Coronial

261 results for asthma

WA2004-03-02

Inquest into the Death of Natasha Leanne Quartermaine

25y · Female·Ligature Compression of the Neck (Hanging)

Natasha Quartermaine, a 25-year-old female prisoner at Bandyup Women's Prison in Western Australia, died by suicide via ligature compression of the neck on 27 August 2001. She had a long history of mental illness, person…

psychiatrygeneral practicecommunicationsystemzuclopenthixol
WAhospital2013-09-24

Inquest into the Death of Whiteford, Carol Freda

68y · Female·Anaphylaxis in a woman with atherosclerotic cardiovascular disease and emphysema

A 68-year-old woman with severe COPD and undiagnosed atherosclerotic heart disease underwent cataract surgery at Northam Hospital. Post-operatively, she was prescribed Diamox (acetazolamide), a sulphonamide medication. D…

ophthalmologyanaesthesiadiagnosticmedicationdiamox
SAaged care2008-02-07

Coroner's Finding: WELLS Gladys Ruth

71y · Female·undetermined

71-year-old woman found dead in unusual position at Brighton aged care facility. Her body was positioned with head resting against bed pole, with marks on neck and bruising observed by carers. The death was certified as …

geriatric medicinegeneral practicediagnosticsystem
NThospital2018-06-19

Inquest into the death of Naomi Smith

26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis

Naomi Smith, aged 26, died from pulmonary embolism caused by dislodged deep vein thrombosis while in ICU at Royal Darwin Hospital. She had complex mental health needs (BPD, PTSD, depression) and morbid obesity. The criti…

psychiatryintensive caresystemdelay
WAcommunity2005-05

Inquest into the Death of Adam David McKay

31y · Male·Pulmonary thromboembolism arising from deep vein thrombosis

…trasound was not pursued despite discussion. He subsequently experienced shortness of breath attributed to asthma and chest infection. On 23 January, he deteriorated rapidly in hospital and died despite thrombolytic ther…

general practiceemergency medicinediagnosticcommunication
NSW2011-07-01

Coroner's Finding: Michael Peter Magro

40y · Male·Hypoxic brain injury consequent upon cardiac disease, possible viral infection o…

Michael Peter Magro, a 40-year-old male inmate at a correctional facility, died on 27 December 2008 from hypoxic brain injury following cardiac disease and severe pneumonia. Critical failures in prison healthcare were id…

correctional healthgeneral practicediagnosticcommunicationmethadone
VIChome2025-10-28

Finding into death of HCG

39y · Female·Unascertained

A 39-year-old woman experiencing intimate partner violence was assaulted by her partner on 31 January 2021 and died approximately 5 hours later. The assault caused significant blood loss; however, the medical cause of de…

forensic medicinepaediatricssystemcommunicationmethamphetamine
QLDhospital2011-09-20

Anderson, John Clive

36y · Male·infective endocarditis

John Clive Anderson, a 36-year-old prisoner, died from infective endocarditis despite being evaluated 25 times by prison medical officer Dr P. between February and May 2009. Dr P. documented possible infective endocardit…

general practicecardiologydelaycommunicationamoxicillin
NSWhospital2025-11-17

Inquest into the death of Brooke Tiddy

32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…

A 32-year-old woman with Sponastrime Dysplasia (a rare genetic bone disorder) died during elective bariatric surgery. She had undiagnosed subglottic stenosis (airway narrowing) and tracheobronchomalacia. Critical clinica…

bariatric surgeryanaesthesiadiagnosticcommunicationsevoflurane
QLDhospital2017-12-01

Girven, Bianca – Non-inquest findings

22y · Female·Hypoxic-ischaemic encephalopathy due to asphyxia (mechanical asphyxiation by nec…

A 22-year-old woman died from asphyxia following strangulation by her boyfriend with schizophrenia. The boyfriend was under mental health service care at Princess Alexandra Hospital. The coroner found his mental health t…

psychiatryemergency medicinediagnosticcommunicationclozapine
NSWhospital2022-12-08

