Coronial

81 results for cerebrovascular disease

SAhospital2022-12-22

Coroner's Finding: Shore Wayne John

55y · Male·right intracerebral haemorrhage and left middle cerebral artery cerebrovascular …

Wayne Shore, 55, died from right intracerebral haemorrhage and left middle cerebral artery stroke complicating infective endocarditis, end-stage renal failure, and multiple myeloma. He was subject to a Level 1 Inpatient …

neurologynephrologyanticoagulant therapy
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
VICaged carePodcast2019-08-23

Finding into death of John Reimers

63y · Male·complications of an inverted positional event (asphyxia from airway occlusion)

A 63-year-old man with previous stroke and left-sided paralysis fell headfirst into his bedside drawer while attempting to open it from his motorised wheelchair. He became trapped with his airway occluded. An enrolled nu…

geriatric medicineemergency medicinediagnosticcommunicationduloxetine
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…

Raymond Sydney Cheek, an 89-year-old prisoner with multiple comorbidities including insulin-dependent diabetes, died from complications of gastrointestinal illness with acute renal failure. While medical care at Casuarin…

emergency medicineendocrinologymedicationsystemryzodeg insulin
VICmental health2013-05-10

Finding into death of Michael Desmond McWhirter

79y · Male·Acute Myocardial Infarction; Underlying multiple pathologies including vascular …

79-year-old man with complex medical history (ischaemic heart disease, pulmonary fibrosis, pacemaker, renal impairment, vascular dementia) died from acute myocardial infarctio…

psychiatrygeriatric medicinecommunicationsystemolanzapine
VIChospital2010-05-31

Finding into death of Paul Alexander Goodwin

85y · Male·Ruptured abdominal aortic aneurysm

An 85-year-old man with known inoperable abdominal aortic aneurysm died from rupture of this aneurysm while hospitalized for acute exacerbation of COPD. A medication error occurred at admission when Dr T. inadvertently i…

general medicinerespiratory medicinemedicationgabapentin
SAhospital2013-09-30

Coroner's Finding: GIANNINI Pasquale

68y · Male·infarction of the small and large bowel due to superior mesenteric artery thromb…

A 68-year-old man with extensive systemic vascular disease presented with 10 days of nonspecific abdominal pain. Initial presentations at local hospital and GP were…

general practiceemergency medicinediagnosticdelayaugmentin duo
VIChospital2013-05-17

Finding into death of Francesco Vicendese

81y · Male·Multi-organ failure complicating head, chest and abdominal injuries sustained du…

An 81-year-old man with multiple comorbidities (diabetes, hypertension, chronic renal impairment, past stroke, pacemaker) was struck by a tram while crossing Sydney Road in Brunswick on 29 April 2010. He sustained multip…

trauma surgeryemergency medicine
SAcommunity2000-12-11

Coroner's Finding: SABINO Joseph Manuel

36y · Male·Cardiac failure associated with intravenous methylamphetamine abuse and exertion

A 36-year-old man died from cardiac failure associated with intravenous methylamphetamine abuse and exertion. He had injected methylamphetamine and subsequently engaged in intense physical activity (running, climbing fen…

emergency medicineforensic medicinemethamphetamine
TASaged care2023-09-06

Coroner's Finding: Weldon, Dayle Patricia

93y · Female·Catastrophic subdural haemorrhage resulting from head strike sustained in a witn…

Dayle Patricia Weldon, a 93-year-old woman with dementia, fell in the secure suite of an aged care facility and sustained a catastrophic subdural haemorrhage from which she died three days later. The coroner found that M…

geriatric medicinegeneral practicebuprenorphine
SA2021-01-15

Coroner's Finding: BALLARD Kenneth Frederick

75y · Male·cerebral metastatic malignancy (lung cancer with brain metastases)

