Coronial

148 results for ICU admission

SAhospital2014-02-14

Coroner's Finding: RYAN John William and WALTON Patricia Dawn

Hypoxic-ischaemic encephalopathy following ventilatory failure/cardiac arrest (R…

…th patients posed high anaesthetic and post-operative risks and should have been admitted to hospitals with ICU/HDU backup. Critical failures included: inadequate pre-operative anaesthetic assessment, inexperienced and …

anaesthesiaorthopaedic surgerydiagnosticcommunicationmorphine
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

74y · Male·small intestinal ischaemia caused by aortic atherosclerosis

…ypotension, fever, tachycardia, and elevated inflammatory markers consistent with sepsis within hours of admission. Despite clear warning signs and abnormal blood tests indicating infection and organ dysfunction, a MET …

emergency medicineorthopaedic surgerydiagnosticcommunication
NSWhospital2018-07-18

Inquest into the death of Neville Betteridge

72y · Male·Ruptured abdominal aortic aneurysm

…urinary tract infection, chest infection, and cardiac concerns. He deteriorated rapidly, was transferred to ICU, and despite intubation and resuscitation, died. The coroner found his care and treatment whilst in custody…

emergency medicinegeriatric medicine
VIChospital2025-08-17

Finding into death of Wayne Daniel Holland

61y · Male·urosepsis in the setting of chronic suprapubic catheterisation in a man with con…

…tion. His family had previously established a ceiling of care limiting treatment to ward-based care without ICU admission or resuscitation. When metaraminol infusion required ICU-level care, clinicians discussed this wi…

emergency medicineinfectious diseasesmetaraminol
VIChospital2018-12-30

Finding into death of Peter Allen Bain

31y · Male·Aspiration Pneumonia

…llectual disability, autism, and multiple comorbidities, died from aspiration pneumonia. He was admitted to ICU following deterioration at a DHHS residential facility and died four days later. A pathologist noted a naso…

respiratory medicineintensive caresodium valproate
VIChospital2026-05-04

Finding into death of Baby E

3y · Female·COMPLICATIONS FROM SEVERE CEREBRAL PALSY

…spite treatment for presumed chest sepsis and non-invasive ventilation support at Royal Children's Hospital ICU, her condition deteriorated over 20 days with progressive hypothermia, decreased respiratory drive and cons…

intensive carepaediatrics
SAhospital2018-07-27

Coroner's Finding: CUTTS Charles Desmond

70y · Male·aspiration pneumonia due to seizures

…bidities with poor medication compliance. Clinical decline was marked by acute delirium and confusion on admission (possibly alcohol withdrawal), progressing to severe depression with agitation and behavioral disturbanc…

emergency medicinepsychiatryrisperidone
TAShospital2021-08-23

Coroner's Finding: Cooper, Melanie Sarah 2021 TASCD 475

51y · Female·embolic infarcts complicating infective endocarditis

…son suggesting an ambulance call earlier, paramedics were not contacted until day four. She was admitted to ICU with multiple acute cerebral infarcts and died one week later. The autopsy revealed widespread chronic IV d…

intensive careinfectious diseasesdelaymorphine
SAhospital2016-08-03

Coroner's Finding: LAMBROPOULOS Andrea

34y · Male·hypoxic-ischaemic encephalopathy following laparoscopic bariatric surgery with i…

… apnoea, and ischaemic heart disease, died following sleeve gastrectomy. He was admitted to HDU rather than ICU post-operatively. In HDU, he experienced repeated episodes of low oxygen saturation (33 alarms over 40 minu…

bariatric surgeryanaesthesiacommunicationdelaymorphine
TAShospital2017-05-15

Coroner's Finding: Fellows, Peter Leslie

33y · Male·Decompensated congestive cardiac failure complicating acute myocardial infarctio…

…ly diagnosed acute coronary syndrome with elevated troponin. However, cardiogenic shock developed during admission, requiring intensive haemodynamic support. Medical experts identified that prescribing beta-blocker on d…

cardiologyemergency medicinediagnosticmedicationbeta-blocker
SAhospital2021-06-30

