Coronial

307 results for chest pain

NSWcommunity2015-11-11

Inquest into the death of person known as 'Andy'

40y · Unknown·Pulmonary thrombo-emboli complicating deep vein thrombosis of the right leg

…econdary to deep vein thrombosis of the right leg. Two days before death, he fell down stairs and reported chest pain, which community members and a doctor encouraged him to seek emergency care for, but he refused ambul…

emergency medicinepathologydelay
SA2006-11-16

Coroner's Finding: HARKIN Leonard Norman

51y · Male·ischaemic heart disease

…disease after suffering a cardiac event while being transferred between prison units. He had complained of chest pain to correctional officers, was directed to walk to the medical centre, and collapsed shortly after arr…

cardiologyemergency medicineproceduraldelaymirtazapine
NTcommunity2014-11-03

Inquest into the death of Dion Daniels

24y · Male·Coronary artery thrombosis secondary to coronary atherosclerosis

…d Aboriginal man collapsed during football in extreme heat and presented to a rural clinic with dizziness, chest pain, shortness of breath and sweating. The nurse diagnosed dehydration and administered IV fluids without…

cardiologyemergency medicinediagnosticcommunication
NTprison2015-04-13

Inquest into the death of Raymond McDonald

49y · Male·cardiac hypertrophy (longstanding heart disease) complicated by chronic renal fa…

…pertrophy with underlying chronic renal failure and ventricular arrhythmia. He had presented 16 times with chest pain over 12 months and had multiple abnormal ECGs showing prolonged QTc intervals between 2011-2014. Alth…

cardiologygeneral practicediagnosticdelay
VIChome2026-04-14

Finding into death of James Thomas Reilly

86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall

…ansient ischemic attack. Clinical fixation on stroke diagnosis led to failure to adequately assess his back pain. Rib fractures went undiagnosed despite being the critical injury. The chest x-ray had low sensitivity for …

emergency medicinegeneral medicinediagnosticmedicationenoxaparin
VICcommunity2011-03-17

Finding into death of Stuart Judd

39y · Male·Ischaemic heart disease with complete occlusion of the left anterior descending …

…ing coronary artery occlusion with ruptured plaque. Eight days before death, he presented to GP Dr V. with chest pain on exertion (cycling, chopping wood) and arm heaviness. The doctor diagnosed reflux oesophagitis, ord…

general practicecardiologydiagnosticdelayomeprazole
NTcommunity2001-10-19

Inquest into the death of Clive Henry Impu

25y · Male·coronary thrombosis resulting from coronary atherosclerosis

…The coroner found the medical examination by Dr M. was inadequate and cursory. The deceased presented with chest pain, tingling in arms, and numbness—classic signs of ischaemic heart disease—but received only anti-infla…

general practiceemergency medicinediagnosticcommunicationanti-inflammatory medications
NT2003-12-03

Inquest into the death of Lindsay Ryan

33y · Male·coronary atherosclerosis, contributed to by cardiac hypertrophy

…dy at Darwin Correctional Centre from coronary atherosclerosis with cardiac hypertrophy. He collapsed with chest pain and dizziness while performing manual labour. Prison officer Williams appropriately and quickly arran…

emergency medicinecardiologyantacid
VIChospital2014-09-30

Finding into death of Iman Kassis

46y · Female·hemopericardium secondary to dissection of the thoracic aorta

…itation with dilated ascending aorta, presented to the ED on 8 October 2008 with sudden-onset severe throat pain, bradycardia, and right arm weakness. She was discharged after 4 hours observation with a diagnosis of gast…

emergency medicinecardiologydiagnosticdocumentationflecainide
QLDcommunity2010-03-25

Howlett, Peter David

44y · Male·acute myocardial ischaemia due to coronary artery occlusion due to thrombosis an…

…tion on 21 April 2006 after a 54-minute delay in ambulance arrival. His wife called Triple 0 reporting back pain radiating to chest at 7:20 am. Critical communication failures occurred: the call-taker (Ms Gibson) failed …

emergency medicineparamedicinecommunicationdiagnostic
WAhospital2015-01-15

Inquest into the Death of Petra ZELE

28y · Female·hypoxic brain injury following cardiac arrest in association with pulmonary hype…

