Coronial

288 results for dysphagia

VIChospital2026-02-23

Finding into death of Lani-Kay Roxanna Illsley

55y · Female·Combined effects of influenza A infection, acute kidney injury, and aspiration p…

Lani-Kay Illsley, a 55-year-old woman with Rett syndrome residing in specialist disability accommodation, died from combined effects of influenza A infection, acute kidney injury, and aspiration pneumonia. She was admitt…

emergency medicineinfectious diseases
VIChospital2021-05-21

Finding into death of Robin Frank Henry Wisseling

59y · Male·Pneumonia in a man with Lennox-Gastaut syndrome

A 59-year-old man with Lennox-Gastaut syndrome, spastic quadriplegia, and severe intellectual disability died of pneumonia following aspiration risk. He had persistent respiratory symptoms from July 2019, including cough…

respiratory medicinegeneral medicineclobazam
SAhospital2020-07-16

Coroner's Finding: SOLTYS Marie Joyce

78y · Female·aspiration pneumonia complicating electroconvulsive therapy on a background of e…

…ate, with no recommendations for improvement. The case highlights risks of ECT in advanced dementia with dysphagia, though the coroner made no adverse findings regarding clinical decision-making.

psychiatrygeriatric medicine
WAhome2014-12-19

Inquest into the Death of Bethany

5y · Female·Epilepsy in association with Cerebral Palsy

A 5-year-old girl with severe cerebral palsy (GMFCS level 5) and intractable epilepsy died at home, likely from a seizure. She had multiple medical complexities including microcephaly, developmental delay, unsafe swallow…

paediatricsneurology
VIChospital2025-10-17

Finding into death of Raymond Charles Levy

75y · Male·Aspiration pneumonia in the setting of epilepsy and cerebral palsy

Raymond Charles Levy, a 75-year-old man with cerebral palsy and epilepsy living in supported disability accommodation, died from aspiration pneumonia. He presented to hospital with fatigue, fever and cough on 18 October …

general medicineemergency medicineceftriaxone
VIChospital2024-04-11

Finding into death of Mark Andrew Spillane

58y · Male·Septic shock secondary to intra-abdominal collections as sequelae of osteomyelit…

A 58-year-old man with Down syndrome and multiple comorbidities died from septic shock secondary to intra-abdominal collections caused by osteomyelitis/discitis of the spine. He initially presented with a foot bone infec…

infectious diseasesgeneral medicine
QLDhospital2018-01-23

Fitton, Wesley Ronald John

50y · Male·Tracheal obstruction due to poorly differentiated metastatic malignant epithelio…

Wesley Fitton, aged 50, died from tracheal obstruction caused by metastatic epithelioid sarcoma while in custody at Princess Alexandra Hospital's secure unit. Diagnosed in June 2014 with aggressive, rapidly progressive c…

oncologypalliative carepalliative chemotherapy
WAmental health2013

Inquest into the Death of Vos, Glenis June

60y · Female·Focal pneumonia in a woman with emphysema and ischaemic heart disease

A 60-year-old woman with long-standing schizophrenia/bipolar disorder, emphysema, and ischaemic heart disease died of focal pneumonia at Graylands Hospital. She had been an involuntary patient with multiple prior respira…

psychiatrygeneral medicinetemazepam
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progress…

psychiatrygeneral practicesystemdelayrisperidone
NT2026-03-19

Inquest into the death of Bradley Murdoch

66y · Male·metastatic adenocarcinoma (palliated) from an unidentified primary tumour

Bradley John Murdoch, a 66-year-old prisoner serving a life sentence for murder, died in the palliative care unit of Alice Springs Hospital from metastatic adenocarcinoma on 15 July 2025. He had presented to the correcti…

oncologypalliative carecarboplatin
VIChospital2014-05-20

Finding into death of Jonathan Mark Smith

55y · Male·recurrent aspiration pneumonia in a man with severe intellectual disability comp…

