Coronial

161 results for clinical dehydration

VIChospital2012-09-26

Finding into death of Holly Bridget Marion South

0y · Female·Hypoxic-ischaemic encephalopathy arising from thrombosis in Blalock-Taussig shun…

…mic encephalopathy from thrombosis in her shunt after presenting to hospital with vomiting and signs of dehydration. Clinical lessons: the delay in medical assessment (55-58 minutes for a triage category 3 patient with …

cardiologycardiothoracic surgerycommunicationsystem
VIChospital2014-04-17

Finding into death of Grazia Giosserano

61y · Female·Acute renal failure and dehydration in the setting of cirrhosis (secondary to he…

…erlying liver disease and coagulopathy. She deteriorated rapidly 3 days later with acute renal failure, dehydration and internal bleeding, dying within 2 hours of re-presentation. The coroner found that whilst Dr L.'s c…

emergency medicinesurgerydiagnosticdelaytramadol
VIC2026-03-03

Finding into death of Susan June Mahoney

74y · Female·Acute renal failure complicating decreased oral intake in the setting of Angelma…

…ut, with medical teams appropriately involving family in shared decision-making. This case highlights the clinical challenge of managing progressive neurological decline in severely disabled patients, the importance of e…

general practiceemergency medicine
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

…d intensive supportive care, he continued refusing oral intake. His condition deteriorated acutely with dehydration, hypotension, respiratory failure, and sepsis. The coroner found that clinical staff provided appropria…

psychiatrygeneral medicine
SAmental health2003-01-10

Coroner's Finding: MYNHART Johann George

77y · Male·bilateral pulmonary emboli complicating deep vein thrombosis (left calf)

… bilateral pulmonary emboli complicating deep vein thrombosis of the left calf. He was hospitalised for dehydration and diabetes management, then returned to psychiatric care. On 30 April, his daughter observed classic …

psychiatryemergency medicinecommunicationdelay
VIChospital2025-01-08

Finding into death of Winfried Medenbach

65y · Male·Middle cerebral artery stroke in a man with multiple medical co-morbidities

…sions for post-operative complications including intra-abdominal collections and diarrheal illness with dehydration. Despite appropriate medical management including infectious disease consultation, fluid resuscitation,…

general surgeryinfectious diseaseshyoscine butylbromide
VICmental health2015-02-26

Finding into death of Paul Bernard Finck

47y · Male·pulmonary thromboembolism and deep vein thrombosis

…is while admitted to the psychiatric ward. He presented with fever, tachycardia, elevated CK levels and dehydration from walking 26km barefoot. Clinical staff considered differential diagnoses including neuroleptic mali…

psychiatryemergency medicinearipiprazole
SAcommunity2007-12-12

Coroner's Finding: BAUMANIS Bronislawa Sonia

84y · Female·ischaemic heart disease

An 84-year-old woman with dehydration, fever, and confusion initially refused hospital admission due to fears of nursing home placement. Her …

general practiceemergency medicineadrenaline
NSW2018-05-30

Inquest into the death of Abduelaziz Omerhaj

36y · Male·undetermined (possibly ethylene glycol poisoning; possibly natural cause such as…

…sy revealed likely ethylene glycol poisoning but the cause of death could not be definitively determined. Clinical lessons: the importance of one-to-one nursing observation during acute psychosis, secure containment prot…

psychiatryemergency medicinecommunicationproceduralolanzapine
ACThospital1998-07-16

Inquest Into The Death Of Nathan Thomas James Wrench

0y · Male·multi-organ failure from septicaemia following surgical reduction of intussuscep…

… admitted for observation, and managed conservatively. Critical urinalysis results on 14 October showed dehydration (ketones, specific gravity 1030) which nursing staff report they communicated to Dr R., but he denies r…

paediatric surgeryemergency medicinecommunicationdiagnostic
VIChospital2021-06-10

