Coronial

155 results for weight loss

VIChome2024-10-29

Finding into death of Robin James Woller

76y · Male·Chest and pelvic injuries sustained in a ride-on lawn mower incident

…l wheelbase and narrow track width, combined with adverse forces from the trailer and terrain, precipitated loss of control and rollover. Although the deceased was experienced with machinery and familiar with the propert…

forensic medicine
SAaged care2018-02-08

Coroner's Finding: COOPER Alfred Henry

94y · Male·pneumonia on a background of severe dementia

…hter raised concerns about nutrition during his final months when he was bedridden. The coroner found that weight loss and limited oral intake were typical of end-of-life decline in advanced dementia and did not contribu…

general practicegeriatric medicine
NThospital2010-04-16

Inquest into the death of Dailyna Byrnes

13y · Female·cardiac arrest resulting from dehydration

…cerns to the evening registrar. The registrar conducted a brief, superficial examination without reviewing weight loss (8% in 48 hours), checking fluid balance charts, or obtaining relevant medical history. A minimal reh…

paediatricsemergency medicinediagnosticcommunicationoral rehydration solution
WAcommunity2007-05-11

Inquest into the Death of Robson

16y · Female·Adrenal insufficiency (Addison's Disease)

…sufficiency (Addison's Disease), a treatable autoimmune condition. She presented with progressive fatigue, weight loss (from 48–50 kg to 38 kg), vomiting, and skin pigmentation changes over nine months, initially attribu…

general practiceemergency medicinediagnosticsupervision_issue
SAhospital2016-09-12

Coroner's Finding: PIRRI Pasquale

90y · Male·acute myocardial infarction on a background of ischaemic heart disease, pneumoni…

…n following pneumonia and cognitive decline. He was admitted to hospital after falls, with documented 10kg weight loss. A myocardial infarction on 13 October was followed by palliative care. Despite chest pain, dyspnoea …

cardiologygeriatric medicine
VIChome2020-01-14

Finding into death of H B

8y · Female·Aspiration pneumonia in a child with an epileptic encephalopathy and extreme cac…

…ox-Gastaut syndrome), and was entirely dependent on PEG tube feeding. Between January and August 2013, her weight dropped from ~20kg to 12kg—a loss of 8kg over 7 months. Analysis of delivered formula showed only ~152 lit…

paediatricsneurologydiagnosticdelaylevetiracetam
SAhospital2017-08-25

Coroner's Finding: KELBIN William Thomas

81y · Male·gastrointestinal haemorrhage and multi-organ failure on a background of severe d…

…re in hospital, he refused investigation and treatment including endoscopy. His declining physical health, weight loss, anaemia, cardiac failure, and swallowing difficulties progressed to multi-organ failure. The coroner…

geriatric medicinegeneral medicine
VIChospital2024-12-05

Finding into death of Kim Elizabeth Taylor

54y · Female·Pneumonia - chest sepsis

…n Hospital. She had experienced recurrent ventilator-associated pneumonia, bronchiectasis, and progressive weight loss and frailty. Despite extensive investigations including ultrasound, CT, and PET scans during her May-…

respiratory medicinepalliative care
TAShospital2017-06-16

Coroner's Finding: Baldock, Andrea Eileen

46y · Female·combined effects of aspiration pneumonia due to gastroparesis following sleeve g…

…uctured, closely monitored post-operative care plan as a significant deficiency. The case illustrates that weight reduction surgery carries non-trivial risks and should follow exhaustion of non-invasive options.

general surgerygastroenterologysystemdelay
VIC2026-03-19

Finding into death of Judith Gail Longhurst

74y · Female·Chronic obstructive pulmonary disease

…, was discharged with antibiotics, and reviewed by her GP on 4 and 9 October. She subsequently experienced weight loss, declined food and water, and vomited on 22 October. She was found unresponsive on 23 October and cou…

respiratory medicinegeneral practicesertraline
VIChospital2024-03-07

Finding into death of Ms AC

73y · Female·Metastatic oesophageal cancer

…bilities, died from metastatic oesophageal cancer. She presented with progressive swallowing difficulties, weight loss, and elevated inflammatory markers from December 2022. Her GP appropriately investigated with a bariu…

general practicegastroenterology
VIChome2022-09-27

Finding into death of Colleen Mary Chapman

59y · Female·Myocardial infarction secondary to ischaemic heart disease

…d was on anticoagulation therapy. The Disability Services Commissioner identified that Ms Chapman lacked a weight management plan despite her morbid obesity, and was frequently provided with unhealthy foods. Key clinical…

cardiologyemergency medicinesystemcommunicationcarbamazepine
NThome2014-09-01

Inquest into the death of Baby C

0y · Female·undetermined (chronic malnutrition ruled out; possible dehydration with electrol…

…ience managing feeding difficulties and bowel problems, Baby C's health declined significantly with marked weight loss (12% in final week). She died on 9 January 2013 at 6 months old. Autopsy findings were inconclusive; …

paediatricsneonatologydelay
QLDhospital2009-12-03

Heywood, John Martin

68y · Male·Abnormal heart rhythm (arrhythmia) precipitated by coronary atherosclerosis and …

…n custody at the Princess Alexandra Hospital Secure Unit. He had been undergoing medical investigation for weight loss, anorexia, and suspected malignancy. The coroner found he received a high standard of medical care th…

cardiologyendocrinology
VIC2026-01-30

Finding into death of Brian Leslie Aldridge

57y · Male·Complications of Down syndrome

…ienced declining health from September 2022 onwards, with particular difficulty swallowing and progressive weight loss. He was admitted to hospital in March-April 2024 for constipation management, after which his conditi…

palliative carepsychiatry
VIC2025-11-06

Finding into death of Gensheng Zhao

56y · Male·DROWNING

… 56-year-old man drowned while snorkelling and freediving off Seal Island in Bass Strait. He was wearing a weighted belt without a buoyancy compensation device or emergency flotation aid, which made it difficult to remai…

forensic medicine
VICaged care2013-06-05

Finding into death of Stephen William Summers

55y · Male·Staphylococcal sepsis, complications of pressure sores and hypostatic pneumonia,…

…r medical assessment by new providers, and failure to recognise clinical deterioration despite significant weight loss (13kg in 2 months) and emerging pressure sores. The coroner found the community residential model uns…

general practiceemergency medicinediagnosticcommunication
VICcommunity2021-01-28

Finding into death of MrR

36y · Male·Multiple injuries (motor vehicle impact - driver)

A 36-year-old man died when his truck collided with a tree after losing control on a left-hand bend. He was transporting a 4250 kg excavator loader on the truck bed using inadequate restraint (ramps only, no straps or ti…

procedural
VIC2018-05-15

Finding into death of Jennifer May Teague

68y · Female·Multiple injuries sustained as a passenger in a motor vehicle incident

…nd struck it head-on. The Prado was towing 570kg above its rated capacity and the trailer had low tow-ball weight due to poor loading configuration. The driver of the Prado pleaded guilty to careless driving. This death …

QLD2017-03-03

Desi, Austin Brunt - Non-inquest findings

35y · Male·Multiple injuries sustained in a paragliding accident

…ed the manufacturer's wing loading specifications. He was approximately 10kg above the recommended maximum weight for the aircraft. Critical clinical lessons: equipment weight limits must be strictly observed; transition…

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