Coronial

38 results for indwelling catheter

TAShome2017-10-12

Coroner's Finding: Allie, Sue Denise

63y · Female·unable to determine; possibly mirtazapine toxicity, cardiac disease, or injectio…

Sue Denise Allie, aged 63, died at home in July 2015. She had presented to hospital in May 2015 with superwarfarin (brodifacoum) poisoning from rat poison, which she attributed to handling contaminated material. Medical …

general practicehaematologydiagnosticbrodifacoum
QLDhospital2017-06-22

Mead, Gwendoline

73y · Female·Multiple organ failure due to or as a consequence of sepsis due to or as a conse…

73-year-old woman died 12 days after elective colorectal surgery for synchronous caecal and rectal tumours. Post-operatively, she developed persistent low urine output and intermittent hypotension managed with repeated f…

colorectal surgerygeneral surgerydiagnosticdelay5-fluorouracil
TAShome2023-10-01

Coroner's Finding: Czerniejewski, Roswitha

66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet

A 66-year-old woman with untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couc…

general practicerheumatologysystem
WAhospital2022-10-05

Inquest into the Death of David Arthur RICE

75y · Male·acute bronchopneumonia in a man with comorbidities

A 75-year-old sentenced prisoner died from acute bronchopneumonia with comorbidities. Mr Rice had extensive medical complexity including COPD, cardiac disease, peripheral vascular disease, and diabetes. He was appropriat…

general medicinecardiologysystemapixaban
VICaged care2024-03-28

Finding into death of Shirley Hill Jones

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

An 85-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, hypertension, prior stroke) sustained a left ankle fracture requiring surgical repair. A significant delay occurred in removing her pla…

geriatric medicineorthopaedic surgerycommunicationdelayoxycodone
WAhospital2013-11-12

Inquest into the Death of Ford, Valma May Ruth

77y · Female·Complications following a recent fracture and surgical repair of the right hip i…

… high UTI risk in elderly females; cloudy urine postoperatively suggested possible E. coli infection from catheter. (2) Single perioperative antibiotic dose (Keflin) was inadequate; infection risk appeared unrecognized. …

orthopaedic surgeryemergency medicinediagnosticsystemwarfarin
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of …

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
VIChospital2023-07-19

Finding into death of Daryl William Nioa

74y · Male·Pulmonary thromboembolism secondary to deep vein thrombosis in the setting of re…

A 74-year-old man died from pulmonary thromboembolism secondary to deep vein thrombosis following a cervical spinal fracture. He presented to rural ED with mental health concerns, was restrained by security guards after …

emergency medicineneurosurgerydiagnosticdelayclonazepam
VIChospital2015-07-01

Finding into death of Robert Charles Avery

86y · Male·Septic shock secondary to urosepsis

Robert Avery, 86, was admitted to Valley Private Hospital for colonoscopy to investigate constipation. After the procedure was cancelled due to respiratory concerns, he was managed with fluid restriction, bowel preparati…

surgerygastroenterologycommunicationsystemmixtard insulin
NThospital2017-04-07

Inquest into the death of Gabby Wanambi

11y · Female·Acute Staphylococcal Septicaemia due to suppurative arthritis of the left ankle

An 11-year-old Aboriginal girl died from acute staphylococcal septicaemia following an ankle injury. She presented three times over three days with escalating signs of infection (fever, tachycardia, tachypnoea, swollen w…

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol
NSWcommunity2016-01-29

Jimmy JAMES - Findings

44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)

Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…

emergency medicineintensive carediagnosticmedicationceftriaxone
WAcommunity2004-10-08

Inquest into the Death of Morgan

31y · Male·Lymphocytic Myocarditis in association with Acute Pericarditis (viral origin, ae…

Norman John Morgan, aged 31, died at Carnarvon Airport on 21 December 2001 from lymphocytic myocarditis with acute pericarditis (viral origin). He presented to Carnarvon Regional Hospital on 20 December with chest and sh…

general medicineemergency medicinecommunicationsystemceftriaxone
QLDhospital2025-07-22

Inquest into the death of Hazel Mary Ritchie Brodie

79y · Female·Dilated cardiomyopathy with decompensated heart failure not appropriately treate…

A 79-year-old woman with severe COPD and heart failure presented with two weeks of nausea and vomiting. She was diagnosed with left ventricular failure (EF 33%) on day 1 of admission. Two cardiologists had key roles: Dr …

cardiologyrespiratory medicinediagnosticcommunicationfurosemide
WAhospital

Inquest into the death of Amanda Dana TAUAI

21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)

Amanda Dana Tauai, 21 years old, died from septic shock with multi-organ failure in March 2012 after presenting with symptoms initially consistent with viral gastroenteritis and dehydration. Initial management at remote …

general practiceemergency medicinediagnosticcommunicationmetoclopramide
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 susp…

emergency medicinegeneral practicediagnosticdelaymorphine
SAhospital2014-02-05

Coroner's Finding: COOK Eileen Hazel

76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…

Mrs Cook, a 76-year-old woman, died in January 2010 from hospital-acquired pneumonia, multiple organ dysfunction, and small bowel obstruction. She was admitted to a rural hospital with acute renal failure and dangerously…

general practiceemergency medicinediagnosticcommunicationintravenous fluids
WAhospital2010-03-03

Inquest into the Death of McLevie

38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)

Susannah McLevie, a 38-year-old woman, died on 6 April 2006 from untreated Group A Streptococcal septicaemia (puerperal sepsis) following childbirth at Osborne Park Hospital. She developed fever (38°C) at 3am on 5 April,…

obstetricsmidwiferydiagnosticcommunicationparacetamol/codeine
QLDhospital2017-09-20

Mrs R-W - Non-inquest findings

83y · Female·Hyponatraemic encephalopathy due to adverse effects of citaprolam and duloxetine…

An 83-year-old woman with pre-existing SIADH-related chronic hyponatraemia died from hyponatraemic encephalopathy following antidepressant therapy. Critical clinical lessons include: (1) the importance of accessing prior…

general medicineemergency medicinediagnosticmedicationcitalopram

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