Coronial

62 results for upper respiratory infection

QLDhospital2010-10-18

Little Gungallida Girl

4y · Female·aspiration of vomitus and its treatment due to rheumatic carditis against a back…

…e died on 23 July 2009 from aspiration of vomitus complicating rheumatic carditis with concurrent viral respiratory tract infection. She presented with fever and cough on 19, 21, and 22 July; nursing reviews were adequa…

emergency medicinepaediatricsparacetamol
QLDhospital2022-07-08

R - Non-inquest findings

0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…

A 10-month-old boy died following elective cleft palate repair surgery complicated by post-operative respiratory distress and subsequent cardiorespiratory arrest. Initial laryngospasm led to suspected post-obstructiv…

anaesthesiaintensive carediagnosticproceduralpropofol
NThome2026-04-30

Inquest into the death of Baby S, Baby K, Baby B - (Co Sleeping)

Sudden Unexplained Death of an Infant (SUDI) in an unsafe sleeping environment; …

Three Aboriginal infants died in unsafe co-sleeping environments in the Northern Territory. Baby K (3 months), Baby B (2 months), and Baby S (5 weeks) all died from sudden unexpected death in infancy (SUDI) associated wi…

paediatricsmidwiferycommunicationsystemalcohol
VIChome2019-08-01

Finding into death of Caleb Harley Pearson

17y · Male·Diabetic ketoacidosis

… with undiagnosed Type 1 diabetes, presented with pharyngitis and was diagnosed and treated for a throat infection by his GP on 25 May 2015. Over the following two days he deteriorated with vomiting, lethargy and inabil…

emergency medicinepaediatricsdiagnosticcommunicationpholcodine
QLDcommunity2020-04-17

Russo, Matthew Anthony

37y · Male·Cardiac failure due to sepsis due to bilateral bronchopneumonia

…streaked sputum. Vital signs were not systematically assessed or recorded—blood pressure was not taken, respiratory rate was assessed by observation only (not counting breaths), and none of the results were documented. …

general practicerespiratory medicinediagnosticcommunicationamoxicillin
WA2015-03-27

Inquest into the Death of Ramaiah MAHENTHIRAN

50y · Male·coronary atherosclerosis

A 50-year-old Tamil Sri Lankan man in immigration detention at Curtin IDC died from severe coronary atherosclerosis. He was assessed using a temporary "fast track" health screening process due to overcrowding at Christma…

emergency medicineoccupational and environmental healthglyceryl trinitrate
VIChospital2015-03-03

Finding into death of Matthew Jack Whyte

3y · Male·Brainstem ischaemia in association with Arnold Chiari malformation

…lications and emergency decompression surgery. The coroner found that after Matthew's presentation with respiratory distress on 6 October 2006, a decompression with duraplasty should have been offered and discussed with…

neurosurgeryplastic and reconstructive surgerydiagnosticcommunication
NThospital2020-07-17

Inquest into the death of Ishmael Nawirridj

51y · Male·Multiple organ failure due to Influenza A pneumonia, in the context of chronic k…

Ishmael Nalaiyir Nangarid, a 51-year-old Aboriginal man with complex medical history including myasthenia gravis, chronic kidney disease, COPD, and ischaemic heart disease, died from multiple organ failure due to Influen…

intensive carerespiratory medicinemedicationmeropenem
NSWhospital2014-09-26

Inquest into the death of AA

10y · Male·hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…

…y with morbid obesity and severe obstructive sleep apnoea, died from hypoxic brain injury after a cardiorespiratory arrest. He had been admitted to hospital in May 2008 with these diagnoses and was prescribed CPAP treat…

respiratory medicineendocrinologycommunicationsystemmethadone
ACTcommunity2025-08-12