Coroner's Finding: MAZMANIDIS Kiriakos Jack

83y · Male·respiratory failure due to chronic obstructive lung disease

An 83-year-old man with chronic obstructive pulmonary disease, suspected mesothelioma, and recurrent respiratory infections presented with type 2 respiratory failure and delirium secondary to hypoxia and lower respirator…

respiratory medicineintensive carehaloperidol
VIChospital2022-12-16

Finding into death of Arthur Peter Andrianakis

51y · Male·Hyperthermia of unknown cause in a man with cardiac hypertrophy; chronic obstruc…

…s mother. Initial diagnosis was COPD exacerbation with infection, complicated by pulmonary embolism. During ICU admission he developed unexplained severe hyperthermia (43°C) despite appropriate treatment including activ…

emergency medicineintensive caresalbutamol
VIChospital2020-05-12

Finding into death of Richard Mark Ray

49y · Male·Complications of Influenza A infection

…9 March. The coroner found custodial and health care management met required standards. Earlier hospital admission when symptoms escalated on 22 March evening, or closer monitoring of deteriorating respiratory status, m…

infectious diseasesintensive caredelayparacetamol
NSWhospital2018-10-16

Inquest into the death of Basilio Alesandro Petsas

54y · Male·Unascertained

…with acute sepsis on 23 December 2016. Despite rapid ambulance response with sepsis protocol initiation and ICU-level aggressive investigation and support at St Vincent's Hospital, the source of infection was never iden…

infectious diseasesemergency medicinedelaymethamphetamine
SAhospital2006-05-18

Coroner's Finding: PAHL-CADMAN Emma Rose

20y · Female·cardiac dysrhythmia/arrest in a 20 year old Down's Syndrome female following abd…

A 20-year-old woman with Down syndrome and Eisenmenger syndrome (cyanotic heart disease with ventricular septal defect) was admitted with abdominal obstruction. After appropriate diagnostic workup, laparotomy …

general surgeryanaesthesiadiagnosticcommunication
WAhospital2019-08-02

Inquest into the Death of Timothy James CHANDLER

52y · Male·multiple organ failure and pulmonary thromboemboli complicating generalised seps…

…ropriately placed on an involuntary treatment order. Despite aggressive multispecialty management including ICU admission, dialysis, and extensive supportive care, he died from multiple organ failure and pulmonary embol…

emergency medicinegeneral medicine
SAhospital2002-07-05

Coroner's Finding: BARBER Jason Troy

20y · Male·Closed head injury

…noid haemorrhage, cerebral contusions, diffuse axonal injury and brain stem haemorrhage. He was admitted to ICU in a comatose state and certified brain dead within 24 hours. While a police officer pursued the vehicle, t…

trauma surgeryneurosurgeryalcohol
VIChospital2021-11-17

Finding into death of H J

76y · Female·Undetermined (natural causes)

…e underwent gastroscopy for diagnostic purposes, could not be extubated post-procedure, and was admitted to ICU with type 2 respiratory failure. Despite supportive care including non-invasive ventilation and vasopressor…

general surgerypsychiatryaugmentin df
VIChospital2019-07-30

Finding into death of Allison Judith Allan

43y · Female·Hypoxic ischaemic brain injury resulting from alcohol and sodium valproate toxic…

43-year-old woman with epilepsy and depression died from hypoxic ischaemic brain injury after ingesting 15g sodium valproate and 750ml vodka. Critical failures occurred across multiple settings: VPIC provided incomplete …

emergency medicineintensive carediagnosticcommunicationsodium valproate
VIC2024-10-16

Finding into death of Craig John Reynolds

62y · Male·Hypertensive and ischaemic heart disease in a man with diabetes mellitus

…eloped severe anaemia, hypoglycaemia, and gastrointestinal bleeding from multiple gastric ulcers, requiring ICU admission on 28 June. Despite medical advice, he self-discharged on 30 June against advice of his treating …

cardiologygastroenterologyoxycodone

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