Coronial

56 results for CT scanning

SAhospital2001-09-07

Coroner's Finding: SANDS Celia Laurel

82y · Female·peritonitis due to a perforated viscus (proximal jejunum) resulting from motor v…

…f day 2, when she had deteriorated significantly. Key clinical lessons: (1) In blunt abdominal trauma, CT scanning should be considered early even with initially reassuring signs, particularly in elderly patients who may…

general surgeryemergency medicinediagnosticdelay
SA2022-03-30

Coroner's Finding: Papadopoulos, George

63y · Male·disseminated carcinoma (pancreatic cancer with metastases to liver and lung)

… refused imaging investigations due to unfounded concerns about radiation, despite recommendations for CT scanning from November 2017 onwards. An MRI scan performed in June 2019 revealed advanced pancreatic cancer with l…

general practicecorrectional health
NSW2021-10-12

Inquest into the death of Donald GREENAWAY

88y · Male·Metastatic prostate carcinoma

Donald Victor Greenaway, an 88-year-old man serving a 21-year prison sentence, died from metastatic prostate carcinoma in the Aged Care Ward at Long Bay Correctional Centre. He had been diagnosed with stage IV prostate c…

oncologyradiation oncologyandrogen deprivation therapy
TAShospital2017-05-17

Coroner's Finding: Woulleman-Jarvis, Anne Maree 2017 TASCD 188

62y · Female·subacute subdural haematoma due to a closed head injury sustained in a fall from…

A 62-year-old woman on warfarin for a mechanical aortic valve sustained a head injury from a fall. A CT scan on day 5 post-injury identified a small extradural haematoma, but the radiologist (Dr J.) failed to report it, …

general practiceemergency medicinediagnosticcommunicationwarfarin
NSWhome2019-02-15

Inquest into the death of Margaret Rose CARR

62y · Female·Unknown. Likely natural causes, possibly with drug-related element. QT-prolongat…

Margaret Carr, 62, was found dead at her home in Redfern between 27 February and 1 March 2017. She had complex medical history including COPD, endocarditis, hepatitis C and substance use disorder (heroin, cannabis, metha…

general practiceforensic medicineamitriptyline
VIChospital2022-05-09

Finding into death of Robert Albert Burns

75y · Male·Multiorgan dysfunction syndrome complicating anastomotic leak following hemicole…

…ry patients; organise multidisciplinary ward rounds to coordinate medical and surgical assessment; use CT scanning earlier when clinical deterioration occurs; and ensure timely transfer to tertiary centres. The coroner n…

colorectal surgeryintensive carediagnosticdelay
NSWcommunity2022-05-16

Inquest into the death of James ROBERTS

51y · Male·head injury

A 51-year-old man died from a severe head injury after falling from his bicycle at high speed (38-40 km/h) when the chain dislodged and jammed the rear wheel. Despite wearing a helmet compliant with Australian Standard A…

methadone
WAhospital2025-05-08

Inquest into the Death of Tony RUICH

55y · Male·decompensated liver failure in a man with metastatic hepatocellular carcinoma, w…

Tony Ruich, a 55-year-old sentenced prisoner, died from decompensated liver failure due to metastatic hepatocellular carcinoma with terminal palliative care. He had pre-existing cirrhosis diagnosed in 2012, likely from h…

hepatologypalliative careheroin
VICaged care2010-03-30

Finding into death of Mark Anthony Theakston

45y · Male·unascertained

Mark Anthony Theakston, a 45-year-old man with severe intellectual disability and autism residing in supported accommodation, died of an unascertained cause on 25 May 2008. He had collapsed on 21 May with a syncopal epis…

general practiceforensic medicinesystemcommunicationchlorpromazine
QLDhospital2019-12-05

Burrows, Frank Leslie

58y · Male·Haemophagocytic lymphohistiocytosis, due to or as a consequence of T-cell lympho…

