Coronial

55 results for severe cognitive impairment

WAhospital2005-03

Inquest into the Death of Bert Sharpe

58y · Male·Gastrointestinal haemorrhage due to erosive gastritis

…9 April 2004. He had been an involuntary psychiatric patient at Graylands Hospital since 1992, following a severe head injury sustained in a motor vehicle accident in 1970. This injury caused chronic brain damage and pro…

psychiatrygeneral surgery
VICaged care2023-03-22

Finding into death of S M

91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…

…n during sign-off, and nursing staff did not verify allergies before administration. The patient developed severe DRESS syndrome with anaphylaxis, acute kidney injury, liver dysfunction, and elevated inflammatory markers…

geriatric medicinegeneral practicediagnosticmedicationdiltiazem
VIChome2026-03-04

Finding into death of Carol Fay Slade

54y · Female·Severe burns sustained in a house fire (palliated)

…r-old woman with acquired brain injury from a 2003 motorcycle accident and mobility limitations, died from severe burns sustained in a house fire at her public housing property in Shepparton. The fire was caused by a car…

emergency medicineintensive caresystemmethadone
NSWhome2019-02-15

Inquest into the death of Margaret Rose CARR

62y · Female·Unknown. Likely natural causes, possibly with drug-related element. QT-prolongat…

Margaret Carr, 62, was found dead at her home in Redfern between 27 February and 1 March 2017. She had complex medical history including COPD, endocarditis, hepatitis C and substance use disorder (heroin, cannabis, metha…

general practiceforensic medicineamitriptyline
QLDhome2014-09-26

H, a child

11y · Male·Asphyxia due to crush injuries from quad bike rollover

…si for off-road use); lack of active riding technique training; inadequate supervision; and intellectual impairment affecting judgment and safety perception. The helmet worn likely prevented more severe head injuries. Cl…

systemdelay
VICcommunity2023-08-18

Finding into death of Jackson David Eales

27y · Male·Injuries sustained in motor vehicle collision (driver)

… failed to stop at a stop sign in December 2016. The coroner found it highly probable Voss had undiagnosed severe obstructive sleep apnoea at the time of collision, likely contributing to his failure to brake. While no c…

general practicecardiologysystemdelay
VICcommunity2023-12-20

Finding into death of Lachlan McMahon Cook

16y · Male·Hypoxic/ischaemic encephalopathy in the context of diabetic ketoacidosis

…ort, and without reference to his Diabetes Action Plan. He deteriorated over this period and arrested from severe DKA. Critical failures included: neither school nor expedition staff had diabetes-specific training; the s…

endocrinologygeneral practicediagnosticcommunicationinsulin
NThospital2015-07-10

Inquest into the death of Clare Harrison

29y · Female·multi-lobe community acquired pneumonia and respiratory failure

…mission to Alice Springs Hospital. She was found hypoglycaemic at home on 5 January 2015 and admitted with severe malnutrition (BMI 9.36), bilateral pneumonia, and multi-organ dysfunction. The treating team, led by psych…

psychiatrygeneral medicineantibiotics
VICmental health2013-07-26

Finding into death of Amy Hauserman

26y · Female·Hypoxic brain injury in the setting of immersion

…a psychiatric ward with acute psychosis due to non-compliance with clozapine. Over two days, she developed severe abdominal pain and constipation unresponsive to medical management. Nursing staff offered her a bath to re…

psychiatryforensic medicinediagnosticcommunicationclozapine
VICaged care2025-07-24

Finding into death of Silvie Marion Burton

89y · Female·Acute upper airway obstruction by food bolus

…e to evidence-based first aid protocols, and vigilant mealtime supervision for vulnerable residents with cognitive impairment.

geriatric medicineemergency medicineproceduraldelaycitalopram
QLDaged careNew2026-06-09

Non-inquest findings into the death of Mr B (1 of 3 linked pressure injury cases)

86y · Male·Multiorgan failure due to neurological failure due to Alzheimer's dementia

An 86-year-old man with advanced Alzheimer's dementia developed multiple pressure injuries while residing in aged care. A Stage 1 sacral pressure wound rapidly deteriorated to Stage 4 over two weeks despite appropriate a…

geriatric medicinepalliative carecommunicationsystem
QLDhospital2018-05-11

Orton, David - Non-inquest findings

41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…

David Orton, a 41-year-old man with cerebral palsy, intellectual disability, and severe kyphoscoliosis, died from cerebral hypoxia and bronchopneumonia complicated by toxic megacolon and Salmone…

general medicinegastroenterologydiagnosticcommunicationmovical
WAhospital2018-06-25

Inquest into the Death of LCTM

0y · Male·complications of head injury

A premature newborn died from severe head injuries inflicted deliberately by his teenage father in hospital on 15 February 2014. The father had…

neonatologypaediatricscommunicationsystem
NSWhospital2023-07-21

Inquest into the death of Ziad Hamawy

51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …

Ziad Hamawy, a 51-year-old man with chronic schizophrenia and polysubstance use disorder, died from opiate toxicity after cardiac arrest following his discharge from Concord Hospital's mental health unit on 18 March 2019…

psychiatryemergency medicinediagnosticcommunicationheroin
NSWcommunity2021-05-21

Inquest into the death of Pono Wairua Aperahama

17y · Male·Cardiac arrhythmia during restraint, with previous traumatic brain injury as a s…

Pono Aperahama, a 17-year-old with severe traumatic brain injury and moderate intellectual disability, died from cardiac arrhythmia during restraint…

neurologypsychiatrysystemcommunication

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.