Coronial

537 results for sepsis

QLDhospital2024-06-21

Non-inquest findings into the death of Mr K

81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…

An 81-year-old man with severe COPD died following inappropriate interhospital transfer to a private hospital and subsequent management errors. Key clinical lessons: (1) patients with CO2 retention require explicit ident…

respiratory medicineemergency medicinemedicationcommunicationdiazepam
QLDhospital2023-02-13

Hunter- Non-inquest findings

8y · Male·ischaemic bowel due to strangulated small bowel obstruction secondary to congeni…

An eight-year-old boy with autism spectrum disorder (level 1) died from ischaemic bowel due to strangulated small bowel obstruction from a rare congenital band adhesion. He presented to a regional hospital with abdominal…

surgerypaediatricsdiagnosticcommunicationondansetron
SAcommunity2012-11-15

Coroner's Finding: Edgar Lauren Michelle

28y · Female·Multi-organ failure due to Clostridium perfringens myonecrosis complicating lipo…

Lauren Edgar, a 28-year-old woman, died of multi-organ failure from Clostridium perfringens myonecrosis (gas gangrene) following a liposuction procedure performed by Dr K. on 5 March 2008. She presented to hospital on 8 …

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpanadol/paracetamol
VIChospital2018-02-28

Finding into death of Samuel Carl Johansen

36y · Male·Multi-organ failure complicating injecting drug use

…d and was found 29 hours later, developed multi-organ failure from complications of injecting drug use and sepsis, and died 6 November 2012. While the death resulted from unintended consequences of drug injection rather …

psychiatryintensive carecommunicationdelayheroin
QLDhospital2007-11-23

Scholz, Karl David

31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…

Karl Scholz, 31-year-old male, died from upper airway obstruction due to pharyngeal abscess originating from untreated dental infection. He presented with severe facial cellulitis and abscess following dental procedures …

intensive careanaesthesiadiagnosticcommunicationamoxicillin
VICaged care2012-06-25

Finding into death of Broughton Hall Inquest

Salmonella infection contributing to deaths in gastroenteritis outbreak

Four elderly residents of Broughton Hall aged care facility died during a 2007 Salmonella gastroenteritis outbreak. A three-day delay in notifying the Department of Health (April 7 to April 10) prevented early identifica…

infectious diseasesgeriatric medicinediagnosticcommunication
VIC2022-06-03

Finding into death of Micky Craig Revera

40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…

…days, no clear diagnosis emerged. He was found unresponsive in his cell. The autopsy excluded head injury, sepsis, and opioid toxicity but could not definitively exclude withdrawal-related seizure or cardiac arrhythmia. …

emergency medicineforensic medicinediagnosticcommunicationheroin
NSWhospital2019-06-14

Inquest into the death of Melissa King

33y · Female·Hypoxic ischaemic encephalopathy with an antecedent cause of in-hospital cardiop…

Melissa King, aged 33, died from hypoxic ischaemic encephalopathy following in-hospital cardiopulmonary arrest at Blacktown Hospital. She presented with severe malnutrition, electrolyte derangements including hyponatraem…

intensive careendocrinologydiagnosticcommunicationglycoprep
NSWhospital2014-09-26

Inquest into the death of AA

10y · Male·hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…

AA, a 10-year-old boy with morbid obesity and severe obstructive sleep apnoea, died from hypoxic brain injury after a cardiorespiratory arrest. He had been admitted to hospital in May 2008 with these diagnoses and was pr…

respiratory medicineendocrinologycommunicationsystemmethadone
WAhospital2016-12-16

Inquest into the Death of Ms DHU

22y · Female·staphylococcal septicaemia and pneumonia complicating osteomyelitis of a right 1…

…included failure to take temperature, perform chest X-ray, and properly consider tachycardia as markers of sepsis. The coroner found premature diagnostic closure significantly contributed to a preventable or possibly pre…

emergency medicineinfectious diseasesdiagnosticcommunicationamphetamine
QLDhospital2017-06-22

Mead, Gwendoline

73y · Female·Multiple organ failure due to or as a consequence of sepsis due to or as a conse…

…nterventions, she became fluid-overloaded with declining renal function. She deteriorated on day 6 with urosepsis and acute kidney injury requiring ICU admission. After initial improvement, she was discharged back to the…

colorectal surgerygeneral surgerydiagnosticdelay5-fluorouracil
WAcommunity2017-06-12

Inquest into the Death of Wendy BEARFOOT

45y · Female·multiple organ failure following thermal injuries (severe burns)

Wendy Bearfoot, a 45-year-old DEC (Department of Environment and Conservation) employee, died from multiple organ failure following severe thermal burns (80% of body) sustained in a bushfire burnover on 12 October 2012. …

emergency medicineplastic and reconstructive surgerycommunicationdiagnostic
QLDhospital2018-05-11

Orton, David - Non-inquest findings

41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…

David Orton, a 41-year-old man with cerebral palsy, intellectual disability, and severe kyphoscoliosis, died from cerebral hypoxia and bronchopneumonia complicated by toxic megacolon and Salmonella infection. Over 18 mon…

general medicinegastroenterologydiagnosticcommunicationmovical
WAhospital2006-05-31

Inquest into the Death of nilon

67y · Female·Pneumonia (streptococcus pneumoniae) in a woman receiving treatment for carcinom…

Peggy Anne Nilon, 67, died from pneumonia (streptococcus pneumoniae) at St John of God Hospital Bunbury on 25 February 2003. Her small cell lung cancer had achieved remission following chemotherapy and radiotherapy. A cr…

oncologygeneral practicediagnosticcommunicationcisplatin
QLDhospital2017-11-23

Jacobs, Roy Rodney

48y · Male·Coronary artery disease precipitating acute myocardial infarction resulting in c…

Roy Rodney Jacobs, a 48-year-old Aboriginal man with cirrhosis and coronary artery disease, died of acute myocardial infarction at Cherbourg Hospital after presenting three times over 28-30 August 2016 with chest pain an…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
NThospital2007-12-10

Inquest into the death of Ricky Ryder

28y · Male·hypovolemia secondary to haemorrhage from operative exploration of multiple stab…

A 28-year-old Aboriginal male died from hypovolemic shock following operative exploration of multiple stab wounds to the thigh. The death was preventable. Critical failures included: delayed surgery from Friday to Saturd…

general surgeryorthopaedic surgerydiagnosticsystem
QLDhospital2023-06-30

Booth, Yvette and Sandy, Adele and George, Shakaya (“RHD Doomadgee Cluster”)

Female·Betty: cardiac arrhythmia complicating heart failure due to consequences of past…

This inquest examined three deaths of young Aboriginal women from Doomadgee (ages 18, 37, and 17) from rheumatic heart disease (RHD) complications between September 2019 and September 2020. All three deaths were preventa…

cardiologyemergency medicinecommunicationsystempenicillin

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