Coronial

73 results for pulmonary aspiration risk

ACTaged care2020-06-02

Inquest into the death of VIOLA DIANA CLARKE

86y · Female·aspiration pneumonia

…idities including congestive heart failure, COPD, renal failure, gastric reflux and dysphagia, died from aspiration pneumonia. She was administered incorrect medication at her aged care facility on 9 February 2016, which…

geriatric medicinerespiratory medicinemedication
VIChospital2021-09-16

Finding into death of Anthony Swaney

58y · Male·Acute renal failure in the setting of pneumonia and acute bronchitis

…al needs including Trisomy 18, cerebral palsy, intellectual disability, and swallowing difficulties with aspiration risk. He presented with abdominal distension and respiratory compromise, developing severe heart failure…

general medicinegeriatric medicine
VIChospital2014-06-20

Finding into death of Rosalie Anne King

29y · Female·Bronchopneumonia in a woman with brain injury

…monia and died seven months later. The coroner found no clear consensus on the respiratory arrest cause (pulmonary embolism, fat embolism, or aspiration all considered but not confirmed), and determined that medical man…

trauma surgeryintensive care
VICmental health2025-07-14

Finding into death of Maxwell Bernard Howard

84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…

Maxwell Howard, 84, died from bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart disease while admitted to a mental health acute unit under a Temporary …

psychiatryemergency medicinecarbamazepine
VIChospital2024-11-27

Finding into death of Darryle Rodney Gilbert

65y · Male·Aspiration pneumonia with antecedent cause of secondary progressive multiple scl…

Darryle Rodney Gilbert, a 65-year-old man with secondary progressive multiple sclerosis, died from aspiration pneumonia on 30 December 2022 at Austin Hospital. He had been admitted on 19 December 2022 with aspirate…

respiratory medicineinfectious diseases
WAhospital2022-10-05

Inquest into the Death of David Arthur RICE

75y · Male·acute bronchopneumonia in a man with comorbidities

…tory, policy should have been followed. Mr Rice had declined recommended dietary modifications to reduce aspiration risk despite being warned of pneumonia and death risks; aspiration possibly contributed to his fatal bro…

general medicinecardiologysystemapixaban
ACThome2022-05-19

Inquest into the Death of PAMELA VANCE

83y · Female·pneumonia with generalised atherosclerosis as a significant contributor

Pamela Vance, 83, died from pneumonia with generalised atherosclerosis as a significant contributor. She had multiple comorbidities including COPD, asthma, sleep apnoea and heart disease, complicated by recent falls and …

respiratory medicinegeneral practice
VIChospital2024-06-13

Finding into death of Jennifer Rowallan Turnbull

79y · Female·Aspiration pneumonia in a woman with COVID-19 and multiple medical co-morbiditie…

Jennifer Turnbull, 79, with cerebral palsy and multiple comorbidities, died from aspiration pneumonia complicated by COVID-19. She was admitted to hospital in October 2022 with recurrent aspiratio…

general practicerespiratory medicineoral antibiotics
VIChospital2025-07-28

Finding into death of Juvetta Pedruco Columbine

47y · Female·Aspiration pneumonia in the setting of type 1 diabetes mellitus, previous cerebr…

A 47-year-old NDIS participant with a history of stroke, diabetes, and complex comorbidities died from aspiration pneumonia at Austin Hospital. She had been living in specialist disability accommodation with support se…

infectious diseasesrespiratory medicine
SAhospital2004-02-13

Coroner's Finding: WHITE Kevin Charles

57y · Male·aspiration pneumonia secondary to small bowel obstruction

…iting and signs of shock. He was appropriately transferred to hospital where small bowel obstruction and aspiration pneumonia were diagnosed. Conservative management with resuscitation was initially appropriate, but he r…

emergency medicinesurgeryquetiapine
VIChospital2017-06-27

Finding into death of Clifford Norrie Wall

79y · Male·Aspiration pneumonia in the setting of small bowel obstruction

…ported to hospital. CT confirmed obstruction; he was deemed unsuitable for surgery due to comorbidities. Aspiration pneumonia developed with worsening respiratory failure despite antibiotics. He was transitioned to palli…

general medicineemergency medicine
VICaged care2010-05-19

Finding into death of Beatrice Ivy Brown

80y · Female·Acute upper airway obstruction secondary to aspiration of food bolus

Beatrice Ivy Brown, aged 80, died at an aged care facility from acute upper airway obstruction and aspiration of a food bolus following a choking episode. Clinical lessons include: (1) documentation of prior chokin…

geriatric medicineemergency medicinecommunicationsystem
VIChospital2025-02-12

Finding into death of Alexander Cameron

40y · Male·Aspiration pneumonia

…atric disorders including epilepsy, autism, and previous neuroleptic malignant syndrome (NMS), died from aspiration pneumonia following intubation at Werribee Mercy Hospital. He presented with acute abdominal pain and vo…

intensive caregeneral surgeryclozapine
SAhospital2015-08-13

Coroner's Finding: ABINETT Murray Lawrence

81y · Male·Aspiration pneumonia complicating end stage fronto-temporal dementia on a backgr…

Murray Lawrence Abinett, aged 81, died of aspiration pneumonia complicating end-stage fronto-temporal dementia with chronic obstructive lung disease, ischaem…

psychiatrygeriatric medicinediagnosticrisperidone
VIChospital2010-04-28

Finding into death of Peter John Bannan

54y · Male·Pneumonia

…riplegia and intellectual disability from early childhood encephalitis, with chronic epilepsy and severe aspiration risk. He was admitted on 5 October 2007 with aspiration pneumonia, treated with antibiotics and fluids. …

general medicinepalliative carecommunicationsystem
VIChospital2025-04-10

Finding into death of Hau Bui Nguyen

46y · Male·Aspiration pneumonia complicating epistaxis in the setting of prolonged nasal pr…

Hau Bui Nguyen, a 46-year-old man with severe acquired brain injury, dysphagia, and recurrent aspiration pneumonia, died from aspiration pneumonia complicating epistaxis following prolonged nasal prong oxygen …

general medicineemergency medicineamoxicillin
VIChospital2023-06-25

Finding into death of Peter John Weatherly

63y · Male·Aspiration pneumonia in the setting of functional decline in a man with an intel…

A 63-year-old man with intellectual disability, cerebral palsy, dysphagia, and COPD died from aspiration pneumonia following functional decline. He had a three-month hospital admission with multiple complicati…

general medicineemergency medicinesystemcommunicationrisperidone
NSWhospital2017-03-16

Inquest into the death of Bridgett CURRAH

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

… admission was not arranged despite her fragility and vulnerability. She died at home 9 hours later from aspiration of gastric contents. Clinicians should have admitted her for overnight observation given her comorbiditi…

paediatricsemergency medicinediagnosticcommunicationomeprazole
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

…history and lack of treatment. Better mental health screening and support could potentially have identified risk.

forensic medicinegeneral practicesystemdelaybenzodiazepines
VIChome2016-08-02

Finding into death of Stephen Liat Kai Lim

56y · Male·Benzalkonium chloride toxicity

…tres of Pine-O-Cleen disinfectant on 25 September 2010. His death occurred from acute lung injury due to aspiration of the irritant substance. Critical lessons include: (1) the emergency dispatch system's reliance on sym…

emergency medicinetoxicologycommunicationsystembenzalkonium chloride

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