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VIChomePodcast2018-11-09

Finding into death of Le Hue Huynh

46y · Female·hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest in the se…

Mrs Le Hue Huynh, 46, died from hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest during the November 21, 2016 Thunderstorm Asthma event in Melbourne. She had known asthma with poor medication compli…

emergency medicineintensive caresystemdelaysalbutamol
VIChomePodcast2018-11-09

Finding into death of Priyantha Nirmale Ranjith Peiris

57y · Male·hypoxic ischaemic brain injury complicating acute asthma

A 57-year-old man with asthma and hay fever died from hypoxic ischaemic brain injury following an acute asthma exacerbation during Melbourne's November 2016 thunderstorm asthma event. The deceased was outdoors during the…

emergency medicineintensive caresalbutamol
TAShospital2018-11-08

Coroner's Finding: Fenton, Timothy John

57y · Male·sepsis and multiple organ failure secondary to aspiration pneumonia

Timothy Fenton, a 57-year-old intellectually disabled man on antiepileptic medications, developed a small bowel ileus after presenting with vomiting and diarrhoea. Following emergency laparotomy, his nasogastric tube was…

emergency medicinegeneral surgeryproceduralcommunicationsodium valproate
SA2018-11-01

Coroner's Finding: CASTILLO-RIFFO Jorge Alberto

54y · Male·hypoxic-ischaemic encephalopathy resulting from neck compression due to entrapme…

Jorge Castillo-Riffo, a 54-year-old construction worker, died from hypoxic-ischaemic encephalopathy resulting from neck compression. While working on a scissor lift to patch post-tensioning pockets on a concrete slab edg…

occupational and environmental healthforensic medicinesystemprocedural
VIChospital2018-10-26

Finding into death of Baby B

1y · Male·Hypoxic-ischaemic encephalopathy and multisystem failure in the setting of extre…

Baby B was born by emergency breech extraction in an ambulance after obstructed labour, sustaining severe hypoxic-ischaemic injury. The death was multifactorial. The mother had limited antenatal care despite known metham…

obstetricsneonatologydiagnosticsystemmethamphetamine
NSW2018-10-26

Inquest into the death of Mahmoud Houri

27y · Male·multiple organ failure due to the consequences of multiple gunshot wounds to the…

Mahmoud Houri died aged 27 in custody from multiple organ failure, a consequence of gunshot wounds sustained in 2002. The inquest examined whether appropriate care was provided on 21 August 2008 when he presented with vo…

general surgerygastroenterologymetoclopramide
QLDhospital2018-10-24

Statis, Joshua Ryan

12y · Male·Cardiac haemorrhage due to or as a consequence of congenital aortic stenosis (su…

Joshua Statis, a 12-year-old with complex congenital aortic stenosis, died 18 days after a redo Konno procedure and aortic valve replacement when a CardioCel patch to the right ventricular outflow tract (RVOT) ruptured, …

cardiothoracic surgerycardiologycommunicationdiagnosticwarfarin
NSWhospital2018-10-22

Inquest into the death of Sandra Cree

71y · Female·Ruptured abdominal aortic aneurysm, with coronary artery atherosclerosis contrib…

Sandra Cree, a 71-year-old woman, died from a ruptured abdominal aortic aneurysm (AAA) after undergoing an elective endovascular repair procedure in Brisbane. She presented to a remote hospital (Lightning Ridge Multi-Pur…

emergency medicinevascular surgerydiagnosticcommunicationgentamicin
TAShospital2018-10-19

Coroner's Finding: Dufty, David Richard

58y · Male·metastatic carcinoma of the pancreas

David Dufty, aged 58, died from metastatic pancreatic cancer while detained under a Mental Health Act treatment order in the ICU of Royal Hobart Hospital. He was admitted with psychosis in December 2016. On 5 January 201…

psychiatryanaesthesia
VIChospital2018-10-18

Finding into death of Maxwell Norman Campbell

68y · Male·pulmonary thromboembolism in the setting of recent surgery

A 68-year-old man died from pulmonary thromboembolism following revisional gastric bypass surgery. He developed multiple post-operative complications including fever, elevated inflammatory markers, and a possible bowel p…

bariatric surgerygeneral surgeryheparin
TAShospital2018-10-17

Coroner's Finding: Jones, Tristan Adam

40y · Male·Subarachnoid haemorrhage due to ruptured right middle cerebral artery aneurysm

