Coronial

49 results for cardiac_monitoring

VIChospital2016-08-19

Finding into death of Margaret Smith

91y · Female·Unascertained

Margaret Smith, a 91-year-old admitted with head strike from fall, developed moderate depression during her stay and received electroconvulsive therapy (ECT) as a compulsory patient. On 5 March 2015, she developed epigas…

psychiatrygeriatric medicinediagnosticdelaylithium
NSWmental health2026-02-19

Inquest into the death of Jacob McDonald

51y · Male·combined effects of dilated cardiomyopathy with myocardial fibrosis and prescrip…

Jacob MacDonald, 51, died at the Forensic Hospital from combined effects of dilated cardiomyopathy with myocardial fibrosis and toxic levels of clozapine and aripiprazole. He was an involuntary forensic psychiatric patie…

psychiatrycardiologycommunicationsystemclozapine
VIChospital2019-02-05

Finding into death of Eliza Gill

18y · Female·Colchicine toxicity

An 18-year-old female died from colchicine toxicity after intentional overdose of her father's medications during a mental health crisis. She ingested approximately 10-15g of colchicine (dose 0.25mg/kg), below the guidel…

emergency medicineintensive carediagnosticsystemcolchicine
VICaged care2013-11-21

Finding into death of Ivo John Martinov

58y · Male·Unascertained causes

A 58-year-old man with treatment-resistant schizophrenia living in aged care died suddenly 30 minutes after receiving his evening clozapine dose. Although post-mortem toxicology detected a potentially toxic clozapine lev…

psychiatrygeneral practicesystemclozapine
VIC2011-10-04

Finding into death of Patrick Paul

68y · Male·Ischaemic heart disease and coronary artery atherosclerosis

Patrick Paul, a 68-year-old man with significant cardiac history including prior myocardial infarction and coronary stents, died of ischaemic heart disease while in prison custody. He presented to hospital with symptoms …

cardiologyemergency medicinediagnosticdelaymetoprolol
QLDhospital2006-08-10

Casey, Lenard John

39y · Male·Coronary thrombosis caused by coronary atherosclerosis

Lenard Casey, a 39-year-old Aboriginal man with severe coronary artery disease, died of acute coronary thrombosis while in custody. Arrested for assault on his partner, he developed chest pain at the police station and w…

cardiologyemergency medicinecommunicationmorphine
QLDcommunity2015-11-11

Child A - Non-inquest findings

8y · Female·Anoxia due to fresh water drowning

Child A, aged 8 years, drowned at Lake Dyer recreational dam after receiving a blow to the face, likely from a boat at a busy boat ramp. Despite being a confident swimmer, the impact caused panic and fright reaction prev…

emergency medicineintensive caresystem
SAhospital2006-10-30

Coroner's Finding: GORDON Sally Anne

20y · Female·Cerebral anoxia consequent upon a severe acute asthmatic event

Sally Anne Gordon, a 20-year-old with a 14-year history of severe brittle asthma, presented to Mount Gambier Hospital on 26 November 2000 with acute severe asthma unresponsive to initial treatment. After appropriate emer…

emergency medicineanaesthesiamedicationproceduralsalbutamol
VIChospital2015-12-02

Finding into death of Khodr El Mustapha

77y · Male·Complications of reaction to an iron infusion in a man with ischaemic heart dise…

A 77-year-old man with iron deficiency anaemia and underlying ischaemic heart disease died from anaphylaxis following iron polymaltose infusion. Critical clinical lessons: (1) IV iron should only be administered after or…

emergency medicinehaematologydiagnosticproceduraliron polymaltose
NThospital2011-10-14

