Coronial

304 results for multi-system failure

VIChome2015-12-08

Finding into death of Stanly Roger Walker

84y · Male·Bronchopneumonia and multi-system organ failure arising from being a victim of h…

Stanly Roger Walker, aged 84, died on 5 July 2008 from bronchopneumonia and multi-system organ failure following a severe house fire on 16 June 2008 at his Footscray home. The fire started in …

QLDhospital2017-09-20

Mr TAM - Non-inquest findings

62y · Male·Multi-organ infarctions (brain, kidneys, heart) resulting from thromboemboli sec…

Mr TAM, a 62-year-old man with multiple cardiac conditions, died from multi-organ infarction secondary to an atrio-oesophageal fistula that developed after radio-frequency ablation for atrial fibrillation. The fistula is…

cardiologycardiothoracic surgerycommunicationsystem
WAhospital- 27 May 2014

Inquest into the Death of Brian John DAVIES

57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy

… dense adhesions and obesity. Post-operatively, he developed progressive hypoxia and signs of acute renal failure within hours. Despite escalation to high-dependency care and ED review, he deteriorated rapidly overnight…

surgeryanaesthesiasystemdelaymorphine
NThospital2015-07-10

Inquest into the death of Clare Harrison

29y · Female·multi-lobe community acquired pneumonia and respiratory failure

…ong-standing anorexia nervosa diagnosed at age 17, died from community-acquired pneumonia and respiratory failure after a final 21-day admission to Alice Springs Hospital. She was found hypoglycaemic at home on 5 Januar…

psychiatrygeneral medicineantibiotics
ACThospital2024-09-16

Inquest Into The Death Of Sharyn Kaine

73y · Female·Multi organ failure due to adhesions related bowel perforation (surgically treat…

Sharyn Kaine, a 73-year-old woman, died from multi-organ failure due to adhesions-related bowel perforation and paracetamol-induced liver failure. She was prescribed intr…

general surgeryanaesthesiamedicationtranscriptionparacetamol
SA2025-06-03

Coroner's Finding: Sears, James Frank

53y · Male·disseminated malignant melanoma

…nt had a 65% chance of five-year disease-free survival. The standard of care was unsatisfactory; systemic failures in MDT communication and follow-up directly contributed to a preventable death.

dermatologyoncologycommunicationsystemdabrafenib
VIC2022-02-10

Finding into death of Elaine Betty Sime

72y · Female·multi-organ failure secondary to poly-trauma and likely bee-sting related toxidr…

Elaine Betty Sime, a 72-year-old fit and healthy woman, died from multi-organ failure following poly-trauma and bee sting toxidrome after a tree fell on her during a walk. The tree at Ruffey …

emergency medicinetrauma surgerysystem
VIChospital2011-08-31

Finding into death of Barry Wilson Howroyd

78y · Male·Complications of bowel surgery; specifically post-operative chest infection and …

…colectomy. Post-operatively, he developed chest infection on day 4, progressing to sepsis and multi-organ failure. Death resulted from post-operative complications including overwhelming post-splenectomy infection (OPSI…

gastroenterologygeneral surgerycommunicationsystem
VIC2023-08-30

Finding into death of Baby A

0y · Female·Sudden infant death syndrome (SIDS) category 2

…ner found that whilst medical staff made reasonable clinical decisions about discharge, critical systemic failures occurred: lack of Child Protection involvement, inadequate multi-agency discharge planning, failure to i…

neonatologypaediatricssystemcommunicationmethadone
SAhospital2016-08-02

Coroner's Finding: SMITH Gordon Charles

91y · Male·Multi-organ failure due to inanition complicating prolonged delirium of uncertai…

Gordon Charles Smith, 91, died from multi-organ failure due to severe malnutrition (inanition) complicating prolonged delirium of unknown cause at Repatriation G…

psychiatrygeneral medicinecommunicationsystemmirtazapine
WAhospital2018-06-14

Inquest into the Death of Anne RZEPCZYNSKI

59y · Female·complications of intra-abdominal sepsis, including multi-organ failure and bowel…

59-year-old woman died from intra-abdominal sepsis, multi-organ failure and bowel perforation following median hepatectomy for cholangiocarcinoma. Key clinical issues included: …

general surgeryintensive carediagnosticdelayantibiotics
SAhospital2012-06-18

Coroner's Finding: GRIPTON William John

62y · Male·multi organ failure due to atypical pneumonia

…Hospital with upper respiratory tract infection that progressed to atypical pneumonia causing multi-organ failure and death. Critical clinical lessons: blood results on 11 May 2008 at 21:30 showed significant abnormalit…

general medicineintensive carediagnosticcommunicationamoxicillin
SAhospital2024-05-22

Coroner's Finding: Kolega, Sime

54y · Male·multi-organ failure and sepsis complicating fulminant pneumonia with empyema (op…

A 54-year-old man died from sepsis and multi-organ failure secondary to fulminant pneumonia with empyema. He presented to his GP on 1 April 2021 with concerning sig…

general practiceemergency medicinedelaysystemflixotide
VIChospital2019-02-05

Finding into death of Eliza Gill

18y · Female·Colchicine toxicity

An 18-year-old female died from colchicine toxicity after intentional overdose of her father's medications during a mental health crisis. She ingested approximately 10-15g of colchicine (dose 0.25mg/kg), below the guidel…

emergency medicineintensive carediagnosticsystemcolchicine
SAhospital2017-02-01

Coroner's Finding: KLINGBERG Briony Caitlin

10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…

A 10-year-old girl died from multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infection. She presented to the Women's and Children…

paediatricsemergency medicinediagnosticcommunicationceclor
SAaged care2014-04-17

Coroner's Finding: WERNER Cynthia Joy

76y · Female·colchicine toxicity

… nursing home. However, the case highlights that colchicine's serious toxicity risk—including multi-organ failure—is not widely known in the medical community. Expert evidence showed prednisolone is preferred for acute …

general practicegeriatric medicinemedicationsystemcolchicine
VIChospital2026-02-10

Finding into death of David James Dorling

59y · Male·multiorgan failure complicating paracetamol toxicity

…se. Police responded promptly and he was transferred to Dandenong Hospital where he developed acute liver failure and multi-organ failure despite maximal intensive care and N-acetylcysteine. Transfer to Austin Hospital …

emergency medicineintensive careparacetamol
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

…motor vehicle, sustaining multiple injuries including head trauma. He died 17 days later from multi-organ failure and sepsis. The coroner identified preventable factors: shortage of extended-care beds forcing retention …

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
NThospital2009-12-02

Inquest into the death of Matthew Winsloe Hinton

18y · Male·acute multiple drug toxicity

…y contacted Darwin communications. By hospital arrival at 7:01am, the deceased was dying with multi-organ failure. The coroner found the dispatcher breached mandatory policy, though medical evidence indicated the 54-min…

emergency medicineintensive carecommunicationsystemLSD
SAhospital2001-05-04

Coroner's Finding: ROACH Dawn Ruth

45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…

A 45-year-old woman died from multi-organ failure following failure of a loop colostomy created for management of an anastomotic leak after bowel cancer su…

colorectal surgerygeneral surgeryproceduralcommunication

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