Coronial

91 results for severe pulmonary hypertension

NSWhome2018-08-06

Inquest into the deaths of Diane Michel and John McCain

Unknown·Diane Michel: sharp force injuries to neck and wrists. John McCain: projectile i…

A married couple, both terminally ill with COPD and other serious conditions, died together at home in December 2016. Diane Michel (74) died from sharp force injuries to her neck and wrists; John McCain (76) died from se…

general practicepalliative care
SAhospital2006-12-14

Coroner's Finding: PETTER Elemer

79y · Male·myocardial infarction

A 79-year-old man with significant comorbidities (ischaemic heart disease, diabetes, peripheral vascular disease) was admitted to hospital with anorexia and weight loss. He developed acute confusion and delirium, initial…

cardiologypsychiatrycommunicationhaloperidol
VIChospital2014-09-30

Finding into death of Iman Kassis

46y · Female·hemopericardium secondary to dissection of the thoracic aorta

Iman Kassis, a 46-year-old woman with Ehlers-Danlos Syndrome Type 4 and known severe aortic regurgitation with dilated ascending aorta, presented to the ED on 8 October 2008 with sudden-onset…

emergency medicinecardiologydiagnosticdocumentationflecainide
SAhospital2011-09-23

Coroner's Finding: BLYTHE Dorothy Josephine

81y · Female·ischaemic bowel

An 81-year-old woman with longstanding depression and multiple comorbidities fell and fractured her humerus in March 2009. During rehabilitation, she became increasingly depressed and self-neglectful, refusing food and c…

psychiatrygeneral surgerydiagnosticdelay
SAhospital2006-05-18

Coroner's Finding: PAHL-CADMAN Emma Rose

20y · Female·cardiac dysrhythmia/arrest in a 20 year old Down's Syndrome female following abd…

…toring (ECG, continuous oximetry) post-operatively despite preoperative oxygen saturation of 48% and known severe cardiac disease; absence of specialist cardiac input despite availability; and placement on general ward r…

general surgeryanaesthesiadiagnosticcommunication
WAhospital2013-11-11

Inquest into the Death of Kerr

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

… the deceased suffered an acute myocardial infarction intraoperatively or shortly thereafter, leading to pulmonary oedema, respiratory failure, and cardiac arrest. The coroner found no evidence that different management…

general surgeryanaesthesiacommunicationsystemglyceryl trinitrate
NT2015-08-14

Inquest into the death of Perry Langdon

59y · Male·idiopathic dilated cardiomyopathy (probably alcohol related)

…police watch house following arrest for the minor offence of drinking in a designated public place. He had severe, documented cardiac disease (cardiomegaly, heart failure) and had been hospitalized twice for cardiac-rela…

emergency medicinecardiologysystemcommunication
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately in…

forensic medicinegeneral practicesystemdelaybenzodiazepines
SAhospital2007-08-02

Coroner's Finding: GILLAM Peter Roy

44y · Male·Sepsis and pulmonary thromboemboli complicating a ruptured cerebral artery aneur…

Peter Gillam, age 44, died from sepsis and pulmonary thromboemboli complicating a ruptured cerebral aneurysm with subarachnoid haemorrhage (SAH). On 16 Decem…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
WAhospital2023-11-02

Inquest into the Death of Bradley James Raymond STINSON

66y · Male·Cardiac arrhythmia in a man with arteriosclerotic cardiovascular disease, pulmon…

…and alcohol use, died from cardiac arrhythmia in the setting of arteriosclerotic cardiovascular disease, pulmonary thromboembolism, and metastatic pancreatic cancer. While the coroner found medical care during imprisonm…

palliative careoncologyproceduralsystemoxycodone
VIChospital2025-12-01

Finding into death of Larelle Sheridan Dean

51y · Female·Multiorgan failure in the setting of WHO Class III obesity, chronic excessive al…

…linical management at any facility contributed to her death. Clinical lessons include early recognition of severe obesity as a risk factor for complications, careful opioid dosing in this population, and timely escalatio…

general medicineemergency medicinehydromorphone
QLDhospital2013-04-16

Hornby, Geoffrey John

58y · Male·Respiratory failure due to or as a consequence of Chronic Obstructive Pulmonary …

…nition and response. Expert opinion concluded the delay was unlikely to have changed the outcome given his severe comorbidities.

respiratory medicineemergency medicinecommunicationdelaysalbutamol
VIChospital2018-05-28

Finding into death of Kevin Patrick O'Keeffe

82y · Male·Cardiomegaly, myocardial fibrosis and ischaemic coronary artery disease in the c…

…tating emergency surgery. He subsequently died from multi-organ failure in the context of his pre-existing severe cardiovascular disease (cardiomegaly, myocardial fibrosis, triple-vessel ischaemic coronary disease). The …

gastroenterologysurgeryproceduralcommunicationnoradrenaline
VICaged care2019-10-14

Finding into death of Grant White

65y · Male·Cardiomegaly

Grant White, a 65-year-old man with cardiomegaly and severe mitral regurgitation living in Department of Health and Human Services disability accommodation, died from…

cardiologygeneral practicesystemcommunicationhaloperidol
VIChospital2020-01-31

Finding into death of Brett Maybus

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…

cardiothoracic surgeryoncologycommunicationsystem
QLDcommunity2010-09-16

Petersen, David Robert

35y · Male·intra-abdominal haemorrhage caused by ruptured spleen

… disease, cirrhosis, hepatitis C and other comorbidities presented to his GP on 24 January 2007 with acute severe chest pain, profuse sweating, shaking, vomiting and a history of passing black blood per rectum. Examinati…

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
NSWhospital2010-09-02

Coxell 2011 06 14 12 32 04 475

61y · Male·cardiac tamponade caused by aortic dissection due to hypertension

Harry Coxell, a 61-year-old man with hypertension, presented to Blacktown Hospital with severe sudden-onset chest pain on 31 October 2006. The Emergency …

emergency medicinecardiologydiagnosticproceduralglyceryl trinitrate
TAShome2024

Coroner's Finding: Heraghty, Susanna Elizabeth

68y · Female·mixed prescription drug toxicity (oxycodone, metoprolol, diazepam)

…68-year-old woman with multiple comorbidities including obesity (BMI 47.3), atrial fibrillation, COPD, and severe chronic pain, died from mixed prescription drug toxicity (oxycodone, metoprolol, diazepam) following suici…

orthopaedic surgeryanaesthesiaoxycodone
WAhospital- 27 May 2014

Inquest into the Death of Julissa Teresa GILBERT

57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …

A 57-year-old woman with COAD, hypertension, and unrecognized severe coronary atherosclerosis presented with appendicitis. Surgery was performed by…

anaesthesiasurgerydiagnosticcommunicationaramine
VIChospital2019-01-24

Finding into death of Bryan Lindsay Cleeman

86y · Male·Complications post laparoscopic cholecystectomy

…d cholecystitis underwent laparoscopic cholecystectomy on 2 October 2015, forty-two hours after admission. Severe bleeding from hepatic arterial branches required conversion to open surgery, CPR, and massive transfusion.…

general surgeryanaesthesiadelayasasantin

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