Coronial

276 results for cardiac symptoms

VIChospital2013-01-31

Finding into death of Salvatore Accardo

47y · Male·pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm …

…s, and weakness, but was misdiagnosed with gastroenteritis. Critical clinical information documenting his cardiac risk factors was documented by paramedics and nursing staff but not incorporated into Dr R.'s clinical de…

emergency medicinecardiologydiagnosticcommunicationatenolol
VICcommunity2024-07-29

Finding into death of Andrew David Berry

41y · Male·sympathomimetic syndrome

Andrew Berry, a 41-year-old man with a long history of methamphetamine use and criminal offending, died of sympathomimetic syndrome following arrest by police on 14 January 2020. He was arrested after attempting to break…

emergency medicineforensic medicinesystemdelaymethamphetamine
SAhospital2013-08-27

Coroner's Finding: BALNAVES Craig Henri

43y · Male·ischaemic small intestine due to incarceration of bowel in a mesenteric defect

…d-of-care management. Mesenteric ischaemia is notoriously difficult to diagnose even in tertiary centres; symptoms are non-specific and often out of proportion to signs. The condition has 59-73% mortality even when diagn…

general surgerypsychiatryantacid
SA2020-11-26

Coroner's Finding: KEN Kenneth Ngalatji

68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…

…uate medical assessment of chest pain with borderline ECG showing changes from previous baseline, without cardiac risk stratification or Troponin testing; and placement alone in his cell despite HRAT status mandating do…

psychiatrycardiologydiagnosticcommunicationolanzapine
NSWhospital2026-01-13

Inquest into the death of Paul Harris

43y · Male·Bilateral pulmonary thrombo-emboli; contributory factors included obesity, coron…

…ure from kangaroo processing), was discharged, then readmitted in October 2019 with worsening respiratory symptoms including haemoptysis—a 'red flag' for PE. Despite explicit documentation of concern about PE at 9 Octobe…

general practiceemergency medicinediagnosticcommunicationceftriaxone
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…

…s. David Gurralpa, a 39-year-old Aboriginal man with pre-existing coronary artery disease, died of sudden cardiac arrest following police restraint during a domestic disturbance call. Robert Plasto-Lehner, a 57-year-old…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
QLDhome2015-03-19

Press, Connon Kenneth

33y · Male·Gunshot wound to the head

…m a self-inflicted gunshot wound to the head. He had been prescribed risperidone and prozac for psychotic symptoms and was experiencing significant paranoid delusions on the morning of his death. Post-mortem toxicology r…

psychiatryforensic medicinemethamphetamine
NSWhospital2017-12-01

Inquest into the death of Carey Alexander

13y · Male·borderline myocarditis, most likely due to influenza A virus infection

A 13-year-old previously healthy boy with borderline myocarditis presented to an adult ED with flu-like symptoms, lethargy, dizziness, syncope and inability to walk unaided. Despite these concerning features, he was di…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
NSW2022-03-18

Inquest into the death of Jeffrey Ellington

32y · Male·Subarachnoid haemorrhage due to ruptured cerebral aneurysm

…ical indication for neuroimaging investigation. His headache complaints were not accompanied by classical symptoms of subarachnoid haemorrhage (nausea, vomiting, collapse). Resuscitation efforts were prompt and appropria…

forensic medicineneurosurgerymethadone
VIChospital2021-09-21

Finding into death of AH

37y · Male·Mixed Drug Toxicity (Oxycodone, Quetiapine, Pregabalin and Clonazepam)

… clonazepam) after ingesting unknown quantities of his own medications in an ED. He presented with trauma symptoms four days post-motor vehicle accident and was observed taking Targin (oxycodone/naloxone) at 9:50am. Desp…

emergency medicinetoxicologydiagnosticcommunicationoxycodone
QLD2009-11-26

Costelloe, Anthony Gayle

37y · Male·Posterior myocardial infarction consequent upon right coronary artery thrombosis…

…vailability. The coroner found the assessment based on flawed information and inadequate understanding of cardiac presentation. He was discharged without treatment or firm diagnosis. The autopsy revealed severe coronary…

cardiologyemergency medicinediagnosticcommunication
QLDhome2007-09-13

Babington, Lynette

64y · Female·Pulmonary embolism secondary to deep vein thrombosis in right leg, with contribu…

…d severe pulmonary hypertension. The coroner found her medical care appropriate; her GP Dr O. managed her symptoms and arranged timely specialist investigation. While Mrs Babington experienced significant chronic stress …

general practicecardiologyatenolol
WAhospital2018-03-15

Inquest into the Death of Roderick Leslie CARTER

63y · Male·Atherosclerotic Heart Disease

A 63-year-old farmer presented to a small rural hospital with atypical chest pain symptoms (also reporting indigestion, shivering, and numbness). Although a registered nurse appropriately triaged …

cardiologyemergency medicinecommunicationsystemaspirin
QLD2007-11-28

Tanner, Marjorie Joyce

Female·Coronary atherosclerosis with ischaemic small bowel and Alzheimer's disease

…ed with simple constipation and treated with enema and laxatives, she was discharged then readmitted when symptoms persisted. At Hervey Bay Hospital, bowel obstruction was confirmed. Due to elevated lactate on arterial b…

general medicinesurgerydiagnosticsystemmetoclopramide
NTprison2005-08-26

Inquest into the death of Warren Maminyamanja

34y · Male·Septicaemia resulting from Melioidosis

…vidence confirmed this would be unusual given the presentation of a non-hot swollen knee without systemic symptoms. The primary clinical lesson concerns prison medical reception procedures: the deceased's second receptio…

emergency medicineintensive caresystemdelayibuprofen
QLDhome2024-12-06

Inquest into the death of Audrey Yvette Carrick

83y · Female·Pulmonary thromboembolism due to aortic stenosis (recent transcatheter aortic va…

…sonable given bleeding risks, and discharge itself was not contraindicated despite residual heart failure symptoms, the failure to conduct planned electrophysiology review before discharge was a missed opportunity. The c…

cardiologycardiothoracic surgerycommunicationdocumentationwarfarin
VIChospital2024-06-14

Finding into death of Joshua Paul Coates

49y · Male·Acute myocardial infarction complicating prosthetic valve thrombosis in a man wi…

Joshua Paul Coates, aged 49, died from acute myocardial infarction complicating prosthetic valve thrombosis following mechanical aortic valve replacement. Post-mortem examination revealed a large blood clot obstructing h…

cardiothoracic surgerycardiologycommunicationsystemwarfarin
NTcommunity2011-07-27

Inquest into the death of Marilyn Lalara

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

…an with chronic diseases (diabetes, COPD, ischaemic heart disease) presented with ongoing chest infection symptoms across multiple clinic visits between 30 March and 4 April 2010. Despite five presentations to clinic sta…

emergency medicinecardiologydiagnosticdelayantibiotics
QLDhome2017-02-07

ES, a 87 year old lady

87y · Female·Multiple opioid drug toxicity (morphine and fentanyl) in combination with conges…

…icipated; (3) Ceased medications should not be returned to families without clear documentation; (4) When symptoms worsen at home, medical assessment should occur rather than escalating medications without advice; (5) Cl…

general practicepalliative caremedicationcommunicationmorphine
VIChospital2026-02-10

Finding into death of David James Dorling

59y · Male·multiorgan failure complicating paracetamol toxicity

…He attended court the next day and was remanded in custody without disclosing the ingestion. He developed symptoms (vomiting, chest pain, dizziness) during transport and police custody but attributed them to benign cause…

emergency medicineintensive careparacetamol

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