Coronial

131 results for emergency sedation

VICmental health2019-03-27

Finding into death of Robert Conkie Gray

75y · Male·Ischaemic Heart Disease and Cardiomegaly

… his aged care residence. The psychiatrist specifically advised minimising PRN medications to reduce over-sedation risk. Staff observations immediately before death noted he appeared settled with no clinical changes. The…

psychiatrycardiologyolanzapine
NThospital2018-06-19

Inquest into the death of Naomi Smith

26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis

Naomi Smith, aged 26, died from pulmonary embolism caused by dislodged deep vein thrombosis while in ICU at Royal Darwin Hospital. She had complex mental health needs (BPD, PTSD, depression) and morbid obesity. The criti…

psychiatryintensive caresystemdelay
WAcommunity2010-12-21

Inquest into the Death of Njana

24y · Male·left intracerebral haemorrhage and consequential brain bleeding resulting from h…

Hendrick Njana, a 24-year-old Aboriginal male, was assaulted on 27 December 2008 by Shaun Steven Midd at a service station in Broome, suffering a strike to the head causing unconsciousness, kicks to the head with steel-c…

emergency medicineintensive carecommunicationdelayalcohol
SAhospital2020-01-10

Coroner's Finding: BICKLEY Jon

79y · Male·ischaemic heart disease complicating chronic obstructive airways disease

…rs Medical Centre. He presented with acute delirium and agitation following a fall, requiring significant sedation. A MET call was made on 12 August 2016 when respiratory distress was observed. The coroner found his trea…

geriatric medicinepsychiatryfentanyl
VIChospital2025-07-08

Finding into death of KD

48y · Female·Combined effects of cardiac hypertrophy, chronic obstructive pulmonary disease a…

…h acute psychosis on 22 September 2022 and was placed under Mental Health Act assessment order. Following sedation for assessment, she developed respiratory failure requiring intubation and ICU admission. She was extubat…

psychiatryintensive careolanzapine
WAmental health2024-07-19

Inquest into the Death of Phillip Benjamin VELTMAN

49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…

…th Services. He presented to Royal Perth Hospital ED on 15 July 2020 with acute manic psychosis requiring sedation with ketamine and zuclopenthixol acetate (Acuphase). After transfer to Bentley that afternoon, critical i…

psychiatryemergency medicinecommunicationsystemketamine
VIChospital2022-12-16

Finding into death of Arthur Peter Andrianakis

51y · Male·Hyperthermia of unknown cause in a man with cardiac hypertrophy; chronic obstruc…

Arthur Andrianakis, 51, died from hyperthermia of unknown cause with cardiac hypertrophy and COPD. He presented to hospital with respiratory distress following police custody for assaulting his mother. Initial diagnosis …

emergency medicineintensive caresalbutamol
QLDhospital2025-10-23

Inquest into the death of Shirley Elizabeth Haggett

78y · Female·Tension pneumothorax (surgically managed) due to aspiration pneumonia (bronchosc…

78-year-old woman with severe COPD and type 2 respiratory failure underwent elective melanoma surgery at a private day hospital (North Lakes Day Hospital) despite being classified as ASA 4 (unsuitable for day surgery). T…

anaesthesiaplastic and reconstructive surgerysystemdiagnosticmidazolam
VIChospital2023-04-14

Finding into death of John Edward Hadland (Millar)

38y · Male·abdominal and chest sepsis complicating iatrogenic left pneumothorax and laparot…

… syndrome, intellectual disability, and scoliosis died from sepsis following iatrogenic pneumothorax and emergency laparotomy for small bowel obstruction. He was admitted with faecal loading and proctitis, deteriorated …

surgeryintensive careproceduralsystemmacrogol
SAhospital2019-12-03

Coroner's Finding: TAEGER Luke Victor

89y · Male·pneumonia on a background of advanced Parkinson's disease and dementia