Inquest into the death of Stanley McIntyre

63y · Male·pulmonary emphysema

…tments, resistance to physical examination, and unreliable symptom reporting. His oxygen saturation and respiratory rates remained normal until shortly before death. Earlier diagnosis of lung disease would likely not ha…

psychiatrygeneral practicehaloperidol
VIChospital2010-03-24

Finding into death of Adam Michael Francis Fabre

19y · Male·acute bacterial meningitis with secondary cerebritis (meningococcus)

…tion, both nursing staff and his mother, a junior doctor (Dr D., only 2 weeks in ED) misdiagnosed him with upper respiratory tract infection. The supervising senior doctor (Dr B.) did not personally examine him despite …

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine
TAShome2018-12-17

Coroner's Finding: Pitchford, Rhiannon Pearl Vanessa

0y · Female·Sudden infant death whilst bed-sharing with risk factors including unsafe sleepi…

…hetamine, remained nearby. The autopsy revealed no obvious cause, but documented face-down positioning, respiratory infection, passive smoking exposure, and unsafe sleep environment. Critical failures by Child Safety Se…

paediatricsforensic medicinesystemdelaymorphine
NSWhospital2015-08-17

Inquest into the death of Manjit SINGH

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

Manjit Singh, a 33-year-old Indian 457 visa worker, died from hypoxic respiratory failure following a pneumonectomy for treatment of severe pulmonary tuberculosis. He had latent TB iden…

respiratory medicinecardiothoracic surgerydiagnosticcommunicationtuberculosis medications
NSWhome2017-08-15

Inquest into the death of Alyce POLLETT

20y · Female·unascertained

Alyce Pollett, a 20-year-old pregnant woman, was found dead in her bed on 14 July 2011 after being unwell for approximately one week with flu-like symptoms. Autopsy findings were concerning for possible asphyxia due to n…

obstetricsgeneral practicecommunicationsystem
NSWchildcare2026-05-06

Inquest into the death of Arianna Maragol

1y · Female·Rapidly developing Streptococcus pneumoniae infection leading to invasive pneumo…

Arianna Maragol, a 16-month-old girl, died from rapidly developing Streptococcus pneumoniae infection leading to invasive pneumococcal disease while in childcare on 24 August 2018. Key clinical lessons emer…

paediatricsemergency medicinesystemcommunicationibuprofen
VIChospital2017-12-13

Finding into death of Lachlan Black

2y · Male·Group A beta Haemolytic Streptococcal septicaemia (invasive Group A Streptococca…

…e presentations to hospital over three days. Clinical staff failed to recognise the developing bacterial infection despite objective warning signs. Key failures included: not escalating care when presented with persiste…

emergency medicinepaediatricsdiagnosticsystemparacetamol
NSW2020-03-25

Inquest into the death of Mahmoud ALLAM

28y · Male·MRSA sepsis

…d man, died from MRSA sepsis whilst in custody at Parklea Correctional Centre. He initially presented with upper respiratory symptoms on 11 June 2016, followed by increasing symptoms including chest pain and facial cell…

infectious diseasesemergency medicinecommunicationsystemflucloxacillin
QLDhome2022-06-30

Tabuai, James Daniel

0y · Male·Acute traumatic head injury (non-accidental)

A 7-month-old child died from acute traumatic head injury sustained from non-accidental blunt force. Clinical lessons include: medical staff should strongly reinforce urgent referrals (the child had a critical GP referra…

general practiceemergency medicinecommunicationdelay
NSW2021-03-11

Inquest into the death of Nathan REYNOLDS

36y · Male·bronchial asthma

…d rigid procedures requiring three officers before medical assistance was called, absence of specialist respiratory input, and poor clinician understanding of chronic disease management protocols.

respiratory medicineemergency medicinediagnosticsystemsalbutamol
QLDhospital2011-09-20

Anderson, John Clive

36y · Male·infective endocarditis

John Clive Anderson, a 36-year-old prisoner, died from infective endocarditis despite being evaluated 25 times by prison medical officer Dr P. between February and May 2009. Dr P. documented possible infective endocardit…

general practicecardiologydelaycommunicationamoxicillin

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