Coronial

121 results for liver injury

SAhospital2022-04-13

Coroner's Finding: Cook, Courtney Liza

20y · Female·multi-organ failure due to polypharmacy overdose

…ours would almost certainly have prevented death, and that blood testing on day 2 morning would have shown liver injury and enabled timely intervention with high likelihood of survival. The coroner found suboptimal medi…

emergency medicinegastroenterologydiagnosticcommunicationparacetamol
NSW2018-12-21

Inquest into the death of a person believed to be Jessica Pearce

17y · Female·Cerebral contusions and lacerations due to head injury, with a ruptured aorta, r…

…ay at Keajura. She sustained fatal injuries including cerebral contusions, lacerations, ruptured aorta and liver injuries. The coroner concluded based on circumstantial evidence—including identifications by witnesses wh…

WAhospital2023-11-17

Inquest into the Death of Child MD (Name Subject to a Suppression Order)

2y · Male·multiorgan failure in a boy with clinically suspected sepsis and Cockayne syndro…

A 2-year-old boy with Cockayne syndrome (a rare life-limiting genetic condition) died from multiorgan failure due to clinically suspected sepsis following hospitalisation for acute illness with vomiting, lethargy and poo…

intensive carepaediatricsmedicationceftriaxone
VIChospital2025-09-30

Finding into death of Robert Thoai Dao

73y · Male·Complications of cervical fractures and spinal injury (operated), sustained in a…

A 73-year-old man with multiple comorbidities (diabetes, cardiac disease, liver cancer) slipped on wet tiles outside McDonald's and sustained cervical and thoracic spine fractures with s…

paramedicineemergency medicinediagnosticprocedural
VIChospital2003-03-18

HOGGINS Cheryl

48y · Female·Cardiorespiratory arrest due to cardiac tamponade as a result of perforation of …

…tion of the right atrium during central venous catheter exchange in ICU. She was recovering from emergency liver transplantation complicated by sepsis and acute renal failure. A routine guidewire exchange of her hemodia…

intensive caregeneral medicineproceduraldiagnosticnoradrenaline
TAShospital2024-06-21

Coroner's Finding: de-identified BP

16y · Male·transection of the liver and laceration of the inferior vena cava sustained in a…

A 16-year-old male died from transection of the liver and inferior vena cava laceration sustained in a quad bike accident. He was riding a single-rider ATV with…

trauma surgeryemergency medicine
VIChospital2025-01-14

Finding into death of Stephen T Easter

64y · Male·hepatocellular carcinoma

Stephen Easter, a 64-year-old NDIS participant with an acquired brain injury residing in Specialist Disability Accommodation, died from hepatocellular carcinoma after a 12-month illne…

palliative careoncology
VIChospital2013

Finding into death of Noela McGowan

66y · Female·Complications following paracetamol overdose

…e. The coroner found no fault with emergency or hospital management, which appropriately treated fulminant liver failure. Key clinical lessons: pharmacists must verify therapeutic need before supplying Schedule 3 medici…

emergency medicineintensive caresystemmersyndol daystrength
VICmental health2024-08-09

Finding into death of Con Kostantinou

63y · Male·Unascertained - natural causes. Cardiac arrest with secondary hypoxic-ischaemic …

A 63-year-old man with bipolar affective disorder, obstructive sleep apnoea, prostatic hyperplasia, and emphysema was admitted involuntarily to Northern Hospital on 24 March 2024 after exhibiting delirium and mania with …

psychiatrygeneral medicinediazepam
VICcommunity2025-08-21

Finding into death of Sham Lal

37y · Male·Stab injuries to neck, chest and abdomen

…scene. Nine sharp force injuries were identified at autopsy, with the fatal wound penetrating the abdomen, liver, diaphragm and heart. This case is classified as an uncharged homicide. The suspect fled Australia and is …

WAhome2025-02-12

Inquest into the Death of Kimberley Michael VULICH

64y · Male·complications in association with thermal injuries in a man with underlying chro…

Kim Vulich, a 64-year-old man with decompensated liver cirrhosis from chronic alcohol use, developed hepatic encephalopathy and cognitive impairment including po…

general medicinegeriatric medicinecommunicationdelay
TAShospital2025-07-08

Coroner's Finding: Ridgway, Gavin

52y · Male·pulmonary thromboembolism due to pancreatic contusion and necrosis from motorcyc…

… for re-look and drain adjustment. Initial recovery appeared good; however, he died suddenly on day 9 post-injury during routine blood collection. The coroner found no clinical management issues at the receiving hospital…

trauma surgeryintensive care
TAShome2022-02-18

Coroner's Finding: FL de-identified

17y · Unknown·hypoxic brain damage from out of hospital cardiac arrest

…st, and died from hypoxic brain damage. Contributing factors included his underlying short bowel syndrome, liver/pancreatic/splenic dysfunction from long-term TPN, and possible aspiration or sepsis. Key clinical lessons…

paediatric surgerygastroenterologydiagnosticdelay
SAhospital2017-02-01

Coroner's Finding: KLINGBERG Briony Caitlin

10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…

…ntly seen by two other doctors who also did not consider HSV. By Friday (day 5), blood tests showed severe liver dysfunction and dehydration but were not acted upon appropriately. Critical failures included: not includi…

paediatricsemergency medicinediagnosticcommunicationceclor
SA2021-11-25

Coroner's Finding: Hancott, Duncan John

56y · Male·urosepsis

… or SAPHS treatment. The clinical lesson involves recognising that seemingly stable patients with advanced liver disease can deteriorate rapidly from sepsis, and that faecal incontinence in this context may indicate ser…

infectious diseaseshepatologydiagnosticamitriptyline
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately ingested benzodiazepines and possibly other substances in a self-harm attempt. However…

forensic medicinegeneral practicesystemdelaybenzodiazepines
SAhospital2020-11-03

Coroner's Finding: WHISKEY Louise Kitty

51y · Female·community acquired pneumonia

…ation. During treatment, an Acomed infusion pump failed silently, temporarily compromising noradrenaline delivery when her blood pressure was critically low (60 mmHg systolic). Despite manual administration resumption a…

intensive carepsychiatrysystemnoradrenaline
NTcommunity2006-06-29

Inquest into the death of Clifford Brown

58y · Male·Multiple injuries occasioned in a motor vehicle accident (broken neck, ruptured …

…management by Registered Nurse Ann Paulus at the accident scene. Despite suffering a broken neck, ruptured liver, ruptured pelvis, and multiple rib fractures—injuries that were potentially survivable with appropriate tr…

emergency medicineparamedicinediagnosticcommunication
TAShospital2020-04-23

Coroner's Finding: Hayward, Vanessa Claire

Female·Chest and abdominal injuries sustained in a motor vehicle crash

…ite medical intervention. The autopsy revealed unsurvivable injuries including lacerated lungs, heart, and liver. Toxicological analysis detected pseudoephedrine, methylamphetamine, and cannabis in her body, but these d…

trauma surgeryemergency medicine
TAShospital2025-01-20

Coroner's Finding: Lowe, Wayne Anthony

58y · Male·multiorgan failure due to sepsis resulting from repeatedly fractured left humeru…

Wayne Anthony Lowe, aged 58, died of multiorgan failure due to sepsis following repeated humeral fractures sustained in falls. He was admitted with a right proximal humeral fracture from an intoxicated fall, discharged a…

orthopaedic surgerygeneral medicinesystemdelay

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