Coronial

537 results for sepsis

VIChospital2021-12-06

Finding into death of Ingeburg Hildegard Muller

85y · Female·Staphylococcus bacteremia complicating multiple injuries sustained in a motor ve…

An 85-year-old woman sustained multiple serious injuries (bilateral rib and pelvic fractures, thoracic spine fractures) in a motor vehicle collision on 20 June 2018. She was treated with ICU admission, induced coma, and …

emergency medicineintensive caresystemantibiotics
VIChospital2026-01-08

Finding into death of Malakai Cross-De Jesus

0y · Male·Complications following forceps delivery

…tailored resuscitation and optimized chances of survival; (4) confirmation bias led clinicians to focus on sepsis rather than haemorrhagic shock. Key preventive measures: transfer to theatre when red flags appear, implem…

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
ACThospital2018-04-26

AN INQUEST INTO THE DEATH OFJOHN BELL

71y · Male·cardiac arrest due to hyperkalemia due to acute on chronic renal failure, with r…

… the expert could not definitively establish they directly caused death, as acute coronary event or occult sepsis could not be excluded. The hospital implemented remedial actions including establishment of a dedicated hi…

surgerynephrologydiagnosticsystem
TAShospital2017-06-19

Coroner's Finding: Nancarrow, Maurice Cecil

76y · Male·multiple organ failure due to large volume aspiration of gastric contents during…

Maurice Nancarrow, 76, died from multiple organ failure following aspiration of gastric contents during anaesthetic induction for cystoscopy on 15 August 2015. He had undergone colorectal surgery on 30 July with complica…

general surgeryurologydiagnosticcommunicationdiuretics
NSWhospital2019-03-22

Inquest into the death of Patrick THOMAS

52y · Male·Intestinal failure/sepsis arising from venous ischemia as a result of superior m…

Patrick Thomas, a 52-year-old man, died from intestinal failure and sepsis following an accidental division of the superior mesenteric vein (SMV) during laparoscopic surgery for col…

colorectal surgeryintensive carecommunicationsystem
NSWhospital2018-12-17

Inquest into the death of Jarrod Wright

42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …

Jarrod Wright, a 42-year-old man admitted with cellulitis, developed sepsis-related acute respiratory distress syndrome (ARDS) requiring ICU care with non-invasive ventilation. Criti…

intensive careinfectious diseasescommunicationsystemmeropenem
VIChospital2014-05-29

Finding into death of Lilian Olive Blanche McClurkin

61y · Female·Peritonitis due to anastomotic leak at gastrectomy site; pathological obesity as…

A 61-year-old woman with pathological obesity died from peritonitis secondary to anastomotic leak following laparoscopic sleeve gastrectomy. The procedure itself was appropriate for her failed previous lap band surgeries…

bariatric surgerygeneral surgerycommunicationsystemtramadol
WAhospital2022-03-28

Inquest into the Death of Morgan John EDWARDS

31y · Male·Complications in association with intestinal volvulus

…arge. When finally re-admitted the following afternoon, he was critically unwell with intestinal volvulus, sepsis and pneumonia. He died despite emergency surgery preparation. Key failures included: absence of supporting…

emergency medicinegastroenterologydiagnosticcommunication
WAhospital2011-05-12

Inquest into the Death of Walden

68y · Female·Multi-organ failure associated with septic shock following duodenal perforation …

…vious surgery. The duodenal perforations caused by the unnecessary surgical dissection led to peritonitis, sepsis, and death. The coroner criticised systemic failures at the hospital, particularly the pre-admission clini…

general surgerygeneral practicediagnosticcommunicationpethidine
VIChospital2020-05-11

Finding into death of Penelope Thelma Jane Hill

53y · Female·Pneumonia

…omal abnormalities carries a poor prognosis despite appropriate medical intervention. Early recognition of sepsis and timely antibiotic therapy were appropriately provided.

