Coronial

56 results for gastrostomy

VIChospital2024-09-17

Finding into death of Hannah Gray

34y · Female·Aspiration pneumonia in a woman with cerebral palsy and Lennox-Gastaut syndrome

Hannah Gray, a 34-year-old woman with cerebral palsy and Lennox-Gastaut syndrome living in specialist disability accommodation, died from aspiration pneumonia. She had experienced progressive health deterioration over th…

neurologygeneral practicecannabidiol
VIChospital2023-10-16

Finding into death of Adam Richard Greaves

48y · Male·Aspiration pneumonia complicating progressive degenerative neurological disorder…

Adam Greaves, a 48-year-old man with progressive degenerative neurological disorder, frontotemporal dementia, severe dysphagia, and cerebral palsy, died from aspiration pneumonia after admission to hospital with acute br…

emergency medicineneurology
NSWhospital2025-12-01

Inquest into the death of Malcolm Baker

76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation

Malcolm George Baker, a 76-year-old prisoner serving a life sentence, died from complications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leaving him…

emergency medicineneurology
VIChospital2021-06-01

Finding into death of Beryl Maloney

76y · Female·Aspiration pneumonia and cholangitis; obstructive jaundice from intraduct tumour…

76-year-old woman with cerebral palsy, dysphagia, and PEG feeding died from aspiration pneumonia and cholangitis secondary to an obstructive bile duct tumour. She was admitted with obstructive jaundice and sepsis, underw…

gastroenterologygeneral medicineantibiotics
VIChome2025-03-12

Finding into death of H D

11y · Female·Pneumonia complicating cerebral palsy secondary to KCNQ2 developmental and epile…

HD was an 11-year-old girl with severe cerebral palsy, epilepsy, and multiple complex medical conditions including central respiratory depression and recurrent chest infections. She died from pneumonia at home in August …

paediatricspalliative care
NThospital2012-03-28

Inquest into the death of Master F

17y · Male·pneumonia and respiratory failure associated with choreoathetoid cerebral palsy

A 17-year-old Indigenous male with severe choreoathetoid cerebral palsy, feeding difficulties, and swallowing dysfunction died of pneumonia and respiratory failure in ICU. He had missed lunch medications (Baclofen and Ga…

general surgerypaediatricsmedicationbaclofen
VIChospital2026-03-02

Finding into death of Cameron James Stewart

31y · Male·Aspiration pneumonia in a man with intellectual disability and epilepsy (palliat…

Cameron James Stewart, a 31-year-old man with severe cerebral palsy, intellectual disability, epilepsy, and dysphagia, died of aspiration pneumonia at Maroondah Hospital. Following a COVID-19 infection in December 2023, …

general practiceemergency medicinediazepam
WAhospitalJuly 2023

Inquest into the Death of Lincoln Arthur CAMPBELL

52y · Male·end-stage throat cancer

Lincoln Campbell, a 52-year-old Aboriginal man with terminal throat cancer, disappeared from Kununurra Hospital on 24 December 2005 while receiving palliative care. He had a PEG feeding tube, required regular morphine an…

oncologypalliative caremorphine
NThospital2012-10-29

Inquest into the death of Name 'N'

9y · Female·Aspiration pneumonia due to cerebral palsy and seizures

Nine-year-old Aboriginal girl with severe cerebral palsy, cognitive impairment, and seizure disorder died of aspiration pneumonia in ICU following status epilepticus. She had complex medical needs including PEG feeding, …

paediatricsintensive caresystemanti-epileptic medication
VIChospital2024-06-13

Finding into death of Jennifer Rowallan Turnbull

79y · Female·Aspiration pneumonia in a woman with COVID-19 and multiple medical co-morbiditie…

Jennifer Turnbull, 79, with cerebral palsy and multiple comorbidities, died from aspiration pneumonia complicated by COVID-19. She was admitted to hospital in October 2022 with recurrent aspiration pneumonia. A PEG tube …

general practicerespiratory medicineoral antibiotics
TAShospital2019-04-18

Coroner's Finding: Davis, Catherine Joy

31y · Female·urosepsis due to acute pyelonephritis

Catherine Joy Davis, a 31-year-old woman with severe lissencephaly, intellectual impairment, epilepsy and cerebral palsy, died from urosepsis due to acute pyelonephritis. She presented to ED with vomiting and constipatio…

emergency medicinegeneral medicinediagnosticdelayoral antibiotics via peg tube
VIChospital2012-02-20

Finding into death of Belle Bromley

13y · Female·Complex congenital heart disease (operated) and sepsis

Belle Bromley, a 13-month-old child with complex congenital heart disease (22q11 deletion syndrome causing pulmonary atresia with ventricular septal defect and major aorta-pulmonary collateral arteries), died from sepsis…

cardiologycardiothoracic surgery
NThospital2021-01-07

Inquest into the death of Edgar Forrester

56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…

Edgar Forrester, a 56-year-old Aboriginal man, died of aspiration pneumonitis secondary to oesophageal squamous cell carcinoma with metastases while in custody. He presented with progressive dysphagia from September 2019…

general practicecardiologydiagnosticdelay
VIChospital2024-08-07

Finding into death of Georgios Stamkos

68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…

A 68-year-old man with dysphagia and bipolar disorder died from airway obstruction and aspiration pneumonia after choking on a sandwich brought by his wife during a supervised hospital meal. He had been admitted with wor…

psychiatryspeech pathologyrisperidone
WAhospital2019-12-20

Inquest into the Death of Child TJW

7y · Female·aspiration pneumonia leading to multi-organ failure in a female child with compl…

A child with severe cerebral palsy, hypoxic ischaemic encephalopathy, microcephaly and seizure disorder died of aspiration pneumonia leading to multi-organ failure. Born with severe perinatal brain injury, she had comple…

paediatricsneurologymorphine
VIChospital2023-10-30

Finding into death of BCT

2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …

BCT was a 2-year-old Aboriginal child with complex needs from a genetic disorder (CAMTA1 mutation) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endosco…

gastroenterologyradiologydiagnosticcommunicationceftriaxone
NThospital2016-04-22

Inquest into the death of Bundy Namarnyilk

56y · Male·Acute bronchopneumonia secondary to locally advanced, poorly differentiated squa…

A 56-year-old Aboriginal man died in custody from bronchopneumonia secondary to metastatic hypopharyngeal squamous cell carcinoma. He first presented with sore throat in February 2014 and was referred to ENT clinic in Ap…

ENT surgeryoncology
WAhome2016-09-30

Inquest into the Death of Janene DEVINE

48y · Female·malnutrition in association with sepsis on a background of end stage multiple sc…

A 48-year-old woman with end-stage multiple sclerosis died from malnutrition and sepsis after her husband, her primary carer, failed to provide adequate nutrition via a PEG tube despite receiving training and instruction…

neurologygastroenterologysystemdelay
VIChospital2014-06-20

Finding into death of Rosalie Anne King

29y · Female·Bronchopneumonia in a woman with brain injury

A 29-year-old Aboriginal woman suffered a motor vehicle collision resulting in severe multi-system injuries requiring multiple surgical interventions. Eleven days after transfer to the trauma ward, she experienced sudden…

trauma surgeryintensive care
NThome2013-12-18

Inquest into the death of Miss M

15y · Female·cardiac and respiratory arrest following pulmonary aspiration

Miss M, a 15-year-old Aboriginal girl with severe cerebral palsy and multiple medical complications, died from cardiac and respiratory arrest due to pulmonary aspiration. She had an Advance Care Directive (ACD) in place …

paediatricsemergency medicinesystem

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