Coronial

109 results for type 1 diabetes

VIChospital2014-05-28

Finding into death of Margaret Webber

48y · Female·Aspiration of stomach contents and pneumonia, following cardiac arrest

Margaret Webber, aged 48, with cerebral palsy and diabetes, died from aspiration of stomach contents and pneumonia. She presented to hospital with diabetic ketoacid…

emergency medicineendocrinologyinsulin infusion
VIChospital2025-10-28

Finding into death of Christopher Gerard McIntosh

54y · Male·Respiratory failure secondary to prolonged ventilation for management of sepsis …

Christopher McIntosh, a 54-year-old man with Type II diabetes and chronic foot ulcers, died from respiratory failure secondary to sepsis arising from an infe…

infectious diseasesvascular surgerydiagnosticsystemantibiotics
VIChospital2015-09-27

Finding into death of Peter Heng Dowe Chiam

77y · Male·Cerebral infarction (stroke) complicating elective hernia repair

A 77-year-old man with atrial fibrillation on warfarin underwent elective hernia repair. Warfarin was appropriately ceased five days pre-operatively. Post-operatively, warfarin was recommenced on day 1 post-op at 5pm. He…

cardiothoracic surgeryanaesthesiacommunicationsystemwarfarin
NSWhospital2025-05-28

Inquest into the Death of Garry Small

71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …

A 71-year-old man with diabetes, ischaemic heart disease and osteomyelitis presented with fever and hypoglycaemia. He met Red Zone sepsis…

emergency medicinegeriatric medicinemedicationdelayceftriaxone
VIChospital2025-08-19

Finding into death of Con Koumis

43y · Male·complications of decompensated liver failure due to occult sepsis and retroperit…

Con Koumis, a 43-year-old man with beta-thalassaemia major requiring regular blood transfusions, died from decompensated liver failure complicated by occult sepsis and retroperitoneal haemorrhage. He was remanded in cust…

haematologyhepatology
NSW2024-05-17

Inquest into the death of Vicki Higgins

48y · Female·Ischaemic bowel; coronary artery disease, diabetes mellitus and Crohn's disease …

Ms Vicki Higgins, a 48-year-old woman with diabetes, Crohn's disease (with prior colectomy and ileostomy), and coronary artery disease, died from ischaemic b…

general practicegastroenterologydiagnosticcommunicationinsulin
VICmental health2014-02-10

Finding into death of Frank (Francesco) Sette

72y · Male·Cranial fracture and intracranial haemorrhage from self-inflicted fall

Frank Sette, a 72-year-old man with longstanding schizophrenia, died from a cranial fracture and intracranial haemorrhage sustained when he deliberately threw himself backwards onto the floor of a psychiatric ward. He wa…

psychiatrygeriatric medicinesodium valproate
TAScommunity2019-11-21

Coroner's Finding: Martin, Jack Hedley

76y · Male·Sepsis due to pulmonary valve endocarditis and cardiac abscess due to Staphyloco…

A 76-year-old man died from sepsis caused by Staphylococcus aureus endocarditis and cardiac abscess. An intravenous cannula inserted during day surgery on 29 November 2018 was not removed before discharge, despite hospit…

general surgeryemergency medicineproceduralsystem
WAhospital2023-11-29

Inquest into the Death of Samuel Edward ASHBY

46y · Male·Aspiration pneumonia in an obese man with a history of diabetes mellitus, obstru…

Samuel Edward Ashby, a 46-year-old prisoner with treatment-resistant schizophrenia, died from aspiration pneumonia complicated by clozapine effect. Key clinical lessons: (1) smoking cessation dramatically increases cloza…

psychiatrygeneral medicinediagnosticsystemclozapine
VICcommunity2024-03-15

Finding into death of Colleen Mary South

58y · Female·Unascertained

Colleen Mary South, aged 58, was found deceased on 8 August 2022 under a tree in a remote rural paddock in Bunguluke, Victoria, approximately 1.5 kilometres from her abandoned vehicle. She had a significant psychiatric h…

psychiatryemergency medicinesystemdelayaripiprazole
QLD2016-07-06

Mickelo, Garnett Allan

48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)