Inquest into the death of Austin Facer

6y · Male·cardiopulmonary arrest on a background of earlier cardiac arrests and resuscitat…

Austin Facer, a 6-year-old boy, suffered multiple cardiac arrests at school on 21 October 2019, initially resuscitated successfully, but died during transfer preparation to a higher-level hospital that evening. Autopsy r…

paediatricsemergency medicinecommunicationsystemadrenaline
SAhospital2013-02-08

Coroner's Finding: FENSOM Angela Catherine and TAANKINK Johaanes Andrew

Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …

…usness of persistently low blood pressure despite it not responding to fluid therapy. Mr Taankink (26), an asthmatic, was prescribed Tamiflu on 6 August but did not fill it; if filled within 48 hours, pneumonia developme…

emergency medicinegeneral practicediagnosticcommunicationoseltamivir
QLDhospital2005-08-24

Sabadina, Kathryn Marnie

28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…

A 28-year-old woman died during routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe respiratory distress immediately after inducti…

anaesthesiadentistrydiagnosticproceduralpropofol
VICaged care2015-03-26

Finding into death of Chang Ying Xu

72y · Female·Hanging

Chang Ying Xu, a 72-year-old Chinese-speaking woman with severe spinal cord compression, chronic pain, and depression, died by hanging during respite care at an aged care facility. While her depression history and multip…

general practicegeriatric medicinediagnosticcommunicationbuprenorphine
VIChospital2013-08-13

Finding into death of Thelma Katherine Holt

79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…

Mrs Thelma Katherine Holt, a 79-year-old woman with multiple comorbidities including obesity, vascular disease, hypertension, and prior Nissen fundoplication, underwent placement of a second intragastric balloon on 11 Se…

gastroenterologygeneral surgerydiagnosticproceduralsertraline
SAcommunity2011-06-22

Coroner's Finding: TATCHELL Melissa Jay

28y · Female·bronchopneumonia complicating oxycodone toxicity

Melissa Jay Tatchell, aged 28 with severe anorexia nervosa (BMI 11.8, weight 29kg), died from bronchopneumonia complicating oxycodone toxicity. A locum doctor with no prior experience with oxycodone prescribed inappropri…

general practiceemergency medicinemedicationdiagnosticoxycodone
WAhospital2007-06-08

Inquest into the Death of Rasmussen

31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…

Rachael Anne Rasmussen, a 31-year-old mother of three with severe neck deformities (torticollis, dysmorphia, short rigid neck), died on 17 June 2003 from cerebral anoxia following attempted intubation at Joondalup Health…

anaesthesiageneral surgerydiagnosticproceduralatracurium
NSW2024-06-20

Inquest into the death of Michael Baker

44y · Male·Cardiac arrhythmia on a background of hypertensive heart disorder, obesity, diab…

Michael Baker, a 44-year-old Aboriginal man in custody at Lithgow Correctional Centre, died from cardiac arrhythmia on 25 June 2019. He had multiple comorbidities (hypertensive heart disease, obesity, type 2 diabetes, un…

general practicepsychiatrydiagnosticcommunicationmethadone
VIChospital2020-03-26

Finding into death of Matthew John George

45y · Male·Global cerebral hypoxia following cardio-respiratory collapse due to anaphylaxis…

A 45-year-old man with poorly controlled diabetes, ischaemic heart disease, and recurrent lower limb infections died from anaphylaxis to intravenously administered flucloxacillin. He presented with sepsis secondary to a …

general medicineinfectious diseasescommunicationdiagnosticflucloxacillin
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

21y · Male·complications of ligature compression of the neck (hanging)

Sarwan Al Jhelie, a 21-year-old Iraqi-born man in immigration detention, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior self-harm and overdose att…

psychiatryaddiction medicinecommunicationsystemmethamphetamine

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