Coronial

45 results for bronchoscopy

NThospital2014-02-13

Inquest into the death of Peter Clarke

55y · Male·bronchopneumonia complicating metastatic carcinoma of the right lung, with emphy…

Peter Alexander Clarke, a 55-year-old Aboriginal man and serving prisoner, died of bronchopneumonia complicating metastatic lung carcinoma with emphysema, coronary atherosclerosis and chronic pancreatitis. He presented t…

emergency medicineintensive carediagnostic
VIChospital2013

Finding into death of Noela McGowan

66y · Female·Complications following paracetamol overdose

A 66-year-old woman died from complications of paracetamol overdose after ingesting Mersyndol (codeine/paracetamol combination tablets). She had developed dependence on over-the-counter Mersyndol over approximately 8 yea…

emergency medicineintensive caresystemmersyndol daystrength
SAhospital2013-07-22

Coroner's Finding: SMITH Trevor John

62y · Male·extensive small cell lung cancer

Trevor John Smith, aged 62, died from extensive small cell lung cancer at Royal Adelaide Hospital on 18 March 2011. He was under Mental Health Act detention when he developed delusions and delirium during his final illne…

oncologycardiothoracic surgerysystemdelaydexamethasone
SAhospital2012-03-07

Coroner's Finding: MILLER Allan Kenneth

56y · Male·disseminated nocardiosis involving central nervous system, kidneys, liver and th…

Allan Kenneth Miller, 56, died from disseminated nocardiosis (rare bacterial infection) that was not diagnosed during his 12-day RAH admission. Clinicians initially suspected metastatic lung cancer based on presentation …

respiratory medicineinfectious diseasesdiagnosticdelayenoxaparin
QLDhospital2017-09-20

Mr TAM - Non-inquest findings

62y · Male·Multi-organ infarctions (brain, kidneys, heart) resulting from thromboemboli sec…

Mr TAM, a 62-year-old man with multiple cardiac conditions, died from multi-organ infarction secondary to an atrio-oesophageal fistula that developed after radio-frequency ablation for atrial fibrillation. The fistula is…

cardiologycardiothoracic surgerycommunicationsystem
VIC2019-08-07

Finding into death of Bartosz Zgadzaj

39y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …

Bartosz Zgadzaj, a 39-year-old man with cerebral palsy and intellectual disability, died from hypoxic ischaemic encephalopathy secondary to acute airway obstruction from a food bolus. He choked while eating unsupervised …

emergency medicineintensive carediagnosticcommunicationmidazolam
VIC2025-10-28

Finding into death of Christopher Gerard McIntosh

54y · Male·Respiratory failure secondary to prolonged ventilation for the management of sep…

Christopher McIntosh, a 54-year-old man with type 2 diabetes, died from respiratory failure secondary to sepsis originating from an infected foot ulcer while incarcerated at Hopkins Correctional Centre. The coroner found…

correctional healthgeneral medicinecommunicationsystem
VIChospital2012-07-16

Finding into death of Ruben Chand

42y · Male·Hypoxic encephalopathy in the setting of recent acute myocardial infarction with…

Ruben Chand, a 42-year-old male, suffered a fatal hypoxic brain injury during emergency re-intubation in ICU. After an initially reasonable extubation decision, he deteriorated and required urgent re-intubation. The proc…

intensive careanaesthesiaproceduralcommunicationpropofol
QLD2013-12-06

Sims, Desmond Arthur

62y · Male·Non-small cell lung carcinoma with metastases

Desmond Sims, a 62-year-old prisoner, died from advanced non-small cell lung carcinoma with metastases. He was diagnosed with lung cancer in February 2009 at Princess Alexandra Hospital (PAH) but was lost to follow-up fo…

respiratory medicineoncologysystemcommunication
VIChospital2022-03-15

Finding into death of Ann Leah Jones

87y · Female·Pulmonary artery rupture complicating pulmonary artery catheter insertion in a w…

