Coronial

624 results for pulmonary disease

WAhospital2021-09-10

Inquest into the Death of James David HECTOR

47y · Male·bronchopneumonia and upper airway obstruction in a man with end-stage oral cance…

James David Hector, a 47-year-old Aboriginal man, died of bronchopneumonia and upper airway obstruction related to end-stage oral cancer. He had a 13-year history of squamous cell carcinoma of the mouth with multiple rec…

palliative careoncologyoxycodone
WAhospital2014-10-09

Inquest into the Death of Tamar Jemima Sabbath Stitt

10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …

…took Tamar to El Salvador in early September 2009, avoiding court proceedings. After 6 weeks of untreated disease, Tamar deteriorated significantly with weight loss, paraplegia, and pleural effusion before hospitalisati…

oncologygeneral practicediagnosticcommunication
NT2020-08-18

Inquest into the death of David Loader

58y · Male·carcinomatosis from unknown primary

…ght loss of 9.4 kg was documented in November. CT scan on 29 November 2019 revealed widespread metastatic disease in vertebral column, liver and bones. Expert review concluded the cancer likely developed in October-Nove…

general practiceoncologysodium valporate
VICcommunity2020-06-17

Finding into death of Pierino Taranto

65y · Male·Traumatic high cervical spine injury in the setting of frontal head impact in a …

A 65-year-old man with ankylosing spondylitis died from traumatic cervical spine injury after being arrested for public drunkenness by a single-officer police patrol. During arrest and transportation to the police vehicl…

emergency medicineforensic medicinealcohol
SA2011-11-04

Coroner's Finding: Sleeping Rough Inquest

Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…

…9. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and seizures. Deaths resulted from untreated chronic conditions exacerbated by rough sleeping, inadequat…

emergency medicinerespiratory medicinesystemdelayalcohol
NThospital2023-03-15

Inquest into the death of Janelle Pamkal

35y · Female·aortic dissection with associated acute aortitis

A 35-year-old Aboriginal woman with schizoaffective disorder presenting with acute psychosis and chest pain was appropriately referred for psychiatric assessment and retrieval. CareFlight transport was timely and the rec…

emergency medicinepsychiatryolanzapine
WAmental health2018-09-19

Inquest into the Death of Wlodzimierz DUDEK

69y · Male·bronchopneumonia and hypoxic brain injury following aspiration of food (choking)

A 69-year-old male with bipolar affective disorder and suspected frontotemporal dementia, admitted involuntarily to a psychiatric hospital, choked on bread while eating breakfast unattended and suffered a cardiac arrest.…

psychiatryemergency medicinecommunicationsystem
VIChospital2023-06-25

Finding into death of Peter John Weatherly

63y · Male·Aspiration pneumonia in the setting of functional decline in a man with an intel…

A 63-year-old man with intellectual disability, cerebral palsy, dysphagia, and COPD died from aspiration pneumonia following functional decline. He had a three-month hospital admission with multiple complications includi…

general medicineemergency medicinesystemcommunicationrisperidone
QLDaged care2024-10-10

Non-inquest findings into the death of Jean Alice Dowson

79y · Female·Chronic obstructive pulmonary disease

Jean Alice Dowson, 79, died in an aged care facility after being commenced on end-of-life medications. She had severe COPD and was frail (29kg). On 10 April 2017, when she deteriorated with respiratory distress, a Clinic…

general practicepalliative caremedicationdiagnosticmorphine
QLDhospital2007-11-23

Bodell, Margaret Florence Anne

65y · Female·gastrointestinal haemorrhage from duodenal ulcer

Margaret Bodell, 65-year-old with severe COAD and emphysema, was admitted with respiratory failure and developed a duodenal ulcer bleeding during hospitalisation. Critical clinical lessons include: (1) careful oxygen man…

respiratory medicinegeneral medicinecommunicationsystemprednisone
QLD2010-05-19

Jeffrey, Lawrence Edward

63y · Male·Metastatic carcinoma of the lung

Lawrence Jeffrey, a 63-year-old inmate at Lotus Glen Correctional Centre, died from metastatic lung carcinoma on 11 May 2008. He presented with symptoms consistent with his known chronic conditions (asthma, COPD, silicos…

general practicerespiratory medicinediagnosticdelayfurosemide
VICaged care2019-10-14