Jonathan Smith, a 55-year-old man with severe intellectual disability due to childhood encephalitis, died from recurrent aspiration pneumonia. He had experienced three episodes within a year prior to death. After admissi…

geriatric medicinerespiratory medicineclindamycin
SAhospital2005-04-05

Coroner's Finding: HOLLENS Christopher

44y · Male·aspiration pneumonia

Christopher Hollens, a 44-year-old man with chronic schizophrenia, traumatic brain injury, spastic paraparesis, and epilepsy, died of aspiration pneumonia after a 15-day admission to Royal Adelaide Hospital. He was trans…

psychiatrygeneral medicinephenytoin
NThospital2012-03-28

Inquest into the death of Master F

17y · Male·pneumonia and respiratory failure associated with choreoathetoid cerebral palsy

A 17-year-old Indigenous male with severe choreoathetoid cerebral palsy, feeding difficulties, and swallowing dysfunction died of pneumonia and respiratory failure in ICU. He had missed lunch medications (Baclofen and Ga…

general surgerypaediatricsmedicationbaclofen
WAhospitalJuly 2023

Inquest into the Death of Lincoln Arthur CAMPBELL

52y · Male·end-stage throat cancer

Lincoln Campbell, a 52-year-old Aboriginal man with terminal throat cancer, disappeared from Kununurra Hospital on 24 December 2005 while receiving palliative care. He had a PEG feeding tube, required regular morphine an…

oncologypalliative caremorphine
VICcommunity2025-03-04

Finding into death of Andrea Dorothy Milner

55y · Female·Multiple injuries sustained in a train incident

Andrea Milner, a 55-year-old woman with cerebral palsy, depression, and anxiety, died from multiple injuries sustained when she drove her motorised wheelchair off a railway platform onto tracks at Ormond station on 23 Se…

psychiatrypsychologyescitalopram
SAhospital2021-11-23

Coroner's Finding: Osborne, Brian Thomas

89y · Male·combined effects of cerebrovascular accident, pneumonia and chronic cardiac fail…

An 89-year-old man with multiple comorbidities (ischaemic heart disease, diabetes, COPD) presented with chest infection and was admitted for heart failure. He suffered an acute stroke with subsequent delirium and combati…

cardiologyneurologyinsulin
SAhospital2019-10-29

Coroner's Finding: PEMBERTON Graham Ashton

87y · Male·aspiration pneumonia, urinary tract infection and general inanition complicating…

Graham Pemberton, 87 years old with advanced Alzheimer's dementia, died of aspiration pneumonia, urinary tract infection, and general inanition. He was admitted to hospital multiple times in 2015 with behavioural disturb…

geriatric medicinepsychiatry
TAShome2021-04-12

Coroner's Finding: Rubenach, Timothy Luke

32y · Male·Aspiration pneumonia and reflux oesophagitis

Timothy Luke Rubenach, aged 32, died of aspiration pneumonia following severe reflux oesophagitis. He had profound intellectual disability and drug-resistant epilepsy from meningococcal infection at 5 months. His parents…

general practicegastroenterologymorphine
TAShospital2017-06-20

Coroner's Finding: Crosswell, Wendy

69y · Female·peritonitis due to dislodged percutaneous endoscopic gastrostomy (PEG) tube

A 69-year-old woman with pyelonephritis developed peritonitis and died after a percutaneous endoscopic gastrostomy (PEG) tube became dislodged. The tube dislodgement was suspected on 11 December 2015 when the patient was…

gastroenterologyradiologydiagnosticcommunication
VICaged care2023-05-15

Finding into death of Jennifer Mary Thomas

65y · Female·Unascertained

Jennifer Thomas, a 65-year-old woman with intellectual disability due to phenylketonuria, died in disability residential care. She became unresponsive in her wheelchair and staff performed emergency CPR after lifting her…

geriatric medicinedisability medicinesodium valproate

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