Mrs Jones, an 87-year-old woman with severe ischaemic heart disease, died from pulmonary artery rupture during elective off-pump coronary artery bypass surgery. A Swan-Ganz pulmonary artery catheter (PAC) was inserted pr…

cardiothoracic surgeryanaesthesiaproceduralsystemfentanyl
SAhospital2025-11-05

Coroner's Finding: Jackson, Dennis Charles

67y · Male·Type 2 respiratory failure due to pneumonia

Dennis Jackson, a 67-year-old from Broken Hill, underwent left upper lobe lobectomy based on a falsely positive lung biopsy contaminated with squamous cell carcinoma tissue from another patient during processing at SA Pa…

cardiothoracic surgerypathologydiagnosticsystem
NSWhospital2021-04-16

Inquest into the death of Kelvin MOULDS

61y · Male·Hypoxic encephalopathy arising from cardiac arrest following self-removal of a c…

Kelvin Moulds, a 61-year-old man, died of hypoxic encephalopathy following a cardiac arrest caused by self-removal of a central venous catheter (CVC) on day 14 post-bilateral lung transplant. The CVC was still in situ de…

cardiothoracic surgerytransplant medicinecommunicationsystemoxycodone
TAShospital2022-10-07

Coroner's Finding: Willetts, Ernest Charles

80y · Male·aspiration pneumonia

Ernest Charles Willetts, 80, died from aspiration pneumonia following an appendectomy. On hospital day 3, he developed coffee-ground vomitus indicating gastrointestinal bleeding. A gastroscopy was performed that afternoo…

surgerygastroenterologycommunicationsystempariet
QLDhospital2012-09-28

Harold, Rex

59y · Male·disseminated carcinoma due to right lung carcinoma

Rex Harold, a 59-year-old Aboriginal man with schizophrenia, alcohol-induced brain injury, chronic obstructive airways disease, and diabetes, died in custody from disseminated small cell lung carcinoma. He was transferre…

general medicinecardiologydiagnostic
VIChome2026-03-03

Finding into death of Nigel Raymond Willoughby

74y · Male·Complications of burns sustained in a fire

Nigel Willoughby, 74, died from complications of burns sustained in a house fire on 2 September 2020. The fire was caused by a carelessly discarded cigarette igniting an armchair in the lounge room while he was smoking a…

system
VIChospital2022-10-18

Finding into death of Warren Douglas Frazer

45y · Male·Complications of VATS procedure for locally advanced right upper lobe lung adeno…

A 45-year-old man died from complications following VATS lobectomy for lung adenocarcinoma. During initial surgery, the tumour invaded the T6 vertebral body. The surgeon, faced with incomplete tumour resection or vertebr…

cardiothoracic surgeryneurosurgerydiagnosticdelay
WAhospital2024-08-28

Inquest into the Death of Matthew John PICKIN

56y · Male·Complications, including sepsis, of left leg infection (operated), in a man with…

Matthew John Pickin, a 56-year-old prisoner with metastatic lung adenocarcinoma, died from sepsis complicating a left leg infection. His lung cancer was appropriately investigated following haemoptysis in October 2021, w…

respiratory medicineoncologysystemdexamethasone
NThospital2003-12-03

Inquest into the death of Owen King

33y · Male·lobar pneumonia (Streptococcus pneumonia with septic shock)

Owen King, a 33-year-old Aboriginal man, died of lobar pneumonia on 24 June 2002 at Alice Springs Hospital following brief police custody for alleged intoxication. He was apprehended twice on 23 June under protective cus…

emergency medicineintensive carediagnosticsystempenicillin
NSWhospital2015-08-17

Inquest into the death of Manjit SINGH

33y · Male·hypoxic respiratory failure following right pneumonectomy for treatment of sever…

Manjit Singh, a 33-year-old Indian 457 visa worker, died from hypoxic respiratory failure following a pneumonectomy for treatment of severe pulmonary tuberculosis. He had latent TB identified pre-arrival in India. Critic…

respiratory medicinecardiothoracic surgerydiagnosticcommunicationtuberculosis medications
QLDhospital2009-12-16

Davidson, Yvonne Alice

75y · Female·Septicaemia as a result of lobar pneumonia; congestive heart failure also presen…

A 75-year-old woman died from septicaemia following a percutaneous tracheostomy procedure performed by a locum consultant on a Sunday. The procedure deviated significantly from the established ICU protocol: it was perfor…

intensive careanaesthesiaproceduralcommunication

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