Coronial

228 results for hypotension

VIChospital2014-03-21

Finding into death of Michelle Johnson

31y · Female·Ruptured splenic artery aneurysm with extensive retroperitoneal and intraperiton…

…station, presented to the Royal Women's Hospital with sudden-onset severe left-sided abdominal pain and hypotension on 21 March 2010. She was assessed by registrar Dr F. and covering specialist Dr L., with initial low b…

obstetricsemergency medicinecommunicationsystempethidine
SAcommunity2009-12-16

Coroner's Finding: PENN Dulcie Janet Mary

83y · Female·Congestive cardiac failure due to ischaemic and valvular heart disease

…dications including digoxin. She did not receive her own medications that morning. She developed severe hypotension (systolic BP 87) and altered consciousness in emergency department within hours, requiring intubation a…

emergency medicineintensive caremedicationproceduralclozapine
VICaged care2024-03-28

Finding into death of Shirley Hill Jones

85y · Female·Complications of a left ankle fracture (operated)

…d deconditioning. Shirley subsequently experienced multiple medical complications including orthostatic hypotension, urinary tract infections, oral candidiasis, hypercalcaemia, and progressive functional decline over tw…

geriatric medicineorthopaedic surgerycommunicationdelayoxycodone
VICmental health2019-09-19

Finding into death of Vanna Vassallo

68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall

Vanna Vassallo, a 68-year-old with schizophrenia, chronic comorbidities and documented high fall risk, died from complications of a subdural haemorrhage sustained in a fall at an aged mental health inpatient unit. She ha…

psychiatrygeriatric medicinepossibly_preventablefluphenazine decanoate
QLD2020-01-24

Willersdorf, Maria

87y · Female·Hypoxic-ischaemic encephalopathy secondary to cardiac arrest, with valvular hear…

…ction at the T12 level rather than the requested facet joint injections. The patient developed profound hypotension (60/40 mmHg) shortly after the procedure. The treating radiologist failed to recognize the seriousness …

radiologypain medicinediagnosticproceduralbupivacaine
TAShospital2024-10-18

Coroner's Finding: Long, Leonard

73y · Male·subdural haematoma from fall

…iotics, which interact significantly with warfarin. After the first fall on 1 February, he had postural hypotension, mild head pain, and confusion, but the post-fall clinical pathway form was not properly completed and …

general medicineemergency medicinediagnosticsystemwarfarin
NSWhospital2015-03-16

Inquest into the death of John Gibson

63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…

…our to confirm placement but failed to perform manometry, transduction, or blood gas assessment despite hypotension making these bedside checks unreliable. Chest X-ray alone cannot confirm venous placement. Best practic…

surgeryanaesthesiaproceduraldiagnosticdiazepam
VIChospital2023-10-06

Finding into death of G A

86y · Female·Bradycardic arrest secondary to relative hypoperfusion while undergoing surgery …

…enous sedation. She suffered an unexpected cardiac arrest intraoperatively secondary to bradycardia and hypotension. Despite appropriate resuscitation, she sustained a hypoxic brain injury and died three days later. The…

dermatologyplastic and reconstructive surgerymedicationpropofol
VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

…s and underwent bronchoscopy. On discharge day, she deteriorated with fever, altered consciousness, and hypotension. A MET call was initiated and sepsis was suspected. However, clinical staff prioritised CT imaging over…

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
QLDhospital2015-07-28

Mills, Stephen John

57y · Male·Head injury from fall; with coronary atherosclerosis and complete heart block wi…

…on despite prior fall history, despite clear clinical indicators of increased fall risk (unsteady gait, hypotension, medications affecting mobility). While individual interventions were implemented (bed position, fluid …

psychiatryneurosurgerysystemcommunicationseroquel xr
VIChospital2014-10-01

Finding into death of Gary Jason Cramer

44y · Male·Influenza B infection

…ear-old man with cerebral palsy and intellectual disability, was admitted to Monash Medical Centre with hypotension, productive cough, and bibasal crepitations. He deteriorated rapidly with severe hypoxaemia (77% on 16L…

intensive carerespiratory medicineaugmentation
VIChospital2014-02-26

Finding into death of Dean Lovett

21y · Male·dilated cardiomyopathy

… the severity of underlying cardiac disease. Key clinical lessons include: recognising tachycardia with hypotension as requiring urgent investigation; heightened vigilance in immunosuppressed patients; accurate triage p…

emergency medicinegeneral practicediagnosticdelaymethotrexate
VICaged care2020-11-06

Finding into death of VA

73y · Female·Combined effects of congestive cardiac failure, coronary artery atherosclerosis …

… a psychiatric unit. She had recently been treated for C. difficile colitis requiring ICU admission for hypotension. The coroner found that medical care was appropriate and the death could not have been prevented. Clini…

psychiatryintensive caremetaraminol
VIChospital2016-06-14

Finding into death of Alan James Drake

58y · Male·Pneumonia and urosepsis in a man with multiple comorbidities including Down synd…

…ics commenced. He was transferred to Ballarat Base Hospital where he developed respiratory distress and hypotension. After initial invasive procedures caused significant distress, a shared decision was made with his bro…

general practiceemergency medicine
QLDhospital2017-09-02

ML - Non-inquest findings

71y · Female·Haemothorax and haemopericardium secondary to ruptured dissecting aneurysm of th…

…t noted that discussion with tertiary specialists regarding the persistent undifferentiated chest pain, hypotension, and radiological findings might have prompted earlier intervention.

emergency medicinecardiologydiagnosticsystemintravenous fluids
VIChospital2024-05-09

Finding into death of Philip Sopikiotis

53y · Male·Aspiration pneumonia complicating seizures in a man with trisomy 21 and suspecte…

…epilepsy review. Despite active management with fluids and antibiotics, his condition deteriorated with hypotension and hypoxia. Following family discussions, he was transitioned to palliative care and died on 4 Novembe…

emergency medicineneurologysodium valproate
VIChospital2024-02-04

Finding into death of Miranda Louise Lynch

46y · Female·Sepsis of unknown origin

…ill Hospital on 20 April 2023 after two episodes of altered consciousness, presenting with bradycardia, hypotension, and hypothermia. Despite extensive investigations and treatment with intravenous fluids, hydrocortison…

emergency medicinegeneral medicineintravenous fluids
VIChospital2010-06-21

Finding into death of Ashley William Seedsman

34y · Male·Septic shock from aspiration pneumonia; cerebral palsy was a contributing condit…

…ith aspiration pneumonia and commenced on IV antibiotics but deteriorated despite treatment, developing hypotension and hypoglycaemia. Active management was withdrawn on 22 July and he died on 30 July 2009. Clinical les…

emergency medicinegeneral medicine
VIChospital2024-10-15

Finding into death of Melissa Joanne Dibble

53y · Female·Bronchopneumonia on a background of cerebral palsy

…ural drainage and multidisciplinary care, her condition deteriorated over several days with episodes of hypotension, reduced consciousness and worsening dysphagia. Following a hypoxic event, she was transitioned to pall…

respiratory medicinepalliative care
TAShospital2018-11-16

Coroner's Finding: Richardson, Margaret Rita

67y · Female·right coronary artery dissection following angiography stenting and attempted ro…

…on occurred. Although the perforation was stented and initially appeared sealed, she developed profound hypotension, pericardial effusion, and cardiac arrest. Despite resuscitation and intensive care with inotropic supp…

cardiologyintensive care

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