Coronial

55 results for severe cognitive impairment

VIC2011-02-08

Finding into death of Christine Mary Humphrey

45y · Female·Chest and abdominal injuries sustained in a motor vehicle collision (driver)

…impaired judgement compounded by excessive speed resulted in the fatal collision. The case underscores the severe cognitive and motor impairment caused by alcohol intoxication.

forensic medicinealcohol
SAhospital2009-09-11

Coroner's Finding: LANGFORD Peter

64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…

…d-stage cryptogenic liver cirrhosis after a 43-day admission to Flinders Medical Centre. He presented with severe cellulitis requiring amputation and developed hepatic encephalopathy with poor cognitive function, refusin…

gastroenterologygeneral medicinesystemlactulose
VIChome2016-06-23

Finding into death of John Charles Prohasky

66y · Male·unascertained

A 66-year-old man with insulin-dependent diabetes mellitus and severe hypoglycaemia unawareness died on 20 June 2013, the day after commencing a Medtronic Paradigm insulin pump…

endocrinologysystemcommunicationinsulin - rapid-acting
NSW2018-04-20

Inquest into the death of Stephen Hodge

51y · Male·combined effect of gunshot injuries to the chest and abdomen

… alcohol and possibly an excessive dose of citalopram. Following a workplace conflict with his manager and severe intoxication, Hodge purchased a knife, pursued his manager into the post office car park, and made suicida…

emergency medicinepsychiatrycommunicationsystemalcohol
WAhome2025-02-12

Inquest into the Death of Kimberley Michael VULICH

64y · Male·complications in association with thermal injuries in a man with underlying chro…

…ld man with decompensated liver cirrhosis from chronic alcohol use, developed hepatic encephalopathy and cognitive impairment including possible Korsakoff syndrome. Despite SAT guardianship orders and hospital care, he …

general medicinegeriatric medicinecommunicationdelay
SAhospital2001-05-16

Coroner's Finding: HAMPTON Ronald Allen

77y · Male·respiratory failure caused by severe pneumonia

Ronald Allen Hampton, aged 77, died from respiratory failure due to severe pneumonia while detained under the Mental Health Act at Glenside Hospital. He had been admitted with behav…

psychiatrygeneral medicineantibiotics
NThospital2025-12-19

Inquest into the death of T. Ptjara and T. Ptjara

Male·Little Brother: multi-organ dysfunction due to hypothermia with contributing con…

Two Aboriginal brothers with chronic alcohol use disorder and cognitive impairment died in July and September 2023 in Alice Springs Hospital. Both had adult guardianship orders…

emergency medicineintensive carecommunicationsystem
TAShospital2019-04-18

Coroner's Finding: Davis, Catherine Joy

31y · Female·urosepsis due to acute pyelonephritis

Catherine Joy Davis, a 31-year-old woman with severe lissencephaly, intellectual impairment, epilepsy and cerebral palsy, died from urosepsis due to acute pyel…

emergency medicinegeneral medicinediagnosticdelayoral antibiotics via peg tube
SAaged care2011-03-18

Coroner's Finding: HEATH Dawn Patricia

78y · Female·Severe burns sustained while smoking

…ty deficits suffered fatal burns while smoking unsupervised in an aged care facility. Despite documented cognitive impairment and physical limitations preventing independent cigarette handling, she was left alone to smo…

systemcommunication
WAhospital2025-12-05

Inquest into the Death of Leslie Charles LINTON

64y · Male·acute myocardial infarction in association with coronary artery atherosclerosis

Leslie Charles Linton, a 64-year-old man with severe triple-vessel coronary artery disease, presented to Royal Perth Hospital on 15 December 2023 with an infec…

cardiologypsychiatryrisperidone
VICaged care2025-03-11

Finding into death of Dianne Elizabeth Harper

64y · Female·Aspiration pneumonia in a woman with multiple comorbidities

A 64-year-old woman with severe intellectual disability and multiple comorbidities died from aspiration pneumonia while in specialist disa…

geriatric medicinespeech pathology
NSWaged care2025-01-24

Inquest into the deaths at Newmarch House

Unknown·COVID-19 infection with various comorbidities as contributing factors

…use residential aged care facility in April-May 2020. Deaths occurred during inadequate infection control, severe staffing shortages, and suboptimal clinical management under a Hospital-in-the-Home model. Key failures in…

geriatric medicineinfectious diseasessystemdiagnosticmorphine
QLDhospital2025-08-11

Inquest into the death of John Reginald Wright

79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…

…at lapses in correctional facility wound care would not have been significantly outcome-changing given his severe peripheral vascular disease and multiple comorbidities. Mr Wright received appropriate medical care throug…

vascular surgerygeneral medicineglicazide
NTcommunity2026-01-23

Inquest into the death of Kumanjayi Johnson

45y · Male·Environmental exposure and dehydration

A 45-year-old Aboriginal man with severe cognitive impairment (6.5-year-old equivalent English comprehension), traumatic brain injury, epilepsy and…

geriatric medicinepsychiatrycommunicationsystem
WAhospice2019-05-31

Inquest into the Death of Colin George GRAHAM

56y · Male·disseminated malignancy – known non-small cell carcinoma of lung

Colin George Graham, a 56-year-old Aboriginal man with severe COPD and lung cancer, died of disseminated non-small cell carcinoma while in prison custody receiving pall…

respiratory medicineoncology
VIChospital2026-01-13

Finding into death of Sushant Padhye

56y · Male·Recurrent aspiration pneumonia in a man with congenital disability and cognitive…

…ections despite treatment. The case highlights the challenges of managing aspiration risk in patients with severe dysphagia and congenital disability, though no specific clinical failings were identified. The death was f…

emergency medicinepalliative carecarbamazepine
NSW2025-03-25

Inquest into the death of Bernard Greenwell

84y · Male·haemoperitoneum due to ruptured abdominal aortic aneurysm

…ominal aortic aneurysm (AAA) while in custody at Cessnock Correctional Centre. He experienced sudden-onset severe left groin pain at 11:30am on 25 April 2023. Correctional officers and nurses responded appropriately, rec…

emergency medicinevascular surgery
VIChospital

Finding into death of Mr C

55y · Male·Ascending cholangitis due to choledocholithiasis

…on, treated with antibiotics, vasopressors, and biliary stenting. On final admission, he deteriorated into severe septic shock and was transitioned to comfort care. The coroner found death was due to natural causes and c…

intensive caregeneral medicineantibiotics
VIChomePodcast2023-12-11

Finding into death of Shane Michael Tuck

38y · Male·hanging

…nal boxer (2015-2017), was found deceased by hanging on 20 July 2020. Post-mortem neuropathology confirmed severe stage III chronic traumatic encephalopathy (CTE). He experienced numerous head knocks during football and …

neurologypsychiatrycocaine
VIChospital2025-05-21

Finding into death of Nazlou (Helen) Danilidis

94y · Female·Complications of a fractured neck of femur sustained in an unwitnessed in-hospit…

…alone; adequate documentation of rounding and toileting assistance is essential; delirium assessment and cognitive impairment screening should guide fall risk interventions; minimising bed moves in confused elderly pati…

geriatric medicinecardiologysystemcommunicationlorazepam

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.