Coronial

88 results for blood screening

WA2019-11-27

Inquest into the Death of Nathan James GAUNT

25y · Male·immersion in water (drowning)

…ft home without his work clothes and drove to The Gap, where his abandoned vehicle was found on rocks with blood evidence matching his DNA on the viewing platform handrail and surrounding rocks. Despite an extensive fiv…

WAprison- 31 January 2014

Inquest into the Death of Amy TINKER

33y · Female·multiple organ failure complicating sepsis in a woman with cirrhosis of the live…

…ation. A psychiatrist's July 2010 recommendation for liver assessment was received but resulted in delayed blood tests that were never completed before her transfer between prisons. On 13 September, she presented with n…

general practicehepatologycommunicationsystem
ACThospital2024-09-11

Inquest Into The Death Of Baby X

0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…

… despite visible scalp bruising from 27 minutes after birth. Delayed recognition deprived Baby X of timely blood product transfusions and contraindicated cooling therapy was inappropriately continued. CHS has since impl…

obstetricsneonatologydiagnosticcommunication
NThospital2005-08-26

Inquest into the death of Sampson Paii

35y · Male·Disseminated Lymphoblastic Lymphoma

…r J.' actions not unreasonable given the rarity and aggressiveness of the lymphoma, but noted that broader blood testing and imaging on 1 May, standard in general practice, may have aided diagnosis. Earlier diagnosis wo…

haematologycardiologycommunicationdiagnostic
WAhome2019-07-23

Inquest into the Death of Stephen Thomas OXLEY

52y · Male·atherosclerotic and hypertensive heart disease

…heavy smoking (≥2 packets daily), obesity (BMI 31.4), sedentary lifestyle, and refused preventive health screening including blood pressure monitoring, cholesterol and lipid testing, and ECGs. His mental health team app…

psychiatrygeneral practiceflupenthixol
SAhospital2011-12-22

Coroner's Finding: SWAVLEY Matthew Tyson

39y · Male·cardiomegaly

…assessment on admission included ECG showing sinus tachycardia attributed to dehydration, chest X-ray, and bloods. Close observations continued until he was found unresponsive at 4:35am. Resuscitation efforts were satis…

psychiatryemergency medicineolanzapine
QLD2010-04-15

Millard, Allan Clive

63y · Male·ischaemic heart disease due to coronary atherosclerosis

A 63-year-old male prisoner died suddenly from ischaemic heart disease due to coronary atherosclerosis while serving a 4-month custodial sentence. The coroner found the death was natural, occurring while the prisoner was…

pathologyemergency medicine
VIChospital2016

Finding into death of Barry Foster

79y · Male·Acute myocardial infarction

Barry Foster, a 79-year-old man imprisoned at Hopkins Correctional Centre, died from acute myocardial infarction. On 29 April 2016, he presented with chest tightness; an ECG showed no abnormalities and he was prescribed …

cardiologyemergency medicine
NT2012-07-13

Inquest into the death of Edward Brown

34y · Male·coronary atherosclerosis (heart attack)

…d lifestyle modifications. Upon reception to prison, he was appropriately screened, found to have elevated blood sugar (24.1 mmol/L), and started on diabetes medications. Three days into custody, he developed chest pain…

cardiologyemergency medicinemetformin
NSWhospital2017-06-06

Inquest into the death of Helen Ashburn

46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…

…estic violence was not applied; (3) medical staff at a rural emergency department lacked awareness of DV screening protocols and reporting obligations; (4) electronic systems to flag prior DV history may improve recogni…

emergency medicineneurosurgerycommunicationdiagnostic
VIC2020-03-23

Finding into death of Scott Andrew Fewson

46y · Male·Multiple injuries sustained in a motorcycle incident (driver)

…torcycle collision after spending the afternoon consuming alcohol and taking oxycodone and citalopram. His blood alcohol level was 0.21 g/100mL—four times the legal driving limit—and cannabis was also detected. Despite …

alcohol
NSWhospital2025-02-28

Inquest into the death of Heather Winchester

75y · Female·multiple organ failure due to severe anaemia secondary to blood loss post electi…

…ccurred: the surgical and anaesthetic teams held conflicting understandings about whether she would accept blood transfusion—the surgeon believed she refused all blood products based on her consent form and Jehovah's Wi…

gynaecologyanaesthesiacommunicationsystem
SAmental health2025-03-06

Coroner's Finding: Fowles, Wayne Lincoln

59y · Male·hanging

A 59-year-old man with major depression and psychotic features was lawfully detained under an inpatient treatment order at Noarlunga Hospital's Morier Ward. He was appropriately managed, initially in the high-dependency …

psychiatryemergency medicinelorazepam
QLDhospital2009-07-10

Coleman, Randall John

39y · Male·Strychnine toxicity

…sment forms at watchhouse admission despite signs of medication effects; lack of systematic suicide risk screening in police custody (compared to correctional facilities); and the challenge of identifying elevated suici…

emergency medicinepsychiatrycommunicationdelaystrychnine
NTcommunity2024

Inquest into the death of Domestic violence victim (Bush Camp, Karama)

47y · Female·Multiple blunt force injuries

A 47-year-old Aboriginal woman died from multiple blunt force injuries sustained during a prolonged violent attack by her domestic partner at a bush camp in Karama, NT on 17 January 2022. She had a documented history of …

forensic medicineemergency medicinecommunicationsystemalcohol
QLD2011-09-29

Tiers, Matthew Maurice

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

… deterioration (incontinence, fever, respiratory distress, elevated vital signs on 10 May) was delayed; no blood tests were performed on reception despite clinical indication; alcohol withdrawal protocol lacked standard…

intensive careemergency medicinediagnosticsystemdiazepam
WAhospital2026-03-26

Inquest into the Death of Sandipan DHAR

1y · Male·Complications of acute lymphoblastic leukaemia

…eferred to Joondalup Health Campus ED on 22 March, with the GP's referral letter specifically recommending blood tests to exclude sepsis. The ED consultant diagnosed viral tonsillitis and ordered respiratory and urine t…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
WAhospital2005-12-09

Inquest into the Death of Laura Marguerite Sinclair

31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…

…a. She underwent emergency caesarean section for foetal distress at Peel Health Campus, experiencing heavy blood loss (estimated 1500ml). Although initially stable post-operatively, she re-bled significantly (1000ml) wi…

obstetricsanaesthesiadiagnosticcommunicationpethidine
NSWcommunity2024-05-03

Inquest into the death of Keith Titmuss

20y · Male·exertional heat stroke

… score 680m vs 1600-1800m expected), weighed 4.6kg more than end of previous season, had BMI 35.3, and low blood volume limiting heat dissipation. After 90-100 minutes outdoor training in moderate temperature/high humid…

sports medicineemergency medicinesystemdelaymidazolam
VIChome2026-02-18

Finding into death of Glenn Charles Cook

66y · Male·Cardiac hypertrophy and coronary artery disease secondary to obesity (WHO Class …

…e of aggressive cardiovascular risk factor management in vulnerable populations with disability, including blood pressure control, lipid management, and weight management strategies. Regular cardiac screening may have i…

general practicepsychiatryquetiapine

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