Garnett Mickelo, aged 48, died from myocardial infarction due to coronary atherosclerosis while in custody at Woodford Correctional Centre on 24 November 2012, shortly after discharge from Princess Alexandra Hospital fol…

cardiologycardiothoracic surgerymedicationcommunicationisosorbide mononitrate
VICmental health2019-09-19

Finding into death of Vanna Vassallo

68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall

Vanna Vassallo, a 68-year-old with schizophrenia, chronic comorbidities and documented high fall risk, died from complications of a subdural haemorrhage sustained in a fall at an aged mental health inpatient unit. She ha…

psychiatrygeriatric medicinepossibly_preventablefluphenazine decanoate
QLDprison2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

…vember 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabetes, obesity, and hypertension. Clinical lessons include: (1) the critical importance of systematic deteriora…

emergency medicinecardiologydiagnosticcommunicationaspirin
TAS2017-06-30

Coroner's Finding: Monson, Troy Colin; Michael, Robin and Mitchell, Scott Clifford

Unknown·Troy Monson: asphyxia due to partially suspended hanging using seatbelt; Robin M…

This inquest examined three deaths in Tasmanian custody: Troy Monson (asphyxiation in prison van during transport in June 2015), Robin Michael (hanging in prison cell June 2015), and Scott Mitchell (cardiac arrhythmia fr…

psychiatrypsychologydiagnosticsystemolanzapine
QLDaged care2024-08-15

Non-inquest findings into the death of Charlotte Paluszak

84y · Female·Complications associated with Diabetes Mellitus (likely hyperosmolar hyperglycae…

…aluszak, 84, died at a residential aged care facility after rapid deterioration from complex dementia and diabetes. On 10 November 2017, she developed acute semiconsciousness and agitation. The clinical nurse consultant …

geriatric medicinepalliative caremedicationdiagnosticmorphine sulphate
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

…age of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural tap procedures performed 7 February 2003, trauma to intercostal vessels led to bleeding i…

cardiologycardiothoracic surgerydiagnosticproceduralramipril
VIChome2015-03-18

Finding into death of Christopher John Dokos

45y · Male·Complications of heat stroke in a man with schizophrenia

Christopher Dokos, a 45-year-old man with schizophrenia on Clozapine treatment, died during the extraordinary January 2014 Victorian heatwave. He had multiple heat-vulnerability risk factors: mental illness, antipsychoti…

psychiatrygeneral practicesystemdelayclozapine
TAS2024-10-31

Coroner's Finding: Searle, Fiona

51y · Female·traumatic closed head injuries sustained after falling from a ramp into a sunken…

Fiona Searle, 51, died from traumatic closed head injuries sustained when her electric wheelchair fell from a ramp into a sunken sitting area at Glenorchy Primary School on 1 May 2021. Ms Searle was an experienced wheelc…

systempregabalin
VIChospital2023-10-25

Finding into death of Bernice Snell

74y · Female·Cardiac arrest due to pulmonary embolism secondary to deep venous thrombosis

A 74-year-old woman presented to ED with left leg swelling and calf pain. She was triaged as category 4 and seen by a doctor after a 4-hour 24-minute delay due to staff shortages and access block. A D-Dimer test showed e…

emergency medicinevascular surgerydelaysystemenoxaparin
WAmental health2019-05-22

Inquest into the Death of Pamela Edith ASHLEY

64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…

A 64-year-old woman with bipolar disorder, severe obstructive sleep apnoea, obesity and diabetes presented with acute psychotic relapse following stress and sleep deprivation. Initially admitted to ED w…

psychiatryemergency medicinecommunicationsystemchlorpromazine

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