Coronial

435 results for renal failure

SAhospital2020-06-05

Coroner's Finding: HANCKEL Jonathan Mark

58y · Male·effects of chronic alcoholism

… delirium require careful monitoring for medical deterioration, though in this case the multisystem organ failure was the primary driver of death rather than the traumatic incident.

gastroenterologypsychiatry
VIChospital2020-09-29

Finding into death of Nicola Deleo

91y · Male·Complications following cardiac arrest in the setting of anaesthetic induction d…

A 91-year-old man with COPD, asthma, and previous cardiac arrest from suxamethonium died from complications following anaphylaxis to rocuronium during anaesthetic induction for emergency small bowel obstruction surgery. …

anaesthesiageneral surgerycommunicationsystemrocuronium
VIChospital2021-06-24

Finding into death of PT

46y · Male·Haemopericardium complicating aortic dissection

A 46-year-old man with untreated hypertension and smoking history presented to the ED with acute chest pain radiating to jaw and back. ECG showed changes initially interpreted as NSTEMI with troponin elevation. A cardiol…

cardiologyemergency medicinediagnosticcommunicationmorphine
VIChospital2017-03-10

Finding into death of John Twycross

80y · Male·complications of necrotising pancreatitis secondary to pancreatic biopsy (EUS)

John Twycross, an 80-year-old man with a history of hypertension, asthma, glaucoma and prior cholecystectomy, presented with acute pancreatitis in April 2011 after imaging revealed a suspected ampullary carcinoma. Follow…

general surgerygastroenterologycommunicationdocumentation
VIChospital2021-11-08

Finding into death of Baby MNL

0y · Male·Hypoxic ischaemic encephalopathy complicating peri partum asphyxia

A term neonate died at 3 days of age from hypoxic ischaemic encephalopathy due to perinatal asphyxia. The mother presented in early labour, was initially discharged, then readmitted when labour progressed. Labour progres…

obstetricsneonatologysystemcommunicationterbutaline
QLDhospital2015-07-08

Hamilton, Michael John - Non-inquest findings

72y · Male·Multiple organ failure due to sepsis caused by abdominal adhesions from previous…

…er accepted that complex presentation justified initial management and that ultimate outcome (multi-organ failure from severe pancreatitis and subsequent sepsis from adhesions) would likely have occurred regardless. The…

surgeryintensive carediagnosticsystemwarfarin
WA2022-05-20

Inquest into the Death of Kevin Ernest McCRACKEN

58y · Male·Hypertensive and valvular heart disease

Kevin McCracken, 58, died of hypertensive and valvular heart disease following sudden cardiac collapse in a prison pre-release unit. He had complex pre-existing cardiac disease including previous valve replacement and ao…

cardiologycorrectional healthsystemmedicationwarfarin
VICaged care2020-11-05

Finding into death of Sylvia Valerie Woolford

88y · Female·Complications of fractured neck of femur

An 88-year-old woman with advanced dementia died from complications following a fractured neck of femur sustained in a fall caused by another resident with vascular dementia in a secured aged care unit. The fall occurred…

geriatric medicineorthopaedic surgerysystem
VIChospital2012

Finding into death of Kathleen Raven

85y · Female·Pulmonary embolus secondary to deep vein thrombosis, precipitated by minor fall

An 85-year-old woman died from pulmonary embolism secondary to deep vein thrombosis following a minor fall. She was admitted to Maryborough Hospital with chest infection and abdominal pain. Despite being identified as hi…

emergency medicinegeneral medicinecommunicationsystemdiazepam
QLDhospital2025-08-11

Inquest into the death of John Reginald Wright

79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…

…vember 2022. Mr Wright underwent multiple amputations and vascular interventions but experienced declining renal function, cardiac failure, and episodes of aspiration. While early prison health records contained gaps in…

vascular surgerygeneral medicineglicazide
VIChospital2017-11-09

Finding into death of Emma Kate McGrath

19y · Female·Meningococcal septicaemia

Emma McGrath, a 19-year-old nursing student, died from meningococcal septicaemia caused by the W strain after presenting to the ED with a 12-hour history of vomiting, diarrhoea, abdominal pain and fever. The atypical pre…

emergency medicineintensive careparacetamol
SAhospital2005-06-02

Coroner's Finding: HUTCHINSON Matthew

0y · Male·cardiogenic shock and neonatal encephalopathy

…encephalopathy. While obstetric care was appropriate, neonatal care was significantly deficient. Critical failures included: failure to insert an arterial line early (only placed 12 hours after birth), inadequate blood …

neonatologyobstetricsproceduralcommunicationphenobarbital
TAShospital2015-09-07

Coroner's Finding: Weir, Mary

80y · Female·subdural haematoma due to closed head injury sustained in a fall from bed in hos…

An 80-year-old woman with chronic heart failure admitted to hospital fell from bed and hit her head. Although nursing staff were concerned about a possib…

emergency medicinegeneral medicinediagnosticmedicationaspirin
SAaged care2026-02-12

Coroner's Finding: D Angelo, Adelina

88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…

An 88-year-old woman with Lewy body dementia, Parkinson's disease and congestive cardiac failure died from acute kidney injury precipitated by severe dehydration in aged care. June 2020 blood tests show…

general practicegeriatric medicinediagnosticcommunicationfurosemide
VIChomePodcast2018-11-09

Finding into death of Ling-Ling Ang

47y · Female·hypoxic ischaemic encephalopathy complicating systolic cardiac arrest in the set…

… intubation, mechanical ventilation, and ICU care, she suffered recurrent cardiac arrests and multi-organ failure, dying three days later. Clinical lessons include: ensuring asthma patients understand their allergy stat…

general practiceparamedicinesalbutamol
SAhospital2001-11-08

Coroner's Finding: STEWART Margaret May

77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…

A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin …

surgeryvascular surgerycommunicationsystemdalteparin
WAhome2012-09-07

Inquest into the Death of Mulvaney

54y · Female·Multi-organ failure following a decreased level of consciousness caused by compl…

Linda Christina Mulvaney, 54, died of multi-organ failure following a prolonged period of unconsciousness caused by a combination of obstructive and central sleep …

respiratory medicineintensive caredelaydiazepam
SAhospital2005-08-11

Coroner's Finding: BEGBIE Peter John

41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…

…acement. Despite technically successful surgery, he suffered extensive myocardial infarction, multi-organ failure and died. Clinical lessons: early recognition of sepsis severity, appropriate use of mental health legisl…

cardiothoracic surgerygeneral medicinediagnosticantibiotics
SAhospital2006-04-21

Coroner's Finding: EDWARDS Ruby Mabel

77y · Female·haemorrhagic diathesis due to warfarin toxicity

Ruby Mabel Edwards, 77, died from haemorrhagic diathesis due to warfarin toxicity after 84 days in a rural hospital. She had a prosthetic aortic valve requiring anticoagulation. INR monitoring was inadequate: no tests fo…

general practicehaematologymedicationdelaywarfarin
WAhospital2015-09-18

Inquest into the Death of David Yehuda WEISER

70y · Male·gastrointestinal haemorrhage in a man with gastric ulcers

…the correct diagnosis. Key contributing factors included knowledge gaps regarding melaena interpretation, failure to recognise disproportionate urea elevation, inadequate consultation with senior colleagues despite clin…

emergency medicinegastroenterologydiagnosticcommunicationaspirin
116171822

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