Coronial

59 results for atherosclerotic cardiovascular disease

WAhospital2014-08-29

Inquest into the Death of Daniel LAHENGKING

66y · Male·multiple organ failure associated with the combined effects of complications of …

…mediate methotrexate toxicity resolved, subsequent complications including vasculitis and coronary artery disease led to his death. Clinical lessons include: always obtain baseline blood tests before methotrexate; consi…

general practicepharmacydiagnosticmedicationmethotrexate
VICaged care2013-11-21

Finding into death of Ivo John Martinov

58y · Male·Unascertained causes

…ble for years; (4) No accumulation or overdose occurred; (5) The death may have been due to undetected cardiovascular disease, as the patient had multiple cardiac risk factors (diabetes, obesity, smoking). Clinicians sho…

psychiatrygeneral practicesystemclozapine
TASaged care2023-11-20

Coroner's Finding: Gray, Laurence Keith

96y · Male·Traumatic closed head injuries sustained in a fall

A 96-year-old man with cognitive impairment and previous traumatic brain injury from a 2021 fall was admitted to residential aged care on 16 February 2022. He had a minor slip from his chair on admission day without inju…

geriatric medicinegeneral practice
TASaged care2021-03-05

Coroner's Finding: Street, Audrey

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…

geriatric medicineneurosurgeryproceduralcommunication
VICcommunity2024

Finding into death of Mr XML

60y · Male·Mixed drug (methylamphetamine, deschloro-n-ethyl-ketamine) toxicity in a man wit…

…m mixed drug toxicity (methylamphetamine and deschloro-n-ethyl-ketamine) in the setting of significant cardiovascular disease. He collapsed after self-injecting an unknown substance while driving in rural Victoria. The c…

forensic medicinetoxicologymethamphetamine
TAShome2018-07-13

Coroner's Finding: Mackozdi, Janet Lois

77y · Female·hypothermia from environmental cold exposure with contributing factors of advanc…

Mrs Janet Mackozdi, aged 77, died from hypothermia in an uninsulated shipping container at Mount Lloyd, Tasmania, on 23-24 July 2010. She had advanced Alzheimer's dementia and required 24-hour care. The coroner found her…

geriatric medicinegeneral practicesystemcommunication
TAScommunity2024-10-04

Coroner's Finding: Ganley, Irene

81y · Female·traumatic closed head injury sustained when struck by a motor vehicle

Irene Ganley, aged 81, died from traumatic closed head injury sustained when struck by a motor vehicle at a Hobart intersection on her birthday. She was on anticoagulants for atrial fibrillation, a significant contributi…

anticoagulant medication
QLDhospital2024-06-21

Non-inquest findings into the death of Mr K

81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…

An 81-year-old man with severe COPD died following inappropriate interhospital transfer to a private hospital and subsequent management errors. Key clinical lessons: (1) patients with CO2 retention require explicit ident…

respiratory medicineemergency medicinemedicationcommunicationdiazepam
NT2002-05-09

Inquest into the death of David Pendergast

31y · Male·coronary occlusion contributed to by atheroma

…minutes. Resuscitation efforts proved unsuccessful. Autopsy revealed severe, previously undiagnosed heart disease unusual for his age. The coroner found nothing could have prevented his death. Key lessons include: recog…

cardiologyemergency medicineolanzapine
VIC2015-12-01

Finding into death of James Willian Steele

63y · Male·Hypotensive and atherosclerotic heart disease

…ential; constraints of custodial settings should not compromise assessment and monitoring of high-risk cardiovascular patients.

general practicegeneral medicinedocumentationcommunicationlercanidipine
TASaged care2024-09-27

Coroner's Finding: Webberley, Patricia

87y · Female·pneumonia following complications from a fractured left wrist sustained in a fal…

Mrs Webberley, 87, resident of a residential aged care facility (RACF), sustained an unwitnessed fall on 1 November 2021 resulting in a left wrist fracture (Colles' fracture). She was initially assessed at the RACF but n…

geriatric medicineorthopaedic surgerysystem
TAShome2024-07-26

Coroner's Finding: Edwards, David and Nelda

David Edwards: disseminated lymphomatosis complicating large B-cell lymphoma. Ne…

David Edwards, aged 90, died of disseminated lymphomatosis (advanced lymphoma) on 2 March 2016. His death was natural and expected given his terminal illness. His wife Nelda Edwards, aged 88, died two days later on 4 Mar…

general practicepalliative caremedicationcommunicationmorphine
QLDaged care2025-04-17

Non-inquest findings into the death of Mr H.

89y · Male·combination of biochemical consequences of colonic pseudo-obstruction and faecal…

An 89-year-old man with multiple comorbidities including previous colon cancer died from faecal impaction and stercoral colitis. He resided in a residential aged care facility (RACF) where staff failed to recognize that …

geriatric medicinegeneral practicediagnosticcommunicationmacrogol
VIChospital2019-08-30

Finding into death of Agostino Cutugno

57y · Male·Small bowel perforation complicating small bowel obstruction arising from intra-…

Agostino Cutugno, a 57-year-old prisoner with intellectual disability (IQ 55) and history of self-inflicted abdominal stab wounds, died from small bowel perforation complicating obstruction due to intra-abdominal adhesio…

general surgeryintensive carecommunicationsystemproton pump inhibitors
TAShospital2019-03-01

Coroner's Finding: Novaski, John James

76y · Male·advanced atherosclerotic and hypertensive cardiovascular disease

76-year-old man with recent cardiac history (stent placement 4 months prior, cardioversion 6 days prior) presented to ED with shortness of breath and ECG changes. Elevated troponin (59) was not recognised as high-risk; r…

emergency medicinecardiologydiagnosticcommunication
QLD2015-11-04

Spence, John Michael

51y · Male·Combined effects of atherosclerotic cardiovascular disease and seizure activity …

John Spence, a 51-year-old man with a history of seizures, alcoholism, and severe coronary artery disease, died in a prison health centre following a seizure episode. He had ingested an extraordinarily high leve…

emergency medicinecardiologydiagnosticcommunicationcaffeine
TAShospital2014-03-14

Coroner's Finding: Little, Neita Jean

79y · Female·aspiration pneumonia caused by aspiration of emesis secondary to small bowel obs…

Mrs Little, 79, died from aspiration pneumonia caused by small bowel obstruction post-hysterectomy surgery. The obstruction resulted from both pre-existing adhesions and a post-operative haematoma at the surgical site. C…

gynaecologyanaesthesiadiagnosticcommunicationrivaroxaban
WA2022-06-17

Inquest into the 4 Deaths at Mount Augustus

heat stroke (environmental exposure) / hyperthermia; Mr Buske: atherosclerotic h…

Four deaths occurred on Mount Augustus summit trail in 2019-2020 during hot weather conditions. All deceased experienced heat stroke with dehydration as the primary mechanism of death. The coroner identified inadequate p…

emergency medicineforensic medicinesystemcommunication
WAhospital2013-11-12

Inquest into the Death of Ford, Valma May Ruth

77y · Female·Complications following a recent fracture and surgical repair of the right hip i…

A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…

orthopaedic surgeryemergency medicinediagnosticsystemwarfarin

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