Coronial

42 results for nasogastric feeding

VICcommunity2026-07-15

Finding into death of Guy Edwin Gellibrand

64y · Male·Complications of Severe Cerebral Palsy (Palliated)

…te kidney injury, extensive deep vein thrombosis and pressure wounds with abscess. Despite two weeks of nasogastric feeding and intensive medical management including antibiotics and anticoagulation, no clinical improve…

general practicegeneral medicine
NThospital2015-07-10

Inquest into the death of Clare Harrison

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

…13 January when cognitive impairment interfered with treatment decisions, the team deliberately avoided nasogastric feeding despite her severe malnutrition due to her profound opposition, recognised risks of physical ha…

psychiatrygeneral medicineantibiotics
NThospital2019-11-22

Inquest into the death of Lebron Douglas Martin

4y · Male·respiratory failure secondary to pneumonia on a background of Niemann Pick Type …

…n removing Lebron, the Department should have ensured continuing family support including assistance with feeding, transport to appointments, and coordination of medical care. This would have enabled Lebron to spend his…

paediatricsneurologysystemcommunicationamoxicillin
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

…0 days of intentional food refusal. Despite appropriate medical and psychiatric interventions including nasogastric feeding, electroconvulsive therapy, and intensive supportive care, he continued refusing oral intake. H…

psychiatrygeneral medicine
VIChospital2015-09-07

Finding into death of Jay Dion Sykes

18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…

…requiring multiple hospital admissions. At Austin Hospital, a management plan was established declining nasogastric tube reinsertion in favour of comfort measures after the family meeting on 14 August 2013. The coroner …

general medicineemergency medicinecommunicationesomeprazole
VIChospital2015-11-30

Finding into death of Maria Dolores Coliero

69y · Female·Inadvertent intravenous administration of oral ciprofloxacin in the setting of a…

…vertent intravenous administration of crushed oral ciprofloxacin. The antibiotic was prescribed for the nasogastric tube but was drawn into a standard syringe instead of the appropriate amber oral dispenser. During medi…

intensive careinfectious diseasesmedicationproceduralciprofloxacin
NThome2016-06-22

Inquest into the death of Richard Kunia

6y · Male·respiratory failure due to pneumonia

Richard Ted Kunia was a 6-year-old Aboriginal child with multiple serious congenital conditions including cerebral palsy, epilepsy, severe developmental delay, aspiration syndrome, and microcephaly. He was in state care …

paediatricsintensive caremorphine
SAhospital2009-09-11

Coroner's Finding: LANGFORD Peter

64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…

…e was lawfully detained under the Mental Health Act to enable necessary medical interventions including nasogastric feeding, paracentesis, and endoscopy. Hospital-acquired pneumonia developed on day 9 of treatment, poss…

gastroenterologygeneral medicinesystemlactulose
VIC2023-01-09

Finding into death of Andrew John Martin

57y · Male·Aspiration pneumonia complicating large bowel volvulus in a man with chronic dys…

Andrew John Martin, aged 57 with cerebral palsy and chronic dysphagia, was admitted with large bowel volvulus managed conservatively per advance directives. After clinical improvement, he was transferred to palliative ca…

general surgerypalliative care
SAhospital2016-09-01

Coroner's Finding: CALLAGHAN Brian Francis

79y · Male·Multi-organ failure due to pneumonia and bleeding duodenal ulcer complicating su…

…propriate medical management including antibiotics, blood transfusions, endoscopy with haemostasis, and nasogastric feeding, he deteriorated from multi-organ failure. The coroner found no deficiency in care and noted th…

general surgeryorthopaedic surgery
NSWhospital2017-03-16

Inquest into the death of Bridgett CURRAH

1y · Female·aspiration of gastric contents due to recent gastroenteritis and vomiting leadin…

…rl with complex medical needs including cyanotic congenital heart disease, gastro-oesophageal reflux, and feeding difficulties. She presented to Mildura Base Hospital on 21 May 2013 with gastroenteritis and vomiting, ha…

paediatricsemergency medicinediagnosticcommunicationomeprazole
VICaged care2025-01-06

Finding into death of C M

55y · Male·Diabetic ketoacidosis

…h consultation on 21-22 January revealed the family declined medical investigation, intravenous fluids, nasogastric/PEG feeding, and medications. CM's condition deteriorated with weakness, lethargy, and shallow breathin…

general practiceemergency medicinediagnosticlevetiracetam
QLDhome2021-02-17

T, an eight week old infant - Non-inquest findings

<1y · Male·Sudden infant death syndrome category II (SIDS) - accidental asphyxiation due to…

An 8-week-old infant died from SIDS category II, likely due to accidental asphyxiation when the mother fell asleep and slumped forward over him. The infant was born to a mother with a 12-year history of heroin addiction …

neonatologypaediatricssystemcommunicationheroin
SAhospital2011-12-02

Coroner's Finding: BINCH Joyce

82y · Female·acute pyelonephritis complicating base of bladder malignancy

Joyce Binch, 82, died of acute pyelonephritis from bladder malignancy while detained under mental health legislation. She was admitted with urinary tract infection, anaemia, acute renal failure, and acute exacerbation of…

psychiatrygeneral medicinerisperidone
NThome2003-07-31

Inquest into the death of Queenie Michaels

11y · Female·pneumonia complicating cytomegalovirus embryopathy

Queenie Michaels, an 11-year-old Aboriginal girl with cytomegalovirus embryopathy and severe physical and cognitive disabilities, died from pneumonia at home while in government care. She had been fostered by Mr and Mrs …

paediatricsneurologyanti-convulsants
VIChospital2020-06-29

Finding into death of Baby AA

<1y · Female·Disseminated Herpes Simplex Virus (HSV 1)

…ed HSV-1 infection acquired perinatally. She presented with sepsis-like symptoms including lethargy, poor feeding, fever and respiratory signs. Clinical management was appropriate and timely, with empirical antibiotics …

neonatologypaediatricsdiagnosticcommunicationbenzyl penicillin
VIChospital2020-05-05

Finding into death of John Hayle

76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …

John Hayle, a 76-year-old with Alzheimer's dementia, ischaemic heart disease, and spinal fractures sustained a T11/12 flexion-distraction fracture on 9 June 2017. Over three weeks, he developed progressive bilateral lowe…

neurosurgerygeriatric medicinediagnosticcommunicationmk8931
TAShospital2026-01-21

Coroner's Finding: de-identified KW

87y · Female·right thigh haematoma as a consequence of a periprosthetic fracture of the right…

An 87-year-old woman with multiple comorbidities (diabetes, atrial fibrillation, peripheral vascular disease) sustained a periprosthetic fracture requiring distal femur replacement. She deteriorated significantly during …

orthopaedic surgerygeriatric medicinediagnosticsystem
NSWhospital2017-06-06

Inquest into the death of Helen Ashburn

46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…

Helen Ashburn, a 46-year-old woman with history of alcohol use, coagulopathy and seizures, died from prolonged effects of a severe head injury sustained on 25 October 2011. She presented to Kempsey Hospital with extensiv…

emergency medicineneurosurgerycommunicationdiagnostic
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

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