Coronial
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SAhospital2013-09-30

Coroner's Finding: GIANNINI Pasquale

68y · Male·infarction of the small and large bowel due to superior mesenteric artery thromb…

A 68-year-old man with extensive systemic vascular disease presented with 10 days of nonspecific abdominal pain. Initial presentations at local hospital and GP were attributed to possible gallstones or gastritis based on…

general practiceemergency medicinediagnosticdelayaugmentin duo
VIChospital2013-04-12

Finding into death of Bruce John Stubbs

59y · Male·Ruptured atherosclerotic abdominal aortic aneurysm (operated)

A 59-year-old man with a non-ruptured 8cm infrarenal abdominal aortic aneurysm (AAA) presenting with acute back pain was transferred from Bendigo to Royal Melbourne Hospital at 2.13am on 22 April 2008. Despite appropriat…

vascular surgeryemergency medicinediagnosticdelaymorphine
VIChospital2012-11-26

Finding into death of George Albert John Hutton

73y · Male·ruptured abdominal aortic aneurysm

George Hutton, a 73-year-old man with hypertension, presented to rural emergency department with sudden onset severe abdominal pain while turning his head. Clinical findings were atypical: he appeared calm, had relativel…

emergency medicinegeneral practicediagnosticdelaycoversyl plus
VIChospital2012-09-11

Finding into death of Robert Anderson

50y · Male·Complications of right buttock necrotising fasciitis secondary to chronic right …

50-year-old male with chronic pain from jockey injuries became dependent on morphine. General practitioner prescribed intramuscular (IM) morphine for self-administration at home from 2005–2007 at doses of 120–240mg daily…

general practicepsychiatrydiagnosticmedicationmorphine sulphate
SAhospital2011-04-07

Coroner's Finding: WATKINS Maureen

56y · Female·pulmonary thromboembolism due to left calf deep vein thrombosis

A 56-year-old woman with bipolar disorder died from pulmonary thromboembolism due to left calf deep vein thrombosis while detained under the Mental Health Act in hospital. She presented with seizures and underwent wrist …

general medicinepsychiatrydiagnosticcommunicationdiazepam
QLDcommunity2010-09-16

Petersen, David Robert

35y · Male·intra-abdominal haemorrhage caused by ruptured spleen

A 35-year-old man with chronic liver disease, cirrhosis, hepatitis C and other comorbidities presented to his GP on 24 January 2007 with acute severe chest pain, profuse sweating, shaking, vomiting and a history of passi…

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
VIChospital2010-06-10

Finding into death of Dale Graham Russ

26y · Male·Upper cervical spinal cord injury

A 26-year-old man suffered an upper cervical spinal cord injury (C2 fracture with vertebral artery dissection) after diving head-first from Brooks Jetty into shallow water on New Year's Day 2008. He was transferred to IC…

intensive careneurologymorphine
SAhospital2010-02-04

Coroner's Finding: KRIVITCH Olga

81y · Female·hypovolaemic shock following bleeding from the site of a femoral angiogram

Olga Krivitch, 81-year-old woman, died from hypovolaemic shock caused by bleeding from her femoral angiogram puncture site. She was admitted for ischaemic leg and underwent unsuccessful thrombolytic therapy. Subsequently…

vascular surgeryradiologydiagnosticmedicationheparin
SAhospital2008-08-22

Coroner's Finding: CARTER Kenneth Morton

76y · Male·ruptured abdominal aortic aneurysm

Kenneth Carter, 76, died from a ruptured abdominal aortic aneurysm (AAA) on 8 June 2005. He had presented to Flinders Medical Centre Emergency Department on 1 June 2005 with back pain, hypotension (90/65 mmHg), and two e…

emergency medicinegeneral medicinediagnosticsystemwarfarin
SAhospital2007-09-18

Coroner's Finding: MARKANTONAKIS Stefanos

63y · Male·uncontrolled haemorrhage from ruptured aortic aneurysm

A 63-year-old man presented with sudden back pain on 6 March 2004. Ambulance officers attended twice; on the first visit they did not transport him to hospital despite his request, misattributing his symptoms to musculos…

emergency medicineparamedicinediagnosticcommunicationparacetamol/codeine
SAhospital2006-01-25

Coroner's Finding: RAPHAEL Glenn Howard

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 leading to cardiac arrest and death. Critical failur…

vascular surgerygeneral medicinemedicationcommunicationgentamicin
SAhospital2001-11-08

Coroner's Finding: STEWART Margaret May

77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…

A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surgery. While Fragmin anticoagulation was …

surgeryvascular surgerycommunicationsystemdalteparin

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