Inquest into the death of Madeline Newcombe
63y · Female·Pulmonary thromboembolism
A 63-year-old woman died from pulmonary thromboembolism within 24 hours of bilateral total knee arthroplasty despite aspirin and sequential comp…
204 results for “pulmonary embolism”
63y · Female·Pulmonary thromboembolism
A 63-year-old woman died from pulmonary thromboembolism within 24 hours of bilateral total knee arthroplasty despite aspirin and sequential comp…
60y · Male·haemopericardium due to rupture of right ventricle complicating removal of cardi…
…y available (situated 100 metres away), leading to a 20-25 minute diagnostic delay while an unproductive pulmonary angiogram was performed instead. The coroner found that had diagnostic ultrasound been immediately avail…
31y · Male·Pulmonary thromboembolism arising from deep vein thrombosis
Adam David McKay, a 31-year-old geologist, died from pulmonary thromboembolism arising from deep vein thrombosis on 23 January 2003. He had recently completed extensiv…
82y · Male·Self-inflicted partial contact shotgun wound of the head
An 82-year-old man with recently diagnosed myeloma died by self-inflicted shotgun wound. He had undergone intensive chemotherapy causing significant deterioration in physical health, mental state, and independence. Six w…
61y · Male·cardiac tamponade caused by aortic dissection due to hypertension
Harry Coxell, a 61-year-old man with hypertension, presented to Blacktown Hospital with severe sudden-onset chest pain on 31 October 2006. The Emergency Department doctor, Dr H., assessed him as intermediate risk for isc…
82y · Male·hypostatic pneumonia
An 82-year-old man with dementia and multiple comorbidities died of hypostatic pneumonia following complications from a fall at a residential aged care facility. He sustained an L2 compression fracture from an unwitnesse…
65y · Male·metastatic prostate cancer complicated by deep vein thromboses
Peter Raymond Porter, aged 65, died in prison from metastatic prostate cancer complicated by deep vein thromboses in January 2022, eight and a half years after diagnosis. He had presented with urinary symptoms in Decembe…
Unknown·Panella: pulmonary thromboembolism due to left calf deep vein thrombosis; Skeffi…
… following extended waits on ambulance ramps outside metropolitan hospitals. Anna Panella (76) died from pulmonary thromboembolism; Bernard Skeffington (89) died from aspiration pneumonia after waiting 1 hour 43 minutes…
21y · Male·dilated cardiomyopathy
Dean Lovett, 21 years old, presented with fever, vomiting, cough and palpitations to his general practitioner on 6 September 2008. Dr G. identified clinical signs concerning for cardiac disease (tachycardia, finger clubb…
55y · Female·acute necrotising bronchopneumonia
…face-to-face assessment or investigation despite colleagues expressing serious concern for serious cardiopulmonary pathology. Critical clinical lesson: MQ's symptoms were consistent with severe bronchopneumonia yet she …
68y · Female·Complications of a fall with contributing factors of respiratory failure, respir…
… The coroner found her death resulted from natural causes (likely respiratory failure, cardiac event, or pulmonary embolism) compounded by her complex medical and psychiatric conditions. Care was deemed appropriate; no …
58y · Male·Hypertensive and valvular heart disease
Kevin McCracken, 58, died of hypertensive and valvular heart disease following sudden cardiac collapse in a prison pre-release unit. He had complex pre-existing cardiac disease including previous valve replacement and ao…
87y · Male·Multiple injuries in a motor vehicle incident
Mr Frederick Hylla, 87 years old, died from injuries sustained in a motor vehicle incident 18 days after discharge from hospital for acute myocardial infarction. He suffered a likely cardiac event while driving, causing …
87y · Female·combined effects of ischaemic heart disease and chronic obstructive pulmonary di…
Epenesa Pahiva, 87-year-old resident with dementia at an aged care facility, suffered severe chemical burns from inappropriate bleach treatment prescribed by dermatologist Dr B.. The coroner found the treatment itself (h…
51y · Male·Sepsis due to or as a consequence of right lower limb necrotising fasciitis due …
A 51-year-old man with metastatic renal cell carcinoma died from sepsis following necrotising fasciitis of the lower limb, which developed after a pseudo-aneurysm complication from coronary angiography. Key clinical less…
60y · Female·Respiratory arrest in the setting of aspiration pneumonia; seizures associated w…
A 60-year-old woman with Down syndrome, Alzheimer's dementia, and epilepsy died from respiratory arrest due to aspiration pneumonia after a seizure. A multi-day delay in anticonvulsant medication (phenytoin) occurred due…
85y · Male·Intracranial haemorrhage in the setting of a fall in a man with multiple comorbi…
An 85-year-old man with multiple comorbidities suffered a fall at home and was transported to hospital with stroke symptoms. A CT brain scan revealed subtle subarachnoid haemorrhage (traumatic), but the VST consultant ne…
78y · Male·Complications of bowel surgery; specifically post-operative chest infection and …
Barry Howroyd, a 78-year-old man, underwent routine colonoscopy on 7 August 2008 which complicated a known bowel carcinoma diagnosis. The procedure caused bowel perforation, diagnosed the next day via CT imaging. Surgica…
38y · Male·Mixed drug toxicity
DA was a 38-year-old man who died from mixed drug toxicity involving sedating medications and alcohol. He had longstanding severe anxiety and became dependent on codeine and benzodiazepines, initially obtained from multi…
69y · Male·thoracic aortic aneurysm with dissection
…t was misread. Over the subsequent three days, clinicians pursued alternative diagnoses (stroke, sepsis, pulmonary embolism) based on the incorrect CT report. The coroner found that had the dissection been promptly diag…
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