Coronial

69 results for possible confusion

VIChospital2026-04-28

Finding into death of Ronald William Beaumont

74y · Male·Acute myocardial infarction complicated by multiple organ failure

…n; (2) Inadequate pre-admission documentation and communication about anticoagulation management created confusion between orthopaedic and cardiology teams; (3) Post-operative wound complications required escalation and…

cardiologyorthopaedic surgerymedicationcommunicationaspirin
WAhospital2024-04-08

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

13y · Female·complications of a head injury sustained when she deliberately stepped in front …

A 13-year-old with emerging emotionally unstable personality disorder (EUPD) died by suicide after deliberately stepping in front of a car on 21 July 2020, two days after a positive appointment with mental health clinici…

psychiatryemergency medicinesystemdelaysertraline
WAcommunity2010-07-30

Inquest into the Death of Dingle

34y · Female·complications of metastatic rectal cancer

… 2005. She was diagnosed with localised rectal cancer in February 2003 when a potential surgical cure was possible. However, she rejected mainstream treatment (surgery, chemotherapy, radiotherapy) based on advice from a …

colorectal surgerygeneral practicediagnosticcommunication
NSW2020-02-28

Inquest into the death of Eric WHITTAKER

35y · Male·subarachnoid haemorrhage with antecedent ruptured cerebral artery aneurysm

…tre. On 2 July 2017, he made 20 emergency 'knock-up' calls over three hours expressing extreme distress, confusion, hyperventilation and claustrophobia, but correctional officers failed to recognise these as signs of me…

correctional healthneurologydiagnosticcommunicationamphetamine
QLDhome2011-12-09

Tait, Graham

64y · Male·Electrocution from contact with fallen low-voltage power lines that remained ene…

…s investigation by WHSQ; deficient ESO scene investigation and evidence preservation; and jurisdictional confusion regarding workplace classification. ERGON has since updated call centre scripting to warn of fallen powe…

occupational and environmental healthemergency medicinecommunicationsystem
QLDaged care2024-10-10

Non-inquest findings into the death of Diane Margaret Crowther

76y · Female·multiple organ failure due to abdominal wall cellulitis (surgically treated)

Mrs Crowther, a 76-year-old obese woman with multiple comorbidities in residential aged care, died from multiple organ failure secondary to abdominal wall cellulitis. A critical care failure occurred when an old dressing…

geriatric medicineplastic and reconstructive surgerydiagnosticcommunicationhydrozole cream
WAhospital2019-05-24

Inquest into the Death of Melanie Reanna TREGONNING

31y · Female·incised wounds to the neck and arms

A 31-year-old illustrator with a recent onset of acute depression and suicidal ideation attended Fremantle Hospital ED via ambulance after GP referral on 12 May 2014. She had made a suicide attempt at a beach two days ea…

emergency medicinepsychiatrycommunicationdiagnosticvenlafaxine
VIChospital2022-08-26

Finding into death of Jessica Higgins

33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity

Jessica Higgins, a 33-year-old woman with chronic pain and opioid dependence, died from hypoxic ischaemic encephalopathy following mixed drug toxicity. She underwent a ketamine infusion with opioid rotation from oxycodon…

pain medicineaddiction medicinecommunicationsystemmethadone
VIC2013-10-21

Finding into death of Stephanie Louise Meredith

46y · Female·Multiple injuries sustained in collision between semi-trailer and train; tension…

On 5 June 2007, a semi-trailer collided with a V/Line passenger train at Kerang level crossing in Victoria, killing 11 train passengers immediately and one more (Harold Long) during transfer. The driver (Mr Scholl) faile…

emergency medicinetrauma surgerysystemdelaymorphine

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