Coronial

582 results for ischaemic_heart_disease

VIChospital2012-08-02

Finding into death of Elsinore Mitchell

74y · Female·right lower lobe pneumonia (Staphylococcus aureus)

A 74-year-old woman admitted for depression and functional decline following aortic valve replacement received 15mg Nitrazepam instead of prescribed 15mg Mirtazapine due to drug name confusion. The sedation caused aspira…

general medicinepsychiatrymedicationcommunicationnitrazepam
VIChospital2013-06-17

Finding into death of Trevor Edward Hammond

72y · Male·ischaemic heart disease secondary to coronary artery disease

A 72-year-old man with hypercholesterolaemia and obesity presented to the ED with chest pain and atrial fibrillation. Initial ECG showed no acute changes. Clinicians pursued a pulmonary embolus diagnosis based on pleurit…

emergency medicinecardiologydiagnosticdelaydigoxin
SAhospital2019-06-21

Coroner's Finding: COOK Janet Ann

79y · Female·multi-organ failure as a result of ischaemic and valvular heart disease with uri…

Janet Ann Cook, aged 79, died of multi-organ failure complicated by hydromorphone toxicity on 30 September 2015. She was mistakenly administered 16mg hydromorphone intended for another patient (room 28 vs room 26) on 21 …

cardiologypalliative caremedicationcommunicationhydromorphone
QLD2006-11-15

Hogan, Kevin James and Hogan, Winifred Therese

Kevin James Hogan: spinal and chest injuries due to motor vehicle incident, with…

Kevin James Hogan (79 years) and Winifred Therese Hogan (83 years) died from injuries sustained in a motor vehicle accident at the intersection of Burnett Highway with Paines Road and Ziscee Lane. Kevin died from spinal …

VICcommunity2024-12-18

Finding into death of Kevin John Harris

38y · Male·Pulmonary thromboembolism in the setting of deep vein thrombosis

Kevin Harris, a 38-year-old man with obesity, sustained a left tibial plateau fracture from a workplace fall on 27 December 2022. His general practitioner managed the injury conservatively with rest, ice, and anti-inflam…

general practiceorthopaedic surgerysystem
VIC2014-03-06

Finding into death of Geoffrey Ashton

78y · Male·Ischemic heart disease

Geoffrey Ashton, a 78-year-old with significant ischemic heart disease, died in the foyer of Croydon Police Station on 17 December 2011. Stress from an altercation over disabled parking at a nearby church likely triggere…

cardiologypathologydelayprocedural
SAcommunity2009-03-30

Coroner's Finding: DALLING Brian Terrance and SALOTTI Jack William and GRZYWACZ Richard John and SOBEY Brian Leslie

Male·acute myocardial infarction due to coronary artery disease (all four); specific …

Four rural South Australian men (aged 42-76 years) died from acute coronary syndrome in 2004-2006. All presented to country medical practitioners with symptoms suggestive of acute coronary syndrome but were not identifie…

general practiceemergency medicinediagnosticcommunicationaspirin
VIChospital2018-10-18

Finding into death of Maxwell Norman Campbell

68y · Male·pulmonary thromboembolism in the setting of recent surgery

A 68-year-old man died from pulmonary thromboembolism following revisional gastric bypass surgery. He developed multiple post-operative complications including fever, elevated inflammatory markers, and a possible bowel p…

bariatric surgerygeneral surgeryheparin
VICcommunity2019-07-30

Finding into death of G W

69y · Male·Chest and head injuries sustained in a quad bike incident (driver)

A 69-year-old man died from chest and head injuries sustained in a quad bike rollover on his rural property. He was operating an older Honda quad bike without a safety helmet or crush protection device. Toxicological ana…

forensic medicineoccupational and environmental healthalcohol
SAhospital2009-09-11

