Coronial

435 results for renal failure

SAhospital2025-06-12

Coroner's Finding: Salter, Kathleen Ethel

76y · Female·multi-organ failure and sepsis due to complications of cholecystectomy

A 76-year-old woman died from multi-organ failure and sepsis following a laparoscopic cholecystectomy at a rural hospital. During surgery, the surgeon beca…

general surgeryanaesthesiadiagnosticproceduralapixaban
WAaged care

Inquest into the Death of Nola Inez DANIEL

83y · Female·Complications following fracture and surgical repair of the left hip in an elder…

…g Day. She underwent hip repair surgery on 29 December but died from post-operative pneumonia and cardiac failure on 7 January 2010. Key clinical lessons include: immediate medical assessment mandatory after any fall ca…

orthopaedic surgeryemergency medicinediagnosticcommunicationfentanyl
NSWhospital2015-12-02

Inquest into the death of Dr Peter Domachuk

33y · Male·presumed fatal cardiac arrhythmia in the presence of coronary artery atheroscler…

…ion included hypotension (97/61), tachycardia (116/min), hyponatraemia (129 mmol/L), elevated lactate, and renal impairment—findings consistent with Addison's disease. A registrar ordered a cortisol test, but this was n…

emergency medicinegeneral medicinecommunicationsystemdiclofenac
VIChospital2012-10-25

Finding into death of Fikri Memedovski

30y · Male·Heroin overdose

Fikri Memedovski, aged 30, died from heroin overdose with resulting cardiopulmonary arrest and anoxic brain damage on 23 November 2009 at Dandenong Hospital. The clinical lesson concerns reporting obligations: Dr L., the…

intensive carepsychiatrycommunicationsystemheroin
WAhospital2013-01-17

Inquest into the Death of Aslett, Wendy May

60y · Female·Multiple organ failure following hemorrhage from penetration of the femoral arte…

Wendy May Aslett, aged 60, died on 29 October 2010 from multiple organ failure following hemorrhage from a femoral artery puncture sustained during coronary angiography on 21 October 2…

cardiologyemergency medicinediagnosticcommunicationprasugrel
VICaged care2012-04-04

Finding into death of Alexsandra Birute Volkas

85y · Female·Coronary artery disease and heat exposure

…visor failed to properly oversee search operations. The coroner found inadequate procedures at admission, failure to respond to her deteriorating mental state, inadequate police supervision and search methodology, and i…

geriatric medicinepsychiatrysystemcommunication
NThospital2005-08-26

Inquest into the death of Sampson Paii

35y · Male·Disseminated Lymphoblastic Lymphoma

A 35-year-old Aboriginal man died from disseminated lymphoblastic lymphoma while in prison custody. He presented with progressive symptoms including oedema, shortness of breath, and difficulty walking. Dr J. appropriatel…

haematologycardiologycommunicationdiagnostic
VIChome2021

Finding into death of Tate Hobbs

36y · Male·Combined drug toxicity (pregabalin, morphine, amitriptyline)

…ated substantial overdose risk. Dr S.'s prescribing was unsafe due to inadequate monitoring, coordination failure with specialists, and failure to address warning signs of medication dependence and diversion.

general practicepain medicinemedicationcommunicationpregabalin
NT2014-07-21

Inquest into the death of Ryan Smiler

39y · Male·cardiac arrest caused by alcoholic cardiomyopathy

…in custody at Darwin Correctional Centre. He had a long history of alcohol abuse, hypertension, and heart failure that he had been warned about repeatedly. While imprisoned for a traffic offence related to drink-driving…

cardiologyemergency medicinedelaywarfarin
VIChospital2013-01-31

Finding into death of Salvatore Accardo

47y · Male·pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm …

Salvatore Accardo, a 47-year-old with previously diagnosed Marfan syndrome, died from pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm. He presented to Austin Hospital ED on 22 February 200…

emergency medicinecardiologydiagnosticcommunicationatenolol
QLDhome2012-12-06

Bramble, Julie Anne

50y · Female·septicaemia

Julie Anne Bramble, a 50-year-old woman with alcohol dependence and recent drug use, died from septicaemia on 1 April 2011 at her home in Bundaberg. Over 4-5 days prior to death, she developed progressive symptoms includ…

emergency medicineparamedicinedelaycommunicationmethamphetamine
VIChome2024-08-19

Finding into death of Siya Yogin Patel

0y · Female·hyperviscosity-related brain injury secondary to hypernatraemic dehydration

… without Medicare eligibility, creating financial barriers to accessing standard postnatal care. Critical failures included: lack of face-to-face assessment despite COVID directives prioritizing young infants; failure t…

neonatologygeneral practicediagnosticcommunication
VIChome2025-10-09

Finding into death of Narelle Catherine Simmons

42y · Female·Haemothorax and pneumonia in the setting of acute and chronic chest injuries and…

…erved FVIO, and witness reports of screaming. Victoria Police investigations identified 22 months of duty failures including failure to investigate FVIO breaches, assaults, and inadequate risk assessment despite escalat…

forensic medicinegeneral practicediagnosticcommunicationmethadone
WAhospital2022-08-22

Inquest into the Death of Roderick Malcolm NARRIER

38y · Male·Multiorgan failure following out of hospital cardiac arrest in a man with methyl…

A 38-year-old Noongar man died from multiorgan failure following out-of-hospital cardiac arrest after being restrained in prone position by police. He had injec…

emergency medicineintensive caremethamphetamine
VIChospital2019-08-01

Finding into death of Tyla Jade Hovenbitzer

18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…

…ale with Down syndrome, autism spectrum disorder, and severe intellectual disability died from multiorgan failure complicating severe malnutrition, non-alcoholic fatty liver disease, and obesity. She presented acutely w…

paediatricsgeneral practicesystemdelaytemazepam
WAhospital2013-01-17

Inquest into the Death of Wendy May Aslett

60y · Female·Multiple organ failure following haemorrhage from penetration of the femoral art…

A 60-year-old woman died from multiple organ failure caused by uncontrolled bleeding from an arterial puncture sustained during coronary angiography. Although…

cardiologygeneral practicediagnosticcommunicationaspirin
NTcommunity2006-05-04

Inquest into the death of Cynthia Diane Ching

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

…ited 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 the matter to prosecutors. M…

plastic and reconstructive surgeryintensive careproceduralsystemmorphine
VIChospital2025-07-30

Finding into death of YTR

78y · Female·Complications of prolonged immobility and malnutrition in a woman with retroperi…

A 78-year-old woman with schizophrenia, depression, and undiagnosed retroperitoneal lymphoma died from septic shock complicating severe pressure ulcers, malnutrition, and dehydration. She had been immobile on a couch for…

geriatric medicineintensive caredelaysystemasenapine
SAhospital2017-02-01

Coroner's Finding: KLINGBERG Briony Caitlin

10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…

A 10-year-old girl died from multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infection. She presented to the Women's and Children…

paediatricsemergency medicinediagnosticcommunicationceclor
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure

…morrhage and abnormal CTG traces, died from perinatal asphyxia leading to cerebral anoxia and multi-organ failure at 3 days old. Critical clinical lessons emerged regarding neonatal assessment: persistently pale newborn…

obstetricspaediatricsdiagnosticdelay
118192022

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