Coronial

52 results for tracheostomy

SAhospital2005-04-12

Coroner's Finding: KARTINYERI Richard John

60y · Male·respiratory failure and sepsis complicating acute subdural haematoma

Richard Kartinyeri died 44 days after exiting a moving vehicle during a police pursuit. He sustained a severe right-sided acute subdural haematoma, cerebral contusions and skull fractures requiring emergency neurosurgery…

neurosurgeryintensive caremorphine
SAhospital2000-05-31

Coroner's Finding: DELLATORRE Natale

54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…

…death became almost inevitable despite comprehensive ICU management including dialysis, intubation, and tracheostomy. Communication breakdown occurred between ICU staff and family regarding withdrawal of treatment.

emergency medicinepsychiatrydiagnosticadrenaline
VIC2025-10-28

Finding into death of Christopher Gerard McIntosh

54y · Male·Respiratory failure secondary to prolonged ventilation for the management of sep…

Christopher McIntosh, a 54-year-old man with type 2 diabetes, died from respiratory failure secondary to sepsis originating from an infected foot ulcer while incarcerated at Hopkins Correctional Centre. The coroner found…

correctional healthgeneral medicinecommunicationsystem
QLDhospital2010-05-07

Cramb, Fay - aka Valmae Beck

64y · Female·Haemorrhage into atheromatous plaque, due to coronary atherosclerosis

Fay Cramb, a 64-year-old woman imprisoned for 20+ years, died on 27 May 2008 from coronary atherosclerosis with haemorrhage into atheromatous plaque. She suffered an acute cardiac event on 5 May 2008 requiring emergency …

cardiologyintensive caresystem
VICcommunity2021-06-28

Finding into death of Maria Assunta Agius

56y · Female·Complications of motor neuron disease

…ube for feeding and required nocturnal ventilation. An advanced care directive refused CPR, intubation, tracheostomy, and interventions causing excessive discomfort. She was found unresponsive on 12 November 2018, approx…

neurologypalliative care
VIChospital2024-03-04

Finding into death of Frank Allen Hall-Bentick

69y · Male·Septic arthritis of the knee

…table for surgical management due to respiratory compromise risking permanent ventilator dependence and tracheostomy. He declined surgery, preferring medical management with antibiotics, vasopressors, and comfort care. D…

intensive careemergency medicineantibiotics
VIChospital2025-10-28

Finding into death of Christopher Gerard McIntosh

54y · Male·Respiratory failure secondary to prolonged ventilation for management of sepsis …

Christopher McIntosh, a 54-year-old man with Type II diabetes and chronic foot ulcers, died from respiratory failure secondary to sepsis arising from an infected foot ulcer requiring above-knee amputation. He was incarce…

infectious diseasesvascular surgerydiagnosticsystemantibiotics
WAmental health2013

Inquest into the Death of Vos, Glenis June

60y · Female·Focal pneumonia in a woman with emphysema and ischaemic heart disease

A 60-year-old woman with long-standing schizophrenia/bipolar disorder, emphysema, and ischaemic heart disease died of focal pneumonia at Graylands Hospital. She had been an involuntary patient with multiple prior respira…

psychiatrygeneral medicinetemazepam
WAhospital2020-06-03

Inquest into the Death of Michael Warren DYBALL

56y · Male·bronchopneumonia complicated by multiorgan failure and hypoxic ischaemic encepha…

Michael Dyball, a 56-year-old prisoner with chronic kidney disease, hepatitis C, and treated oropharyngeal squamous cell carcinoma, collapsed in his prison cell and suffered cardiopulmonary arrest on 28 April 2016. He di…

nephrologyoncologydarbepoetin alfa
VIC2013-08-20

Finding into death of PETER MALLIA

47y · Male·Severe Community Acquired Pneumonia; Aspiration; Critical Care Neuropathy; Cereb…