Coroner's Finding: LANGFORD Peter

64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…

Peter Langford, aged 64, died of hospital-acquired pneumonia complicated by end-stage cryptogenic liver cirrhosis after a 43-day admission to Flinders Medical Centre. He presented with severe cellulitis requiring amputat…

gastroenterologygeneral medicinesystemlactulose
WA2016-10-10

Inquest into the Death of Hayder SAYED

30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…

A 30-year-old Afghan asylum seeker died from acute cardiac failure due to severe coronary atherosclerosis while in immigration detention. He had developed a large anteroseptal myocardial infarction between 4-18 August 20…

cardiologyemergency medicinemirtazapine
VIChospital2019-01-24

Finding into death of Bryan Lindsay Cleeman

86y · Male·Complications post laparoscopic cholecystectomy

86-year-old man with acute gangrenous perforated cholecystitis underwent laparoscopic cholecystectomy on 2 October 2015, forty-two hours after admission. Severe bleeding from hepatic arterial branches required conversion…

general surgeryanaesthesiadelayasasantin
TASaged care2024-10-22

Coroner's Finding: Whish-Wilson, Leslie Bruce

76y · Male·hospital-acquired pneumonia, age-related frailty, consequences of left neck of f…

Leslie Bruce Whish-Wilson, 76, sustained a fall in his aged care room in January 2024, leading to a right femoral neck fracture requiring surgical repair. Post-operatively, he developed hospital-acquired pneumonia compli…

geriatric medicineorthopaedic surgerysystemdelay
VIChospital2023-03-16

Finding into death of Reginald William Griggs

84y · Male·Respiratory failure complicating hospital acquired pneumonia following surgical …

An 84-year-old man died from respiratory failure due to hospital-acquired pneumonia following surgery for recurrent mandibular squamous cell carcinoma. Key clinical lessons: (1) Advanced Care Plans (ACPs) must be activel…

oncologyENT surgerycommunicationsystemhydromorphone
TAS2016-01-20

Coroner's Finding: Mansell, John Ernest

71y · Male·neck, chest and abdominal injuries sustained in a motor vehicle crash

A 71-year-old business owner competing in Targa Tasmania 2013 died when his Porsche became airborne at 200 km/h over an unmarked crest, crashed into a tree, and sustained fatal neck, chest and abdominal injuries. The cor…

systemalcohol
SA2026-02-26

Coroner's Finding: Eckert, Paul Theodore & Eckert, Thomas Sebastian & Bottrill, Alan Leslie & Neave, David Arthur & Ingram, Rodney Jon & Martin, Peter Joseph & Walker, Roger Malcolm & Kent, Victor Reginald

Male·Drowning (with various contributing cardiac and traumatic factors)

Eight people died in four separate boating incidents in South Australian waters between March 2024 and January 2025, all from drowning or drowning-related causes. The coroner found that lifejackets would likely have prev…

system
WAcommunity2008-02-25

Inquest into the Death of Kimberley Coronial Report

Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…

This coronial inquiry examined 22 deaths of Aboriginal people in the Kimberley region of Western Australia between 2000 and 2007. Seventeen were self-harm deaths, with four additional accidental deaths and one homicide. …

public healthpsychiatrysystemdelayalcohol
VICcommunity2023-05-02

Finding into death of Trevor Henry McKie

48y · Male·Coronary artery atherosclerosis in the setting of immersion

Trevor McKie, 48, an experienced mariner, died from coronary artery atherosclerosis while attempting to transfer between boats during deteriorating weather on Lake Wellington. He fell overboard in rough conditions (seas …

delaymirtazapine
VIChospital2012-02-22

Finding into death of Ellen Mary OConnor

90y · Female·Renal failure secondary to gentamicin therapy for urinary tract infection (sepsi…

Ellen O'Connor, a 90-year-old woman with renal artery stenosis and coronary artery disease, died from acute renal failure following gentamicin administration for Pseudomonas aeruginosa urinary tract infection. A single 2…

orthopaedic surgeryplastic and reconstructive surgerymedicationdiagnosticgentamicin
TAShospital2023-05-31

Coroner's Finding: Richardson Rebecca Eileen

29y · Female·acute myocardial infarction due to stenotic coronary vessel (left anterior desce…

Rebecca Richardson, a 29-year-old with type 1 diabetes and coronary artery disease, died of acute myocardial infarction on 7-9 May 2019. She presented to NWRH ED on 6 May with abdominal pain and vomiting, initially attri…

emergency medicinecardiologydiagnosticcommunicationinsulin
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