Coronial

69 results for severe anaemia

NSWhospital2019-05-14

Inquest into the death of Shaun BELL

4y · Male·Peritoneal sepsis caused by a perforated duodenal ulcer

A 4-year-old boy with significant global developmental delay and non-verbal communication died from peritoneal sepsis caused by a perforated duodenal ulcer. Presentation included lethargy, poor oral intake, low haemoglob…

emergency medicinepaediatricsdiagnosticcommunication
VIChospital2019-08-01

Finding into death of Tyla Jade Hovenbitzer

18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…

An 18-year-old female with Down syndrome, autism spectrum disorder, and severe intellectual disability died from multiorgan failure complicating severe malnutrition, non-alcoholic fatty…

paediatricsgeneral practicesystemdelaytemazepam
WA2019-06-19

Inquest into the Death of Malcolm Patrick O'DRISCOLL

66y · Male·acute myocardial infarction on a background of atherosclerotic cardiovascular di…

…enced prisoner, died on 15 April 2017 at Acacia Prison from acute myocardial infarction on a background of severe atherosclerotic cardiovascular disease. He had been imprisoned since May 2007 with a complex medical histo…

cardiologyvascular surgery
VICaged care2019-10-14

Finding into death of Grant White

65y · Male·Cardiomegaly

Grant White, a 65-year-old man with cardiomegaly and severe mitral regurgitation living in Department of Health and Human Services disability accommodation, died from…

cardiologygeneral practicesystemcommunicationhaloperidol
VIChome2010-11-05

Finding into death of Veronica Therese Campbell

38y · Female·complications following a ruptured ectopic pregnancy

…er 2008 from complications of a ruptured ectopic pregnancy. She presented to Cobram District Hospital with severe pain and was diagnosed with a possible ectopic pregnancy requiring urgent transfer to Goulburn Valley Hosp…

emergency medicineobstetricscommunicationdelaymorphine
VICaged care2023-11-30

Finding into death of Catherine Mary Reid

80y · Female·multiple injuries in the setting of a fall

Catherine Mary Reid, aged 80, died from multiple fractures sustained in a fall during a mechanical hoist transfer at a disability care facility. While being transferred from wheelchair to bed using an overhead ceiling ho…

geriatric medicineorthopaedic surgeryprocedural
VIChome2020-01-14

Finding into death of H B

8y · Female·Aspiration pneumonia in a child with an epileptic encephalopathy and extreme cac…

HB, age 8 years 10 months, died from aspiration pneumonia with extreme cachexia (BMI 7). She had severe cerebral palsy, epilepsy (Lennox-Gastaut syndrome), and was entirely dependent on PEG tube feeding. Betwee…

paediatricsneurologydiagnosticdelaylevetiracetam
VIChospital2011-10-26

Finding into death of John Threadgold

55y · Male·Cardiopulmonary arrest, respiratory failure and chronic obstructive airways dise…

…ology examination was performed, and integrated medical-psychiatric management of patients with concurrent severe mental illness and chronic physical disease requires careful coordination to prevent deterioration.

psychiatryemergency medicinecommunicationsystemantipsychotic medications
NSWhospital2020-11-27

Inquest into the death of Makushla NIKOLAEVSKY

43y · Female·pulmonary embolism

A 43-year-old woman died from pulmonary embolism after hysteroscopy for investigation of heavy menstrual bleeding. Following the procedure, she developed left leg swelling on day 3. A Venous Doppler Ultrasound was perfor…

gynaecologyvascular surgerydiagnosticpossibly proceduralenoxaparin
SA2021-01-15

Coroner's Finding: BALLARD Kenneth Frederick

75y · Male·cerebral metastatic malignancy (lung cancer with brain metastases)

