Coronial

537 results for sepsis

QLDhospital2018-07-30

Khazaei, Hamid

24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …

…tion. His death was preventable and resulted from multiple compounding errors: failure to recognise severe sepsis despite worsening vital signs; lack of appropriate antibiotics at the Manus Island clinic; failure to intu…

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone
TAShome2022-02-18

Coroner's Finding: FL de-identified

17y · Unknown·hypoxic brain damage from out of hospital cardiac arrest

… short bowel syndrome, liver/pancreatic/splenic dysfunction from long-term TPN, and possible aspiration or sepsis. Key clinical lessons: early recognition of deterioration in medically complex adolescents is critical; co…

paediatric surgerygastroenterologydiagnosticdelay
QLDhospital2018-09-21

Baby M

0y · Female·Intracranial and intrapulmonary haemorrhage due to traumatic head injury from fa…

… intrapulmonary haemorrhage due to traumatic head injury from a fall, complicated by Group B Streptococcal sepsis. A nurse fell while carrying the newborn to another resuscitation table after the primary table lacked a c…

obstetricsmidwiferydiagnosticmedicationantibiotics
TAShome2018-11-05

Coroner's Finding: Unwin, David Paul

55y · Male·probable sepsis in the setting of immunosuppression, a skin wound and chronic di…

David Paul Unwin, a 55-year-old kidney transplant recipient with polycystic kidney disease, died of sepsis in January 2017. He presented with progressive symptoms including chronic diarrhoea, weight loss (16kg in …

nephrologygeneral practicediagnosticdelay
NSWhospital2020-03-04

Inquest into the death of Paul MORTIMER

65y · Male·ischaemic heart disease following complications of colorectal surgery

…orectal surgery for adenocarcinoma. Post-operative course was complicated by anastomotic breakdown causing sepsis on day 12 post-discharge, requiring readmission. A retained surgical sponge was discovered during emergenc…

colorectal surgeryintensive careproceduralsystemenoxaparin
QLDhospital2025-06-20

Inquest into the death of Christopher Glen Essery

74y · Male·Sepsis secondary to fistulating Crohn's disease and post-surgery complications f…

Christopher Essery, a 74-year-old man with complex fistulating Crohn's disease, died from sepsis following surgery on 24 January 2019. He was transferred to Princess Alexandra Hospital (PAH) on 31 August…

colorectal surgerygastroenterologysystemcommunication
VIChospital2021-12-08

Finding into death of David John McDermott

70y · Male·Congestive cardiac failure in a man with ischaemic and hypertensive heart diseas…

…ve cardiac failure secondary to ischaemic and hypertensive heart disease. He was admitted to hospital with sepsis and acute kidney injury in May 2018, followed by a complicated recovery including left foot infection requ…

cardiologygeriatric medicineolanzapine
NThospital2018-01-11

Inquest into the death of Addison Anthony

35y · Male·Active rheumatic pancarditis complicated by pulmonary arterial hypertension, pne…

…ne disorder were noted but not acted upon when he saw a locum doctor. He presented to RDH with respiratory sepsis and received appropriate intensive care treatment, though there were minor delays in care coordination and…

emergency medicineintensive carecommunicationdiagnosticdicloxacillin
NThospital2012-10-29

Inquest into the death of Ben James Witham

17y · Male·Multi-organ failure with terminal fungal sepsis (Aspergillus) on a background of…

…tham, a 17-year-old with acute lymphoblastic leukaemia, died from multi-organ failure with terminal fungal sepsis. The critical issue identified was a substantial delay in investigating acute severe abdominal pain on 13 …

oncologyhaematologydiagnosticdelaymorphine
NSWhospital2010-12-21

Coroner's Finding: Joan Dennison

78y · Female·sepsis and aspiration with metabolic dysfunction as a result of mechanical small…

…asked insufficient clarifying questions about her symptoms. She collapsed at home days later and died from sepsis with aspiration complications. The coroner found the death preventable and made recommendations for assert…

emergency medicinegeneral surgerydiagnosticcommunicationmetoclopramide
QLDhospital2007-12-20

