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SAhospital2016-08-25

Coroner's Finding: SMITH Colin Peter

51y · Male·respiratory failure and cardiac failure on a background of chronic obstructive l…

Colin Peter Smith, aged 51, died of respiratory and cardiac failure from acute pulmonary oedema and pneumonia on a background of chronic obstructive lung disease and ischaemic heart disease. He presented to the Royal Ade…

emergency medicinepsychiatryglyceryl trinitrate
SA2016-08-25

Coroner's Finding: HOPKINS Ronald William

78y · Male·cardiomegaly with left ventricular hypertrophy and atherosclerotic cardiovascula…

Ronald William Hopkins, aged 78, died in Mount Gambier Prison on 20 April 2014 from cardiomegaly with left ventricular hypertrophy and atherosclerotic cardiovascular disease, with contributing chronic obstructive pulmona…

cardiologygeneral practicesalbutamol
SAhospital2016-02-08

Coroner's Finding: FIDGE Patricia Ann

67y · Female·choking and ischaemic heart disease

Patricia Ann Fidge, 67, died at The Queen Elizabeth Hospital from choking and ischaemic heart disease. She was admitted with delirium, hypernatremia, and multiple comorbidities including COPD and sleep apnoea. While eati…

emergency medicinepsychiatryrisperidone
SAhospital2015-09-22

Coroner's Finding: HEWLETT Betty Lorraine

92y · Female·community acquired pneumonia on a background of end stage chronic obstructive ai…

Mrs Betty Hewlett, 92, died of community-acquired pneumonia on a background of end-stage COAD. She was admitted to hospital in late December 2012 with health deterioration and malnutrition (38kg). She developed acute psy…

psychiatrygeneral medicineprednisolone
SAhospital2015-08-27

Coroner's Finding: JONES John David

65y · Male·Multi-organ failure in a man with an ischaemic right leg treated with opioids

A 65-year-old man with multiple chronic conditions (COPD, cardiac failure, diabetes, obesity) was admitted with pneumonia and severe ischaemic right leg pain. Opioid analgesia for the leg pain precipitated delirium, requ…

emergency medicinerespiratory medicineopioids
SAhospital2015-08-27

Coroner's Finding: O'LEARY Judith Beverley

75y · Female·exacerbation of end-stage chronic obstructive pulmonary disease

Judith Beverley O'Leary, 75-year-old woman with end-stage COPD, dementia, depression and multiple comorbidities, died from exacerbation of COPD with secondary respiratory tract infection. She was placed under guardianshi…

respiratory medicineemergency medicinequetiapine
SAhospital2014-05-19

Coroner's Finding: AYRES David Stanley

65y · Male·sepsis due to aspiration pneumonia

David Stanley Ayres, aged 65, died from sepsis due to aspiration pneumonia while in hospital detention under a Mental Health Act order. He presented to his GP on 8 June 2011 with suspected urinary tract infection and was…

general practiceintensive caresystemcefalexin
SAhospital2013-09-19

Coroner's Finding: HOCKING Robert Nicholas

67y · Male·aspiration pneumonia with contributing chronic schizophrenia

Robert Nicholas Hocking, a 67-year-old man with treatment-resistant chronic schizophrenia, died from aspiration pneumonia during his final hospitalization at Royal Adelaide Hospital. He was a long-term inpatient at Glens…

psychiatrygeneral medicineolanzapine
SAhospital2013-08-19

Coroner's Finding: WEEKS Ronald Geoffrey

84y · Male·respiratory failure due to hospital-acquired pneumonia

Ronald Geoffrey Weeks, aged 84, died of respiratory failure due to hospital-acquired pneumonia following a hip fracture sustained in a fall at James Nash House psychiatric facility. He was serving an 8-year sentence for …

geriatric medicineorthopaedic surgerysystemdelay
SAhospital2013-06-23

Coroner's Finding: BAKER Neville Ronald

56y · Male·respiratory failure due to adenocarcinoma of the lung and chronic obstructive lu…

