Coronial

56 results for stent insertion

TAShome2026-02-17

Coroner's Finding: Gregory and Diane Burkhalter

73y · Male·Gregory Frank Burkhalter: carbon monoxide toxicity due to inhalation of carbon m…

Two elderly US-born residents died in a house fire caused by a 120-volt electric blanket operating on Australia's 230-volt grid, resulting in insulation failure and combustion. Mr Burkhalter (73) died from carbon monoxid…

emergency medicineanaesthesiasystem
WAcommunity2019-06-26

Inquest into the Death of Frederick John COLLARD

35y · Male·atherosclerotic heart disease with methylamphetamine effect in a man under physi…

A 35-year-old male with severe pre-existing ischaemic heart disease and recent cardiac arrest (April 2016) presented with increasingly erratic and paranoid behaviour after methylamphetamine use and alcohol consumption. H…

cardiologyemergency medicinemethamphetamine
WAhospital2025-11-27

Inquest into the Death of Stephen Joseph SCHIPP

58y · Male·complications of oesophageal cancer, with terminal palliative care

Stephen Joseph Schipp, a 58-year-old sentenced prisoner, died from complications of oesophageal cancer with terminal palliative care at Bunbury Regional Hospital. He had been diagnosed with oesophageal carcinoma in Janua…

oncologypalliative caresystemdelaychemotherapy
WA2019-08-20

Inquest into the Death of Judy Sonia BOLTON

44y · Female·acute myocardial infarction due to coronary thrombosis

…lessons: earlier cardiovascular risk recognition and proactive management could have been beneficial; consistent blood pressure monitoring protocols; better prison medical facilities needed; new protocols now in place (…

cardiologyemergency medicinediagnosticsystemmetoprolol
VIChospital2012-10-01

Finding into death of Trevor Ronald McDonald

43y · Male·Hypoxic brain injury secondary to haemopericardium and tamponade complicating ru…

Mr Trevor McDonald, 43-year-old male, died from hypoxic brain injury following cardiac tamponade complicating coronary angioplasty. During elective PCI at Frankston Hospital, he sustained right coronary artery perforatio…

cardiologycardiothoracic surgeryproceduralsystemdiazepam
WAhospitalPodcast2017-05-03

Inquest into the Death of Edith Catherine BEE

80y · Female·Gas embolism complicating surgical repair of an atherosclerotic aortic aneurysm …

An 80-year-old woman with multiple comorbidities (COPD, renal impairment, cardiac disease) underwent complex endoluminal repair of a thoracoabdominal aortic aneurysm at a private hospital. The procedure required use of C…

vascular surgerygeneral surgeryproceduralsystem
NSWhospital2015-06-16

Inquest into the death of Sean WAYGOOD

47y · Male·acute renal failure caused by bilateral ureteral obstruction due to metastatic c…

Sean Waygood, an Extreme High Security prisoner, died from acute renal failure caused by metastatic colorectal cancer. He presented with abdominal pain, constipation, and blood per rectum in March 2011 but received subop…

general practiceoncologydiagnostictramadol
VICprison2013-07-19

Finding into death of Andrew Timothy Davies

39y · Male·Acute myocardial infarction arising from coronary artery atherosclerosis

…07. A 12-lead ECG was performed by Nurse Skrabl, a Division 2 registered nurse, showing abnormalities consistent with inferior myocardial infarction, but was reported as normal by the machine's automatic interpretation.…

cardiologyemergency medicinediagnosticcommunication
QLDhospital2018-07-09

AD - Non-inquest findings

75y · Male·Multi-organ failure secondary to cardiogenic shock and anterior myocardial infar…

A 75-year-old man presented to a tertiary hospital ED with acute anterior STEMI but diagnosis was delayed by approximately 10 hours. The first hospital ECG at 6:47am showed diagnostic ST elevation but was not recognised …

emergency medicinecardiologydiagnosticcommunicationmorphine
QLDcommunity2022-01-11

Noombah

39y · Male·Cardiac arrest in a person with pre-existing severe ischaemic heart disease who …

A 39-year-old First Nations man with severe ischaemic heart disease died following police restraint and ambulance care during an emergency examination authority detention. He had sniffed petrol and threatened self-harm; …

emergency medicineparamedicinediagnosticcommunicationpetrol
TAShospital2022-10-26

Coroner's Finding: Carroll, Terence John

71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …

Terence Carroll, 71, died from sepsis and mediastinal empyema following oesophageal perforation during rigid oesophagoscopy for stricture dilation. Critical failures included: CT scan showing suspicious oesophageal thick…

ENT surgerygeneral surgerycommunicationdiagnostic
QLDhospital2015-03-30

Mulhall, Terrance - Non-inquest findings

48y · Male·myocardial infarction due to ischaemic heart disease due to hypertension

A 48-year-old man died from myocardial infarction due to ischaemic heart disease and hypertension shortly after undergoing urology surgery. Critical failures in clinical communication prevented recognition of undiagnosed…

anaesthesiaurologycommunicationdiagnostictelmisartan
NThospital2017-03-30

Inquest into the death of Irene Magriplis

75y · Female·septic complications following surgical resection of duodenal ampullary adenoma

A 75-year-old woman died of sepsis from bile leaking into her abdomen after elective surgery to remove a pre-malignant tumour adjacent to the bile duct. The coroner found multiple preventable failures: inadequate pre-ope…

general surgeryanaesthesiadiagnosticprocedural
WAhospital2023-10-18

Inquest into the Death of Corazon Contreras KEELEY

71y · Female·complications of metastatic endometrial carcinoma, treated palliatively

Corazon Contreras Keeley, a 71-year-old woman with postmenopausal bleeding, was investigated for possible endometrial cancer. Dr K. performed a hysteroscopy with dilation and curettage (HDC) on 29 November 2019, observin…

gynaecologyoncologydiagnosticcommunication
VIChome2015-12-16

Finding into death of Andrew Stanyer

37y · Male·Hanging

Andrew Stanyer, a 37-year-old male with significant life stressors, died by hanging after police attendance at a family violence incident. He had previous suicide attempts (2000, 2009), depression treated with sertraline…

psychiatrygeneral practicesystemcommunicationsertraline
VIChospital2024-06-14

Finding into death of Joshua Paul Coates

49y · Male·Acute myocardial infarction complicating prosthetic valve thrombosis in a man wi…

Joshua Paul Coates, aged 49, died from acute myocardial infarction complicating prosthetic valve thrombosis following mechanical aortic valve replacement. Post-mortem examination revealed a large blood clot obstructing h…

cardiothoracic surgerycardiologycommunicationsystemwarfarin

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