80 results for “coronary atherosclerotic disease”
76y · Male·advanced atherosclerotic and hypertensive cardiovascular disease
…vious high-risk cardiac status and recent interventions. Patient died at home the next morning from acute coronary syndrome. Coroner identified multiple failures: delayed triage, unsupervised student assessment, failure …
63y · Male·Hypotensive and atherosclerotic heart disease
A 63-year-old male prisoner with Type II diabetes, hypertension, obesity and coronary atherosclerosis died of cardiac arrhythmia while engaged in farm work at a minimum-security prison. Dr L.…
66y · Male·multiple organ failure associated with the combined effects of complications of …
… Although the immediate methotrexate toxicity resolved, subsequent complications including vasculitis and coronary artery disease led to his death. Clinical lessons include: always obtain baseline blood tests before meth…
54y · Male·acute myocardial infarction
Gordon Arthur David Mitchell, 54 years old, died of acute myocardial infarction five days after successful stenting for an initial MI. He was discharged on 10 July 2019 despite presenting with chest pain, dyspnea, and co…
91y · Female·pelvic haematoma arising from a fracture of the neck of the left femur sustained…
A 91-year-old woman with dementia, emphysema and cognitive decline was admitted to hospital after a fall. She was assessed as high falls risk but inadequate fall prevention measures were implemented—only verbal advice to…
51y · Male·Combined effects of atherosclerotic cardiovascular disease and seizure activity …
John Spence, a 51-year-old man with a history of seizures, alcoholism, and severe coronary artery disease, died in a prison health centre following a seizure episode. He had ingested an extraordin…
49y · Female·Fatal Cardiac Arrhythmia
Melissa Stokes, 49, died from a fatal cardiac arrhythmia one day after successful abdominal hysterectomy and sling surgery. The coroner found the cause was not opioid-induced respiratory depression despite post-operative…
51y · Male·Traumatic brain injuries resulting from blunt head trauma: multiple calvarial an…
Adrian Garcia, 51, died from traumatic brain injuries sustained during an assault in a public park in Sorell, Tasmania on 10 March 2021. He was heavily intoxicated when struck by a baseball bat multiple times by his fian…
91y · Female·Pelvic haematoma complicating a fracture of the neck of the left femur
Mrs Fowler, a 91-year-old woman with dementia, poor hearing, and documented high fall risk, was admitted to Royal Hobart Hospital after a home fall. She fell from her hospital bed on 4 December 2015, fracturing her hip a…
66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet
A 66-year-old woman with untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couc…
60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…
Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…
Unknown·Multiple: Olanzapine toxicity, pulmonary thromboembolism, asphyxiation on food, …
…schizophrenia on multiple antipsychotic medications and severe, untreated physical comorbidities (cardiac disease, COPD, obesity). The coroner found preventable clinical failures: (1) antipsychotic polypharmacy without …
heat stroke (environmental exposure) / hyperthermia; Mr Buske: atherosclerotic h…
Four deaths occurred on Mount Augustus summit trail in 2019-2020 during hot weather conditions. All deceased experienced heat stroke with dehydration as the primary mechanism of death. The coroner identified inadequate p…
47y · Male·Aspiration pneumonia due to or as a consequence of coronary atherosclerosis
Christopher Hammett, a fit 47-year-old, died from aspiration pneumonia with contributing coronary atherosclerosis following routine L5-S1 disc replacement. A critical oxygen desaturation (64%) occurred d…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…
37y · Male·Pulmonary thromboembolus due to left leg deep vein thrombosis
A 37-year-old Aboriginal man died of pulmonary thromboembolism due to deep vein thrombosis while incarcerated. He presented to hospital on his birthday with lethargy, shortness of breath, and tachycardia. Initial assessm…
55y · Male·hypothermia
Trevor Tolputt, a 55-year-old man, died of hypothermia on 14 July 2016 while walking the Overland Track alone in severe winter conditions. Despite being reported by another walker at 6-7 pm as not reaching Narcissus Hut,…
48y · Male·Undetermined
Maxwell Marshall, aged 48, died in December 2003 from undetermined causes after receiving escalating doses of oxycodone (Oxycontin) for post-Guillain-Barré neuropathic pain reaching 680mg daily—among the highest 1% of pr…
Male·Little Brother: multi-organ dysfunction due to hypothermia with contributing con…
…othermia after leaving hospital inadequately dressed; Big Brother died from pneumonia and ischaemic heart disease while in custody, having been subjected to spit hoods during hospitalisation. Critical failures included:…
53y · Female·mixed prescription drug toxicity
Deearne Joan Barnes, a 53-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine…
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