Coronial

108 results for fluid resuscitation

ACThospital2024-09-11

Inquest Into The Death Of Baby X

0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…

Baby X, born at Canberra Hospital after a prolonged labour, died at age 2 days from injuries sustained during birth. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged …

obstetricsneonatologydiagnosticcommunication
NThospital2011-06-01

Inquest into the death of Damon Cabiddu

4y · Male·acute suppurative peritonitis following rupture of an inflamed vermiform appendi…

…ng due to communication difficulties, but findings were initially concerning then appeared to improve with fluid resuscitation. A surgeon reviewed the case and decided against immediate operation based on apparent clini…

paediatricsemergency medicineparacetamol
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of …

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
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
NThospital2018-01-19

Inquest into the death of Ronnie Nelson

62y · Male·hepatic encephalopathy due to acute renal failure

…e required higher-level care. Medical management in hospital included flexible sigmoidoscopy for bleeding, fluid resuscitation, and palliative care planning with family. The coroner found care, supervision, and treatmen…

general medicinehepatology
VIChospital2018-08-01

Finding into death of Julia Folcik

89y · Female·Injuries sustained in motor vehicle collision (pedestrian)

…ic fractures, scapular fracture, and bladder perforation. Initial treatment at Footscray Hospital included fluid resuscitation and blood transfusion. She was transferred to Royal Melbourne Hospital where she developed r…

trauma surgeryemergency medicine
WA2015-06-05

Inquest into the Death of Luke Ross BEVEN

18y · Male·Multiple injuries sustained in motor vehicle collision

…ry cause. The deceased was ejected from the vehicle on impact and died at Royal Perth Hospital despite resuscitation attempts.

methamphetamine
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following susp…

emergency medicinegeneral practicediagnosticdelaymorphine
VIChospital2023-08-25

Finding into death of Mr P

26y · Male·Brain death post mixed drug toxicity including MDMA and cocaine

…at the festival medical tent and received appropriate emergency treatment including seizure management and fluid resuscitation before transfer to ICU. He developed multi-organ failure and cerebral oedema with herniation…

emergency medicineintensive careMDMA
SAhospital2010-06-03

Coroner's Finding: PROMNITZ Aileen Dawn

79y · Female·Sepsis due to urinary tract infection with Group B streptococci

…the waiting room until found deceased at 2am. Expert evidence confirmed that early recognition, aggressive fluid resuscitation, and prompt antibiotics could have prevented death. The coroner found the delay unacceptable…

emergency medicineinfectious diseasesdelaysystem
VIChospital2013-07-29

Finding into death of Beverley Pattinson

70y · Female·Severe dehydration and renal complications secondary to intestinal obstruction d…

…ia repair history sufficiently in investigating the ongoing symptoms. The patient appeared to improve with fluid resuscitation but harboured a strangulating small bowel obstruction that was only recognized as she deteri…

emergency medicinegeneral practicediagnosticcommunicationmetoclopramide
QLDhospital2017-06-22

PS - Non-inquest findings

68y · Female·Coronary heart disease

…ology appointment arranged. She re-presented 48 hours later in acute pulmonary oedema and died despite resuscitation. Clinical lessons: inadequate length of stay for diagnostic clarity in acute heart failure; failure to…

cardiologyemergency medicinediagnosticcommunicationfurosemide
QLDhospital2005-05-04

Robinson, Jacinta Kate

7y · Female·cardiac tamponade due to total parenteral nutrition fluid leakage into the peric…

A 7-year-old girl with spina bifida died from cardiac tamponade caused by total parenteral nutrition (TPN) fluid leaking into the pericardial sac via a central venous line inserted during bowel obstruction surgery. Clin…

paediatric surgeryanaesthesiadiagnosticcommunicationtotal parenteral nutrition
TAShospital2020-08-11

Coroner's Finding: Howard, Noeline Dawn

76y · Female·pulmonary embolism due to carcinomatosis

…ophylactic anticoagulation was delayed until day 3. She deteriorated acutely on day 6 and died despite resuscitation. The coroner found there was a significant delay in reaching the correct diagnosis and initiating appr…

emergency medicinerespiratory medicinediagnosticdelayintravenous fluids
TAShospital2024-06-21

Coroner's Finding: de-identified BP

16y · Male·transection of the liver and laceration of the inferior vena cava sustained in a…

…a major contributing factor. Emergency management was appropriate: rapid transport to hospital, aggressive fluid resuscitation, chest tube insertion, and emergency surgery were all timely and well-executed. Despite thre…

trauma surgeryemergency medicine
QLDhospital2005-08-24

Sabadina, Kathryn Marnie

28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…

…aphylaxis, inadequate vasopressor administration, failure to call for senior assistance promptly, and poor fluid management—the coroner found no evidence of criminal negligence. However, critical deficiencies in the ove…

anaesthesiadentistrydiagnosticproceduralpropofol
WA2020-10-07

Inquest into the Death of JM (Name Subject to Suppression Order)

0y · Male·dehydration complicating diarrhoea (aetiology unknown)

A 10-week-old infant in out-of-home care in a remote Western Australian community developed acute diarrhoea and fever one day after routine immunisation. Despite appropriate initial care by foster parents and timely hosp…

paediatricsemergency medicinesystemparacetamol
QLDhospital2020-08-26

Baby C - non-inquest findings

0y · Male·meconium aspiration syndrome complicated by persistent pulmonary hypertension

Baby C was born at 41 weeks and 2 days covered in thick meconium with respiratory distress. Key clinical failures included: (1) failure to respond to mother's request for induction at term+6 days; (2) failure to investig…

neonatologyobstetricsdiagnosticproceduralmorphine
WAhospital2020-12-01

Inquest into the Death of Tahlia Rose BEMBRIDGE

4y · Female·volvulus of the large intestine

Tahlia Rose Bembridge, a 4-year-old with Down syndrome and prior mid-gut volvulus, presented to Bunbury Hospital ED with vomiting and abdominal pain on 1 October 2015. Initial assessment excluded acute bowel obstruction.…

paediatricsemergency medicinecommunicationdelay
VIChospital2018-10-11

Finding into death of John Richard Connelly

78y · Male·Complications of blood loss from femoral fracture sustained in harness riding in…

A 78-year-old man with ischaemic heart disease on warfarin sustained a compound femoral fracture with massive bleeding after a harness racing accident in a rural location. Despite exemplary prehospital care and timely he…

emergency medicinetrauma surgerydelaysystemwarfarin

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