Coronial

239 results for chest infection

NSWhospital2018-06-06

Inquest into the death of Dr Malay Rana

27y · Male·Loss of airway control and blockage due to aspiration from complications of a sm…

…enior registrars to conduct personal reviews when indicated; and (5) opioid analgesia (fentanyl) masking infection symptoms. Multiple missed opportunities to escalate to MET/rapid response or reinsert NGT during evening…

respiratory medicinegeneral surgerycommunicationdiagnosticfentanyl
VIChospital2024-09-26

Finding into death of FH C

11y · Male·Sepsis

An 11-year-old boy with autism spectrum disorder (ASD level 3), ADHD, and obesity died from sepsis on 20 June 2022. He presented to Rosebud Hospital ED on 14 June with fever, vomiting, and low blood pressure, was dischar…

emergency medicinepaediatricsdiagnosticcommunicationrisperidone
NTprison2005-08-26

Inquest into the death of Warren Maminyamanja

34y · Male·Septicaemia resulting from Melioidosis

Warren Maminyamanja, a 34-year-old Aboriginal man, died from melioidosis septicaemia on 13 June 2004 whilst in custody at Darwin Correctional Centre. Clinical assessment for melioidosis was not considered, though expert …

emergency medicineintensive caresystemdelayibuprofen
VIChospital1996-08-16

LONG June

69y · Female·Asthma

June Sylvia Long, aged 69, suffered an asthma attack at home on 28 June 1994 and was transported to Alfred Hospital. She deteriorated overnight in the hospital's Respiratory Ward despite initial improvement in Emergency …

respiratory medicineemergency medicinediagnosticcommunicationsalbutamol
WAhome2021-06-22

Inquest into the Death of Child AM (Name Subject to Suppression Order)

3y · Female·bronchopneumonia in an infant with obstructive sleep apnoea

A 3-year-old Aboriginal girl died from bronchopneumonia complicated by severe obstructive sleep apnoea. She had rapid-onset childhood obesity (36 kg at death; normal weight 14-16 kg) with multiple cardiopulmonary complic…

paediatricsrespiratory medicinecommunicationsystem
NSWhospital2026-01-13

Inquest into the death of Paul Harris

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

Paul Harris, a 43-year-old Aboriginal man, died from bilateral pulmonary emboli while hospitalized at Hay District Hospital. He presented in September 2019 with pneumonia and Q fever (occupational exposure from kangaroo …

general practiceemergency medicinediagnosticcommunicationceftriaxone
NSWcommunity2016-01-29

Jimmy JAMES - Findings

44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)

Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…

emergency medicineintensive carediagnosticmedicationceftriaxone
SAhospital2006-08-22

Coroner's Finding: DENNIS Jessica-Lee

16y · Female·consequences of acute asthma with hypoxic encephalopathy

Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheezing over six weeks starting September 2001, with significant family h…

general practicerespiratory medicinediagnosticcommunicationsalbutamol
SAprison2023-11-10

Coroner's Finding: Trotta, Giovanni

58y · Male·acute bronchopneumonia

…ng him with untreated diabetes; (3) low oxygen readings in February-April should have prompted escalation (chest X-ray, medication review, or hospital admission); (4) changes in prisoner behaviour—not eating, excessive …

emergency medicinerespiratory medicinediagnosticcommunicationclozapine
VIChospital2012-02-06

Finding into death of David Crisfield

43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…

…en Dr Y. failed to examine the patient and declined admission despite clear signs of serious respiratory infection. An expert opinion suggested that even two hours earlier antibiotic administration would likely not have…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
QLDaged care2017-06-09

DR - Non-inquest findings

46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)

A 46-year-old woman with bipolar/schizoaffective disorder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden…

general medicineemergency medicinecommunicationsystemquetiapine
QLDcommunity2020-09-07

C - Non-inquest findings

6y · Male·Sepsis due to melioidosis

A six-year-old previously healthy boy died from sepsis due to melioidosis after multiple presentations to a remote hospital over five days (5–10 January 2017) with fever, vomiting, diarrhoea, and headache. Initial diagno…

paediatricsinfectious diseasesdiagnosticcommunicationparacetamol
NSWhospital2010-12-22

Finding patience,iandonald 970 07

68y · Male·Complications following colon surgery on a background of cirrhosis of the liver;…

Ian Donald Patience, 68, died on 10 June 2007 from complications following colon surgery in the setting of cirrhosis. He underwent right hemicolectomy at Sydney South West Private Hospital on 31 May 2007 for colorectal c…

general surgerygastroenterologydiagnosticcommunicationmorphine
QLDhomePodcast2021-09-17

Ely-Smith, Zamia

3y · Female·Hypoxic-ischaemic encephalopathy due to chorioamnionitis due to Gardnerella Vagi…

Zamia Ely-Smith died at 3 days of age from hypoxic-ischaemic encephalopathy due to chorioamnionitis following home birth at term. Clinical lessons include: (1) decreased fetal movements at 39+ weeks gestation and hospita…

midwiferyobstetricsdiagnosticcommunication
VICaged care2011-05-20

Finding into death of Lena Divola

59y · Female·Subdural haemorrhage from blunt force trauma to head sustained in a backwards fa…

Lena Divola, a 59-year-old woman with intellectual disability, schizophrenia, and depression living in supported accommodation, sustained a head injury on 24 December 2007 when she fell backwards from a walker being push…

general practicepsychiatryproceduralcommunicationwarfarin
NSWprison2017-03-31

Inquest into the death of Keith HOWLETT

49y · Male·complications of non-small cell carcinoma of the lung

Keith Howlett, 49 years old, died from complications of non-small cell carcinoma of the lung while in custody at Junee Correctional Centre after 5 weeks of incarceration. He had complex medical needs including HIV, perip…

general practiceoncologydiagnosticsystem
WAhospital2022-01-25

Inquest into the Death of Carole LIVESEY

54y · Female·unascertained

Carole Livesey, a 54-year-old woman with severe anorexia nervosa and major depression, absconded from Rockingham Hospital psychiatric unit on 3 October 2017 during an escorted walk in hospital grounds. She had been an in…

psychiatrygeneral medicinecommunicationproceduralfluoxetine
SAhospital2009-12-31

Coroner's Finding: LYNN Matthew John

20y · Male·hypoxic encephalopathy

Matthew Lynn, aged 20, died from hypoxic encephalopathy after sustaining head injuries in a motor vehicle collision. While hospitalised in ICU, his endotracheal tube (ETT) became displaced around 12:20am on 23 January 20…

intensive careanaesthesiadiagnosticcommunicationpropofol
WAhospital2022-03-28

Inquest into the Death of Morgan John EDWARDS

31y · Male·Complications in association with intestinal volvulus

31-year-old Morgan Edwards with Smith-Magenis Syndrome, cerebral palsy and Crohn's disease was discharged from Fiona Stanley Hospital ED on 14 August 2018 without definitive diagnosis despite elevated respiration rate, u…

emergency medicinegastroenterologydiagnosticcommunication

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