Coronial

149 results for acute agitation

SAhospital2020-11-02

Coroner's Finding: MAGGS Eric Arthur

85y · Male·ischaemic heart disease

…eart disease at Royal Adelaide Hospital. He was profoundly deaf from birth and had dementia. Admitted with acute chest pain and difficulty breathing, he became distressed and was refusing oxygen therapy. A Level 1 Inpat…

emergency medicinecardiologycefalexin
VIChospital2025-02-12

Finding into death of Alexander Cameron

40y · Male·Aspiration pneumonia

…e (NMS), died from aspiration pneumonia following intubation at Werribee Mercy Hospital. He presented with acute abdominal pain and vomiting, imaging suggested small bowel obstruction, and he became agitated during naso…

intensive caregeneral surgeryclozapine
SAhospital2021-11-23

Coroner's Finding: Osborne, Brian Thomas

89y · Male·combined effects of cerebrovascular accident, pneumonia and chronic cardiac fail…

…disease, diabetes, COPD) presented with chest infection and was admitted for heart failure. He suffered an acute stroke with subsequent delirium and combative behaviour. A Level 1 Inpatient Treatment Order was imposed t…

cardiologyneurologyinsulin
SAhospital2020-05-21

Coroner's Finding: SNIECIKOWSKA Alicja

68y · Female·chronic obstructive pulmonary disease

…, chronic alcoholism, cognitive impairment, and significant social isolation, was admitted to hospital for acute COPD exacerbation on 29 August 2016. Despite multiple interventions including oxygen, nebulised medication…

respiratory medicineemergency medicinemorphine
VIChospital2023-08-11

Finding into death of Mr H

58y · Male·aspiration pneumonia complicating sigmoid volvulus, in a man with multiple scler…

…linical lessons include recognizing aspiration risk in patients with severe neurological disease, managing acute bowel obstruction in complex patients, and timely escalation to palliative care when life-prolonging measu…

surgeryemergency medicinemorphine
NT2018-02-07

Inquest into the death of Vernon Bonson

31y · Male·Self-inflicted hanging

…ed after another death), and lack of documentation for prisoner transfers. Key lessons include recognising acute psychological distress in custody settings, the importance of documented clinical risk assessment protocol…

systemdelay
SA2006-04-28

Coroner's Finding: WALKER Darryl Kym

31y · Male·hanging (self-inflicted)

… 2 June 2003. He had been transferred to an isolated management unit (Unit 7) on 1 June after displaying agitation and aggressive behaviour during a blood sugar check. Nursing staff recognised his deteriorating mental s…

psychiatrygeneral practicediagnosticcommunicationchlorpromazine
SA2016-09-22

Coroner's Finding: HENEKER Scott Maxwell

36y · Male·Hypoxic ischaemic encephalopathy due to cardiac arrest occurring during restrain…

…raint by a homeowner. The deceased had entered the homeowner's house without permission while experiencing acute psychiatric symptoms (paranoia, delusions) likely triggered by amphetamine use. He had signs of undiagnose…

psychiatryemergency medicinedelaycommunicationmethamphetamine
SAhospital2017-04-19

Coroner's Finding: ANNS William James

69y · Male·end-stage interstitial lung disease and chronic congestive cardiac failure

…irment died at Flinders Medical Centre. He had a history of medication non-compliance leading to recurrent acute exacerbations requiring hospitalisation. During his final admission, he developed delirium, agitation and …

cardiologyrespiratory medicine
QLD2021-09-20

Harris, John Edward

47y · Male·Hanging

…anging point. While staff noted his usual presentation included irritability and social withdrawal, making acute risk harder to discern, the Office of the Chief Inspector identified that his behaviour in preceding weeks…

correctional healthpsychologyassessmentsystemcarbamazepine
VIChospital2013-02-22

Finding into death of Domenico Chiodo

33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…

…struggle. The coroner found the arrest resulted from multiple compounding factors: schizophrenia-related agitation, sedating drugs, obesity, prone position restraint, coronary artery disease, and exertion during struggl…

emergency medicinepsychiatrydiagnosticmedicationolanzapine
QLDhospital2006-08-10

Casey, Lenard John

39y · Male·Coronary thrombosis caused by coronary atherosclerosis

Lenard Casey, a 39-year-old Aboriginal man with severe coronary artery disease, died of acute coronary thrombosis while in custody. Arrested for assault on his partner, he developed chest pain at the …

cardiologyemergency medicinecommunicationmorphine
SAhospital2012-09-19

Coroner's Finding: STEAD Kenneth Alfred

79y · Male·delirium due to aspiration pneumonia complicating advanced metastatic non-small …

…rsibly dead when discovered. Key lessons include ensuring clear communication between nursing staff during acute deterioration, adhering to resuscitation protocols regardless of perceived prognosis, and seeking senior g…

oncologygeriatric medicinecommunicationsystem
NTcommunity2005-04-01

Inquest into the death of Desmond Mamarika

24y · Male·heart failure resulting from severe coronary artery disease with prior myocardia…

A 24-year-old Aboriginal man from a remote community collapsed and died from heart failure while heavily intoxicated on city streets. He had severe coronary artery disease with prior myocardial infarction but had never r…

emergency medicinecardiologyalcohol
VICcommunity2019-08-12

Finding into death of Matt Robert Crampton

39y · Male·Cardiorespiratory arrest during prone restraint including pressure on the neck o…

…PR was initiated but was unsuccessful. The death was multifactorial—methylamphetamine toxicity, physical agitation, prone restraint position, neck pressure, obesity limiting respiratory excursion, and pre-existing left …

forensic medicineemergency medicinemethamphetamine
VIChospital2016-08-25

Finding into death of Robert Kingsley Whitehead

84y · Male·Complications of gout and old spinal injury, cause unknown

An 84-year-old male prisoner with multiple comorbidities (gout, spinal cord injury, renal impairment, cardiac failure) presented with chest infection, abdominal pain, and urinary retention. He was treated with intravenou…

haematologyinfectious diseasesmirtazapine
SAhospital2017-12-12

Coroner's Finding: HODGINS William Albert

95y · Male·multi-organ failure due to sepsis and general inanition on a background of advan…

…did not influence the outcome. Clinical lessons include recognition that delirium in elderly patients with acute infections requires appropriate assessment and restraint of aggressive behaviour to enable necessary care …

psychiatrygeneral medicine
QLDmental health2008-01-31

Hauff-Green, Edward Thomas

32y · Male·Systemic sarcoidosis with severe steatosis and acute myocardial infarction

…th unit shortly after receiving emergency intramuscular sedation (haloperidol 10mg and midazolam 10mg) for acute agitation and refusal of oral medication. While the patient's family was concerned about haloperidol use g…

psychiatryemergency medicinediagnosticcommunicationhaloperidol
SA2019-05-23

Coroner's Finding: HARRIS Philip Michael

30y · Male·exsanguination due to division of left brachial artery

…iculty of preventing self-harm in custody despite appropriate risk identification, the unpredictability of acute self-harming behaviour, and the need to balance prisoner safety with practical prison operations regarding…

psychiatryemergency medicinecarbamazepine
WAcommunity2019-11-15

Inquest into the Suspected Death of Brian Anthony DUFFY

52y · Male·Drowning in Falcon Bay

Brian Anthony Duffy, a 52-year-old man with multiple serious chronic conditions including osteoarthritis, diabetes, liver dysfunction from alcohol abuse, and peripheral vascular disease requiring bypass surgery, disappea…

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