Coronial
VIChospital2025-01-02

Finding into death of Sheila Marion Quairney

68y · Female·Acute myocardial infarction and coronary artery atherosclerosis

…old woman presented to St Vincent's Hospital emergency department with upper abdominal and left-sided chest pain following a stationary bicycle fall. Clinicians attributed her symptoms to codeine adverse reaction and rib

emergency medicinecardiologydiagnosticsystemparacetamol
NSWhospital2020-06-12

Inquest into the death of Dat Nhieu HA

45y · Male·abdominal sepsis on a background of metastatic lung carcinoma

…al lung cancer following bronchoscopy, and received radiotherapy. In February, he developed acute abdominal pain from small bowel perforation, managed conservatively with fluids, antibiotics, and analgesia given his term…

respiratory medicineoncology
VICaged care2019-02-04

Finding into death of Margaret Elizabeth Barton

83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…

Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly cont…

general practicegeriatric medicinemedicationcommunicationoxazepam
VIChospital2021-12-13

Finding into death of Baby A

1y · Male·Global cerebral ischaemic injury following cardiorespiratory arrest of unknown c…

…wn cause in the setting of detected methylamphetamine exposure. He had multiple healing traumatic injuries (rib fractures, wrist fracture, mesenteric injury, scrotal bruising) consistent with non-accidental trauma that …

paediatricsemergency medicinesystemcommunicationmethamphetamine
VICcommunity2021-05-25

Finding into death of Kylie Jane Cay

44y · Female·haemoperitoneum due to ruptured splenic subcapsular haematoma in the setting of …

…e Cay, a 44-year-old woman, was brutally assaulted by her partner Justin Turner on 18 June 2016, sustaining rib fractures and other injuries. She was discharged from hospital on 20 June after imaging did not reveal a ru…

paramedicineemergency medicinediagnosticcommunication
QLDhospital2017-11-23

Jacobs, Roy Rodney

48y · Male·Coronary artery disease precipitating acute myocardial infarction resulting in c…

… myocardial infarction at Cherbourg Hospital after presenting three times over 28-30 August 2016 with chest pain and rib injury from an intoxicated fall. Critical clinical lessons include: failure to perform ECG despite …

emergency medicinegeneral practicediagnosticcommunicationparacetamol
NSWaged care2020-03-03

Inquest into the death of Hazel BROCKETT

86y · Female·complications of femoral, radial and ulnar fractures; antecedent cause Alzheimer…

…ented intervention: behaviours were inadequately documented and communicated to the GP; the assumption that pain caused aggression led to inappropriate opioid use; no formal case conference was held despite clear trigger…

geriatric medicinegeneral practicecommunicationdiagnosticbuprenorphine

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