…bier Prison. In late 2014, Mr Ballard refused travel to Adelaide for specialist haematology review, citing severe distress from prison bus transport and haematemesis. Dr K. documented his capacity to refuse treatment. Hi…

general practicehaematologydiagnosticdelay
QLDaged care2018-12-14

Hamilton, Stella

72y · Female·undetermined

Stella Hamilton, 72, died at Ozcare Malanda aged care facility on 31 July 2016. She had advanced Alzheimer disease, undiagnosed necrotising bronchopneumonia, and coronary atherosclerosis. She was receiving palliative car…

geriatric medicinepalliative caresystemmorphine
NSWcommunity2024-01-23

Inquest into the disappearance and suspected death of Bruce Robinson

72y · Male·The available evidence does not allow for any finding to be made as to the cause…

…t psychotic episodes. In the months before his death, his physical health declined significantly following severe community-acquired pneumonia with septic shock. On the day of his death, Mr Robinson was discharged from h…

psychiatryemergency medicinesystemolanzapine
NSWhospital2015-08-17

Inquest into the death of Manjit SINGH

33y · Male·hypoxic respiratory failure following right pneumonectomy for treatment of sever…

…d Indian 457 visa worker, died from hypoxic respiratory failure following a pneumonectomy for treatment of severe pulmonary tuberculosis. He had latent TB identified pre-arrival in India. Critical clinical lessons includ…

respiratory medicinecardiothoracic surgerydiagnosticcommunicationtuberculosis medications
TAShospital2017-02-22

Coroner's Finding: Free, Maxwell John

64y · Male·Multiple organ failure due to paracetamol toxicity

…nown dementia and psychogenic polydipsia. By presentation to hospital on day of death, he had irreversible severe renal and hepatic failure. Chronic paracetamol toxicity is notoriously difficult to diagnose due to insidi…

general practicegeriatric medicinediagnosticparacetamol
VIChome2020-05-29

Finding into death of Ronald John Wood

68y · Male·Pulmonary thromboembolus secondary to deep vein thrombosis

Ronald Wood, a 68-year-old with complex medical history including prior pulmonary emboli, was treated for rectal cancer requiring chemotherapy and major surgery. Warfarin anticoagulation was appropriately ceased due to b…

colorectal surgerygastroenterologycommunicationsystemwarfarin
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

<1y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure

… assessment: persistently pale newborns with cord blood pH 7.02 and hypothermia require investigation for anaemia and foetal-maternal haemorrhage, and repeat blood gas analysis within 30-60 minutes of delivery. Signific…

obstetricspaediatricsdiagnosticdelay
QLDhospital2016-11-04

Neitsch, Horst - non-inquest findings

77y · Male·Stroke; cardiogenic shock; severe aortic stenosis with three vessel coronary art…

Mr Neitsch, a 77-year-old with severe aortic stenosis, peripheral vascular disease, and reduced left ventricular function, underwent elective co…

cardiologyvascular surgeryproceduralcommunicationfurosemide
NThospital2012-08-27

Inquest into the death of Kalotina Galimitakis

<1y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …

A neonate died from acute blood loss due to velamentous insertion of the umbilical cord with likely vasa previa, a rare condition causing vulnerability to catastrophic bleeding. Key clinical lessons include: (1) prenatal…

obstetricspaediatricsdiagnosticcommunication
WAhome2020-07-16

Inquest into the Death of CHILD RM

17y · Female·ligature compression of the neck (hanging)

…ged from secure care. She had experienced complex developmental trauma, family violence, sexual abuse, and severe alcohol-related liver disease. Critical gaps were identified in the child protection system: the 42-day ma…

paediatricspsychiatrysystemcommunicationalcohol
TAShospital2026-01-21

Coroner's Finding: de-identified KW

87y · Female·right thigh haematoma as a consequence of a periprosthetic fracture of the right…

…femur replacement. She deteriorated significantly during rehabilitation at a district hospital, developing severe malnutrition over 4-5 weeks with 7.1kg weight loss despite documented swallowing difficulties (Zenker's di…

orthopaedic surgerygeriatric medicinediagnosticsystem

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