Peter Mallia, a 47-year-old man with cerebral palsy and intellectual disability, died of severe community-acquired pneumonia, aspiration, and critical care neuropathy on 31 July 2011, while in intensive care at Northern …

general practicespeech pathologydiazepam
WAhospital2021-09-10

Inquest into the Death of James David HECTOR

47y · Male·bronchopneumonia and upper airway obstruction in a man with end-stage oral cance…

James David Hector, a 47-year-old Aboriginal man, died of bronchopneumonia and upper airway obstruction related to end-stage oral cancer. He had a 13-year history of squamous cell carcinoma of the mouth with multiple rec…

palliative careoncologyoxycodone
SAhospital2025-07-03

Coroner's Finding: Cheesman, Trevor Allan

70y · Male·complications arising from craniofacial resection and orbital exenteration for r…

A 70-year-old man died following complex craniofacial resection and orbital exenteration for right sinonasal adenocarcinoma. Multiple surgical complications occurred including carotid artery injury, cerebral infarction, …

neurosurgeryENT surgerysystemolanzapine
VIChospital2010-06-10

Finding into death of Dale Graham Russ

26y · Male·Upper cervical spinal cord injury

A 26-year-old man suffered an upper cervical spinal cord injury (C2 fracture with vertebral artery dissection) after diving head-first from Brooks Jetty into shallow water on New Year's Day 2008. He was transferred to IC…

intensive careneurologymorphine
QLDhospital2005-10-06

Fernandez, Adam Anthony

33y · Male·Aspiration due to alcoholic intoxication; coronary atherosclerosis contributed

Adam Anthony Fernandez, aged 33, died from aspiration of food contents while acutely intoxicated (blood alcohol 0.276%) following police attendance at his home on 4 December 2001. After police used capsicum spray to safe…

emergency medicineanaesthesiasedatives
NThospital2016-04-22

Inquest into the death of Bundy Namarnyilk

56y · Male·Acute bronchopneumonia secondary to locally advanced, poorly differentiated squa…

A 56-year-old Aboriginal man died in custody from bronchopneumonia secondary to metastatic hypopharyngeal squamous cell carcinoma. He first presented with sore throat in February 2014 and was referred to ENT clinic in Ap…

ENT surgeryoncology
QLDhospital2017-09-20

Mr TAM - Non-inquest findings

62y · Male·Multi-organ infarctions (brain, kidneys, heart) resulting from thromboemboli sec…

Mr TAM, a 62-year-old man with multiple cardiac conditions, died from multi-organ infarction secondary to an atrio-oesophageal fistula that developed after radio-frequency ablation for atrial fibrillation. The fistula is…

cardiologycardiothoracic surgerycommunicationsystem
QLDhome2019-10-02

Banjo, Neil Richard

53y · Male·Traumatic brain injury sustained from police use of force on 25 February 2016, t…

Neil Banjo, a 53-year-old Aboriginal man, died from traumatic brain injury sustained during a police confrontation on 25 February 2016 in Normanton, Queensland. Officers attended a family birthday party to arrest his int…

trauma surgeryemergency medicinesystemdelay
ACThospital2019-06-25

Inquest into the death of Jay Alan Paterson

43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …

Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone table…

general practicepain medicinesystemproceduraloxycodone
TAShospital2022-10-07

Coroner's Finding: Willetts, Ernest Charles

80y · Male·aspiration pneumonia

Ernest Charles Willetts, 80, died from aspiration pneumonia following an appendectomy. On hospital day 3, he developed coffee-ground vomitus indicating gastrointestinal bleeding. A gastroscopy was performed that afternoo…

surgerygastroenterologycommunicationsystempariet
VIChospital2022-10-18

Finding into death of Warren Douglas Frazer

45y · Male·Complications of VATS procedure for locally advanced right upper lobe lung adeno…

A 45-year-old man died from complications following VATS lobectomy for lung adenocarcinoma. During initial surgery, the tumour invaded the T6 vertebral body. The surgeon, faced with incomplete tumour resection or vertebr…

cardiothoracic surgeryneurosurgerydiagnosticdelay

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