155 results for “systemic hypertension”
73y · Male·Thromboembolism on a background of a spindle cell tumour
… concerns with the medical care and treatment provided during his hospitalisation. No recommendations for systemic improvement were made.
44y · Female·acute myocardial infarction due to coronary thrombosis
…n Western Australia. She had multiple cardiovascular risk factors: Aboriginal status, obesity, smoking, hypertension, and dyslipidemia (detected late). Blood pressure monitoring was inadequate, with rapid de-escalation o…
78y · Male·Not determined - no remains found, no postmortem examination possible
…ner of death due to absence of remains and post-mortem examination. The investigation identified multiple systemic issues: allocation of a part-time detective as officer-in-charge created gaps in investigative momentum; …
43y · Male·Hypoxic Ischaemic Encephalopathy due to out of hospital cardiac arrest, secondar…
Richard Navarro, a 43-year-old man with severe obstructive sleep apnoea (OSA), morbid obesity, hypertension, and recurrent pneumonia, died of hypoxic ischaemic encephalopathy following cardiac arrest while in cu…
43y · Male·intra-abdominal haemorrhage due to traumatic rupture of splenic blood vessels du…
…r could not establish that earlier care intervention would have prevented death (timing of fall unclear), systemic failures were identified: rosters were not produced timeously, lacked supervisory checking, and newly add…
78y · Male·Ischemic heart disease
… Dr R., his treating physician, stated that timely CPR and defibrillation could have been lifesaving. Key systemic failures included inadequate first aid training policies, officers prioritizing mouth-to-mouth over chest…
59y · Male·idiopathic dilated cardiomyopathy (probably alcohol related)
…e and unnecessary, driven by a new 'paperless arrest' scheme and Operation Ascari II. The case highlights systemic failures: use of preventative detention contrary to Royal Commission recommendations, overrepresentation …
51y · Male·Coronary atherosclerosis
…quate and reasonable, and that prison staff responded promptly and appropriately. The inquest highlighted systemic health challenges for Aboriginal and Torres Strait Islander prisoners with chronic diseases, and encourag…
76y · Male·Small bowel obstruction and acute renal failure, due to or as a consequence of m…
…ative care only). A minor issue of missed/incorrect medications was identified and corrected. The primary systemic issue was difficulty sourcing suitable nursing home placement after exceptional circumstances parole was …
67y · Male·Ischaemic Heart Disease and Coronary Artery Atherosclerosis
Harold Louis, a 67-year-old man with Alzheimer's dementia, ischaemic heart disease, diabetes, and hypertension, was admitted to an aged care facility as 'low care' despite rapidly requiring high-level supervision. …
35y · Female·Unascertained
…-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements and was induced on Sunday evening. She experience…
84y · Male·Ischaemic heart disease and coronary artery atherosclerosis in the setting of ty…
Jonathan Uphill, an 84-year-old man with extensive comorbidities including type 2 diabetes, hypertension, and prior cardiac risk factors, died of ischaemic heart disease with coronary artery atherosclerosis. …
46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)
…rder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden arrhythmia. She presented to hospital multiple times…
77y · Male·Injuries sustained in a motor vehicle collision (driver)
…onmental hazard factors that may affect older drivers. Baker had multiple comorbidities including COPD, hypertension, and osteoporosis. The truck driver lost control on a flushed road surface in wet conditions; skid resi…
Three separate cases: (1) Ronald Grundy - advanced atherosclerotic coronary vasc…
…three men was of acceptable standard and did not cause or contribute to their deaths. No clinical errors, systemic failures, or preventable factors were identified.
47y · Female·bronchopneumonia in context of ischaemic heart disease, chronic renal failure, a…
…e, implemented from 1997 onwards, significantly improved her safety and wellbeing. The coroner emphasised systemic issues: lack of facilities for young people with combined mental illness and brain injury, funding constr…
65y · Female·klebsiella pneumonia sepsis and rhabdomyolysis after a fall at home
…and remained on the floor for approximately 2 hours before ambulance arrival. She presented with signs of systemic illness including hypotension, tachycardia, and speech changes. Hospital admission revealed multiple orga…
44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…
…n, a 44-year-old man with longstanding opioid and polysubstance use disorder, died from acute pulmonary hypertension caused by intravenous injection of foreign debris (crushed tablets). He had been prescribed methadone a…
83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…
Margaret Patricia Kenney, 83, died from upper gastrointestinal bleeding complicated by cardiac arrest while anticoagulated for atrial fibrillation. She had been diagnosed with gastro-oesophageal reflux disease (GORD) in …
54y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis and aneurys…
Harry Barkas, a 54-year-old prisoner with longstanding type 2 diabetes, hypertension, and high cholesterol, collapsed in a prison bathroom. Autopsy revealed severe coronary artery atherosc…
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