Newman, Patricia Dell

72y · Female·Congestive cardiac failure due to or as a consequence of essential hypertension

Patricia Dell Newman, aged 72, was admitted to Rockhampton Base Hospital on 11 March 2006 with profound hypotension, acute renal failure, severe malnutrition, and multi-organ failure that had developed over weeks to mont…

general medicinerespiratory medicinecommunication
NSWhospital2018-04-26

Inquest into the death of Margaret Ann Pegum

67y · Female·Sepsis as a result of gastric perforation

Margaret Pegum, aged 67, died from sepsis following gastric perforation after an intragastric balloon (IGB) procedure for weight loss. She had under…

gastroenterologybariatric surgerydiagnosticcommunication
WAhospital2013-11-12

Inquest into the Death of Ford, Valma May Ruth

77y · Female·Complications following a recent fracture and surgical repair of the right hip i…

…stoperative deterioration from day 2 (hypotension, rising CRP, loose stools) should have triggered earlier sepsis recognition. (5) Underlying cardiac vulnerability and developing sepsis created cumulative insult; aggress…

orthopaedic surgeryemergency medicinediagnosticsystemwarfarin
NTcommunity2006-05-04

Inquest into the death of Cynthia Diane Ching

29y · Female·multiple organ failure following persistent sepsis occurring as a complication o…

…ss jar when fuel vapors ignited near a naked flame. She died 42 days later at Royal Adelaide Hospital from sepsis and multiple organ failure. The coroner found the refuelling practice manifestly dangerous and referred th…

plastic and reconstructive surgeryintensive careproceduralsystemmorphine
SAhospital2008-08-22

Coroner's Finding: CARTER Kenneth Morton

76y · Male·ruptured abdominal aortic aneurysm

…y Department and subsequently Dr A. at Flinders Private Hospital focused on suspected infection (pneumonia/sepsis) based on elevated white cell count, C-reactive protein, and toxic granulation. No abdominal CT scan was p…

emergency medicinegeneral medicinediagnosticsystemwarfarin
VIChospital2017-09-11

Finding into death of Baby Minahil Bhatti

0y · Female·Septic shock with multi-organ failure and probable meningitis, secondary to non-…

Baby Minahil Bhatti, a five-month-old with congenital non-compaction cardiomyopathy, died from septic shock with multi-organ failure and probable meningitis. She presented to Royal Children's Hospital on 27 July 2016 wit…

cardiologyintensive care
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…

…osis, and difficult intubation history presented to a rural hospital with community-acquired pneumonia and sepsis. She had multiple 'red flag' indicators of severity including hypotension, tachypnoea, and hypoxia. Critic…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol
SAhospital2020-06-05

Coroner's Finding: HANCKEL Jonathan Mark

58y · Male·effects of chronic alcoholism

…d 58, died from chronic alcoholism complicated by Child C cirrhosis, hepatic encephalopathy, coagulopathy, sepsis, and multiple intracranial haemorrhages. While he sustained a fall on 13 October 2016 whilst under mental …

gastroenterologypsychiatry
TAShospital2016-10-31

Coroner's Finding: Powell, Arthur John

90y · Male·Sepsis secondary to wound infection/dehiscence and bilateral parotid gland infec…

Arthur John Powell, a 90-year-old with ischaemic heart disease, chronic lung disease, and diabetes, underwent emergency surgical repair of a perforated diverticulum on 1 September 2015. Post-operative recovery was initia…

general surgeryintensive carediagnosticproceduralvenlafaxine
NSWcommunity2016-01-29

Jimmy JAMES - Findings

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

…r than the underlying medical emergency. Despite an ABG at 03:35 showing severe lactic acidosis—a critical sepsis indicator—the result was not communicated to or acted upon by treating physicians. Inadequate fluid resusc…

emergency medicineintensive carediagnosticmedicationceftriaxone
113141527

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