Coronial

37 results for early coronary artery atherosclerosis

VICmental health

Finding into death of GM

52y · Male·Unascertained

…or was opened. His body was found weeks later with evidence of healing rib fractures, probable pneumonia, coronary atherosclerosis, and possible environmental exposure. Systemic failures included inconsistent application…

psychiatryemergency medicinesystemcommunicationpholcodine
NTcommunity2014-11-03

Inquest into the death of Dion Daniels

24y · Male·Coronary artery thrombosis secondary to coronary atherosclerosis

…tations with chest pain, persistent hypertension, obesity, proteinuria and smoking—clear risk factors for coronary artery disease. He suffered a fatal cardiac arrest 2.5 hours later. An ECG and doctor consultation could …

cardiologyemergency medicinediagnosticcommunication
QLDhospital2019-09-03

Mr DAC - Non-inquest findings

51y · Male·Sepsis due to or as a consequence of right lower limb necrotising fasciitis due …

…lowing necrotising fasciitis of the lower limb, which developed after a pseudo-aneurysm complication from coronary angiography. Key clinical lessons: (1) inadequate pre-procedure assessment in a complex patient with mult…

cardiologyvascular surgerydiagnosticproceduralpazopanib
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following s…

emergency medicinegeneral practicediagnosticdelaymorphine
WAcommunity2026-02-02

Inquest into the Death of Joshua Fredrik VAN MALSSEN

24y · Male·Cardiac arrest in a man with Sotos syndrome and multiple comorbidities, includin…

Joshua Fredrik Van Malssen, 24, with Sotos syndrome, dilated cardiomyopathy, asthma, and WHO class III obesity (BMI 40.6) died from cardiac arrest on 16 June 2023 after being restrained in prone position by PTA transit o…

communicationproceduralalcohol
VIChospital2024-10-29

Finding into death of Shane Hughes

40y · Male·Acute hepatic and renal failure in the setting of postoperative haemorrhage foll…

…ilum en masse without visualising individual vessels, likely missing the inferior branch of the left renal artery and inadvertently ligating the superior mesenteric artery. Critical lessons include: complex large tumours…

urologysurgeryproceduraldiagnosticmetaraminol
QLDcommunity2019-06-10

Coolwell, Shaun Charles

33y · Male·cardiorespiratory arrest during restraint, involving a predisposition to cardiac…

…tion; and poor inter-agency communication. The death resulted from multifactorial causes including severe coronary atherosclerosis, methamphetamine toxicity, restraint factors, and stress—not from midazolam alone. Preven…

emergency medicinepharmacologydiagnosticcommunicationmethamphetamine
QLDprison2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

…n custody at Brisbane Correctional Centre on 21 November 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabetes, obesity, and hypertension. Clinical lessons include: (…

emergency medicinecardiologydiagnosticcommunicationaspirin
VICcommunity2026-03-27

Finding into death of Sacha Timothee Louis Lefebvre

52y · Male·Complications of chronic cardiac failure in the setting of ischaemic heart disea…

…ath. The coroner emphasised that homelessness itself is an independent risk factor for mortality, and that early intervention with housing and wrap-around support (such as the Better Health and Housing Program) could ha…

cardiologyemergency medicinesystemdelaymethamphetamine
WAcommunity2019-06-26

Inquest into the Death of Frederick John COLLARD

35y · Male·atherosclerotic heart disease with methylamphetamine effect in a man under physi…

…aranoid behaviour after methylamphetamine use and alcohol consumption. He climbed onto a house roof in the early morning and threw tiles aggressively. Police arrived and attempted de-escalation while he remained on the …

cardiologyemergency medicinemethamphetamine
VIChospital2013-02-22

Finding into death of Domenico Chiodo

33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…

… compounding factors: schizophrenia-related agitation, sedating drugs, obesity, prone position restraint, coronary artery disease, and exertion during struggle. Key clinical failures included: (1) placing an acutely psyc…

emergency medicinepsychiatrydiagnosticmedicationolanzapine
NSWhospital2018-10-22

Inquest into the death of Sandra Cree

71y · Female·Ruptured abdominal aortic aneurysm, with coronary artery atherosclerosis contrib…

…epair procedure in Brisbane. She presented to a remote hospital (Lightning Ridge Multi-Purpose Service) in early April 2016 with classic symptoms of AAA rupture: hypotension, shock, abdominal and back pain. Critical cli…

emergency medicinevascular surgerydiagnosticcommunicationgentamicin
VIChospital2021-06-03

Finding into death of John Reed

63y · Male·Head injury

Mr John Reed, aged 63, died from head injury sustained during an assault by his domestic partner Ms Gayle Dunlop on 18 July 2015 at their Seaford home. He was admitted to Alfred Hospital and died two days later. The rela…

emergency medicinetrauma surgerycommunicationsystem
VIChome2017

Finding into death of Harold George Nolan

73y · Male·Stab wound to the neck

Harold Nolan, 73, was fatally stabbed in the neck by his ex-wife Renee Nolan while asleep at home. Ms Nolan was his full-time carer following his 2013 stroke and was experiencing severe carer fatigue, mental health deter…

general practicepsychiatrycommunicationdelayantidepressants
VIChome2012-05-18

Finding into death of David Andrew Trengrove

38y · Male·Toxic effects of morphine in a setting of benzodiazepine dependency

A 38-year-old man with chronic pain, mental illness, and benzodiazepine dependency died from morphine toxicity. He obtained multiple benzodiazepines and opioids from five different doctors through 'prescription shopping'…

general practicepsychiatrymedicationcommunicationmorphine
TAScommunity2016-05-25

Coroner's Finding: Barnes, Deearne Joan

53y · Female·mixed prescription drug toxicity

Deearne Joan Barnes, a 53-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine…

psychiatrypain medicinediagnosticmedicationvenlafaxine
VIChospital2014-04-17

Finding into death of Gail Fergusson

65y · Female·Liver failure secondary to paracetamol toxicity

A 65-year-old retired nurse died from paracetamol toxicity and liver failure after taking excessive paracetamol tablets for pain relief following a fractured arm. She presented to hospital on Saturday with a fracture. Cr…

emergency medicineendocrinologycommunicationsystemparacetamol

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