Frank Burrows, a 58-year-old male prisoner, died from Haemophagocytic Lymphohistiocytosis (HLH) secondary to T-cell lymphoma. He presented with non-specific symptoms (fever, sweats, diarrhoea) and was initially discharge…

general medicinehaematologydexamethasone
VIChospital2010-06-10

Finding into death of Dale Graham Russ

26y · Male·Upper cervical spinal cord injury

A 26-year-old man suffered an upper cervical spinal cord injury (C2 fracture with vertebral artery dissection) after diving head-first from Brooks Jetty into shallow water on New Year's Day 2008. He was transferred to IC…

intensive careneurologymorphine
WAhospital2023-10-18

Inquest into the Death of Corazon Contreras KEELEY

71y · Female·complications of metastatic endometrial carcinoma, treated palliatively

Corazon Contreras Keeley, a 71-year-old woman with postmenopausal bleeding, was investigated for possible endometrial cancer. Dr K. performed a hysteroscopy with dilation and curettage (HDC) on 29 November 2019, observin…

gynaecologyoncologydiagnosticcommunication
ACThospital2019-11-22

Inquest into death of JAMIE LAWRENCE MITCHELL

36y · Male·Septicaemia and cerebral artery air embolism, due to complications related to cl…

…scharge information, and management at regional hospitals. Expert evidence differed on whether earlier CT scanning might have detected developing fistula.

cardiologycardiothoracic surgerydiagnosticdelay
VIChospital2021-03-31

Finding into death of Sarah Louise Rose

40y · Female·Cerebral oedema of unknown aetiology with probable contribution from Hashimoto's…

Sarah Louise Rose, aged 40, died from cerebral oedema of unknown aetiology with probable contribution from Hashimoto's encephalopathy. She had been diagnosed with Hashimoto's thyroiditis in late 2011 and prescribed thyro…

general practiceemergency medicinediagnosticcommunicationthyroxine
NSWhospital2018-10-16

Inquest into the death of Basilio Alesandro Petsas

54y · Male·Unascertained

A 54-year-old man with HIV, hepatitis C, cirrhosis, and significant immunocompromise presented with acute sepsis on 23 December 2016. Despite rapid ambulance response with sepsis protocol initiation and ICU-level aggress…

infectious diseasesemergency medicinedelaymethamphetamine
SAhospital2019-03-08

Coroner's Finding: PETERS Clinton Neal

40y · Male·metastatic malignant melanoma

A 40-year-old man with metastatic melanoma died at Queen Elizabeth Hospital on 2 September 2015. He had atypical nevi removed in 2009 and melanoma diagnosed in 2013, initially undergoing surgery with curative intent. How…

oncologyemergency medicinediagnosticdelay
VIChospital2014-01-21

Finding into death of Eddie Teck Chuan Lee

66y · Male·Intracerebral haemorrhage

A 66-year-old man with intracerebral haemorrhage and concurrent deep vein thrombosis died following an accidental tenfold heparin overdose. The patient received 20,000 units instead of 2,000 units due to a nurse misreadi…

neurosurgeryneurologymedicationsystemheparin
SAhospital2009-05-21

Coroner's Finding: FARKAS Karl Derek

45y · Male·intracerebral haemorrhage caused by rupture of arterial aneurysm

…flags. He died from fatal rebleeding 6 weeks later. The death was preventable with timely imaging; had CT scanning been performed on first or second presentation, the aneurysm would likely have been identified with good …

emergency medicinegeneral practicediagnosticcommunicationaspirin
QLDcommunity2012-04-05

Wall, Timothy John

43y · Male·Head injuries sustained in motor vehicle collision (pedestrian struck by motorcy…

Timothy John Wall, 43, was fatally struck by a Suzuki motorcycle while crossing Old Cleveland Road, Coorparoo on 30 October 2010. He died from head injuries sustained in the collision. The coroner found that the motorcyc…

trauma surgeryneurosurgery
VICcommunity2020-10-30

Finding into death of Norman MacKenzie

85y · Male·Multiple injuries sustained when struck by a bicycle

An 85-year-old pedestrian was struck by a cyclist travelling at 40 km/h through a busy pedestrian crossing. The victim crossed during a red pedestrian light when vehicle traffic was stationary, creating a false sense of …

trauma surgeryneurosurgerysystem

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