Coronial

169 results for reflux

VIC2025-10-07

Finding into death of Anthony George Creaton

55y · Male·Acute myocardial infarction secondary to coronary artery thrombosis due to coron…

…r policy requiring medical assessment for chest pain. Instead, the pain was attributed to gastroesophageal reflux and later to COVID-19. He deteriorated and died on 24 November. The coroner found the healthcare response …

cardiologygeneral practicediagnosticcommunicationgliclazide
VIChospital2026-03-02

Finding into death of Cameron James Stewart

31y · Male·Aspiration pneumonia in a man with intellectual disability and epilepsy (palliat…

Cameron James Stewart, a 31-year-old man with severe cerebral palsy, intellectual disability, epilepsy, and dysphagia, died of aspiration pneumonia at Maroondah Hospital. Following a COVID-19 infection in December 2023, …

general practiceemergency medicinediazepam
VIChospital2018-08-27

Finding into death of PH

51y · Male·Complications of aspiration pneumonia in a man with status epilepticus

A 51-year-old man with Lennox-Gastaut syndrome, intellectual disability, and recurrent aspiration pneumonia died from complications of aspiration pneumonia and status epilepticus. He presented with status epilepticus and…

neurologyintensive careanticonvulsant medications
VIChospital2022-12-20

Finding into death of John Hardy Stow

73y · Male·Aspiration pneumonia

John Hardy Stow, 73, died of aspiration pneumonia complicated by a small bowel obstruction. He had cerebral palsy, intellectual disability, dysphagia, and was at high risk of aspiration. He presented with vomiting and wa…

palliative caregeneral medicineescitalopram
TAShospital2021-08-20

Coroner's Finding: LA

67y · Male·acute gastrointestinal haemorrhage complicating peptic ulcer of the duodenum wit…

…(2) Proton pump inhibitor (Esomeprazole) charting failed from 6 August onwards despite the patient's known reflux oesophagitis and pre-admission use of Rabeprazole; multiple practitioners failed to recognize this omissio…

general surgeryintensive carediagnosticmedicationrabeprazole
SAhospital2021-11-16

Coroner's Finding: Kresevic, Ivanka

74y · Female·acute myocardial infarction due to coronary artery thrombosis

…ented to emergency department with chest pain on 6 January 2017. She was diagnosed with gastro-oesophageal reflux disease and discharged after 53 minutes. She died of acute myocardial infarction due to coronary artery th…

emergency medicinecardiologydiagnosticcommunication
WAhospital2019-07-30

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

7y · Male·cardiorespiratory failure in a child with cerebral palsy and epilepsy, with acut…

Child KT (Vinnie), age 7, died of cardiorespiratory failure from cerebral palsy and epilepsy after a prolonged hospital admission. He had complex medical needs including chronic respiratory disease, requiring PEG feeding…

paediatricsintensive caresystemmorphine
VICaged care2020-03-02

Finding into death of Robert Louis Gerrard

56y · Male·Unascertained (likely natural causes)

Robert Louis Gerrard, a 56-year-old man with longstanding muscular dystrophy, osteoporosis, scoliosis and respiratory issues, died in supported residential care. He reported feeling unwell on 6 September 2019; a locum do…

TAShospital2023-02-17

Coroner's Finding: Hanslow, Rodney James

86y · Male·progressive cognitive decline/decompensation and gastrointestinal haemorrhage

An 86-year-old man with Parkinson's disease and long-standing gastro-oesophageal reflux disease (GORD) sustained a traumatic brain injury from a fall at home on 3 July 2021. He was admitted to h…

general medicinegastroenterologymedicationdiagnosticproton pump inhibitor
TAShospital2019-04-18

