Coronial

624 results for pulmonary disease

NThospital2026-02-10

Inquest into the death of Martin Leach

67y · Male·Congestive cardiac failure

Martin Leach, a 67-year-old man serving a life sentence, died from congestive cardiac failure with atrial fibrillation and dilated cardiomyopathy. He had consistently refused life-prolonging medical treatments and comple…

emergency medicinecardiologysystemcommunicationmorphine
TAShospital2018-03-26

Coroner's Finding: Russell; Patricia Joy

74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…

Mrs Russell, a 74-year-old woman with diabetes, obesity, COPD and coronary disease, underwent elective hernia repair in November 2016 at a regional hospital. An unexpected colon tumour was…

surgeryanaesthesiadiagnosticdelay
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
NTaged care2020-12-18

Inquest into the death of Barbara Francis

78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…

Barbara Francis, a 78-year-old resident with dementia at Pearl Supported Care in the dementia unit (Dinah), was punched by another resident (Mr A) on 4 September 2018 and fell backward onto her right hip, sustaining an o…

geriatric medicineorthopaedic surgerysystemcommunication
VIChospital2020-01-31

Finding into death of Brett Maybus

60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…

Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…

cardiothoracic surgeryoncologycommunicationsystem
VIChospital2014-07-14

Finding into death of Peter Swanston

63y · Male·Complications of Metastatic Non Small Cell Lung Cancer

Peter Swanston, a 63-year-old prisoner, died from complications of metastatic non-small cell lung cancer. He was diagnosed in November 2012 following a CT scan investigating chest symptoms and weight loss. His care invol…

oncologypalliative care
VIChospital2014-11-17

Finding into death of Kam Wah Koh

84y · Male·Pneumonia complicating fractured cervical spine in the setting of fall

An 84-year-old man died from pneumonia and Type 2 respiratory failure nine days after sustaining a severe cervical spine fracture from a fall on a bus. Following the acute traumatic injury, he was appropriately managed i…

trauma surgeryorthopaedic surgerydexamethasone
VIChospital2019-01-24

Finding into death of Bryan Lindsay Cleeman

86y · Male·Complications post laparoscopic cholecystectomy

…transfusion. Myocardial infarction occurred intraoperatively in a patient with underlying coronary artery disease and was unresuscitable. While the delay between admission and surgery (outside 72-hour guideline window) …

general surgeryanaesthesiadelayasasantin
WA2024-12-23

Inquest into the Death of Frank MIKHAIL

68y · Male·bronchopneumonia in a man with carcinoma in the lung and chronic obstructive pul…

Frank Mikhail, a 68-year-old prisoner with severe COPD, presented to St John of God Hospital on 29 January 2023 with haemoptysis and was discharged without admission. Critical clinical lessons include: (1) haemoptysis in…

respiratory medicineemergency medicinediagnosticcommunicationamitriptyline
TAScommunity2015-06-30

Coroner's Finding: Stephenson, Jason Scott

40y · Male·drowning whilst engaged in scuba diving

Jason Stephenson, a 40-year-old male with obesity, hypertension, and undiagnosed coronary artery stenosis, drowned while scuba diving at Picnic Beach, Tasmania. He demonstrated signs of physical overexertion during the w…

diving medicinehyperbaric medicine
TAShome2026-01-22

Coroner's Finding: Kerrie Dawn Grant

72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis

Kerrie Dawn Grant, a 72-year-old woman with multiple comorbidities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls…

general medicinecardiologydischargecommunication
TAShome2022-11-30

Coroner's Finding: Donnelly, Christopher Ronald

68y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)

Christopher Ronald Donnelly, aged 68, died of Sudden Unexpected Death in Epilepsy (SUDEP). He had a 5-year history of seizures managed with antiepileptic medications, including a recent switch from valproate to levetirac…

neurologygeneral practicelevetiracetam
WAhospital2021-08-06

Inquest into the Death of Lajos SZABO

64y · Male·metastatic adenocarcinoma of the lung (palliated)

Lajos Szabo, a 64-year-old prisoner, died from metastatic adenocarcinoma of the lung with brain metastases. He presented to prison medical services in November 2018 with neck swelling and fever, was promptly investigated…

general practicerespiratory medicine
NSWhome2017-09-15

Inquest into the death of Charles Welsford SMITHERS

32y · Male·Presumed cardiac arrhythmia with congenital coronary artery anomaly (absent righ…

Charles Smithers, a 32-year-old fit and active man, died suddenly in bed of presumed cardiac arrhythmia associated with a rare congenital coronary artery anomaly (absent right coronary artery). He had been well, with no …

cardiologyforensic medicinediagnostic
TAScommunity2024-04-17

Coroner's Finding: QR

42y · Female·Drowning due to combined drug (tramadol, venlafaxine, diazepam, quetiapine and c…

…her her GP nor psychiatrist had specifically discussed the risks of diving given her medications and lung disease, particularly as she resumed diving. The combination of drug effects, reduced diving experience, and exce…

general practicepsychiatrycommunicationtramadol
NThospital2015-02-19

Inquest into the death of Victor Campbell

63y · Male·cancer in the left lung metastatic to the heart, right lung, liver, pancreas and…

Victor Albert Campbell, a 63-year-old man remanded in custody for serious criminal offences, was incarcerated at Alice Springs Correctional Centre on 10 April 2013. He was assessed by medical staff and seen by a doctor p…

oncologypalliative caredexamethasone
VIChospital2013-08-15

Finding into death of William John Colhoun

71y · Male·Multi organ failure due to post-operative bleeding following endoluminal thoraci…

William Colhoun, 71, underwent complex endovascular repair of thoracic-abdominal aortic aneurysm at St Vincent's Private Hospital on 1 December 2008. He developed post-operative instability with hypotension, metabolic ac…

vascular surgeryradiologycommunication
SAprison2023-11-10

Coroner's Finding: Trotta, Giovanni

58y · Male·acute bronchopneumonia

Giovanni Trotta, aged 58, died in custody from acute bronchopneumonia. He was a vulnerable prisoner with COPD, schizoaffective disorder, and profound deafness. Clinical lessons include: (1) hospital discharge summaries m…

emergency medicinerespiratory medicinediagnosticcommunicationclozapine
NSWhospital2020-06-12

Inquest into the death of Thomas John KEDWELL

66y · Male·respiratory infection on a background of metastatic carcinoma

Thomas Kedwell, aged 66, died in custody at Prince of Wales Hospital from respiratory infection secondary to metastatic carcinoma. He had undergone laryngectomy and tracheostomy for throat cancer in 2017, and presented w…

oncologypalliative carebuprenorphine/naloxone
ACThome2018-12-20

Inquest into the death of Lesley Kaye Hasleby

61y · Female·respiratory failure consistent with end-stage chronic obstructive airways disord…

A 61-year-old woman with chronic obstructive airways disease, liver disease, depression, and alcohol dependence died from respiratory failure. Her general practitione…

general practicerespiratory medicinediagnosticcommunicationdosulepin
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