…n chronic thromboembolic pulmonary hypertension. She presented to Fremantle Hospital ED on 9 May 2010 with chest pain but was diagnosed with musculoskeletal pain and discharged. Clinical lessons include: (1) Dr H. faile…

emergency medicinecardiologydiagnosticcommunicationyasmin
NSW2016-03-08

Inquest into the death of Allen BURKE

50y · Male·acute myocardial infarction due to coronary atherosclerosis

…ache, vomiting, and sore throat. Nurse assessment found normal blood pressure and no respiratory distress; chest pain was denied. The coroner found care standards appropriate and that nothing could have reasonably preve…

forensic medicineemergency medicinesalbutamol
SAcommunity2009-03-30

Coroner's Finding: DALLING Brian Terrance and SALOTTI Jack William and GRZYWACZ Richard John and SOBEY Brian Leslie

Male·acute myocardial infarction due to coronary artery disease (all four); specific …

…ve been transferred to tertiary Adelaide hospitals for urgent coronary angiography. Clinical lessons: take chest pain seriously even with alternative explanations present; always consider acute coronary syndrome diagnos…

general practiceemergency medicinediagnosticcommunicationaspirin
VIChospital2022-01-20

Finding into death of H I

49y · Female·Acute myocardial infarction secondary to giant-cell arteritis and atherosclerosi…

…dary to giant-cell arteritis of coronary arteries. On 26 November, she presented to her GP with left-sided chest pain described as atypical and unlikely ischaemic, given absent traditional cardiac risk factors. No ECG o…

general practiceemergency medicinediagnosticsystemmetoclopramide
SAcommunity2025-10-20

Coroner's Finding: Kennedy, John Douglas

65y · Male·Ischaemic heart disease on a background of hypertension

…on 16 April 2020 after a 24-minute delay in ambulance dispatch. He called triple zero at 00:19 with severe chest pain and difficulty breathing (Priority 2, chest pain determinant 10D02). The dispatcher verbally assigned…

emergency medicinecardiologycommunicationsystematenolol
SAhospital2001-10-19

Coroner's Finding: McCARTHY Nancy Clare

67y · Female·bronchopneumonia complicating disseminated pulmonary large cell carcinoma with r…

Nancy McCarthy, 67, presented with progressive back and chest pain initially attributed to vertebral compression fracture. She deteriorated acutely with confusion, agit…

general practiceemergency medicinediagnostic
SAhospital2005-11-10

Coroner's Finding: LAZOPOULOS Christopher

34y · Male·multi-organ failure with right-sided tension pneumothorax

…d spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admission despite clear indicators of …

emergency medicineintensive carediagnosticsystem
WAcommunity2005-05

Inquest into the Death of Adam David McKay

31y · Male·Pulmonary thromboembolism arising from deep vein thrombosis

…to West Africa and returned on 13 December 2002. On 14 December, he presented to his GP with right leg/calf pain after flying. Despite risk factors (obesity, long-haul travel), DVT was not investigated with ultrasound. W…

general practiceemergency medicinediagnosticcommunication
QLDhospital2016-10-25

Hemsley, Joanne - non-inquest findings

55y · Female·Cardiac tamponade due to haemopericardium due to acute ruptured myocardial infar…

…charged the next morning without appropriate cardiac enzyme testing or extended observation despite having chest pain and ECG changes following the procedure. She died at home 16 hours later from cardiac rupture and tam…

cardiologycardiothoracic surgerydiagnosticcommunicationticagrelor
NTcommunity2007-11-12

Inquest into the death of Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen

Male·Angel Blanco-Puerto: acute heart failure as result of long-standing damage from …

…potentially life-threatening condition was identified at the time. However, Phillip Lindsay presented with chest tightness, cramping in hands/neck, and hyperventilation—classic cardiac indicators—but officers accepted h…

emergency medicinecardiologydiagnosticcommunication
134516

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