Coronial

45 results for organ dysfunction

WAhospital2023-11-17

Inquest into the Death of Child MD (Name Subject to a Suppression Order)

2y · Male·multiorgan failure in a boy with clinically suspected sepsis and Cockayne syndro…

A 2-year-old boy with Cockayne syndrome (a rare life-limiting genetic condition) died from multiorgan failure due to clinically suspected sepsis following hospitalisation for acute illness with vomiting, leth…

intensive carepaediatricsmedicationceftriaxone
VIChospital2018-03-29

Finding into death of Roy Irvin Dorner

64y · Male·Complications of redo thoracotomy/aortic valve replacement in a man with ischaem…

…echnique. The patient required massive transfusion, ECMO support, and extended surgery but developed multi-organ failure and died 29 days post-operatively. The coroner found the surgery was appropriately indicated, the …

cardiothoracic surgerycardiology
VIChospital2024-12-09

Finding into death of Elizabeth Shine

64y · Female·End stage renal failure in the setting of sepsis

…importance of appropriate clinical decision-making regarding invasive procedures in patients with multiple organ dysfunction.

general medicinenephrologyantibiotics
NSWhospital2025-08-22

Inquest into the death of Frank Valentine

83y · Male·Congestive cardiac failure due to ischaemic and valvular heart disease, with her…

…th, or Westmead Hospital contributed to his death. Medical management appropriately addressed his multiple organ system failures before palliative care was initiated.

cardiologygastroenterologywarfarin
QLD2013-09-11

Quartermain, Robert George

67y · Male·Acute myocardial infarction

Robert Quartermain, a 67-year-old prisoner with chronic obstructive pulmonary disease and previous myocardial infarction, suffered acute myocardial infarction while in custody. He experienced acute breathing difficulties…

cardiologyintensive caredelay
VIChospital2025-04-11

Finding into death of QB T

64y · Male·Complications of congestive cardiac failure on a background of cardiac hypertrop…

…deterioration. During his 8-day admission, he developed progressive shortness of breath, hypoxia, and multiorgan failure despite appropriate clinical responses including MET calls and investigations. Autopsy revealed co…

psychiatrygeneral medicinediazepam
SAhospital2012-06-18

Coroner's Finding: GRIPTON William John

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

…Island 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 abn…

general medicineintensive carediagnosticcommunicationamoxicillin
VIChospital2019-10-31

Finding into death of Armani El-Sayegh

0y · Female·Right ventricular failure secondary to pulmonary atresia with ventricular septal…

…nd 15 cardiac surgical procedures, she developed progressive complications including sepsis, seizures, and organ dysfunction. The Coroners Prevention Unit found her medical care was appropriately managed throughout from…

cardiologyneonatologyprostin
WAhospital2024-11-13

Inquest into the death of Chloe Grace Tupper

31y · Female·organ failure due to anorexia nervosa

Chloe Tupper died of organ failure due to severe anorexia nervosa at age 31. She had suffered from this illness for 17 years since ag…

psychiatrypaediatricssystemcommunicationmirtazapine
QLDhospital2025-10-08

Inquest into the death of Janis Ellen Doherty

57y · Female·Multi-organ failure due to drug-induced liver injury caused by sodium valproate …

…d her a reasonable chance of recovery, as at that point she had acute hepatitis without synthetic liver dysfunction.

neurologyhepatologydiagnosticmedicationsodium valproate
VIChospital2022-05-09

Finding into death of Robert Albert Burns

75y · Male·Multiorgan dysfunction syndrome complicating anastomotic leak following hemicole…

A 75-year-old man died from multiorgan dysfunction following an anastomotic leak after hemicolectomy for caecal adenocarcinoma. Initial post-oper…

colorectal surgeryintensive carediagnosticdelay
NSW2023-03-23

Inquest into the death of LT

24y · Male·methylamphetamine toxicity

LT, a 24-year-old male prisoner, died from methylamphetamine toxicity after ingesting multiple drug-filled balloons that ruptured in his stomach. He had received a prison visit from two individuals with prior contraband-…

emergency medicinetoxicologysystemmethamphetamine
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

Dane Hortle, a 2-year-old with Pierre Robin Sequence and obstructive sleep apnoea, died from tramadol toxicity following adenotonsillectomy. He was discharged with a prescription for tramadol 25mg, which was dispensed as…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
QLDhospital2015-06-12

McIntosh, Robert Dennis

55y · Male·gastrointestinal haemorrhage due to oesophageal varices due to hepatocellular ca…

… and cirrhosis with ultrasound screening for hepatocellular carcinoma; better detection of subtle liver dysfunction markers; adoption of newer non-invasive testing such as Fibroscan; and establishment of standardised pr…

hepatologygastroenterologysystem
SAcommunity2007-06-08

Coroner's Finding: COOKE Rowan Douglas

37y · Male·dehydration/heat-related death

A 37-year-old man died from dehydration and heat-related illness after collapsing in a sweat lodge during a vision quest ceremony in remote South Australia. He remained unconscious after removal from the lodge, but the g…

emergency medicineintensive carediagnosticdelay
WAhospital2004-07-19

Inquest into the Death of Michael John Herrick

44y · Male·cardiac arrhythmia in a man with liver failure due to cirrhosis and focal corona…

Michael John Herrick, a 44-year-old prisoner with end-stage liver cirrhosis secondary to hepatitis C and alcohol abuse, died from cardiac arrhythmia at Sir Charles Gairdner Hospital. He had been receiving aggressive trea…

gastroenterologygeneral medicinecommunicationproceduralcaffeine
QLDhospital2017-10-23

Non Inquest Findings TO

73y · Male·Sepsis (gram-negative septic shock) secondary to complications of selective inte…

A 73-year-old man died from gram-negative septic shock following selective internal radiation therapy (SIRT) for metastatic gastric cancer. He had previously undergone a Whipple procedure in 2014, which creates a direct …

radiologyemergency medicinediagnosticmedication
NT2014-07-21

Inquest into the death of Ryan Smiler

39y · Male·cardiac arrest caused by alcoholic cardiomyopathy

Ryan Smiler was a 39-year-old Aboriginal man who died from cardiac arrest caused by alcoholic cardiomyopathy while in custody at Darwin Correctional Centre. He had a long history of alcohol abuse, hypertension, and heart…

cardiologyemergency medicinedelaywarfarin
WAhospital2022-06-23

Inquest into the Death of Lee MILCHERDY

75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…

…ed on 15 October 2018. The procedure caused serious complications including perforation, sepsis, and multi-organ dysfunction. Key clinical lessons: ensure all relevant investigation results are explicitly communicated b…

gastroenterologygeneral surgerycommunicationdiagnostic
ACThospital2023-01-30

Inquest into the Death of Maarouf El-Cheikh

57y · Male·streptococcus pneumonia septicaemia due to splenectomy

Maarouf El-Cheikh, a 57-year-old man with splenectomy history, presented to Calvary Hospital ED with sepsis on 21 March 2016 and died 22 March 2016. Expert review identified multiple sub-optimal care deficiencies: inadeq…

emergency medicineintensive carediagnosticmedicationceftriaxone

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