infectious diseasesnephrologymidazolam
SAaged care2018-02-08

Coroner's Finding: COOPER Alfred Henry

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

Alfred Henry Cooper, a 94-year-old man with severe dementia, died of pneumonia at a nursing home where he was detained under a Guardianship Board order. His daughter raised concerns about nutrition during his final month…

general practicegeriatric medicine
VIChospital2014-03-25

Finding into death of Robert Glaisher

56y · Male·hypothermia

Robert Glaisher, a 56-year-old man with depression and significant alcohol abuse, presented to the ED on 5 July 2010 with acute confusion, agitation and visual hallucinations. He had a history of heavy alcohol consumptio…

psychiatryemergency medicinediagnosticcommunicationvenlafaxine
VIChospital2013-05-07

Finding into death of Karen Elizabeth Wilkinson

44y · Female·Lymphocytic choriomeningitis virus (LCMV)-like virus infection following failed …

A 44-year-old woman died on 1 January 2007, six days after receiving a cadaveric renal transplant. She was one of three organ recipients from the same donor who died within six days of each other from a novel lymphocytic…

transplant medicinenephrologycommunicationsystem
NSWhospital2012-06-14

Beverly ann murphy finding & recommendations 0701 08

70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…

Beverly Ann Murphy, 70, underwent hysterectomy for endometrial carcinoma on 2 April 2008 at Royal Hospital for Women. The complex surgery was complicated by iatrogenic small bowel perforations. Post-operatively, wound de…

gynaecologyoncologydiagnosticcommunication
VIChospital2015-04-29

Finding into death of John Manias

63y · Male·Multisystem organ failure, pneumonitis and sepsis; complications arising from a …

A 63-year-old man died on 11 March 2008 from multisystem organ failure, sepsis and pneumonitis following a fall. He was admitted to Dandenong Hospital with rib fractures and pelvic inju…

trauma surgeryorthopaedic surgerydiagnosticcommunicationceftriaxone
VICaged care2022-06-17

Finding into death of Brent Andrew Newman

58y · Male·Pneumonia and urosepsis

Brent Newman, a 58-year-old man with Down syndrome and early-onset dementia, died from pneumonia and urosepsis following inadequate care at an aged care facility. His indwelling catheter was poorly managed, causing ur…

geriatric medicinegeneral practicecommunicationsystemcefalexin
NSW2018-10-26

Inquest into the death of Mahmoud Houri

27y · Male·multiple organ failure due to the consequences of multiple gunshot wounds to the…

Mahmoud Houri died aged 27 in custody from multiple organ failure, a consequence of gunshot wounds sustained in 2002. The inquest examined whether appropriate care was provided on 21 August 2008 when he presented with vo…

general surgerygastroenterologymetoclopramide
VIChospital2014-11-26

Finding into death of Ming Shan Yuan

88y · Male·Tuberculous pneumonia in the setting of multiple rib fractures, osteoporosis and…

Ming Shan Yuan, an 88-year-old man with osteoporosis and cachexia, died from tuberculosis pneumonia precipitated by multiple rib fractures. He suffered elder abuse and neglect by his primary carer daughter over months be…

emergency medicinegeriatric medicinediagnosticdelayantibiotics
WAhome2012-06-29

Inquest into the Death of Operation Lantana

Toxicity from intravenous caesium, DMSO, and other substances administered as pa…

…celerated their deaths through metabolic derangement, gastrointestinal hemorrhage, cardiac arrhythmia, and sepsis. Patients and families were misled about risks and success rates. The clinic operated in substandard condi…

general practiceoncologydiagnosticproceduralcaesium chloride
QLDaged care2015-06-11

Ms C - Non-inquest findings

90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia

A 90-year-old woman with dementia, admitted to aged care in September 2012, developed a large necrotic sacral pressure ulcer despite nursing interventions. She was markedly dehydrated and malnourished, repeatedly refusin…

general practicegeriatric medicinecommunicationdelayfentanyl
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