Kenneth Ballard, aged 75, died in prison custody from cerebral metastatic lung cancer. He had been diagnosed with chronic lymphocytic lymphoma in 2012 and managed at Mount Gambier Prison. In late 2014, Mr Ballard refused…

general practicehaematologydiagnosticdelay
VICaged care2023-02-20

Finding into death of Terence Michael Brooks

76y · Male·Streptococcus pneumoniae sepsis in the setting of acute bronchopneumonia and ren…

Terence Michael Brooks, a 76-year-old man with dementia, vascular disease, and depression, died of streptococcal pneumoniae sepsis with acute bronchopneumonia and renal failure fr…

geriatric medicinegeneral practicecommunicationdelayvenlafaxine
NThospital2026-01-09

Inquest into the death of C Guyula

49y · Female·Hypoxia due to complications following incision and drainage of a right buttock …

A 48-year-old woman with multiple comorbidities (diabetes, COPD, chronic kidney disease, ischaemic heart disease) died following complications of anaesthesia during incision and drainage of a b…

anaesthesiasurgeryproceduralmedicationfentanyl
NSWhospital2021-09-28

Inquest into the death of Gwenith ELKINGTON

60y · Female·acute cerebral bleed resulting from blunt trauma and late haemorrhagic progressi…

Gwenith Elkington, aged 60, died from acute cerebral bleed resulting from haemorrhagic progression of a traumatic brain injury sustained in a bathroom fall on 21 September 2015. The injury caused a contre coup contusion …

emergency medicineneurosurgerydelaycommunicationibuprofen
NSW2010-12-14

Maryannroberts281 05 finding14december2010

73y · Female·Bacterial endocarditis organism arising from a staphylococcal infection that ent…

Mary Roberts, aged 73, received a 5-year custodial sentence in September 2004. She had complex medical needs: dementia from previous strokes, diabetes requiring insulin monitoring, and Warfarin use. Justice Health provid…

correctional healthgeriatric medicinediagnosticcommunicationwarfarin
SAaged care2013-08-30

Coroner's Finding: CHAPLIN Doreen Hilda

82y · Female·fat embolism syndrome and bronchopneumonia following nail fixation of bilateral …

An 82-year-old woman with severe dementia and marked osteoporosis died from fat embolism syndrome and bronchopneumonia following surgical fixation of bilateral femoral fractures. The fractures occurred on 10 September 20…

orthopaedic surgerygeriatric medicineproceduralsystem
QLD2023-10-03

Findings of the inquest into the death of GLT

46y · Male·Methylamphetamine toxicity and coronary atherosclerosis

…ensland. The death resulted from a combination of methylamphetamine toxicity, significant coronary artery disease, and physical exertion during police restraint and transport. Critical clinical lessons include: (1) fail…

emergency medicineintensive carediagnosticdelaymethamphetamine
VICaged care

Finding into death of Ellen Plymin

85y · Female·Sepsis relating to an infected right shoulder wound (including MRSA)

Ellen Plymin, aged 85, sustained a fractured humerus in a fall and underwent surgical fixation at Western Hospital on 10 May 2007. She returned to Westgate Aged Care Facility post-operatively on 14 May. By 28 May, wound …

general practiceorthopaedic surgerydiagnosticdelayoxycodone
VICaged care2022-10-14

Finding into death of Beryl Eileen Brindley

74y · Female·Diabetic ketoacidosis

A 74-year-old woman with Type 1 diabetes died from diabetic ketoacidosis (DKA) in an aged care facility. Between 7-10 December 2016, her blood glucose levels remained persistently elevated (>33 mmol/L) despite escalating…

general practiceendocrinologydiagnosticcommunicationinsulin
VIChospital2014-01-21

Finding into death of Eddie Teck Chuan Lee

66y · Male·Intracerebral haemorrhage

A 66-year-old man with intracerebral haemorrhage and concurrent deep vein thrombosis died following an accidental tenfold heparin overdose. The patient received 20,000 units instead of 2,000 units due to a nurse misreadi…

neurosurgeryneurologymedicationsystemheparin

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