Coronial

27 results for diabetic ketoacidosis

VICmental health2022-06-29

Finding into death of Melissa Gaultier

34y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian), in circums…

Melissa Gaultier, 34 years old, was discharged from Latrobe Regional Hospital's psychiatric ward (Flynn Unit) less than 24 hours after admission on 13 April 2017, despite comprehensive warnings from Monash Health that sh…

psychiatryobstetricscommunicationdiagnostic
QLDaged care2026-01-15

Inquest into the death of Steven Thelander

29y · Male·Ketoacidosis as a consequence of diabetes mellitus (Type 1)

Steven Thelander, aged 29, died from ketoacidosis due to poorly controlled Type 1 diabetes while in residential disability support care at Multicap. He h…

general practiceendocrinologydiagnosticcommunicationinsulin
VIChospital2025-10-28

Finding into death of Christopher Gerard McIntosh

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

…onal Centre when his condition deteriorated. Critical clinical lessons include: (1) patients with chronic diabetic ulcers refusing treatment require enhanced vigilance and structured monitoring; (2) wound care management…

infectious diseasesvascular surgerydiagnosticsystemantibiotics
WAhome2016-11-22

Inquest into the Death of Maria Carmel NICEFORO

75y · Female·organ failure due to sepsis, likely from infected pressure sores, in the context…

Maria Carmel Niceforo, a 75-year-old woman with poorly controlled diabetes and ischaemic heart disease, died from septic shock secondary to extensive infected sacral pressure wounds. She received home care through KinCar…

general practiceemergency medicinecommunicationsystem
VIChome2021

Finding into death of Tate Hobbs

36y · Male·Combined drug toxicity (pregabalin, morphine, amitriptyline)

A 36-year-old motor mechanic with chronic pain from a 2014 knee injury died from combined drug toxicity (pregabalin, morphine, amitriptyline). His general practitioner, Dr S., prescribed excessive amounts of multiple med…

general practicepain medicinemedicationcommunicationpregabalin
NSWhospital2025-05-28

Inquest into the Death of Garry Small

71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …

A 71-year-old man with diabetes, ischaemic heart disease and osteomyelitis presented with fever and hypoglycaemia. He met Red Zone sepsis criteria (lactate 4.5mmol/L) but antibiotics were significantly delayed—ceftriaxon…

emergency medicinegeriatric medicinemedicationdelayceftriaxone
QLDhospital2024-07-30

PATELESIO, Etevise

29y · Female·Hypoxic-ischaemic encephalopathy due to cardiac arrest of undetermined cause

A 29-year-old woman with multiple comorbidities (Turner syndrome, type 1 diabetes, end-stage renal disease) presented to the ED in acute behavioural disturbance, requiring physical and chemical restraint. She received 5m…

emergency medicineintensive caremonitoringsystemdroperidol

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