Finding into death of Grant White

65y · Male·Cardiomegaly

…initively establish whether intervention would have prevented death given his severe pre-existing cardiac disease.

cardiologygeneral practicesystemcommunicationhaloperidol
WAhome2025-06-24

Inquest into the Death of Leighton Michael WOOD

44y · Male·bronchopneumonia in the setting of combined drug effect

Leighton Wood, 44, died from bronchopneumonia in the setting of combined drug effect. He had schizoaffective disorder, anti-social personality disorder, and chronic polysubstance use disorder (alcohol, methylamphetamine,…

psychiatrypathologyzuclopenthixol decanoate
QLDhospital2025-07-22

Inquest into the death of Hazel Mary Ritchie Brodie

79y · Female·Dilated cardiomyopathy with decompensated heart failure not appropriately treate…

A 79-year-old woman with severe COPD and heart failure presented with two weeks of nausea and vomiting. She was diagnosed with left ventricular failure (EF 33%) on day 1 of admission. Two cardiologists had key roles: Dr …

cardiologyrespiratory medicinediagnosticcommunicationfurosemide
VIChospital2011-11-07

Finding into death of Cecil John Dunne

86y · Male·head injury (acute intracerebral haemorrhage and subarachnoid haemorrhage)

An 86-year-old man with recurrent falls history was admitted to hospital after a fall at home. He was initially assessed as low falls risk (11/20 on FRAT) but then reassessed as medium risk. Despite falls interventions i…

geriatric medicineemergency medicinediagnosticsystemwarfarin
SAhospital2017-07-27

Coroner's Finding: DODSON Edward Leonard

78y · Male·metastatic malignancy (unknown primary) with contributing right-sided heart fail…

…in March 2013 revealed liver metastases; prostate cancer entered remission with hormone therapy but liver disease progressed, indicating a different primary source (possibly bowel). No colonoscopy or liver biopsy was pe…

urologyoncologydiagnosticdelaygoserelin
QLDcommunity2022-05-23

Sheppard, Mark Andrew

50y · Male·Gunshot wounds to the chest

Mark Sheppard, aged 50, died from gunshot wounds sustained during a police response to a hoax emergency call at a caravan park. He had terminal end-stage COPD with alpha-1 antitrypsin deficiency and was using home oxygen…

respiratory medicinepalliative carecommunicationsystemsertraline
QLDhospital2019-09-03

Mr DAC - Non-inquest findings

51y · Male·Sepsis due to or as a consequence of right lower limb necrotising fasciitis due …

A 51-year-old man with metastatic renal cell carcinoma died from sepsis following necrotising fasciitis of the lower limb, which developed after a pseudo-aneurysm complication from coronary angiography. Key clinical less…

cardiologyvascular surgerydiagnosticproceduralpazopanib
VIChospital2025-05-20

Finding into death of Michael Philip Young

67y · Male·Complications of pressure ulcers in the setting of a thoracic vertebral fracture…

Michael Young, 67, died from pressure ulcer complications following a spinal injury sustained during a CT scan on 3 January 2023. He had fallen from his wheelchair at home and presented to ED with hypotension and back pa…

emergency medicineintensive carediagnosticproceduralhydromorphone
VIChospital2020-07-16

Finding into death of Lydia Maxfield

85y · Female·Multisystem failure complicating ischaemic heart disease and ischaemic bowel in …

…lective left total knee replacement at a private hospital from multisystem failure due to ischaemic heart disease and ischaemic bowel. Critical clinical lessons: (1) Multiple abnormal vital signs (low oxygen saturation,…

orthopaedic surgeryanaesthesiacommunicationsystemondansetron
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