Coronial

276 results for cardiac symptoms

SAmental health2010-03-11

Coroner's Finding: SHIN Jeong

35y · Female·pulmonary thrombo-emboli

…ychiatric patients with communication difficulties and limited cooperation who present with vague somatic symptoms.

psychiatryemergency medicinedelayclozapine
VIChospital2014-06-05

Finding into death of Constandia Petzierides

74y · Female·haemothorax secondary to dissecting thoracic aorta

…agnosis. The case reveals systemic issues including poor communication of paramedic concerns, reliance on cardiac-focused pathways without adequate re-evaluation, and insufficient consideration of rare but lethal differ…

emergency medicinecardiologydiagnosticcommunicationwarfarin
TAShospital2022-01-28

Coroner's Finding: Mitchell, Gordon Arthur David

54y · Male·acute myocardial infarction

Gordon Arthur David Mitchell, 54 years old, died of acute myocardial infarction five days after successful stenting for an initial MI. He was discharged on 10 July 2019 despite presenting with chest pain, dyspnea, and co…

cardiologyemergency medicinediagnosticclinical decisionbeta-blocker
QLDcommunity2020-04-17

Russo, Matthew Anthony

37y · Male·Cardiac failure due to sepsis due to bilateral bronchopneumonia

Matthew Russo, a 37-year-old man, died from sepsis and cardiac failure secondary to bilateral bronchopneumonia within 18 hours of consultation with Dr M.. The coroner f…

general practicerespiratory medicinediagnosticcommunicationamoxicillin
NSWhospital2023-07-21

Inquest into the death of Ziad Hamawy

51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …

…1-year-old man with chronic schizophrenia and polysubstance use disorder, died from opiate toxicity after cardiac arrest following his discharge from Concord Hospital's mental health unit on 18 March 2019. He had been i…

psychiatryemergency medicinediagnosticcommunicationheroin
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

Shane Pappas, a 54-year-old man with ischaemic heart disease, died from quetiapine toxicity after deliberately overdosing on multiple medications on 29 June 2021. He had experienced a recent relationship breakdown and pr…

psychiatryemergency medicinediagnosticcommunicationquetiapine
ACThome2017-09-11

AN INQUEST INTO THE DEATH OF LESLEY MAREE SMITH

47y · Female·Sudden Unexpected Death in Alcohol Misuse (SUDAM)

…bottles nightly) and was prescribed diazepam by her GP, Dr H., starting April 2013 for alcohol withdrawal symptoms without specialist addiction training or formal guidelines. Autopsy revealed alcoholic liver disease with…

general practicepathologydiagnosticcommunicationdiazepam
VICaged care2019-02-04

Finding into death of Margaret Elizabeth Barton

83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…

…continuity. Preventable factors included inadequate medication oversight, failure to escalate psychiatric symptoms to specialist services earlier, poor inter-facility communication, and lack of formal falls risk assessme…

general practicegeriatric medicinemedicationcommunicationoxazepam
QLDhospital2010-06-11

Whiting, Edith

68y · Female·Anaphylactoid reaction to intravenous CT scan contrast medium leading to cardior…

A 68-year-old woman with asthma presented to hospital with abdominal pain suggestive of biliary obstruction. A CT scan with intravenous contrast was ordered to clarify the diagnosis before potential surgical transfer. Sh…

emergency medicinesurgerycommunicationdelayintravenous contrast medium
VIChome2016-08-02

Finding into death of Stephen Liat Kai Lim

56y · Male·Benzalkonium chloride toxicity

Stephen Lim, aged 56, died from benzalkonium chloride toxicity after deliberately ingesting approximately 2.5 litres of Pine-O-Cleen disinfectant on 25 September 2010. His death occurred from acute lung injury due to asp…

emergency medicinetoxicologycommunicationsystembenzalkonium chloride
VIChome2016-03-24

Finding into death of Caroline Emily Lovell

36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…

Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…

midwiferyobstetricsdiagnosticcommunicationsyntocin
WAhospital2013-05-01

Inquest into the Death of Squires, John Gregory

47y · Male·Pulmonary thromboembolism in association with deep vein thrombosis

…oea, and sweating. Despite rapid recognition by medical staff and appropriate investigations, he suffered cardiac arrest from massive pulmonary embolism with DVT before anticoagulation could be beneficial. Key preventab…

surgeryanaesthesiadiagnosticdelayheparin
TAShospital2017-11-01

Coroner's Finding: French, Steven John

57y · Male·large volume ischaemic infarct (stroke)

…specialist neuroradiologists. Mr French was discharged on anticoagulation but re-presented with worsening symptoms on 7 August. A critical decision to reverse his warfarin was made by the ED consultant without reviewing …

neurologyradiologydiagnosticcommunicationenoxaparin
NT2005-10-31

Inquest into the death of Angus Lawrence

25y · Male·acute heat stroke

Trooper Angus Lawrence, a 25-year-old soldier, died from acute heat stroke on 10 November 2004 during a military training exercise at Mount Bundey, NT. He collapsed during a patrol and despite rapid evacuation and intens…

paramedicineoccupational and environmental healthdiagnosticcommunication
VIChospital2022-02-22

Finding into death of Matthew Lee Dongelmans

30y · Male·Complications of methylamphetamine toxicity

Matthew Dongelmans, aged 30, died from complications of methylamphetamine toxicity after being arrested for breaching a family violence intervention order. He consumed methylamphetamine prior to arrest, likely in panic w…

emergency medicineintensive caredelaysystemmethamphetamine
VICaged care2020-04-22

Finding into death of Dorothy May Nelson

81y · Female·Complications of choking on a food bolus in a woman with dementia

…bulance arrived 20 minutes after collapse. Critical clinical lessons: choking can present without typical symptoms (no coughing/wheezing); staff must recognise progression to cardiorespiratory arrest; facility policies m…

geriatric medicinepsychiatrydiagnosticproceduralmorphine
QLDaged care2018-04-09

Enid Patricia Hiddle - Non-inquest findings

81y · Female·Acute pyelonephritis (kidney infection) in combination with severe coronary arte…

…ospital and primary care, timely urine testing with documented results, clinical escalation of concerning symptoms, and thorough medical review might have enabled earlier diagnosis and antibiotic treatment.

general practiceemergency medicinediagnosticcommunication
NSW2021-03-11

Inquest into the death of Nathan REYNOLDS

36y · Male·bronchial asthma

Nathan Reynolds, a 36-year-old Aboriginal man with severe asthma, died from bronchial asthma in prison on 1 September 2018. His death exposed critical failings in both immediate emergency response and chronic disease man…

respiratory medicineemergency medicinediagnosticsystemsalbutamol
WAhospital2015-01-15

Inquest into the Death of Petra ZELE

28y · Female·hypoxic brain injury following cardiac arrest in association with pulmonary hype…

Petra Zele, a 28-year-old woman, died from hypoxic brain injury following cardiac arrest due to acute pulmonary embolism superimposed on chronic thromboembolic pulmonary hypertension. She…

emergency medicinecardiologydiagnosticcommunicationyasmin
SA2004-08-06

Coroner's Finding: TURNER Troy Phillip

36y · Male·hanging

…stries area was accessible to prisoners. The coroner emphasised that while Mr Turner had shown depressive symptoms requiring monitoring, the immediate preventable factor was the failure to attempt resuscitation, which ma…

psychiatryemergency medicineproceduralsystemfluvoxamine

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