Coronial

95 results for intensive care unit admission

VICmental health2015-08-06

Finding into death of WJ

39y · Female·Hypoxic brain injury secondary to hanging

…depression, anxiety, and substance use disorder was voluntarily admitted to Northern Hospital's psychiatric unit after presenting to ED with suicidal ideation. Despite documented suicidal thinking at admission, she was a…

psychiatryintensive carediagnosticcommunicationduloxetine
VICmental health2016-12-08

Finding into death of Joseph Pezzimenti

60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression

…psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Dependency Unit bathroom. Key clinical lessons include: communication difficulties (voice loss) should not diminish suicide…

psychiatryintensive carediagnosticcommunication
VIChospital2026-04-28

Finding into death of Ronald William Beaumont

74y · Male·Acute myocardial infarction complicated by multiple organ failure

…emand mismatch from surgical stress, limiting medication error's causal contribution; (2) Inadequate pre-admission documentation and communication about anticoagulation management created confusion between orthopaedic a…

cardiologyorthopaedic surgerymedicationcommunicationaspirin
VICmental health2026-04-27

Finding into death of GM

Female·Fulminant hepatic failure due to paracetamol toxicity

…borderline personality disorder, and chronic suicidality was admitted to St Vincent’s psychiatric inpatient unit on 28 July 2023. She reported ongoing suicidal thoughts but engaged well in safety planning and showed impr…

psychiatryintensive careparacetamol
TASmental health2016-08-16

Coroner's Finding: Pasinski, Alexander

59y · Male·asphyxia due to choking on food

…asphyxia due to choking while an involuntary psychiatric patient in Launceston General Hospital's Northside unit. He had major depression and paranoid schizophrenia with complex psychiatric presentation. After a signific…

psychiatryintensive caresystemcommunicationamitriptyline
WAmental health2001-02-02

Inquest into the Death of Giovanni Mario Franco

30y · Male·Acute Cardiac Dysrhythmia of Uncertain Aetiology

…March 1998 at Graylands Hospital from acute cardiac dysrhythmia of uncertain aetiology. During his final admission in February 1998, he developed severe behavioural disturbance resistant to anti-psychotic medication, pr…

psychiatryintensive caremedicationflupenthixol decanoate
WAcommunity2024-10-22

Inquest into the Death of Karl Jonathan TURNER

49y · Male·combined drug toxicity

…ined drug toxicity (heroin, morphine, pregabalin, methylamphetamine, and cannabis). He was managed on a Community Treatment Order in the community by an Intensive Clinical Outreach Team. While the coroner found his care

psychiatryintensive caresystemdelaymorphine
VIChospital2023-04-18

Finding into death of James Bernard Williamson

54y · Male·hypoglycaemic encephalopathy complicating multiple injuries in a man with chroni…

…rce trauma including rib fractures, facial fractures and head injuries. Despite transfer to hospital and intensive care, he developed severe hypoxic brain injury and died on 11 July 2020. The precise mechanism of injury…

intensive careneurologymethamphetamine
NSWmental health2024-03-06

Inquest into the death of RA

64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging

…old woman with a history of childhood trauma, anxiety and depression was admitted to an acute mental health unit (Kurrajong Unit) under involuntary care following a suicide attempt. Within 24 hours, she accessed a cord/d…

psychiatryemergency medicinesystemproceduralmirtazapine
SAhospital2005-04-05

Coroner's Finding: HOLLENS Christopher

44y · Male·aspiration pneumonia

…, traumatic brain injury, spastic paraparesis, and epilepsy, died of aspiration pneumonia after a 15-day admission to Royal Adelaide Hospital. He was transferred from Glenside psychiatric hospital on 11 November 2002 wi…

psychiatrygeneral medicinephenytoin
VICmental health2012-04-03

Finding into death of Miles David Colman

21y · Male·Head injury sustained in fall from height

…d jumping from a 3-metre hospital courtyard wall on 1 January 2011. He had been admitted to the psychiatric unit 10 days earlier with paranoid delusions and command hallucinations telling him to commit suicide. Over the …

psychiatryintensive carerisperidone
VIC2013-11-25

Finding into death of Rahul Prasad

28y · Male·Global cerebral ischaemic injury due to hanging

…er with a serious psychotic condition and documented suicide risk, was discharged from the Acute Assessment Unit on 7 May 2010 with an S3 (potential) risk rating after psychiatric assessment. Despite subsequent reports o…

psychiatryintensive carediagnosticcommunication
VIChospital2012-10-26

Finding into death of Rodney David Keegan

41y · Male·Cardiomyopathy in a setting of acute abdomen

…resuscitated and intubated but aspirated during intubation attempts. His condition deteriorated despite ICU care. The coroner found death resulted from cardiomyopathy in the setting of acute abdomen of unknown aetiology.…

cardiologyintensive carewarfarin
QLDmental health2013-07-02

Justin

35y · Male·Choking due to impaction of soap in airway

…on and complex psychiatric presentation died from choking on a bar of soap while in involuntary psychiatric care. He had attempted multiple suicides previously. Clinical lessons include: (1) periodic observations conduct…

psychiatryintensive caresystemcommunicationrisperidone
NSWhospital2022-04-05

Inquest into the death of Ronald TURNER

81y · Male·Consequences of bowel obstruction

…er, unexpected vomiting on 25 January led to aspiration pneumonia and respiratory distress requiring ICU admission. The coroner found no clinical indication for earlier escalation, that care was appropriate throughout, …

colorectal surgerygeriatric medicine
QLDmental health2006-09-08

Robinson, Terence James

54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus

…n and neurological deterioration. Critical issues included: lack of daily psychiatric review in the Special Care Unit (he was not seen on day 3 post-sedation); delayed recognition of serious deterioration; and uncertaint…

psychiatryneurologydiagnosticcommunicationparoxetine
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

74y · Male·small intestinal ischaemia caused by aortic atherosclerosis

…ypotension, fever, tachycardia, and elevated inflammatory markers consistent with sepsis within hours of admission. Despite clear warning signs and abnormal blood tests indicating infection and organ dysfunction, a MET …

emergency medicineorthopaedic surgerydiagnosticcommunication
SAhospital2011-03-28

Coroner's Finding: ALLAN Vera

81y · Female·Severe cardiogenic shock complicating cardiac surgery

An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic instability and inadequate postoperative ICU management. The surgery involved e…

cardiothoracic surgeryanaesthesiamedicationcommunicationadrenaline
QLDmental health2007-06-20

Liddell, Matthew John

28y · Male·hypoxic encephalopathy secondary to hanging

…ty procedures were inadequate. The case highlights the difficulty of predicting suicide in open psychiatric units and the importance of family-hospital communication.

psychiatryemergency medicinecitalopram
QLDmental health2024-09-17

Inquest into the death of Chloe Jane Campbell

32y · Female·Hypoxic-ischaemic encephalopathy due to hanging

…l ideation. She was admitted 18-30 April 2019 after ceasing medications and experiencing suicidal ideation. Care was clinically appropriate including risk assessments, observations, and medication use consistent with gui…

psychiatryintensive caresystemlorazepam

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.