Coronial

154 results for possible infection

VIChospital2014-03-13

Finding into death of Kerry Anne Golley

35y · Female·Global cerebral ischaemic injury in the setting of post caecal resection for col…

Kerry Anne Golley, a 35-year-old woman with intellectual disability, autism, and epilepsy, presented with recurrent vomiting between December 2011 and February 2012, requiring multiple ED visits and hospital admissions. …

general practiceemergency medicinediagnosticdelay
NSWhospital2021-12-02

Inquest into the death of Joshua Szczudlo

33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury

Joshua Szczudlo, a 33-year-old man with morbid obesity (estimated weight 195kg), underwent shoulder fracture repair surgery on 17 March 2016 at Liverpool Hospital. He died 38 hours post-operatively from a fatal cardiac a…

orthopaedic surgeryanaesthesiasystemcommunicationmorphine
NSWhome2010-12-13

Coroner's Finding: Paul Justyn Brauer

64y · Male·Large pulmonary embolus (origin undetermined)

Paul Brauer, 64, died of pulmonary embolus at Leeton District Hospital following a complex admission involving psychiatric depression, atrial fibrillation, urinary retention, and multiple comorbidities. The coroner ident…

psychiatrygeneral medicinediagnosticmedicationlactulose
VICaged care2012-06-25

Finding into death of Broughton Hall Inquest

Salmonella infection contributing to deaths in gastroenteritis outbreak

…ed, antibiotic therapy or hospital transfer could have been initiated. Key failures included: inadequate infection control protocols, locked access to outbreak procedures, confusion about responsibilities between doctor…

infectious diseasesgeriatric medicinediagnosticcommunication
QLDhospital2022-07-08

R - Non-inquest findings

0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…

…ositioning: continuous capnography was disconnected during resuscitation, abdominal distension suggesting possible oesophageal intubation was not adequately investigated, and the tube's position was never directly visual…

anaesthesiaintensive carediagnosticproceduralpropofol
TAShome2023-05-04

Coroner's Finding: Chuah Soo Lan

65y · Female·undetermined; possibly ischaemic heart disease or squamous cell carcinoma of ton…

…d was buried on private property without reporting to authorities. Autopsy was inconclusive but suggested possible ischaemic heart disease or cancer as causes. The case highlights the critical importance of addressing pa…

oncologydentistrydelaysystem
VIChospital2023-07-17

Finding into death of Sasha

12y · Female·Hypoxic ischaemic encephalopathy complicating an aortic root abscess (operated) …

…to a rural hospital. Despite high inflammatory markers and blood culture eventually showing pneumococcal infection, she was diagnosed with viral illness. Critical factors included: a 9-hour delay between pathology faxin…

paediatricsinfectious diseasescommunicationsystem
NSW2025-09-15

Inquest into the death of Robert Sievers

81y · Male·COVID-19 infection on a background of Type 2 Diabetes and end stage chronic kidn…

Robert Sievers, an 81-year-old man incarcerated since 2001, died from COVID-19 infection on a background of type 2 diabetes and end-stage chronic kidney disease. Despite multiple warnings about…

geriatric medicinepalliative careantiviral medication
WAhospital2016-05-20

Inquest into the death of Sebastian Keith PARMAN

6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…

…, a 6-year-old boy, died from pneumonia complicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an informal unregiste…

emergency medicinepaediatricsdiagnosticcommunicationpenicillin
QLDhome2020-03-11

Roulant, Daniel Christopher

22y · Male·Meningococcal meningitis and sepsis

Daniel Roulant, 22, died from meningococcal meningitis and sepsis within 24 hours of symptom onset. He presented to his GP on 23 November 2017 with a viral head cold, low-grade fever (37.4°C), and normal ENT/chest examin…

general practiceinfectious diseases
NThospital2000-10-31

Inquest into the death of Corey Paddy

25y · Male·positional asphyxia in a man with extensive old hypoxic brain damage, acute ches…

