617 results for “ischaemic heart disease”
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…
84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…
An 84-year-old man with multiple comorbidities was prescribed rivaroxaban for deep vein thrombosis despite being a practicing Jehovah's Witness who refused blood transfusions. Rivaroxaban cannot be monitored or reversed,…
85y · Male·Intracranial haemorrhage in the setting of a fall in a man with multiple comorbi…
An 85-year-old man with multiple comorbidities suffered a fall at home and was transported to hospital with stroke symptoms. A CT brain scan revealed subtle subarachnoid haemorrhage (traumatic), but the VST consultant ne…
Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…
…itions in Aboriginal communities: extreme poverty, overcrowded substandard housing, food insecurity, high disease burden, low education attainment (80% of Fitzroy Crossing students leave school without basic literacy/nu…
79y · Male·hypoxic brain injury due to cardio-respiratory arrest caused by opioid toxicity
Yongxing Wang, 79, died from hypoxic brain injury caused by opioid toxicity from combined morphine and oxycodone. After a minor back injury on 21 August, he received a cortisone injection on 22 August with complications.…
73y · Male·Complications of cervical fractures and spinal injury (operated), sustained in a…
A 73-year-old man with multiple comorbidities (diabetes, cardiac disease, liver cancer) slipped on wet tiles outside McDonald's and sustained cervical and thoracic spine fracture…
75y · Male·Right haemothorax complicating intercostal catheter insertion for the treatment …
Giuseppe Costa, 75, died from right haemothorax following intercostal catheter insertion for pleural effusion drainage. Critical failures in clinical management included: inadequate documentation of pleural fluid drainag…
42y · Male·ischaemic heart disease due to coronary atherosclerosis
Jonathon Candy, aged 42, died from acute coronary syndrome one day after inappropriate discharge from Queen Elizabeth Hospital ED. He presented with recurrent chest pain on exertion (gym evening of 18 May, workplace morn…
36y · Male·Acute on Chronic Myocardial Infarction
… not alert guards due to fear of waking him and concerns about his potential reaction. He suffered a fatal heart attack around 5:30–5:45 am and could not be revived despite resuscitation efforts. The coroner found the d…
88y · Female·Complications of a stage 3 sacral pressure ulcer in a woman with dementia
Margaret Alice Cook, an 88-year-old woman with end-stage dementia, died from complications of a stage 3 sacral pressure ulcer at a palliative care unit. She had resided at Crofton House Supported Residential Services (SR…
86y · Female·Pulmonary thromboembolism in the setting of deep leg vein thrombosis, secondary …
Barbara Deal, 86, died from pulmonary embolism secondary to deep vein thrombosis 17 days after lumbar spinal fusion surgery. Critical failures included: no repeat VTE risk assessments despite policy requirements; inconsi…
Unknown·Troy Monson: asphyxia due to partially suspended hanging using seatbelt; Robin M…
This inquest examined three deaths in Tasmanian custody: Troy Monson (asphyxiation in prison van during transport in June 2015), Robin Michael (hanging in prison cell June 2015), and Scott Mitchell (cardiac arrhythmia fr…
83y · Female·Aspiration bronchopneumonia in a setting of cerebral infarction
Ms Patricia Grant, 83, died from aspiration bronchopneumonia following cerebral infarction while living with her son and daughter-in-law. She experienced severe neglect and elder abuse in her final years: cessation of ep…
75y · Female·multiple injuries due to or as a consequence of motor vehicle collision
Ruth Capps, 75, died in a motor vehicle collision after drifting into oncoming traffic. She had multiple medical conditions including diabetes, sleep apnoea, chronic back pain, osteoarthritis, and recurrent falls. Despit…
73y · Female·Bacterial endocarditis organism arising from a staphylococcal infection that ent…
Mary Roberts, aged 73, received a 5-year custodial sentence in September 2004. She had complex medical needs: dementia from previous strokes, diabetes requiring insulin monitoring, and Warfarin use. Justice Health provid…
74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…
Glenn Howard Raphael, 74-year-old admitted for infected ischaemic toe secondary to diabetes mellitus. During his 17-day hospital stay, he developed acute renal failure le…
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…
81y · Male·Hanging
An 81-year-old man with depression, cardiac disease, and prior anti-depressant treatment died by hanging while awaiting trial on child sex offence charges. T…
Male·Complications of alcohol and hepatitis C-related liver disease
…while on remand in custody. He received appropriate standard medical care in prison for his chronic liver disease and comorbidities. Key clinical lessons include: (1) Patients with decompensated cirrhosis can deteriorat…
87y · Female·closed traumatic head injury from a fall at standing height; significant contrib…
An 87-year-old woman with dementia, congestive cardiac failure, and diabetes sustained a fatal closed head injury from a fall in her aged care room overnight. The coroner found that the responsible ECA did not perform th…
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