…

… transfer to a monitored resuscitation area with continuous ECG monitoring, particularly in patients with cardiac disease; (3) specific informed consent for iron infusion should be obtained before administration; (4) ad…

emergency medicinehaematologydiagnosticproceduraliron polymaltose
QLDhospital2025-07-15

Inquest into the death of Errol George Radan

83y · Male·left middle cerebral artery cerebrovascular accident

…om a left middle cerebral artery stroke on 26 October 2022, seven days after presenting with acute stroke symptoms. Mr Radan had atrial fibrillation and was prescribed dabigatran for anticoagulation and secondary stroke …

neurologyemergency medicinedabigatran
VIChospital2017

Finding into death of Nghi Trieu Gla Pham

4y · Male·Complications of T-cell lymphoma

… Pham was a 4-year-old admitted to Sunshine Hospital with facial swelling, stridor, and upper respiratory symptoms. He was examined by emergency and ENT teams, diagnosed with adenoiditis and sinusitis, and discharged aft…

emergency medicineENT surgerycefalexin
VIC2015-12-18

Finding into death of Odisseas Vekiaris

29y · Male·Unascertained causes on a background of agitated delirium state

A 29-year-old man with a 12-year history of mental illness died in police custody during transport to a police station. He had stopped taking his antipsychotic medication (Risperidone 4mg daily) following GP advice to re…

general practicepsychiatrycommunicationsystemrisperidone
QLDprison2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

Richard William Hobbs, aged 48, died from cardiac arrest in custody at Brisbane Correctional Centre on 21 November 2017. He had significant comorbidities i…

emergency medicinecardiologydiagnosticcommunicationaspirin
QLDhospital2016-06-20

Bradshaw, Scott Anthony - Non-inquest findings

38y · Male·Pulmonary thromboembolism due to bilateral deep calf vein thrombi

…to the emergency department with presumed pneumonia based on fever, pleuritic chest pain, and respiratory symptoms. His general practitioner appropriately referred him urgently. The ED team treated him for pneumonia with…

emergency medicineintensive carediagnosticcommunicationhypnodorm
VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

…elen Welsh, 63, died from E. coli septicaemia with multiple comorbidities. She presented with respiratory symptoms and underwent bronchoscopy. On discharge day, she deteriorated with fever, altered consciousness, and hyp…

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
TASaged care2025-04-08

Coroner's Finding: Zito, Adelina

93y · Female·acute right lower limb ischaemia

…gement response, lack of neurovascular assessment of the leg, failure to escalate beyond paracetamol when symptoms worsened, delayed request for urgent GP review (not sent until 31 July despite symptoms from 26-28 July),…

geriatric medicinegeneral practicediagnosticsystemparacetamol
19101114

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