Coronial

48 results for right ventricular failure

VIChospital2012-09-11

Finding into death of Robert Anderson

50y · Male·Complications of right buttock necrotising fasciitis secondary to chronic right …

… plan. Repeated IM injections to the buttock caused necrotising fasciitis, leading to sepsis, multi-organ failure, and death. The coroner found Dr O'Toole's practice of prescribing high-dose IM morphine for home self-in…

general practicepsychiatrydiagnosticmedicationmorphine sulphate
NSWhospital2011-12-12

Simpsonkaneesha3718 09

5y · Female·Cardiac and respiratory arrest probably connected with embolic stroke

…urgery but required a Glenn shunt, clearly indicated after cardiac catheterization in 2006-2007. Critical failures in care coordination led to her death: loss to follow-up for extended periods due to poor communication …

cardiothoracic surgerypaediatricsdiagnosticcommunication
SAhospital2013-08-19

Coroner's Finding: HUNT William Edward

62y · Male·chronic congestive cardiac failure due to severe aortic valve stenosis and incom…

William Edward Hunt, aged 62, a life-sentenced prisoner, died from chronic congestive cardiac failure due to severe aortic valve stenosis and cardiomyopathy. His severe aortic stenosis was identified in 2003…

cardiologycardiothoracic surgerydelaycommunicationfurosemide
VIChome2017-09-21

Finding into death of ALJW

21y · Male·Combined effects of heroin toxicity and plastic bag asphyxia

… prognosis, lack of integrated psychological support during transition from paediatric to adult care, and failure to identify high suicide risk were significant contributing factors. Key lessons: holistic assessment of …

cardiologypsychologycommunicationsystemheroin
NThospital2026-02-10

Inquest into the death of Martin Leach

67y · Male·Congestive cardiac failure

Martin Leach, a 67-year-old man serving a life sentence, died from congestive cardiac failure with atrial fibrillation and dilated cardiomyopathy. He had consistently refused life-prolonging medical …

emergency medicinecardiologysystemcommunicationmorphine
QLDhospital2024-04-22

Non-inquest findings into the death of Lenore

48y · Female·Hypoxic ischaemic encephalopathy due to pulmonary thromboembolism due to deep ve…

A 48-year-old woman with morbid obesity and smoking history presented to a rural hospital with severe hip and leg pain. Over five days across two hospitals, no venous thromboembolism (VTE) risk assessment was performed d…

emergency medicineorthopaedic surgerydiagnosticsystemoxycodone
SAhospital2011-03-28

Coroner's Finding: ALLAN Vera

81y · Female·Severe cardiogenic shock complicating cardiac surgery

An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic instability and inadequate postoperative ICU management. The surgery involved e…

cardiothoracic surgeryanaesthesiamedicationcommunicationadrenaline
NSW2021-12-22

Inquest into the death of Jack LOH

Male·Unrecognised pulmonary hypertension in a setting of unsafe sleeping conditions

…partment of Education's regulatory oversight was deficient, including delayed follow-up on complaints and failure to reassess the service after identifying non-compliance. Multiple systemic failures in both provider sup…

cardiologypathologysystemdelay

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