Coronial

41 results for acute respiratory distress syndrome

QLD2011-09-29

Tiers, Matthew Maurice

53y · Male·Multi-organ failure due to sepsis

…at Rockhampton Watchhouse then transferred to Capricornia Correctional Centre. He developed sepsis from an acute infection (likely pneumonia) and died from multi-organ failure at Rockhampton Hospital. Clinical lessons i…

intensive careemergency medicinediagnosticsystemdiazepam
QLDhospital2007-10-30

Noffke, Veronica Margaret

73y · Female·coronary atherosclerosis

A 73-year-old woman admitted with severe respiratory distress was appropriately managed in ICU with intubation and extubated after 8 days. She was transferr…

emergency medicineintensive careanticoagulants
NSWhospital2018-12-17

Inquest into the death of Jarrod Wright

42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …

Jarrod Wright, a 42-year-old man admitted with cellulitis, developed sepsis-related acute respiratory distress syndrome (ARDS) requiring ICU care with non-invasive ventilation. Critical failures o…

intensive careinfectious diseasescommunicationsystemmeropenem
SAhospital2005-08-11

Coroner's Finding: BEGBIE Peter John

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

…to RAH. He absconded after 24 hours, returning to the community in a delirious state due to sepsis-induced acute organic brain syndrome. He was appropriately detained under the Mental Health Act to ensure treatment, re-…

cardiothoracic surgerygeneral medicinediagnosticantibiotics
SAhospital2017-04-07

Coroner's Finding: MAYELL Edward John

83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…

An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiag…

emergency medicinegeneral practicediagnosticmedicationceftriaxone
SAhospital2013-02-08

Coroner's Finding: FENSOM Angela Catherine and TAANKINK Johaanes Andrew

Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …

Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…

emergency medicinegeneral practicediagnosticcommunicationoseltamivir
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

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

…eval services; insufficient IV fluid resuscitation (patient encouraged to refuse); misinterpretation of respiratory distress as anxiety/alcohol withdrawal; sparse overnight vital sign monitoring despite clinical deterio…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol
VIChospital2010-03-15

Finding into death of Deborah Margaret Ricklefs

29y · Female·Invasive aspergillosis

…uidelines or assessment of concomitant medication (epilem). The excessive dose triggered hypersensitivity syndrome, requiring steroid treatment that caused immunosuppression. Steroid-induced immunosuppression increased s…

addiction medicinegeneral practicemedicationdiagnosticlamotrigine
NSWhospital2026-02-26

Inquest into the death of Jeremy Webb

16y · Male·Anaphylaxis due to mammalian meat allergy after tick bite, causing an acute exac…

…ed) which triggered status asthmaticus. He had experienced red meat reactions since age 10 and a severe respiratory event in April 2021 that was diagnosed as asthma without consideration of anaphylaxis. This represented…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline
TAScommunity2024-01-30

Coroner's Finding: Ryan, Robert John

35y · Male·Multiple organ failure—cause not determined to requisite standard

…mate poisoning, glyphosate or MCPA herbicide poisoning, doramectin toxicity, paroxetine-induced serotonin syndrome, and intentional self-poisoning. Toxicological testing failed to detect farm chemicals in blood samples; …

toxicologyintensive carediagnosticdelayparoxetine
VIC2023-06-22

Finding into death of Cherie Virginia Pearl Guest

61y · Female·Diffuse alveolar damage in a woman with restrictive lung disease following catar…

…st part of the procedure. Despite this decompensation, the second part proceeded, requiring intubation for acute pulmonary oedema. She died five days later from diffuse alveolar damage. The coroner found the surgery was…

ophthalmologyanaesthesiadiagnosticcommunicationlidocaine
SAhospital2019-05-31

Coroner's Finding: CHAPLIN Gray Clyde

81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…

…anagement, and transfer to major trauma centres due to high mortality risk from complications including respiratory failure, pneumonia, and multi-organ failure.

general practiceemergency medicinediagnosticdelaymorphine sulphate
WA2013-03-08

Inquest into the Death of Thoms, Gemma Geraldine

17y · Female·Acute Methylenedioxymethylamphetamine (MDMA) toxicity

Gemma Thoms, a 17-year-old girl, died from acute MDMA toxicity after consuming three ecstasy tablets at the Big Day Out music festival on 1 February 2009. …

emergency medicineintensive carediagnosticsystemMDMA
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

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

…servative approach, whilst appropriate for stable infants, was inadequate for this at-risk baby born after acute blood loss. Systems failures in pathology result communication (2.5-hour delays) delayed necessary escalat…

obstetricspaediatricsdiagnosticdelay
WA2013

Inquest into the Death of Ms D

39y · Female·Septic shock and nosocomial pneumonia secondary to pentobarbital (Nembutal) over…

A 39-year-old woman with major depression and Cluster B personality traits died by suicide in Mexico following a pentobarbital overdose on 28 April 2008, resulting in septic shock and nosocomial pneumonia. She had been a…

psychiatryintensive caresystemdelaypentobarbital
VIChospital2024-09-26

Finding into death of FH C

11y · Male·Sepsis

An 11-year-old boy with autism spectrum disorder (ASD level 3), ADHD, and obesity died from sepsis on 20 June 2022. He presented to Rosebud Hospital ED on 14 June with fever, vomiting, and low blood pressure, was dischar…

emergency medicinepaediatricsdiagnosticcommunicationrisperidone
SAhospital2005-11-10

Coroner's Finding: LAZOPOULOS Christopher

34y · Male·multi-organ failure with right-sided tension pneumothorax

A 34-year-old man with a ruptured spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admissi…

emergency medicineintensive carediagnosticsystem
QLDcommunity2020-09-07

C - Non-inquest findings

6y · Male·Sepsis due to melioidosis

A six-year-old previously healthy boy died from sepsis due to melioidosis after multiple presentations to a remote hospital over five days (5–10 January 2017) with fever, vomiting, diarrhoea, and headache. Initial diagno…

paediatricsinfectious diseasesdiagnosticcommunicationparacetamol
QLDhospital2018-07-30

Khazaei, Hamid

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

Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone
VIChome2016-03-24

Finding into death of Caroline Emily Lovell

36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…

Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…

midwiferyobstetricsdiagnosticcommunicationsyntocin

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