Coronial

582 results for ischaemic_heart_disease

VICaged care2023-02-23

Finding into death of H D

87y · Female·Complications following a medication administration error in a woman with multip…

An 87-year-old woman died from complications of a medication administration error at an aged care facility. During transition from paper-based to electronic medication charts in December 2020, a pharmacy data entry error…

geriatric medicinegeneral practicemedicationsystemrisedronate
TAShospital2024-10-11

Coroner's Finding: Vieth, Karl Heinz

92y · Male·periprosthetic fracture of the left hip sustained from a fall from standing posi…

A 92-year-old man with complex cardiac history was admitted to Royal Hobart Hospital with chest pain and atrial fibrillation. He remained in the Emergency Medical Unit (EMU) for five days despite clinical deterioration, …

general medicineemergency medicinesystemdelaymelatonin
SAhospital2017-04-07

Coroner's Finding: MAYELL Edward John

83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…

An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…

emergency medicinegeneral practicediagnosticmedicationceftriaxone
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…

cardiologycardiothoracic surgerydiagnosticproceduralramipril
QLD2019-09-06

Blair, Colin Wayne

44y · Male·Hanging

Colin Wayne Blair, a 44-year-old Aboriginal man with a history of mental illness and substance use, died by hanging in the High Dependency Unit of Brisbane Correctional Centre on 13 November 2015. He was on hourly observ…

psychiatrypsychologycommunicationsystem
QLDhospital2015-07-27

KS - Non-inquest findings

69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…

A 69-year-old man with a history of myocardial infarction and atrial fibrillation presented to a rural hospital with fever, lethargy, tachycardia and elevated troponin. The treating doctor diagnosed NSTEMI based on the e…

emergency medicinecardiologydiagnosticmedicationrivaroxaban
NT2024-06-12

Inquest into the death of Mr Dooley

37y · Male·Complications due to atherosclerotic heart disease and dyslipidaemia

Glen Dooley, a 37-year-old Aboriginal man, died of atherosclerotic heart disease and dyslipidaemia while in custody at Darwin Correctional Centre. His death was avoidable. He had abnormal ECGs in 2019 and 2022 that were …

cardiologygeneral practicediagnosticcommunicationatorvastatin
QLDaged care2024-08-15

Non-inquest findings into the death of Donald Richard Gunthorpe

81y · Male·Carcinoid tumour (metastasis) / metastatic cancer

Donald Richard Gunthorpe, an 81-year-old man with metastatic rectal carcinoma, was appropriately transitioned to end-of-life (palliative) care at a residential aged care facility after hospitalisation for abdominal pain.…

palliative caregeneral practicemedicationdocumentationmorphine
VICaged care2011-05-20

Finding into death of Lena Divola

59y · Female·Subdural haemorrhage from blunt force trauma to head sustained in a backwards fa…

Lena Divola, a 59-year-old woman with intellectual disability, schizophrenia, and depression living in supported accommodation, sustained a head injury on 24 December 2007 when she fell backwards from a walker being push…

general practicepsychiatryproceduralcommunicationwarfarin
VIChospital2016-05-19

Finding into death of Josip Dobrovoljski

62y · Male·Global cerebral ischaemia secondary to intra-operative hypotension following the…

A 62-year-old man died from global cerebral ischaemia following intra-operative hypotension after protamine administration during a cardiac ablation procedure. He had suffered a severe hypotensive reaction to protamine 8…

anaesthesiacardiologydocumentationcommunicationprotamine
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 facility) following susp…

emergency medicinegeneral practicediagnosticdelaymorphine
WAhospital2023-08-30

Inquest into the Death of Kevin George HOWLETT

83y · Male·complications of ruptured abdominal aortic aneurysm (treated surgically)

An 83-year-old male prisoner died from complications of a ruptured abdominal aortic aneurysm (AAA) after a 5-month delay in diagnostic confirmation and treatment. An incidental finding of an 8.7 cm AAA was identified on …

vascular surgerygeneral medicinediagnosticcommunication
WAhospital2005-09

Inquest into the Death of Maria Donatelli

72y · Female·Peritonitis due to perforated diverticulum in transverse colon

Maria Donatelli, a 72-year-old woman with cardiac and renal disease, presented to Peel Health Campus with abdominal pain and vomiting. She was initially managed conservatively with a provisional diagnosis of pancreatitis…

general surgeryemergency medicinediagnosticcommunicationtramadol
NSW2017-11-28

Inquest into the death of Robert Elan Peihopa

42y · Male·Fatal cardiac arrhythmia

A 42-year-old male with undiagnosed chronic coronary artery disease died of fatal cardiac arrhythmia at an immigration detention centre. Key contributing factors were: ingestion of methamphetamine (toxic levels) in the h…

emergency medicinecardiologycommunicationsystemmethamphetamine
VICaged care2019-02-04

Finding into death of Margaret Elizabeth Barton

83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…

Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly contributed to her death. Dr C. tripled her dose from 15mg to…

general practicegeriatric medicinemedicationcommunicationoxazepam
SAhospital2014-02-05

Coroner's Finding: COOK Eileen Hazel

76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…

Mrs Cook, a 76-year-old woman, died in January 2010 from hospital-acquired pneumonia, multiple organ dysfunction, and small bowel obstruction. She was admitted to a rural hospital with acute renal failure and dangerously…

general practiceemergency medicinediagnosticcommunicationintravenous fluids
WAhospital2011-05-12

Inquest into the Death of Walden

68y · Female·Multi-organ failure associated with septic shock following duodenal perforation …

Athenia Hana Walden, 68, died from multi-organ failure and septic shock following duodenal perforation during laparoscopic surgery at Swan District Hospital on 8 May 2008. Surgery was performed to remove her gallbladder,…

general surgerygeneral practicediagnosticcommunicationpethidine
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
WA2022-06-21

Inquest into the Death of Ashley Adrian LANE

56y · Male·acute exacerbation of chronic obstructive pulmonary disease (bronchial asthma) i…

Ashley Adrian Lane, a 56-year-old Aboriginal man from the Ngaanyatjarra Lands, died in custody at Kalgoorlie Regional Hospital from acute exacerbation of chronic obstructive pulmonary disease (asthma). He was a remand pr…

respiratory medicineemergency medicinediagnosticcommunicationsalbutamol
NSWhospital2021-10-22

Inquest into the death of Ivan Goolagong

68y · Male·Metastatic Pancreatic Adenocarcinoma

Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…

oncologypalliative caresystemcommunicationamylase

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