Coroner's Finding: Kenney, Margaret Patricia

83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…

…ardiac arrest while anticoagulated for atrial fibrillation. She had been diagnosed with gastro-oesophageal reflux disease (GORD) in 2015 and prescribed pantoprazole 40mg daily. During her final hospital admission (29 Oct…

general medicinecardiologymedicationdiagnosticpantoprazole
VIChospital2014-09-30

Finding into death of Iman Kassis

46y · Female·hemopericardium secondary to dissection of the thoracic aorta

…nd right arm weakness. She was discharged after 4 hours observation with a diagnosis of gastro-oesophageal reflux disease. She died at home hours later from hemopericardium secondary to thoracic aortic dissection. The co…

emergency medicinecardiologydiagnosticdocumentationflecainide
VIChospital2024-10-24

Finding into death of Tamara Kudeviita

59y · Female·Pneumonia

Tamara Kudeviita, a 59-year-old woman with Down's syndrome and advanced Alzheimer's disease, died of pneumonia in a palliative care unit. She had been declining throughout 2022, with loss of swallowing ability, mobility,…

palliative caregeneral practicemidazolam
VICaged care2018-07-11

Finding into death of Bruce Robert Allan

70y · Male·Cause unascertained - possibly positional asphyxia or arrhythmic event secondary…

Bruce Allan was a 70-year-old man with multiple disabilities who resided in a DHHS managed facility. He was found out of bed in a slumped position with his head tucked under his body. Despite resuscitation attempts, he c…

general practiceforensic medicine
TAScommunity2020-03-11

Coroner's Finding: Wood, Glenn Thomas

56y · Male·drowning

Glenn Thomas Wood, aged 56, drowned whilst fishing alone at night from a pontoon in winter conditions. He had a blood alcohol level of 0.188g/100mL, was not wearing a personal flotation device, and could not swim. He fel…

NSWaged care2021-06-23

Inquest into the death of Victor Madeley

85y · Male·Diabetes mellitus and its complications

Victor Madeley, aged 85, died in custody at Long Bay Correctional Centre's aged care unit on 5 February 2020 from diabetes mellitus and its complications. He had extensive comorbidities including COPD, ischaemic heart di…

general medicinegeriatric medicine
SAaged care2020-05-28

Coroner's Finding: COCHRAN Henry Reginald

89y · Male·ischaemic heart disease and chronic obstructive pulmonary disease with aspiratio…

An 89-year-old man with ischaemic heart disease, COPD, dementia, and Korsakoff syndrome died at a nursing home from cardiorespiratory failure with aspiration pneumonia. He was found on the bathroom floor after a fall and…

general practicegeriatric medicine
SAhospital2011-09-19

Coroner's Finding: FERME Susan Jane

47y · Female·acute subendocardial septal myocardial infarction complicating hypertension and …

…cing prodromal episodes over several days. The on-call doctor dismissed the presentation as psychogenic or reflux-related based on a normal initial ECG and lack of GTN response, despite classic cardiac symptoms and risk …

emergency medicinegeneral practicediagnosticcommunicationglyceryl trinitrate
NSWaged care2021-11-17

Inquest into the death of Jack KING

77y · Male·Complications of metastatic squamous cell carcinoma, likely urothelial origin

Jack King, aged 77, died of metastatic squamous cell carcinoma (likely urothelial origin) while in custody at Long Bay Correctional Centre Hospital's Aged Care Rehabilitation Unit on 20 September 2020. He had been diagno…

palliative careoncology
VICaged care2017-03-07

Finding into death of Angelo Raffaelle Palma

65y · Male·Intracranial haemorrhage following a fall

Angelo Palma, a 65-year-old man with intellectual disability living in supported accommodation, fell from bed early morning on 2 October 2015 after reporting feeling unwell and vomiting. He sustained a large left-sided a…

emergency medicineneurosurgeryrisperidone
QLD2010-02-12

Preston, William Elliot

60y · Male·Coronary artery atherosclerosis

William Elliot Preston, a 60-year-old male prisoner, collapsed suddenly in the prison kitchen and died from coronary artery atherosclerosis. He had severe coronary atherosclerosis identified on angiography during recent …

emergency medicinecardiologyatenolol
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