Inquest into the death of Kerisha Slim

8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma

An 8-year-old Aboriginal girl died from chronic myocarditis following chemotherapy for sialoblastoma (salivary gland cancer). She had completed chemotherapy and surgery with good response when complications arose. During…

oncologypaediatricsdiagnosticepirubicin
NThospital2016-09-01

Inquest into the death of Kerry James Murphy

73y · Male·Acute subdural haematoma

Kerry James Murphy, 73, died from acute subdural haematoma following a fall in Royal Darwin Hospital's overcrowded Emergency Department. He was admitted with pneumonia, NSTEMI, and dizziness—significant fall risk factors…

emergency medicinecardiologysystemcommunicationblood thinners
WA2013

Inquest into the Death of Bropho, Robert Charles

81y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis

Robert Charles Bropho, an 81-year-old Aboriginal man imprisoned since 2008 with severe medical comorbidities including insulin-dependent diabetes, hypertension, chronic renal failure, and severe ischaemic heart disease, …

cardiologygeneral medicinecommunicationsysteminsulin
VICmental health2014-11-17

Finding into death of Justin Peter Foster

40y · Male·unascertained

Justin Foster, a 40-year-old man with bipolar affective disorder, chronic back pain, and substance abuse history, died suddenly in a psychiatric inpatient unit (Upton House) on 3 January 2012. He was admitted involuntari…

psychiatryforensic medicinecommunicationdiazepam
VICmental health2015-05-27

Finding into death of Waldemar Ariel Ogon

45y · Male·spontaneous lethal arrhythmia arising from focal myocardial fibrosis

45-year-old man with bipolar disorder admitted to psychiatric unit involuntarily died from spontaneous lethal arrhythmia due to focal myocardial fibrosis. Critical issue was inadequate visual observations overnight—the p…

psychiatryforensic medicinecommunicationsystemolanzapine
NSWhospital2018-07-13

Inquest into the death of Leonard Bartholomeusz

73y · Male·Consequences of myocardial infarction with coronary artery atherosclerotic disea…

Leonard Bartholomeusz, aged 73, died of myocardial rupture on 6 May 2013, six days after hip fracture surgery. He suffered a fall on 30 April 2013 following which ECG testing revealed cardiac abnormality. A first ECG at …

emergency medicineorthopaedic surgerysystemcommunicationfentanyl
NSWhospital2010-09-03

Woodcock 2011 06 14 12 49 10 862

Male·Myocardial failure resulting from excessive pulmonary blood flow and consequenti…

One-month-old Liam Woodcock, born extremely prematurely at 27.5 weeks gestation weighing approximately 1 kilogram, died from myocardial failure secondary to excessive pulmonary blood flow in the context of severe congeni…

neonatologyintensive caremedicationproceduralpropofol
NSW2024-07-03

Inquest into the death of Charles Yan

30y · Male·mixed drug toxicity (MDMA, methylamphetamine and methoxyamphetamine)

Charles Yan, a 30-year-old male prisoner, died from mixed drug toxicity (MDMA, methylamphetamine, methoxyamphetamine) following cardiac arrest in an open-wing correctional facility. Fellow inmates observed progressive si…

emergency medicinetoxicologyMDMA
VIChome2017-08-28

Finding into death of Tara Sue Love

22y · Female·Sudden Arrhythmic Death Syndrome

Tara Love, a 22-year-old woman, died from sudden arrhythmic death syndrome due to long QT syndrome (LQTS). She presented multiple times to the Royal Women's Hospital with ECG changes and electrolyte abnormalities during …

obstetricscardiologydiagnosticcommunicationlabetalol
VICaged care2014-05-14

Finding into death of Norma Alice Bensley

92y · Female·Ischaemic heart disease in the setting of inappropriate administration of antihy…

Norma Bensley, a 92-year-old aged care resident, died from ischaemic heart disease after being inadvertently administered another resident's antihypertensive medications. A newly qualified nurse administered the wrong me…

geriatric medicinegeneral practicemedicationsystemantihypertensive medications
NSWhospital2020-02-14

Inquest into the death of Tristan Naudi

23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…

Tristan Naudi, 23, died from acute cardiac arrhythmia during MDMA intoxication while being restrained prone at hospital. Police appropriately placed him in a police vehicle after finding him violently agitated at home. A…

emergency medicinetoxicologysystemdelayMDMA

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