Coronial

63 results for prior stroke

TAShome2023-11-07

Coroner's Finding: Humphries, Leeanne Margaret

55y · Female·smoke inhalation from domestic fire caused by unextinguished cigarette

A 55-year-old woman with a prior stroke causing physical disability, intellectual disability, schizophrenia, epilepsy, diabetes and atrial …

psychiatryneurologytapentadol
NSWhospital2025-12-01

Inquest into the death of Malcolm Baker

76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation

…from complications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leaving him bed-bound and dependent on PEG feeding. On 10 June 2024, he presented wit…

emergency medicineneurology
VICcommunity2010-10-11

Finding into death of Scott Peoples

20y · Male·multiple injuries sustained in a motor vehicle accident (cyclist)

…hat failed to explore the driver's medical history despite contradictory statements; failure to identify a prior similar incident until after charges were laid; and delayed disclosure to the coroner. The coroner recomme…

forensic medicineneurologydiagnosticcommunicationwarfarin
TAShospital2017-11-01

Coroner's Finding: French, Steven John

57y · Male·large volume ischaemic infarct (stroke)

Stephen John French, a 57-year-old with prior stroke (2002) and myocardial infarction (2009), presented with headache, visual disturbance and gait diffi…

neurologyradiologydiagnosticcommunicationenoxaparin
VIChome2015-03-18

Finding into death of Christopher John Dokos

45y · Male·Complications of heat stroke in a man with schizophrenia

Christopher Dokos, a 45-year-old man with schizophrenia on Clozapine treatment, died during the extraordinary January 2014 Victorian heatwave. He had multiple heat-vulnerability risk factors: mental illness, antipsychoti…

psychiatrygeneral practicesystemdelayclozapine
SAcommunity2018-02-23

Finding into death of Alexander Sheng Wei Li

16y · Male·Heat related illness in an individual with enterovirus D68 infection

Alexander Li, a 16-year-old with underlying enterovirus D68 infection, died of heat-related illness during a school bushwalking expedition in remote South Australia in extremely hot conditions (temperatures reaching 39.1…

emergency medicineparamedicinesystemcommunication
VICcommunity2023-08-28

Finding into death of Jorgen Bottern

86y · Male·carbon monoxide poisoning

An 86-year-old man with recent stroke, declining mental health, and expressed suicidal ideation died by carbon monoxide poisoning. He was assess…

psychiatrygeneral practicesystem
TAShospital2015-09-07

Coroner's Finding: Weir, Mary

80y · Female·subdural haematoma due to closed head injury sustained in a fall from bed in hos…

…patient became unresponsive, she was treated with a full dose of anticoagulant (Clexane) based on presumed stroke without first performing a plain CT scan to exclude intracranial bleeding. This violated basic medical pri…

emergency medicinegeneral medicinediagnosticmedicationaspirin
NTcommunity2014-05-27

Inquest into the death of Benjamin Wilton

29y · Male·severe burns sustained in motor vehicle fire following collision

… collision with a vehicle driven by 67-year-old Robert Spencer on a Darwin highway. Spencer had suffered a stroke in 2003 with residual complications including anosognosia (lack of awareness of disability), left visual n…

neurologycardiologydiagnosticsystem
NSW2012-10-04

Inquest into the death of Marcus WILSON

19y · Male·Complications arising from hyperthermia, including total organ failure, rhabdomy…

…ot caffeinated/sugary drinks), formal heat-stress procedures, appropriate practical training, and employer prioritisation of safety over profit. The coroner emphasised that casual assumptions about hydration and work pr…

emergency medicineoccupational and environmental healthsystemcommunication
VIChome2023-12-18

Finding into death of Vivianne May Rodger

54y · Female·Effects of fire in a woman with past right middle cerebral artery territory stro…

A 54-year-old woman with left-sided paralysis from a prior stroke died in a house fire started by smoking in bed. She called emergency services at 2:42am reporting h…

proceduralcommunication
VIChome2022-01-03

Finding into death of Patricia Jocelyn Eve Grant

83y · Female·Aspiration bronchopneumonia in a setting of cerebral infarction

…sy medication (March 2013), progressive immobility, untreated hallucinations and self-injury, and a likely stroke two weeks before death without medical intervention. Critically, her GP attendance dropped from monthly (2…

general practicegeriatric medicinediagnosticsystem
QLDhospital2016-11-04

Neitsch, Horst - non-inquest findings

77y · Male·Stroke; cardiogenic shock; severe aortic stenosis with three vessel coronary art…

…lar disease severity and imaging from referring hospital; failure of the proceduralist to review available prior angiographic/ultrasound imaging; and importantly, a 9-hour delay in medical review when Mr Neitsch develop…

cardiologyvascular surgeryproceduralcommunicationfurosemide
NSWcommunity2024-05-03

Inquest into the death of Keith Titmuss

20y · Male·exertional heat stroke

A 20-year-old professional rugby league player collapsed and died from exertional heat stroke after his first pre-season training session following an extended off-season break. Keith had the lowest a…

sports medicineemergency medicinesystemdelaymidazolam
QLDhospital2017-10-06

Parsons, Ann

59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…

…days later after delays during consultant's planned leave. Post-operative complications included ischaemic stroke confirmed on imaging. Despite this, she was discharged from ICU after only 22 hours with inadequate commun…

neurosurgeryintensive carediagnosticcommunicationdexamethasone
VIChome2023-04-13

Finding into death of Martin William Sheahan

57y · Male·Gunshot wounds to the head and abdomen

…uded Usher-Clarke's documented depression, suicidal ideation in 2020, personality changes following a 2016 stroke, and his visit to a Victorian GP on 12 January 2022 where he was prescribed antidepressants without docume…

general practicepsychiatrycommunicationsystemmirtazapine
ACTaged care2018-02-28

AN INQUEST INTO THE DEATH OFEDWARD ROBERT DAVIS

88y · Male·left frontal lobe haemorrhage due to a fall

Mr Edward Davis, an 88-year-old man with epilepsy, stroke, dementia and on anticoagulation therapy, fell onto a Stand-Up Lifter positioned directly in front of him …

geriatric medicineemergency medicinesystemproceduralblood thinning medications
TAShospital2022-02-23

Coroner's Finding: Attwood, Maurice

86y · Male·hospital acquired pneumonia

…idities including dysphagia with aspiration risk, severe malnutrition, asbestosis, pulmonary fibrosis, and prior strokes. The Coronial Medical Consultant found the hospital care was of good standard with appropriate mul…

orthopaedic surgeryintensive care
NSW2016-12-07

Inquest into the death of Michael GAVANAS

50y · Male·Acute methamphetamine toxicity

… markedly elevated blood level (5.0 mg/L). The autopsy noted his heart function was already compromised by prior coronary intervention and cardiomegaly. The manner of death could not be determined, though evidence sugge…

toxicologycardiologymethamphetamine
WAhospital2008-02

Inquest into the Death of Evans

45y · Female·Extensive retroperitoneal haemorrhage following bone marrow biopsy procedure wit…

…-year-old woman with complex medical history including neurofibromatosis type 1, essential thrombocytosis, prior cancers, and recent cerebral infarcts on warfarin, underwent bone marrow biopsy at Royal Perth Hospital on…

haematologygeneral medicinewarfarin

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