Neville Ronald Baker, aged 56, died from respiratory failure due to adenocarcinoma of the lung and chronic obstructive lung disease. He was a life prisoner serving a sentence for murder. He had been a heavy smoker throug…

respiratory medicineoncologysalbutamol
SAhospital2013-02-08

Coroner's Finding: FENSOM Angela Catherine and TAANKINK Johaanes Andrew

Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …

Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…

emergency medicinegeneral practicediagnosticcommunicationoseltamivir
SAhospital2012-03-07

Coroner's Finding: MILLER Allan Kenneth

56y · Male·disseminated nocardiosis involving central nervous system, kidneys, liver and th…

Allan Kenneth Miller, 56, died from disseminated nocardiosis (rare bacterial infection) that was not diagnosed during his 12-day RAH admission. Clinicians initially suspected metastatic lung cancer based on presentation …

respiratory medicineinfectious diseasesdiagnosticdelayenoxaparin
SAaged care2011-12-22

Coroner's Finding: PORTER John Bruce

72y · Male·inanition of terminal metastatic carcinoma of the left lung

A 72-year-old man with chronic mental illness detained under the Mental Health Act died of inanition from terminal metastatic lung cancer at an aged care facility. He had advanced lung disease from chronic smoking and wa…

psychiatrypalliative careolanzapine
SAhospital2011-11-15

Coroner's Finding: TILKA Susan Marie

52y · Female·haemorrhage from a tracheal-innominate artery fistula complicating a tracheostom…

A 52-year-old woman died from catastrophic haemorrhage due to a tracheal-innominate artery fistula 10 days after percutaneous tracheostomy following stroke and decompressive craniectomy. Minor bleeding was observed 3 day…

neurologyintensive care
SA2011-11-04

Coroner's Finding: Sleeping Rough Inquest

Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…

Concurrent coronial inquests into six Aboriginal deaths in Ceduna, South Australia between 2004-2009. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and se…

emergency medicinerespiratory medicinesystemdelayalcohol
SAhospital2010-08-18

Coroner's Finding: STORRIE Victor James

38y · Male·terminal respiratory failure due to chronic obstructive lung disease on a backgr…

Victor James Storrie, a 38-year-old man with severe chronic schizophrenia, chronic obstructive lung disease, and ischaemic heart disease, died from terminal respiratory failure while detained under mental health legislat…

intensive carerespiratory medicine
SA2010-06-07

Coroner's Finding: THOMPSON Kym Joseph Paul

45y · Male·sepsis with infective endocarditis, right lobar pneumonia (with abscess formatio…

A 45-year-old man with severe disability (wheelchair-bound following burn injury), borderline personality disorder, and chronic medical conditions including ischaemic heart disease, hypertension, diabetes, and recent pne…

emergency medicineinfectious diseasesmorphine
SAmental health2008-07-17

Coroner's Finding: TARNOWSKI Marek Tomasz

33y · Male·Respiratory failure due to mixed drug toxicity (amitriptyline, oxycodone, morphi…

A 33-year-old man with chronic back pain, depression, morbid obesity and sleep apnoea died in psychiatric custody from respiratory failure due to mixed drug toxicity and probable aspiration. He was heavily medicated with…

psychiatryemergency medicinesystemamitriptyline
SAhospital2006-10-30

Coroner's Finding: GORDON Sally Anne

20y · Female·Cerebral anoxia consequent upon a severe acute asthmatic event

Sally Anne Gordon, a 20-year-old with a 14-year history of severe brittle asthma, presented to Mount Gambier Hospital on 26 November 2000 with acute severe asthma unresponsive to initial treatment. After appropriate emer…

emergency medicineanaesthesiamedicationproceduralsalbutamol
SAhospital2006-08-22

Coroner's Finding: DENNIS Jessica-Lee

16y · Female·consequences of acute asthma with hypoxic encephalopathy

Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheezing over six weeks starting September 2001, with significant family h…

general practicerespiratory medicinediagnosticcommunicationsalbutamol

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