Coronial

617 results for ischaemic heart disease

NSWaged care2019-09-27

Inquest into the death of Epenesa PAHIVA

87y · Female·combined effects of ischaemic heart disease and chronic obstructive pulmonary di…

…arrange hospital transfer immediately or document his concerns. The patient's pre-existing cardiovascular disease was the primary cause of death; the healing burns contributed minimally. Multiple system failures in docu…

dermatologygeneral practicediagnosticcommunicationbleach
NSWcommunity2014-06-27

Inquest into the deaths of Christopher SALIB, Nathan ATTARD and Shamsad AKHTAR

Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…

This landmark inquest examined three deaths involving prescription drug toxicity: Christopher Salib (24, ischaemic heart disease with drug toxicity), Nathan Attard (34, multi-drug toxicity), and Shamsad Akhtar (35, mult…

general practiceemergency medicinediagnosticmedicationalprazolam
VIChome2025-11-18

Finding into death of JZA

65y · Female·Combined effects of acute pneumonia, pancreatitis, urinary tract infection, and …

A 65-year-old woman with chronic alcohol use disorder, multiple comorbidities, and progressive functional decline died from combined effects of pneumonia, pancreatitis, urinary tract infection, and severe pressure ulcers…

geriatric medicineinfectious diseasessystemcommunicationpholcodine
QLDhospital2018-08-20

RD - Non-inquest findings

64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…

RD, a 64-year-old man with diabetes, amputation, and COPD, presented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaem…

emergency medicineintensive carediagnosticmedicationintravenous normal saline
VIChospital2013-06-17

Finding into death of Trevor Edward Hammond

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

…He died at home the next day from myocardial infarction secondary to severe triple-vessel coronary artery disease. The critical omission was failure to order troponin testing despite chest pain presentation. While the p…

emergency medicinecardiologydiagnosticdelaydigoxin
NThome2007-11-13

Inquest into the death of Richard Kiel

37y · Male·acute heart failure caused by multiple drug toxicity (methadone and alprazolam)

Richard Mark Kiel, a 37-year-old with chronic opioid addiction, died from acute heart failure caused by lethally high levels of methadone and alprazolam, likely consumed on 9 September 2005. H…

general practiceaddiction medicinediagnosticmedicationmethadone
VIChospital2026-04-28

Finding into death of Ronald William Beaumont

74y · Male·Acute myocardial infarction complicated by multiple organ failure

Ronald William Beaumont, 74, died from acute myocardial infarction complicated by multiple organ failure following a second shoulder washout procedure. Key clinical lessons: (1) Despite inadvertent withholding of dual an…

cardiologyorthopaedic surgerymedicationcommunicationaspirin
VICcommunity2024

Finding into death of Mr XML

60y · Male·Mixed drug (methylamphetamine, deschloro-n-ethyl-ketamine) toxicity in a man wit…

… toxicity (methylamphetamine and deschloro-n-ethyl-ketamine) in the setting of significant cardiovascular disease. He collapsed after self-injecting an unknown substance while driving in rural Victoria. The coroner foun…

forensic medicinetoxicologymethamphetamine
VIChospital2026-03-13

Finding into death of Wayne Ronald Watson

61y · Male·Intracranial haemorrhage and myocardial infarct

A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. Paramedi…

cardiologyemergency medicinediagnosticcommunicationheparin
QLDhospital2017-12-04

Mr AC - Non-inquest findings

76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…

… with significant comorbidities including severe obstructive sleep apnoea, obesity, aortic stenosis, and ischaemic heart disease died from acute coronary atherosclerosis 36 hours after elective sacroiliac arthrodesis. C…

neurosurgeryanaesthesiadiagnosticcommunicationamiodarone
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
NThospital2021-01-07

Inquest into the death of Edgar Forrester

56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…

Edgar Forrester, a 56-year-old Aboriginal man, died of aspiration pneumonitis secondary to oesophageal squamous cell carcinoma with metastases while in custody. He presented with progressive dysphagia from September 2019…

general practicecardiologydiagnosticdelay
SAhospital2021-06-30

Coroner's Finding: VOIVODICH Guido

84y · Male·general inanition on a background of end-stage dementia and a fractured neck of …

84-year-old man with end-stage dementia died from general inanition following a fractured neck of femur sustained while under a Level 2 Inpatient Treatment Order. He was admitted in January 2019 with confusion and agitat…

psychiatrygeriatric medicineapixaban
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural faci…

emergency medicinegeneral practicediagnosticdelaymorphine
VICcommunity2021-04-07

Finding into death of Pamela Robson Pattison

75y · Female·Haemopericardium due to dissection of the ascending aorta

A 75-year-old woman died from haemopericardium due to ascending aortic dissection. She presented to her GP on 20 February 2020 with central chest pain radiating to the jaw, which the GP attributed to possible acute myoca…

general practiceforensic medicinediagnostic
NSW2016-03-30

Inquest into the death of James Leslie STOCKS

46y · Male·chest injuries (multiple rib fractures, flail segment, haemopneumothorax); also …

James Leslie Stocks, a 46-year-old man living on an opal mining field in Lightning Ridge NSW, died from chest injuries sustained in a fall into a mine shaft on 7 March 2013. He had consumed significant alcohol, cannabis,…

alcohol
VICaged carePodcast2019-08-23

Finding into death of John Reimers

63y · Male·complications of an inverted positional event (asphyxia from airway occlusion)

A 63-year-old man with previous stroke and left-sided paralysis fell headfirst into his bedside drawer while attempting to open it from his motorised wheelchair. He became trapped with his airway occluded. An enrolled nu…

geriatric medicineemergency medicinediagnosticcommunicationduloxetine
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
NSWhospital2010-09-02

Coxell 2011 06 14 12 32 04 475

61y · Male·cardiac tamponade caused by aortic dissection due to hypertension

…t pain on 31 October 2006. The Emergency Department doctor, Dr H., assessed him as intermediate risk for ischaemic heart disease and admitted him to the cardiac care unit. On 1 November, junior doctors Dr W. and Dr C. i…

emergency medicinecardiologydiagnosticproceduralglyceryl trinitrate
NSWhospital2025-02-28

Inquest into the death of Heather Winchester

75y · Female·multiple organ failure due to severe anaemia secondary to blood loss post electi…

A 75-year-old woman died from multiple organ failure due to severe anaemia after elective hysterectomy surgery. Critical failures occurred: the surgical and anaesthetic teams held conflicting understandings about whether…

gynaecologyanaesthesiacommunicationsystem
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