Coronial

161 results for clinical dehydration

WAhospital2018-03-22

Inquest into the Death of Steven John COLLOFF

47y · Male·Organ failure following use of synthetic cannabinoids and consequent hyperthermi…

…ding mechanical ventilation, he developed disseminated intravascular coagulation and multi-organ failure. Clinical lessons: synthetic cannabinoids are extremely dangerous and unpredictable substances with potency far exc…

toxicologyintensive careab-chminaca
VIChome2024-08-19

Finding into death of Siya Yogin Patel

0y · Female·hyperviscosity-related brain injury secondary to hypernatraemic dehydration

Siya Patel, a 23-day-old neonate, died from hyperviscosity-related brain injury secondary to severe dehydration caused by insufficient breastfeeding. Her family were recent emigrants without Medicare eligibility, cr…

neonatologygeneral practicediagnosticcommunication
QLDhome2025-06-25

Non-inquest findings into the death of an eight month old twin whose family was known to Child Safety

0y · Male·Severe acute dehydration and acute malnutrition

An eight-month-old boy died from severe acute dehydration and malnutrition after receiving no or minimal fluid or food intake during a three-day drug binge by hi…

paediatricsemergency medicinediagnosticsystemmethamphetamine
VICaged care2022-05-11

Finding into death of Gwenyth Evelyn Miles

88y · Female·Multisystem organ failure in the context of exposure, humeral fracture, and clin…

…e. She died nearly two months later from multisystem organ failure secondary to exposure, fracture, and dehydration. The alarm bracelet system designed to alert staff to her departure failed to sound. Clinical lessons i…

geriatric medicineforensic medicinesystemdelay
NSWhospital2023-08-11

Inquest into the death of Andrew Stubbs

32y · Male·Cerebral oedema secondary to dialysis disequilibrium syndrome

… 1000mg) for three months and failed to repeat blood tests despite elevated lithium levels and signs of dehydration; hospital teams lacked communication between renal and ICU specialists, failed to conduct risk assessme…

general practicepsychiatrydiagnosticmedicationlithium
SAaged care2016-09-01

Coroner's Finding: PERTZ Zvonka

81y · Female·aspiration pneumonia on a background of severe dysphagia and right hemiplegia

…and Administration Act. She was discovered in distress with signs of septic shock and aspirated material. Clinical lessons include: careful patient positioning during feeding in patients with severe dysphagia; monitoring…

geriatric medicinepalliative care
TAShospital2021-07-27

Coroner's Finding: Menzies, Mervyn Roy

Male·aspiration pneumonia

…of care throughout his years in the disability support system and during his acute hospital admission. No clinical failings or preventable factors were identified. This case demonstrates the challenges of managing acute …

emergency medicinegeneral medicine
VIChospital2013-07-29

Finding into death of Beverley Pattinson

70y · Female·Severe dehydration and renal complications secondary to intestinal obstruction d…

A 70-year-old woman presented to a rural hospital with 48 hours of vomiting and dehydration secondary to an inguinal hernia obstruction. The initial assessment by the hospital medical officer fai…

emergency medicinegeneral practicediagnosticcommunicationmetoclopramide
NTcommunity2014-11-03

Inquest into the death of Dion Daniels

24y · Male·Coronary artery thrombosis secondary to coronary atherosclerosis

…ted to a rural clinic with dizziness, chest pain, shortness of breath and sweating. The nurse diagnosed dehydration and administered IV fluids without obtaining blood pressure readings, conducting an ECG, or contacting …

cardiologyemergency medicinediagnosticcommunication
TAShospital2022-08-09

Coroner's Finding: Tedmanson, Wayne Douglas

76y · Male·ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS) due…

…disease following hyperglycaemic hyperosmolar syndrome (HHS), a complication of type 2 diabetes mellitus. Clinical lessons include recognising HHS presentations: polydipsia, polyuria, confusion, and disorientation warran…

emergency medicinegeneral medicinedelay
WAhospital2016-05-18

Inquest into the Death of Janice May SAULYS

69y · Female·multi-organ failure due to sepsis of unknown origin

…ilure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydration, and early renal failure. Despite appropriate investigations ordered by her GP and attempted transfer t…

emergency medicinegeneral practicesystemdelay
VIChospital2013-03-15

Finding into death of Rolden Ablis

5y · Male·Brainstem encephalitis (viral)

Rolden Ablis, aged 5, presented to Frankston Hospital Emergency Department with fever, vomiting, and dehydration on 10 December 2007. He was diagnosed with gastroenteritis and admitted for fluid resuscitation. Despit…

paediatricsemergency medicinediagnosticdelayparacetamol
VIChospital2023-06-06

Finding into death of Dianne Linford

63y · Female·Complications following sedation for percutaneous endoscopic gastrostomy (PEG) t…

…monia and severe mouth ulcers limiting oral intake. She presented in June requiring hospitalisation for dehydration. During attempted PEG insertion on 27 June, she desaturated requiring intubation and ICU admission. The…

anaesthesiagastroenterologyprocedural
VIChospital2015-09-03

Finding into death of James Donohoe

59y · Male·Combined effects of acute on chronic pneumonia and pulmonary thromboembolism

…g, hypernatremia, and cachexia complicated his course. The coroner found no evidence of substandard care. Clinical lessons include recognition of aspiration risk in patients with dysphagia, management of chronic dehydrat…

respiratory medicinegeriatric medicine
VICaged care2013-02-13

Finding into death of Peter Kosciuk

83y · Male·Aspiration pneumonia

…nconsistent. The patient was transferred to hospital at 10 pm after family insistence, where he was found clinically dehydrated with aspiration pneumonia. He died 8 days later. While earlier transfer might not have chang…

general practicegeriatric medicinediagnosticcommunicationpenicillin
NSWcommunity2023-03-03

Inquest into the death of Darren Higgins

25y · Male·Dehydration with contributory causes of severe mental health conditions and hype…

…ar-old Wiradjuri man with treatment-resistant schizophrenia and polysubstance abuse disorder, died from dehydration and hyperthermia in Moira State Forest after absconding during escorted weekend leave from an involunta…

psychiatryemergency medicinediagnosticcommunicationolanzapine
VIChome2019-08-01

Finding into death of Caleb Harley Pearson

17y · Male·Diabetic ketoacidosis

… 27 May evening and found him with tachycardia (120 bpm), tachypnoea (40 bpm), hypothermia and signs of dehydration, but attributed his presentation to anxiety and upper respiratory infection. They did not take a blood …

emergency medicinepaediatricsdiagnosticcommunicationpholcodine
SAcommunity2022-04-22

Coroner's Finding: Bentley, John James

80y · Male·Dehydration and the effects of heat with contributing Alzheimer's dementia

…eimer's dementia disappeared from a respite care facility on a day of extreme heat (39°C) and died from dehydration and heat exposure. Key failures included: (1) relocation of the day program to an unsuitable facility w…

geriatric medicineemergency medicinediagnosticsystem
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

…ght despite deteriorating vital signs (hypotension, bradycardia, desaturation); and (4) misdiagnosis of dehydration/possible MI on morning review, without considering pelvic bleeding as the primary differential. A CT sc…

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
NThospital2006-01-18

Inquest into the death of David Mather

67y · Male·undetermined; likely exposure and dehydration

…ified as the deceased. The cause of death could not be determined but likely resulted from exposure and dehydration. The Coroner found staff acted appropriately under existing policy but recommended that future decision…

orthopaedic surgeryemergency medicinecommunicationsystem

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