617 results for “ischaemic heart disease”
62y · Male·Non-small cell lung carcinoma with metastases
Desmond Sims, a 62-year-old prisoner, died from advanced non-small cell lung carcinoma with metastases. He was diagnosed with lung cancer in February 2009 at Princess Alexandra Hospital (PAH) but was lost to follow-up fo…
60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…
Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…
42y · Male·Fatal cardiac arrhythmia
A 42-year-old male with undiagnosed chronic coronary artery disease died of fatal cardiac arrhythmia at an immigration detention centre. Key contributing factors were: inges…
61y · Female·Peritonitis due to anastomotic leak at gastrectomy site; pathological obesity as…
A 61-year-old woman with pathological obesity died from peritonitis secondary to anastomotic leak following laparoscopic sleeve gastrectomy. The procedure itself was appropriate for her failed previous lap band surgeries…
37y · Male·injuries sustained as a result of aviation accident
A Piper Cheyenne aircraft (VH-TNP) carrying six people crashed near Benalla, Victoria on 28 July 2004. The pilot, Kerry Endicott (aged 69), was highly experienced with over 14,000 flight hours. During instrument meteorol…
86y · Female·subdural haemorrhage due to or as a consequence of a fall
Ms SME, an 86-year-old resident at a Blue Care nursing home, suffered a fatal subdural haemorrhage following a fall from bed during a sponge bath on 18 January 2016. She died on 21 January 2016. Clinical lessons include:…
49y · Male·ischaemic heart disease with coronary artery thrombosis (left main stem coronary…
Wayne Mitchell, a 49-year-old man, presented to a clinic with acute chest pain radiating to his jaw, accompanied by dizziness, diaphoresis, and dyspnoea. His symptoms resolved before ambulance arrival. The paramedics per…
64y · Female·Respiratory arrest secondary to morphine overdosage on a background of mild to m…
A 64-year-old woman died from respiratory arrest secondary to morphine overdose after ingesting 17 tablets of slow-release morphine (Kapanol) and diazepam. Initial emergency assessment by an intern was appropriate, but c…
66y · Male·legionella pneumophila pneumonia
A 66-year-old man with multiple myeloma undergoing chemotherapy died from legionella pneumonia acquired from the Wesley Hospital water system. He was immunocompromised due to chemotherapy and corticosteroids, making him …
89y · Male·multi-organ failure with pneumonia due to ingestion of a corrosive liquid (quate…
An 89-year-old man with severe dementia died from multi-organ failure following ingestion of concentrated Bacban (quaternary ammonium compound) left in his bathroom at an aged care facility. The cleaning staff member ina…
76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…
Mrs Cook, a 76-year-old woman, died in January 2010 from hospital-acquired pneumonia, multiple organ dysfunction, and small bowel obstruction. She was admitted to a rural hospital with acute renal failure and dangerously…
85y · Female·Complications of subdural haematoma (evacuated), secondary to fall, contributed …
Patricia Cook, 85, died from complications of a subdural haematoma following a fall at a supported residential service (SRS) while on warfarin for atrial fibrillation. She fell on 30 September 2007, striking her head. Pe…
57y · Male·Severe coronary artery disease. It is likely that Kevin's use of inhalants in cu…
Kevin Bugmy, a 57-year-old Aboriginal man, died of severe coronary artery disease while in custody at Cessnock Correctional Centre. The coroner found the care received for his chronic inh…
83y · Male·complications of ruptured abdominal aortic aneurysm (treated surgically)
An 83-year-old male prisoner died from complications of a ruptured abdominal aortic aneurysm (AAA) after a 5-month delay in diagnostic confirmation and treatment. An incidental finding of an 8.7 cm AAA was identified on …
83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…
An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…
59y · Male·mixed drug toxicity (tramadol and sertraline), likely serotonin syndrome
A 59-year-old man died from mixed drug toxicity involving tramadol and sertraline, likely precipitating serotonin syndrome. He was prescribed tramadol 150mg morning and 100mg evening (total 250mg daily), but evidence ind…
72y · Female·Peritonitis due to perforated diverticulum in transverse colon
Maria Donatelli, a 72-year-old woman with cardiac and renal disease, presented to Peel Health Campus with abdominal pain and vomiting. She was initially managed conservative…
33y · Female·Injuries sustained as a result of aviation accident—specifically, controlled fli…
A Piper PA-31T Cheyenne aircraft collided with terrain near Benalla, Victoria on 28 July 2004, killing all six occupants including pilot Kerry Endicott and passenger Jacqueline Henderson. The pilot was highly experienced…
79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…
A 79-year-old man with extensive comorbidities died following multiple falls in residential aged care. He was identified as high falls risk on admission but experienced inadequate falls prevention after a second fall on …
57y · Male·streptococcus pneumonia septicaemia due to splenectomy
…dividual clinician failures were identified: inadequate sepsis protocols, restricted access to infectious diseases specialists, poor escalation culture, and insufficient overnight medical staffing. The coroner made no i…
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