Finding into death of Carlene Margaret Salveson

80y · Female·pulmonary thromboembolism in the setting of deep leg vein thrombosis; squamous c…

…bolism secondary to bilateral deep vein thrombosis. She was admitted to hospital with poor oral intake, dehydration, and acute kidney injury following chemotherapy and radiotherapy. Critical risk factors for venous thro…

radiation oncologyoncologymedicationsystem
VIChospital2014-12-16

Finding into death of Michael Justin Nicoll

36y · Male·Multiorgan failure complicating Streptococcus pyogenes septicaemia

Michael Nicoll, 36, presented to Cabrini Hospital ED with diarrhoea, vomiting, and dehydration. Dr P. diagnosed gastroenteritis and discharged him after IV fluids, despite dehydration, tachycardia, …

emergency medicineintensive carediagnosticsystemondansetron
NT2001-10-16

Inquest into the death of Christopher Limerick

20y · Male·Unable to be determined. Death likely resulted from exposure following a fall wh…

…e access road seeking water the following day, fell among rocks and boulders, and died from exposure. Key clinical lessons include the importance of recognising vulnerability in intoxicated individuals with dehydration a…

forensic medicineemergency medicinecommunicationsystem
VIC2017-10-31

Finding into death of Andrew John Harman

49y · Male·Complications of heatstroke; Hyperthermia

…vomiting, rapid heart rate and disorientation. He suffered cardiac arrest and died despite resuscitation. Clinical lessons include recognizing early signs of heat exhaustion in physically exerting individuals, ensuring a…

emergency medicineintensive caredelay
NTcommunityPodcast2018-11-26

Inquest into the death of Wilfried and Gisela Thor

Unknown·Environmental heat injury

…messaging about heat risks, lack of mobile reception, and impaired decision-making from heat stress and dehydration. The couple were not acclimatised to extreme heat, having travelled from winter Berlin. Clinical lesson…

emergency medicineforensic medicinesystem
WAcommunity2020-11-25

Inquest into the Death of Jamie Alan GRAHAM

50y · Male·acute renal failure due to dehydration in relation to environmental exposure

…ith type 2 diabetes, cognitive impairment, and alcohol dependence, died from acute renal failure due to dehydration after being stranded with two companions on a remote road when their vehicle ran out of fuel. They call…

systemcommunication
ACThospital2018-05-04

AN INQUEST INTO THE DEATH OFTAHADESSE (TAD) KAHSAI

61y · Male·exposure and dehydration, preceded by alcohol withdrawal and chronic alcoholism

…e hospital appearing competent. He wandered into bushland during hot weather and died from exposure and dehydration complicated by alcohol withdrawal within 2-3 days. His death resulted from a cascading series of system…

emergency medicinegeneral medicinesystemcommunicationoxazepam
SAhospital2010-12-06

Coroner's Finding: GEORGE Irene Thelma

84y · Female·septicaemia secondary to septic arthritis of the left knee

…nder Dr W.'s care. Over the following days, Dr W. failed to recognise progressive sepsis despite mounting clinical signs: fever (38°C on arrival), hypotension, confusion, dehydration, and severe generalised pain. He misa…

emergency medicinegeneral medicinediagnosticcommunicationmorphine
ACThome2003-12-23

Inquest Into The Manner And Cause Of Death Of Neil Summerell

34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…

…ber 1999. He was scalded to 17.5% of his body, likely in the shower during a drop seizure, resulting in dehydration and development of gastric erosions. Key clinical lessons: (1) delay in hospital admission (approximate…

emergency medicinegeneral practicesystemcommunication
NTcommunity2008-09-01

Inquest into the death of Peter Limbunya

78y · Male·pneumonia with dehydration and exposure to heat as contributing factors

Peter Limbunya, a 78-year-old Aboriginal elder, died from pneumonia complicated by dehydration and exposure after being left unattended at a remote airstrip following hospital discharge. He was not …

emergency medicinegeneral practicecommunicationsystem
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