…ital from positional asphyxia while receiving concurrent morphine therapy and suffering from acute chest infection. The coroner found he was positioned across his bed with his head hyperextended and a bolster cushion ac…

orthopaedic surgeryneurologycommunicationsystemmorphine
TASaged care2018-10-15

Coroner's Finding: McTye, Wilma

81y · Female·acute on chronic subdural haematoma

An 81-year-old woman with Lewy Body Dementia died from acute on chronic subdural haematoma following multiple falls in aged care. The nursing home had appropriately assessed her as high falls risk and implemented reasona…

geriatric medicineneurology
QLDcommunity2014-12-12

Hicks, Indianna Rose

5y · Female·Sudden Infant Death Syndrome (Classic Type 1a)

A 5-month-old infant died suddenly at a family day care facility on her first day of formal care, with autopsy findings consistent with Sudden Infant Death Syndrome (SIDS). The child had been fully swaddled with arms enc…

paediatricsforensic medicinesystemcommunication
WAhospital2017-08-22

Inquest into the Death of Baby CJ (Subject to Suppression Order)

0y · Male·hypoxia due to intrauterine pneumonia and haemorrhage with uterine rupture in a …

…dical advice before receiving antibiotics. She returned 33 hours later in labour. During labour, signs of possible uterine rupture emerged around 6:00pm, and emergency caesarean section was recommended. However, the pare…

obstetricsneonatologycommunicationdelayoxytocin
TAShospital2022-08-09

Coroner's Finding: Tedmanson, Wayne Douglas

76y · Male·ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS) due…

Wayne Douglas Tedmanson, aged 76, died from ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS), a complication of type 2 diabetes mellitus. Clinical lessons include recognising HHS presentations…

emergency medicinegeneral medicinedelay
WAmental health2014-06-11

Inquest into the Death of Lynn Desmond Ernest CHURCH

64y · Male·plastic bag asphyxia

A 64-year-old man with long-standing depression, personality disorder, and chronic pain died by plastic bag asphyxiation in a psychiatric hospital open ward. He had been admitted involuntarily after expressing suicidal i…

psychiatryemergency medicinecommunicationtramadol
NSWhospital2019-12-09

Inquest into the death of Douglas ANDERSON

84y · Male·staphylococcus aureus sepsis complicating metastatic malignancy

Douglas Anderson, aged 84, died of staphylococcus aureus sepsis complicating metastatic malignancy (gastro-oesophageal origin) while in custody at Westmead Hospital, nine days after arrest. The coroner found his death wa…

emergency medicinegeneral medicine
QLDhospital2014-12-08

Gulliver, Graeme Barry; Harrison, Joanne Lee; Morten, Aileen Margaret

21y · Male·Sepsis caused by Leptospirosis (Graeme Gulliver); Group A streptococcal meningit…

Three young patients died from severe bacterial infections at rural Queensland hospitals (Mossman and Atherton). All three received delayed diagnoses and treatmen…

emergency medicineinfectious diseasesdiagnosticsystem
VIChospital2024-04-12

Finding into death of Patrick Anthony Barry

72y · Male·Aspiration pneumonia and small bowel obstruction secondary to metastatic bowel c…

…l cancer, died from aspiration pneumonia and small bowel obstruction. He had recurrent respiratory tract infections and presented to hospital on 18 June with shortness of breath and abdominal distension. CT imaging reve…

general medicineemergency medicine
VIChospital2011-12-01

Finding into death of Tyler Di Blasi

1y · Male·Parainfluenza, pneumonitis and asthma; haemorrhagic mucositis of the bowel and g…

Tyler Di Blasi, aged 14 months, died from complications of acute lymphoblastic leukaemia (ALL) treatment. He developed parainfluenza pneumonitis, severe asthma, chemotherapy-induced neutropenia, thrombocytopenia, and gas…

intensive careoncologychemotherapy
13458

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