An 89-year-old man with advanced Parkinson's disease and dementia died of aspiration pneumonia following hospital admission for behavioural management. He was subject to an Inpatient Treatment Order and required chemical…

geriatric medicinepsychiatrythyroxine
VIChospital2022-11-21

Finding into death of Glenda Elaine Shapcott

65y · Female·Pneumonia and right hip haematoma following a fall in a woman with multiple medi…

…ission revealed resistance to investigation due to her distress and aggression. Despite discussions about sedation for imaging to exclude fracture, she died suddenly on 17 May before further investigations were completed…

general practiceemergency medicinecarbamazepine
TAShome2018-07-25

Coroner's Finding: KW

55y · Male·Combined effects of mixed drug (alcohol and promethazine) toxicity and environme…

A 55-year-old man with alcohol dependency died from combined alcohol and promethazine toxicity with heat exposure. He spent 4-5 hours sunbaking in high temperatures (exceeding 30°C) while heavily intoxicated and sedated …

general practiceemergency medicinesystemdelayalcohol
WAhospital2025-12-23

Inquest into the Death of Karl Albert STEINHAUSER

30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…

Karl Steinhauser, a 30-year-old man with schizoaffective disorder and polysubstance misuse, died from pulmonary thromboembolism on 12 March 2023 while under Mental Health Act care. After two weeks of increasingly challen…

psychiatryintensive caresystemdelayaripiprazole depot
SAhospital2016-05-05

Coroner's Finding: FALKENBERG Malcolm David

77y · Male·septic shock due to cellulitis of the left forearm

…s signs, ensuring adequate IV access in patients with behavioural disturbance (including consideration of sedation or restraint), and prompt escalation when oral antibiotics fail in severe infections.

geriatric medicineemergency medicinediagnosticdelayantibiotics
SAhospital2020-11-02

Coroner's Finding: MAGGS Eric Arthur

85y · Male·ischaemic heart disease

Eric Arthur Maggs, aged 85, died of ischaemic heart 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 an…

emergency medicinecardiologycefalexin
VIC2022-06-03

Finding into death of Micky Craig Revera

40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…

Micky Craig Revera, a 40-year-old man with chronic heroin addiction, died in Melbourne Assessment Prison on 18 February 2019 from unascertained causes. He was arrested on 12 February after erratic driving, underwent poli…

emergency medicineforensic medicinediagnosticcommunicationheroin
VIChospital2008-03-20

Finding into death of Julie Stephens

54y · Female·sepsis

…septic shock secondary to pneumonia and was transferred to ICU where she was intubated and given morphine sedation despite documented morphine allergy—a significant oversight not identified until 11 December. She develop…

intensive carerespiratory medicinemedicationsystemmorphine
SAhospital2020-01-10

Coroner's Finding: FIORETTI Louisa Jill Josephine

19y · Female·2,4-dinitrophenol toxicity

… Centre with an Inpatient Treatment Order in place. Despite expert multidisciplinary management including sedation, intubation, ECMO, attempted dialysis, charcoal administration, and dantrolene use, she deteriorated rapi…

toxicologyemergency medicine2,4-dinitrophenol
VICcommunity2025-09-05

Finding into death of Lisa Nicole Murphy

52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…

Lisa Murphy, a 52-year-old woman with mental illness and substance use history, died following a physical altercation at a convenience store. She became involved in a verbal and physical confrontation with two women afte…

emergency medicineintensive carecommunicationrisperidone
TAShome2015-04-06

Coroner's Finding: Ms D

51y · Female·Mixed drug toxicity (amitriptyline, chlorpheniramine, diazepam, codeine) complic…

A 51-year-old woman died from mixed drug toxicity (amitriptyline, chlorpheniramine, diazepam, codeine) complicated by biventricular heart hypertrophy. She had chronic back pain treated with opioids and used excessive ove…

general practiceemergency medicinesystemdelayamitriptyline

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