Coronial

113 results for acute liver failure

WAhome2025-02-12

Inquest into the Death of Kimberley Michael VULICH

64y · Male·complications in association with thermal injuries in a man with underlying chro…

Kim Vulich, a 64-year-old man with decompensated liver cirrhosis from chronic alcohol use, developed hepatic encephalopathy and cognitive impairment including po…

general medicinegeriatric medicinecommunicationdelay
QLDpolice station2010-05-14

Mulrunji - aka Cameron Doomadgee

36y · Male·Intra-abdominal haemorrhage due to rupture of liver and portal vein; also sustai…

… Island, died in police custody on 19 November 2004 from intra-abdominal haemorrhage due to rupture of his liver and portal vein. This inquest, re-opened following a Court of Appeal decision, examined how he died. The C…

forensic medicinetrauma surgerysystemdelayalcohol
VIChospital2014-01-30

Finding into death of Kerri Louise Gunn

41y · Female·Intracerebral haemorrhage secondary to Posterior Reversible Encephalopathy Syndr…

Kerri Gunn, a 41-year-old woman five days post-caesarean delivery, presented to emergency with frontal headache, elevated blood pressure, proteinuria, abnormal liver funct…

emergency medicinegeneral medicinediagnosticdelayparacetamol
QLDhospital2019-06-20

Burrell, Michael Leslie

58y · Male·Multifocal hepatocellular carcinoma due to cirrhosis of the liver due to hepatit…

…ortcomings in diagnostic interpretation, adherence to clinical escalation protocols, and the absence of an acute resuscitation plan for a palliative patient. The hospital implemented corrective measures including dedica…

emergency medicinegastroenterologydiagnosticcommunicationmorphine
NThospital2015-02-19

Inquest into the death of Desmond Tilmouth

50y · Male·myocardial infarction caused by coronary atherosclerosis

Desmond Jambajimba Tilmouth, a 50-year-old Aboriginal man, died of myocardial infarction from severe coronary atherosclerosis complicated by end-stage renal disease and an incarcerated strangulated umbilical hernia. He d…

surgeryanaesthesiaoxycodone
VIC2011-10-04

Finding into death of Patrick Paul

68y · Male·Ischaemic heart disease and coronary artery atherosclerosis

…d of ischaemic heart disease while in prison custody. He presented to hospital with symptoms suggestive of acute coronary syndrome (epigastric pain radiating to back, chest pain, dyspnoea, sweating) but was diagnosed as…

cardiologyemergency medicinediagnosticdelaymetoprolol
SAaged care2014-04-17

Coroner's Finding: WERNER Cynthia Joy

76y · Female·colchicine toxicity

…out died from colchicine toxicity after being prescribed 500µg three times daily on 9 December 2010 for an acute attack. She developed diarrhoea from 15 December and died on 19 December with a potentially lethal blood c…

general practicegeriatric medicinemedicationsystemcolchicine
NThome2017-05-05

Inquest into the death of Heather Fotiades

43y · Female·acute multiple drug toxicity on a background of chronic pain and morbid obesity

A 43-year-old woman died from acute multiple drug toxicity after 26 years of high-dose opioid therapy for chronic pain following a motor vehic…

general practicepain medicinediagnosticmedicationoxycodone
SAhospital2020-06-18

Coroner's Finding: BOYCE Ian Charles

85y · Male·hospital acquired pneumonia on a background of metastatic colorectal carcinoma

…sly undetected metastatic colorectal cancer. He rapidly deteriorated with fever, hypoxia, and respiratory failure. The coroner found his detention lawful and the circumstances not suspicious. Clinical lessons include: e…

psychiatrygeriatric medicine
VIChospital2013-11-18

Finding into death of Sean Raymond Adams

51y · Male·Multiorgan failure in a man with corrected congenital coarctation of the aorta a…

