Coronial

58 results for antibiotic administration

VIChospital2012-02-06

Finding into death of David Crisfield

43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…

…ospital admission. Given no local bed availability and patient reluctance, Dr G. permitted him home with antibiotics and clear return precautions. The patient deteriorated rapidly, was transferred to the tertiary hospita…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
NSW2020-03-25

Inquest into the death of Mahmoud ALLAM

28y · Male·MRSA sepsis

Mahmoud Allam, a 28-year-old man, died from MRSA sepsis whilst in custody at Parklea Correctional Centre. He initially presented with upper respiratory symptoms on 11 June 2016, followed by increasing symptoms including …

infectious diseasesemergency medicinecommunicationsystemflucloxacillin
TAShospital2017-03-16

Coroner's Finding: HE

19y · Female·echovirus type 9 infection (myocarditis and pneumonitis)

…onsulted a paediatrician, and arranged urgent transfer. Despite appropriate management including oxygen, antibiotic therapy, intraosseous access, and cardiopulmonary resuscitation, the child arrested during transport and…

emergency medicinepaediatricsceftriaxone
TASmental health2017-11-17

Coroner's Finding: Smith, Molly Jessie

75y · Female·pyelonephritis and pneumonia

… a urinary tract infection progressing to kidney infection as a chest infection and prescribed only oral antibiotics when intravenous therapy was required. Transfer to hospital was delayed until 15 August, by which time …

psychiatrygeneral practicediagnosticdelaycefalexin
WAhospital2004-06-17

Inquest into the Death of Edmiston

41y · Female·Peritonitis following surgical procedure to the urinary bladder, due to infected…

…oneal cavity and becoming infected. Critical delays occurred in recognising the deterioration, providing antibiotics, and escalating care. The patient was not reviewed by medical staff for 22 hours post-procedure despite…

urologygeneral surgerydiagnosticmedicationamoxicillin
VIChospital2021-06-01

Finding into death of Beryl Maloney

76y · Female·Aspiration pneumonia and cholangitis; obstructive jaundice from intraduct tumour…

…ve jaundice and sepsis, underwent ERCP procedures for bile duct obstruction and stent insertion. Despite antibiotic therapy and supportive care including transfusion and oxygen therapy, she developed progressive aspirati…

gastroenterologygeneral medicineantibiotics
WAhospital2023-11-17

Inquest into the Death of Child MD (Name Subject to a Suppression Order)

2y · Male·multiorgan failure in a boy with clinically suspected sepsis and Cockayne syndro…

…o a regional hospital. The coroner found that emergency department management was appropriate, including antibiotic selection (single agent ceftriaxone per guideline) and decision not to escalate to consultant—neither im…

intensive carepaediatricsmedicationceftriaxone
QLDrural hospital2020-05-08

FD - Non-inquest findings

68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…

…res included: failure to recognise sepsis despite elevated lactate (2.98), elevated WCC and CRP; delayed antibiotic administration (6 hours); failure to escalate hypotension on 1 March; inadequate PEG complication guidan…

gastroenterologyemergency medicinediagnosticcommunicationaugmentin duo
QLDhospital2015-07-27

KS - Non-inquest findings

69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…

…deration when already on anticoagulation; and early identification of sepsis is critical for appropriate antibiotic selection and timing.

emergency medicinecardiologydiagnosticmedicationrivaroxaban
SAhospital2021-06-30

Coroner's Finding: MOKETARINJA Anthea Ryder

42y · Female·multiple organ failure due to sepsis on a background of pneumonia, spontaneous b…

… an Inpatient Treatment Order due to impaired decision-making capacity. Despite initial improvement with antibiotics and supportive care, she deteriorated with worsening encephalopathy and sepsis. Multiple MET calls occu…

general medicinepsychiatryantibiotics
SAhospital2012-07-31

Coroner's Finding: KISON Trinity Isabel

0y · Female·respiratory failure due to congenital pneumonia with hyaline membrane disease ca…

…eptococcus pneumoniae but this critical result was not properly communicated or understood. Prophylactic antibiotics were not administered to the mother despite clear guideline recommendations for preterm rupture of memb…

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
NSWcommunity2016-01-29

Jimmy JAMES - Findings

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

… by treating physicians. Inadequate fluid resuscitation, failure to escalate to ICU promptly, incomplete antibiotic therapy, and poor clinical handover allowed the patient to deteriorate to cardiac arrest. Expert opinion…

emergency medicineintensive carediagnosticmedicationceftriaxone
WAhospital

Inquest into the death of Amanda Dana TAUAI

21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)

…ongoing vomiting, he initially managed her as hypovolemic shock with fluids and dopamine. Broad-spectrum antibiotics were not administered in Paraburdoo because Dr M. believed the presentation was viral, not bacterial. F…

general practiceemergency medicinediagnosticcommunicationmetoclopramide
SAhospital2009-05-22

Coroner's Finding: ROBERTS Jarrad Delroy

10y · Male·sepsis (fusobacterium necrophorum) complicating right otitis media

…the consultation and died at hospital. The coroner found his death was entirely preventable with earlier antibiotic treatment. Critical systemic failures included: mother's severe untreated post-traumatic stress disorder…

paediatricsgeneral practicedelaysystemamoxicillin
NTcommunity2014-09-01

Inquest into the death of Braydon Brown

17y · Male·bacterial meningitis

…eview. On 3 April presentation with obvious meningitis signs (photophobia, neck stiffness, severe pain), antibiotics were withheld due to miscommunication between the locum doctor and duty officer, with unclear clinical …

general practiceemergency medicinediagnosticcommunicationdiazepam
QLDhospital2018-07-30

Matthew Douglas McLachlan - Non-inquest findings

28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…

Matthew McLachlan, a 28-year-old paraplegic with chronic pain from spinal cord injury, died from mixed drug toxicity while hospitalized for urinary tract infection treatment. He was receiving fentanyl patches, oxycodone,…

infectious diseasesemergency medicinecommunicationsystemfentanyl
QLD2011-09-29

Tiers, Matthew Maurice

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

…with daily medical review. Earlier medical assessment and infection screening might have enabled earlier antibiotic treatment, potentially improving survival. The coroner found healthcare adequate but identified systemic…

intensive careemergency medicinediagnosticsystemdiazepam
SAhospital2006-05-12

Coroner's Finding: MARTIN Kirsten Lee

24y · Female·multi organ failure due to meningococcal septicaemia

…communication with parents about red flags. Early admission for observation and consideration of empiric antibiotics when clinical suspicion existed could potentially have altered outcome.

emergency medicineinfectious diseasesdiagnosticcommunication
VIChospital2014-02-12

Finding into death of Kenneth James Morrison

61y · Male·Pneumonia

Kenneth Morrison, a 61-year-old man with Down's syndrome, dementia and multiple comorbidities, died from pneumonia following hospitalisation at Casey Hospital in March 2008. Community Residential Unit (CRU) carers raised…

general medicinegeriatric medicinecommunicationantibiotics
NT2013-11-20

Inquest into the death of Sara Lorraine Hampel

21y · Female·Multiple organ failure as a result of overwhelming Streptococcus pyogenes (Group…

… (Dr G.). Conversations between Dr G. and Dr R. were poorly documented, contradictory, and insufficient. Antibiotics were withheld until 6:02pm, requiring immediate administration by noon. Even with early antibiotics, su…

obstetricsemergency medicinediagnosticcommunicationparacetamol

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