Coronial

109 results for type 1 diabetes

VICcommunity2023-12-20

Finding into death of Lachlan McMahon Cook

16y · Male·Hypoxic/ischaemic encephalopathy in the context of diabetic ketoacidosis

A 16-year-old with Type 1 Diabetes died from diabetic ketoacidosis (DKA) precipitated by acute gastroenteritis acquired while on a …

endocrinologygeneral practicediagnosticcommunicationinsulin
VICcommunity2013-12-20

Finding into death of Kylie Anne Lightfoot

24y · Female·diabetic ketoacidosis in the setting of diabetes mellitus

Kylie Anne Lightfoot, a 24-year-old woman with type 1 diabetes, died from diabetic ketoacidosis. She presented to Dr S.'s practice on 4 May 2007 with abdominal…

general practiceendocrinologycommunicationsysteminsulin
NSWcommunity2022-08-02

Inquest into the disappearance and suspected death of Kenneth Klees

37y · Male·Unascertained

…deceased on Mollymook beach on 26 February 2021. He had a history of depression, anxiety, poorly controlled type 2 diabetes, and obsessive-compulsive disorder. In the weeks before his disappearance, his mental health app…

general practicepsychiatrycommunicationsystem
VICaged care2024-08-22

Finding into death of Rosemarie Paton

68y · Female·Intestinal pseudo-obstruction in a woman with multiple sclerosis

Rosemarie Paton, aged 68, died from intestinal pseudo-obstruction in the context of longstanding multiple sclerosis and immobility. She was a bed-bound resident of specialist disability accommodation requiring 24-hour nu…

geriatric medicineneurology
VIC2015-12-01

Finding into death of James Willian Steele

63y · Male·Hypotensive and atherosclerotic heart disease

A 63-year-old male prisoner with Type II diabetes, hypertension, obesity and coronary atherosclerosis died of cardiac arrhythmia while engaged in…

general practicegeneral medicinedocumentationcommunicationlercanidipine
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 …

endocrinologysystemcommunicationinsulin - rapid-acting
VICcommunity2021-08-16

Finding into death of Phillip John Sealey

62y · Male·Diabetic ketoacidosis in a man with coronary atherosclerosis and cardiomegaly

… frequency, nocturia, blurred vision, dizziness and vomiting. The GP diagnosed hypertension and suspected diabetes mellitus, ordering blood tests for the following day. No point-of-care glucose testing was performed desp…

general practiceemergency medicinediagnosticdelayfentanyl
QLDhospital2025-08-11

Inquest into the death of John Reginald Wright

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

…ginald Wright, a 79-year-old remand prisoner, died from complications of peripheral vascular disease with diabetes, atrial fibrillation, cardiomyopathy and delirium. He was transferred to Princess Alexandra Hospital Secu…

vascular surgerygeneral medicineglicazide
NSWhospital2019-09-04

Inquest into the death of Ivan METCALFE

82y · Male·Complications associated with advanced chronic lung disease

…tions from advanced chronic lung disease while in prison custody. He had multiple comorbidities including diabetes, ischaemic cardiovascular disease, and atrial fibrillation. He was admitted to Prince of Wales Hospital o…

respiratory medicinecardiologycommunicationsystemantibiotics
NSW2025-09-15

Inquest into the death of Robert Sievers

81y · Male·COVID-19 infection on a background of Type 2 Diabetes and end stage chronic kidn…

Robert Sievers, an 81-year-old man incarcerated since 2001, died from COVID-19 infection on a background of type 2 diabetes and end-stage chronic kidney disease. Despite multiple warnings about vaccination, Sievers refus…

geriatric medicinepalliative careantiviral medication
WA2025-07-08

Inquest into the Death of Tim Alan LOOKER

29y · Male·ligature compression of the neck (hanging)

…truding bolt in his cell. Tim had ADHD diagnosed since childhood (previously prescribed dexamphetamine) and Type 2 diabetes (metformin), neither condition treated during his 99-day imprisonment. Key clinical lessons incl…

general practicepsychiatrysystemcommunicationdextroamphetamine
VICcommunity2016-01-19

Finding into death of Benjamin Hodgson

29y · Male·Diabetic ketoacidosis

Benjamin Hodgson, a 29-year-old man, presented to his GP on 20 January 2014 with polyuria, polydipsia, difficulty sleeping, fever (38.6°C), and hypertension. The GP diagnosed a urinary tract infection and prescribed anti…

general practicepathologydiagnosticdelaycefalexin
VICaged care2014-04-29

Finding into death of Marie Goder

84y · Female·Major cerebral infarct due to hypoglycaemia

Marie Goder, an 84-year-old with diabetes, developed severe hypoglycaemia following insulin administration at a nursing home on 1 November 2009, re…

general practicegeneral medicinediagnosticmedicationactrapid
WAhospital2025-02-21

Inquest into the Death of Fabian Alec COFFIN

51y · Male·complications of myocardial infarction in association with ischaemic heart disea…

…f myocardial infarction with ischaemic heart disease. He had multiple cardiovascular risk factors including type-2 diabetes, hypertension, high cholesterol, chronic kidney disease, obesity, and smoking history. On 26 Jan…

cardiologyemergency medicinediagnosticinsulin
QLDhospital2014-11-04

Chettiar, Dharam Raj

82y · Male·Ischaemic cardiomyopathy resulting from coronary atherosclerosis (with previous …

An 82-year-old man with longstanding cardiac disease and renal failure died in custody from acute heart failure. He had been imprisoned for 3 years with well-documented cardiac history requiring 42 hospital transfers. In…

cardiologyemergency medicinenicorandil
QLDaged care2017-06-09

DR - Non-inquest findings

46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)

A 46-year-old woman with bipolar/schizoaffective disorder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dil…

general medicineemergency medicinecommunicationsystemquetiapine
VIChome2025-02-26

Finding into death of Jonathan Alan Uphill

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 art…

oral and maxillofacial surgeryanaesthesiadelaycodeine
QLDhospital2024-07-30

PATELESIO, Etevise

29y · Female·Hypoxic-ischaemic encephalopathy due to cardiac arrest of undetermined cause

A 29-year-old woman with multiple comorbidities (Turner syndrome, type 1 diabetes, end-stage renal disease) presented to the ED in acute behavioural disturbance, requiring physic…

emergency medicineintensive caremonitoringsystemdroperidol
QLDhospital2023-06-26

Searle, William Edward

74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …

… ampullary adenoma. The clinical lessons involve recognition of gastroparesis risk in high-risk patients (diabetes, obesity, opioid use, post-major surgery). Multiple missed opportunities to recognize and manage gastropa…

general surgeryintensive carediagnosticcommunicationadrenaline
NSWmental health2019-11-22

Inquest into the death of David Dungay

29y · Male·cardiac arrhythmia

David Dungay, a 29-year-old Aboriginal man with chronic schizophrenia, type 1 diabetes, and obesity, died on 29 December 2015 in Long Bay Hospital's Mental Health Unit while in custod…

psychiatryemergency medicineproceduralcommunicationmidazolam

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