…mplex cardiac history including corrected coarctation of aorta, valvular disease, and biventricular heart failure, presented to Alfred Hospital ED with chest pain and dyspnoea. He was diagnosed with NSTEMI and admitted.…

cardiologyemergency medicinecommunicationsystemhaloperidol
VICaged care2023-03-22

Finding into death of S M

91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…

… not verify allergies before administration. The patient developed severe DRESS syndrome with anaphylaxis, acute kidney injury, liver dysfunction, and elevated inflammatory markers. He subsequently suffered a cerebrovas…

geriatric medicinegeneral practicediagnosticmedicationdiltiazem
QLD2006-09-27

Mulrunji

36y · Male·intra-abdominal haemorrhage due to rupture of liver and portal vein

…ji (Cameron Francis Doomadgee), a 36-year-old Aboriginal man, died from intra-abdominal haemorrhage due to liver rupture following an encounter with Senior Sergeant Christopher Hurley at Palm Island Police Station on 19…

forensic medicineemergency medicinediagnosticprocedural
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…

…e had multiple 'red flag' indicators of severity including hypotension, tachypnoea, and hypoxia. Critical failures included: inadequate appreciation of sepsis severity; failure to escalate to ICU consultation or retriev…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol
TAShospital2024-07-25

Coroner's Finding: Briffa, Gennette Anne

73y · Female·sepsis due to breakdown of oesophageal/gastric anastomosis following laparoscopi…

…ative complications including haematemesis, dehydration, vomiting, and deep vein thrombosis. The critical failure was delayed recognition and management of sepsis in the immediate post-operative period (from 25 January …

bariatric surgerygeneral surgerydiagnosticdelayapixaban
WAhospital2024-09-24

Inquest into the death of Raymond Sydney CHEEK

89y · Male·Complications in association with a gastrointestinal illness in an elderly man w…

…morbidities including insulin-dependent diabetes, died from complications of gastrointestinal illness with acute renal failure. While medical care at Casuarina Prison was generally appropriate, there was one medication …

emergency medicineendocrinologymedicationsystemryzodeg insulin
QLDhospital2007-08-10

Tang, Shannon Sheng Wen

21y · Male·multi-organ failure due to septicaemia of mixed respiratory (bronchopneumonia) a…

…aparoscopic gastric bypass surgery performed by Dr F.. He died on day 7 post-operatively from multi-organ failure due to sepsis of mixed respiratory and intra-abdominal origin. Critical issues include: inadequate pre-op…

bariatric surgerygeneral surgerycommunicationdiagnosticvancomycin
VIC2022-02-10

Finding into death of Elaine Betty Sime

72y · Female·multi-organ failure secondary to poly-trauma and likely bee-sting related toxidr…

Elaine Betty Sime, a 72-year-old fit and healthy woman, died from multi-organ failure following poly-trauma and bee sting toxidrome after a tree fell on her during a walk. The tree at Ruffey …

emergency medicinetrauma surgerysystem
TAShospital2017-02-22

Coroner's Finding: Free, Maxwell John

64y · Male·Multiple organ failure due to paracetamol toxicity

A 64-year-old man died from multiple organ failure due to chronic paracetamol toxicity after taking regular paracetamol 500mg four times daily for over 12 y…

general practicegeriatric medicinediagnosticparacetamol
NSWhome2023-04-19

Inquest into the death of Anthony Gilbert

41y · Male·complications of acute alcohol intoxication

…hony Gilbert, a 41-year-old man with chronic alcohol dependence and depression, died from complications of acute alcohol intoxication after police returned him to his parents' home in an intoxicated state without checki…

forensic medicinetoxicologydiagnosticcommunicationalcohol
VIChospital2024-10-28

Finding into death of Loreta Maria Del Rossi

98y · Female·Multi-organ failure following amanita poisoning

A 98-year-old woman died from multi-organ failure following amanita (death cap) mushroom poisoning. She had foraged wild mushrooms from her garden in April…

toxicologyemergency medicineactivated charcoal

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