Coronial

81 results for metabolic disease

WAmental health- 11 April 2014

Inquest into the Death of Ritchie GORDON

49y · Male·unascertainable; possible explanations include epileptic seizure, cardiac arrhyt…

…2005), constipation managed with laxative and enema, developmental brain abnormality, and ischaemic heart disease identified at autopsy. The coroner found he received acceptable supervision and care despite systemic con…

psychiatryforensic medicineclozapine
WAhospital2021-11-29

Inquest into the Death of Miss T (Name Subject to Suppression Order)

16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…

… girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdominal pain and vomiting. After …

emergency medicinegeneral practicediagnosticsystemcannabis
ACThospital2023-05-19

Inquest into the death of NICOLE LOUISE ABBOTT

43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…

… was clinically appropriate given her serious mental illness, and treating clinicians actively monitored metabolic effects. Mental health teams made repeated efforts to encourage physical health improvements (diet, exer…

psychiatrycardiologyzuclopenthixol
NSWhospital2020-03-04

Inquest into the death of Paul MORTIMER

65y · Male·ischaemic heart disease following complications of colorectal surgery

…motic breakdown and minimally, if at all, impaired infection control. Death resulted from ischaemic heart disease under strain from severe sepsis. Discharge planning was appropriate, home care adequate, and surgical tec…

colorectal surgeryintensive careproceduralsystemenoxaparin
NSWhospital2016-11-22

Inquest into the deaths of Sandra BONEY, Norman BONEY and Roger John ADAMS

Organising pneumonia (Sandra Boney and Norman Boney); Organising pneumonia compl…

Three Aboriginal Australians from Walli Reserve (Sandra Boney, 40; Norman Boney, 46; Roger Adams, 37) died within two months in early 2015 following consumption of illegally home-distilled methanol-containing alcohol ('m…

toxicologyemergency medicinediagnosticdelaymethanol
NSWhospital2018-04-26

Inquest into the death of Margaret Ann Pegum

67y · Female·Sepsis as a result of gastric perforation

Margaret Pegum, aged 67, died from sepsis following gastric perforation after an intragastric balloon (IGB) procedure for weight loss. She had undergone fundoplication for hiatus hernia in 2012. Despite prior gastric sur…

gastroenterologybariatric surgerydiagnosticcommunication
NSWhospital2019-06-14

Inquest into the death of Melissa King

33y · Female·Hypoxic ischaemic encephalopathy with an antecedent cause of in-hospital cardiop…

…ted with severe malnutrition, electrolyte derangements including hyponatraemia, and alcohol-related liver disease. Expert review identified multiple clinical and systemic failures: inadequate micronutrient replacement (…

intensive careendocrinologydiagnosticcommunicationglycoprep
VIChome2024-01-24

Finding into death of HM Q

5y · Unknown·Aspiration pneumonia complicating a gastrointestinal illness in a child with cer…

HMQ was a 5-year-old with severe cerebral palsy (GMFCS level 5), genetic disability (CACNA1A deletion), intractable epilepsy, and aspiration risk who died from aspiration pneumonia following a gastrointestinal illness. H…

paediatricsneurology
ACThospital2019-11-04

Inquest into death of JEFFREY BROWN

72y · Male·Haemopericardium due to anti-coagulation treatment for pulmonary thromboemboliti…

Jeffrey Brown, a 72-year-old with recent cardiac surgery (CABG), died from haemopericardium due to anticoagulation treatment for pulmonary thromboembolism. Post-mortem examination revealed fibrinous pericarditis (a known…

cardiothoracic surgerycardiologywarfarin
WAhospital2018-03-22

Inquest into the Death of Steven John COLLOFF

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

A 47-year-old man died from organ failure following synthetic cannabinoid use and consequent heat stroke. After smoking synthetic cannabinoids (AB-CHMINACA and 5F-AMB), he became confused and dehydrated in a hot environm…

toxicologyintensive careab-chminaca
VIChospital2020-06-29

Finding into death of Baby AA

0y · Female·Disseminated Herpes Simplex Virus (HSV 1)

