Coronial

95 results for acute pulmonary oedema

WAhospital2018-10-12

Inquest into the Death of Augustinus Clemens Antonius HEESTERS

70y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis

…year-old sentenced prisoner with severe ischaemic heart disease and prior myocardial infarctions died from acute myocardial infarction with coronary artery atherosclerosis. He presented with severe chest pain on 5 Octob…

cardiologyemergency medicinesystemaspirin
VIChospital2014-10-01

Finding into death of Raymond John O_Brien

71y · Male·acute myocardial infarction due to coronary artery disease

…lipidaemia, was admitted to hospital with chest pain in August 2013. Initial diagnosis of non-ST elevation acute coronary syndrome was made, but he declined angiography. Following a schizophrenic relapse, he became non-…

cardiologypsychiatryaspirin
VIC2019-12-05

Finding into death of Serafina Pirrottina

57y · Female·Complications of muscular dystrophy

…strophy and newly diagnosed cardiomyopathy died from complications of her underlying condition. She became acutely unwell overnight at her residential support facility with respiratory distress and required emergency tr…

respiratory medicineemergency medicinerosuvastatin
QLDhospital2011-06-10

Conlan, Kathleen Anne

70y · Female·Cardiac arrest caused by a combination of gastric haemorrhage and pneumonia exac…

…rior to discharge was appropriate based on available evidence. Key learning: gastric haemorrhage onset was acute and unpredictable. The blood gas abnormalities (pO2 49, O2 sat 86%) on re-admission should have prompted r…

emergency medicinesurgerydelaymorphine
VIChome2016-08-02

Finding into death of Stephen Liat Kai Lim

56y · Male·Benzalkonium chloride toxicity

…esting approximately 2.5 litres of Pine-O-Cleen disinfectant on 25 September 2010. His death occurred from acute lung injury due to aspiration of the irritant substance. Critical lessons include: (1) the emergency dispa…

emergency medicinetoxicologycommunicationsystembenzalkonium chloride
QLDhospital2017-06-22

PS - Non-inquest findings

68y · Female·Coronary heart disease

…g doctor mistakenly believed she had a cardiology appointment arranged. She re-presented 48 hours later in acute pulmonary oedema and died despite resuscitation. Clinical lessons: inadequate length of stay for diagnosti…

cardiologyemergency medicinediagnosticcommunicationfurosemide
VIC2023-06-22

Finding into death of Cherie Virginia Pearl Guest

61y · Female·Diffuse alveolar damage in a woman with restrictive lung disease following catar…

…st part of the procedure. Despite this decompensation, the second part proceeded, requiring intubation for acute pulmonary oedema. She died five days later from diffuse alveolar damage. The coroner found the surgery was…

ophthalmologyanaesthesiadiagnosticcommunicationlidocaine
VIC2026-02-05

Finding into death of H M

48y · Female·Unascertained; presumed sudden cardiac arrhythmia

…sability, and multiple comorbidities died unexpectedly in residential care. Post-mortem examination showed acute pulmonary oedema and intra-alveolar haemorrhage with no anatomical cause identified. Toxicology revealed o…

general practicepsychiatrymedicationsystemolanzapine
VICmental health2015-12-20

Finding into death of Danny Wayne Feschuk

46y · Male·Cardiomegaly in the setting of hypoventilation syndrome in an obese man with sch…

A 46-year-old man with schizophrenia, COPD, hypoventilation syndrome, obesity and cardiomegaly died suddenly on a psychiatric inpatient unit from a cardiac arrhythmia. He had experienced multiple respiratory crises requi…

psychiatryrespiratory medicineoxycodone
WA2016-10-10

Inquest into the Death of Hayder SAYED

30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…

A 30-year-old Afghan asylum seeker died from acute cardiac failure due to severe coronary atherosclerosis while in immigration detention. He had developed a …

cardiologyemergency medicinemirtazapine
TAShospital2022-01-21

Coroner's Finding: de Wit, Pauline Catherine Marie

53y · Female·acutely decompensated congestive cardiac failure due to blunt traumatic injuries…