A 40-year-old man presented to the ED with sudden-onset severe headache, slurred speech, and vomiting. He was appropriately triaged and quickly diagnosed with subarachnoid haemorrhage due to ruptured middle cerebral arte…

emergency medicineneurosurgerysystemcommunicationparacetamol
VIChospital2018-10-16

Finding into death of Leli Pulis

55y · Male·Multiple injuries sustained in a fall from a height

A 55-year-old man died from multiple injuries sustained in a fall from a height while clearing guttering from his home carport. He fell through corrugated iron and plastic roofing onto concrete from approximately 3-4 met…

neurosurgeryorthopaedic surgerysystemfentanyl
NSWhospital2018-10-16

Inquest into the death of Basilio Alesandro Petsas

54y · Male·Unascertained

A 54-year-old man with HIV, hepatitis C, cirrhosis, and significant immunocompromise presented with acute sepsis on 23 December 2016. Despite rapid ambulance response with sepsis protocol initiation and ICU-level aggress…

infectious diseasesemergency medicinedelaymethamphetamine
WAhospital2018-10-12

Inquest into the Death of Augustinus Clemens Antonius HEESTERS

70y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis

A 70-year-old sentenced prisoner with severe ischaemic heart disease and prior myocardial infarctions died from acute myocardial infarction with coronary artery atherosclerosis. He presented with severe chest pain on 5 O…

cardiologyemergency medicinesystemaspirin
NSWhospital2018-10-10

Inquest into the death of Craig Catley

32y · Male·sudden cardiac arrhythmia

Craig Catley, aged 32, died of sudden cardiac arrhythmia while in prison custody one day after discharge from Prince of Wales Hospital following neurosurgery for a pituitary tumour. The coroner found his hospital care wa…

neurosurgeryintensive careclonidine
VIChospital2018-10-05

Finding into death of Mrs Z

70y · Female·Tiger snake envenomation

Mrs Z, a 70-year-old woman, died from tiger snake envenomation after being bitten on the left foot while sleeping. She received two vials of antivenom within 2.5–4 hours of the bite at Royal Melbourne Hospital, consisten…

toxicologyemergency medicinediagnosticcsl tiger snake antivenom
NSWhospital2018-10-04

Inquest into the death of D H

56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…

A 56-year-old man with diabetes, ischaemic heart disease, morbid obesity, and an implanted defibrillator underwent minor toe debridement surgery. The anaesthetist failed to conduct an adequate pre-operative assessment, u…

anaesthesiageneral surgerydiagnosticproceduralpropofol
NThospital2018-09-21

Inquest into the death of David Fensom

67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

David Fensom, 67, underwent elective fundoplication for hiatus hernia and reflux on 21 September 2010. He developed severe right-sided abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings a…

general surgeryemergency medicinediagnosticcommunicationfentanyl
WAmental health2018-09-19

Inquest into the Death of Wlodzimierz DUDEK

69y · Male·bronchopneumonia and hypoxic brain injury following aspiration of food (choking)

A 69-year-old male with bipolar affective disorder and suspected frontotemporal dementia, admitted involuntarily to a psychiatric hospital, choked on bread while eating breakfast unattended and suffered a cardiac arrest.…

psychiatryemergency medicinecommunicationsystem
TAShospital2018-08-31

Coroner's Finding: Oosterloo, Jane

63y · Female·Haemopericardium (pericardial tamponade) caused by perforation of the right vent…

Jane Oosterloo, 63, died from haemopericardium (pericardial tamponade) caused by right ventricular perforation during ultrasound-guided transthoracic pericardiocentesis. She presented with influenza B complicated by myoc…

emergency medicinecardiologyoseltamivir
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