…would not have changed the outcome. The death was unavoidable given the rapid progression of disseminated disease and high mortality rate (70% untreated, 29% treated). System improvements implemented include clearer esc…

neonatologypaediatricsdiagnosticcommunicationbenzyl penicillin
VIChospital2016-06-09

Finding into death of James Sawbridgeworth

86y · Male·Multisystem failure complicating injuries sustained in a motor vehicle collision…

An 86-year-old man with cardiac history died from multisystem failure following a pedestrian motor vehicle collision. He was struck by a prime mover while crossing against traffic, sustaining a broken leg, pelvis fractur…

trauma surgeryintensive carefentanyl
WApolice custody_and_home

Inquest into the Death of Desmond Richard KICKETT

34y · Male·multiple organ failure following cardiorespiratory arrest in a man with focal co…

…o police culpability. Clinical lessons include: recognise that illicit drug use with pre-existing cardiac disease is life-threatening; cardiac arrests can occur suddenly in drug-affected persons despite appearing stable…

emergency medicinecardiologymethamphetamine
WAhospital2019-07-22

Inquest into the Death of Arthur James BONNEY

59y · Male·ischaemic heart disease in the context of acute-on-chronic kidney failure associ…

Arthur James Bonney, a 59-year-old prisoner with advanced cardiac disease, chronic kidney disease, and diabetes, underwent a CT scan with iodinated contrast on 30 July 2015 at Fio…

radiologycardiologydiagnosticproceduraliodinated contrast medium
VIChome2015-06-23

Finding into death of Terri Anne Woolley-Peresso

44y · Female·Unascertained

A 44-year-old woman with chronic pain, epilepsy, and opioid dependence died at home with an unascertained cause in the setting of prescription medication use. She was a known 'doctor shopper' who obtained opioids from mu…

general practiceaddiction medicinediagnosticmedicationdiazepam
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

Bradley Karl Coolwell, a 39-year-old Indigenous Australian with schizo-affective disorder and significant comorbidities (obesity, respiratory infection, diabetes), presented to Logan Hospital after police noted concernin…

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
QLD2022-11-15

Childs, Dennis William

64y · Male·Peritonitis, due to or as a consequence of a ruptured gallbladder, due to or as …

Dennis Childs, a 64-year-old Indigenous man serving a life sentence, died from peritonitis secondary to a ruptured gallbladder. On 8 December 2018, he presented with abdominal pain at the correctional centre but refused …

emergency medicinegeneral surgerydiagnosticdelaymorphine
VIChome2021-12-06

Finding into death of Daniel Charles Richards

48y · Male·Ischaemic heart disease complicating restraint of an acutely agitated male

Daniel Richards, 48, died from ischaemic heart disease precipitated by restraint during a mental health assessment at home. He had underlying significant corona…

psychiatryemergency medicinesystemcommunication
NSWaged care2012-05-11

Inquest into the deaths of Shaneen BATTS, Ilona TAKACS, Dorothy HUDSON, Ian BIRKS, Donald MacKELLAR and Mohammed RAMZAN

Unknown·Multiple: Olanzapine toxicity, pulmonary thromboembolism, asphyxiation on food, …

…schizophrenia on multiple antipsychotic medications and severe, untreated physical comorbidities (cardiac disease, COPD, obesity). The coroner found preventable clinical failures: (1) antipsychotic polypharmacy without …

psychiatrygeneral practicediagnosticmedicationolanzapine
QLDhospital2012-09-28

Harold, Rex

59y · Male·disseminated carcinoma due to right lung carcinoma

… 59-year-old Aboriginal man with schizophrenia, alcohol-induced brain injury, chronic obstructive airways disease, and diabetes, died in custody from disseminated small cell lung carcinoma. He was transferred to hospita…

general medicinecardiologydiagnostic

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