A 53-year-old woman with severe intellectual disability and scoliosis died from acute decompensated congestive cardiac failure following blunt traumatic injuries sustained in a five-vehicle mo…

emergency medicineintensive caresystemdelay
VIC2009-11-25

Finding into death of Phillip Anthony Cullen

49y · Male·effects of fire (70% body surface area full and partial thickness burns)

A 49-year-old man died from severe burns sustained at a hotel beer garden fireplace. He had consumed approximately 20 pots of beer over two days and had a blood alcohol level of 0.3g/100ml at autopsy. The fireplace guard…

emergency medicineintensive caresystemalcohol
QLDhospital2025-03-14

Non-inquest findings - a 5 year old boy

5y · Male·Complications of burns

…al lessons include recognition that such catastrophic thermal injuries have poor prognosis despite optimal acute care, and the critical importance of community education regarding fuel handling safety protocols.

plastic and reconstructive surgeryintensive careprocedural
WAhospital2014-12-30

Inquest into the Death of Gheorghe Gruici

71y · Male·Organ failure in an elderly man receiving palliative medical care for renal fail…

Gheorghe Gruici, a 71-year-old life-sentenced prisoner, died of organ failure from chronic renal failure, infective endocarditis, and chest infection. Over 15 years in custody, he developed multiple comorbidities includi…

general medicinenephrologyomeprazole
QLDhospital2017-08-29

Mr C - Non-inquest findings

87y · Male·Endobronchial and pulmonary haemorrhage secondary to pneumonia complicating chro…

…ot the valve. This error led to unnecessary bridging anticoagulation with heparin. The patient developed pulmonary haemorrhage, pneumonia, and respiratory failure post-procedure, dying 2 days after bronchoscopy. Autopsy…

respiratory medicinecardiologydiagnosticcommunicationwarfarin
NTcommunity2008-09-01

Inquest into the death of Robert Daly

38y · Male·coronary atherosclerosis

… a 38-year-old Aboriginal man, died of coronary atherosclerosis with severe coronary artery blockage and pulmonary edema. He collapsed in a drinking area after consuming alcohol while acutely ill with a bad cough. Polic…

emergency medicinecardiologydiagnosticcommunicationcough mixture
SAhospital2020-01-10

Coroner's Finding: PLAYFORD Aldona Mariana

84y · Female·sepsis and cardiac failure in a woman with hypertensive ischaemic and valvular h…

…s initially impaired her cooperation with essential medical care, particularly diuretic therapy for severe oedema. On 7 August 2016, she developed septic shock with bilateral cellulitis of the legs and was transferred to…

cardiologypsychiatryfurosemide
TAShospital2024-07-25

Coroner's Finding: Briffa, Gennette Anne

73y · Female·sepsis due to breakdown of oesophageal/gastric anastomosis following laparoscopi…

A 73-year-old woman died from sepsis due to breakdown of oesophageal/gastric anastomosis following laparoscopic revision of gastric bypass surgery. She had complex medical history with multiple post-operative complicatio…

bariatric surgerygeneral surgerydiagnosticdelayapixaban
TAShome2026-01-22

Coroner's Finding: Kerrie Dawn Grant

72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis

Kerrie Dawn Grant, a 72-year-old woman with multiple comorbidities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls…

general medicinecardiologydischargecommunication
WAprison2021-09-06

Inquest into the Death of Marshall Ruben EDGILL

38y · Male·combined effects of acute-on-chronic respiratory disease and cardiomegaly

Marshall Ruben Edgill, a 38-year-old Indigenous man, died in custody from acute-on-chronic respiratory disease and cardiomegaly. He had longstanding obstructive sleep apnoea (OSA), obesi…

respiratory medicinecardiologydiagnosticdelay

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