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SAhospital2019-08-30

Coroner's Finding: SCHULZE Brian John

68y · Male·Ischaemic heart disease (operated); severe native coronary artery atheroma with …

Brian John Schulze, aged 68, died of ischaemic heart disease (operated) while subject to a Mental Health Act inpatient treatment order at Flinders Medical Centre. He presented with falls, confusion, and agitation followi…

cardiologypsychiatrymorphine
SAhospital2019-06-21

Coroner's Finding: COOK Janet Ann

79y · Female·multi-organ failure as a result of ischaemic and valvular heart disease with uri…

Janet Ann Cook, aged 79, died of multi-organ failure complicated by hydromorphone toxicity on 30 September 2015. She was mistakenly administered 16mg hydromorphone intended for another patient (room 28 vs room 26) on 21 …

cardiologypalliative caremedicationcommunicationhydromorphone
SAhome2019-06-12

Coroner's Finding: APOSTOLIDIS Jack

64y · Male·Multi organ failure due to metastatic adenocarcinoma of the lung

A 64-year-old man died of multi-organ failure secondary to metastatic adenocarcinoma of the lung while serving a sentence on home detention. He had a significant cardiac history including bypass surgery and stent placeme…

oncologypalliative carechemotherapy
SAhospital2019-06-12

Coroner's Finding: CHEETHAM Robert Boyd

84y · Male·dilated cardiomyopathy with cardiomegaly due to pulmonary hypertension and valvu…

An 84-year-old man with advanced cardiac disease (dilated cardiomyopathy, pulmonary hypertension, atrial septal defect) and chronic schizophrenia died of natural causes while subject to a Mental Health Act detention orde…

cardiologypsychiatry
SA2019-06-12

Coroner's Finding: WRIGHT Martin Norman

59y · Male·Chronic liver disease due to alcoholism and chronic hepatitis C infection with c…

Martin Norman Wright, aged 59, died in Yatala Labour Prison on 26 August 2015 from chronic liver disease due to alcoholism and chronic hepatitis C infection, with contributing ischaemic heart disease and chronic obstruct…

emergency medicinegeneral medicinewarfarin
SA2019-05-14

Coroner's Finding: ABDULLA Gilbert William Victor

31y · Male·ischaemic heart disease

A 31-year-old male prisoner with significant pre-existing cardiac disease (previous myocardial infarction with stenting, cardiomegaly, left ventricular hypertrophy, coronary atherosclerosis) and poorly controlled diabete…

cardiologyemergency medicine
SAhospital2019-05-08

Coroner's Finding: CATINO Giovanni

91y · Male·ischaemic and hypertensive heart disease

Giovanni Catino, aged 91, died of ischaemic and hypertensive heart disease while detained under a Mental Health Act inpatient treatment order at Repatriation General Hospital. He had advanced Alzheimer's dementia with be…

psychiatrygeriatric medicineclonazepam
SAaged care2019-04-15

Coroner's Finding: CATALANO Fernanda

85y · Female·ischaemic heart disease with renal failure

Fernanda Catalano, 85 years old, died of ischaemic heart disease with renal failure at Lyell McEwin Hospital. She had suffered an unwitnessed fall at her aged care facility on 20 April 2016, was transferred to hospital w…

geriatric medicineemergency medicinequetiapine
SAhospital2018-12-06

Coroner's Finding: RUSSELL Michael John and GRAHAM Leslie Robert

Unknown·Michael Russell: intracranial haemorrhage complicating surgery for right cerebra…

Two patients died following stroke interventions on 18 April 2017 at the Royal Adelaide Hospital. Michael Russell (60) died from intracranial haemorrhage following vessel perforation during thrombectomy for acute coronar…

radiologyneurologycommunicationsystemticagrelor
SAhospital2018-07-12

Coroner's Finding: MITCHELL Wayne Brian

49y · Male·ischaemic heart disease with coronary artery thrombosis (left main stem coronary…

Wayne Mitchell, a 49-year-old man, presented to a clinic with acute chest pain radiating to his jaw, accompanied by dizziness, diaphoresis, and dyspnoea. His symptoms resolved before ambulance arrival. The paramedics per…

cardiologyemergency medicinediagnosticcommunication
SAaged care2018-04-26

Coroner's Finding: MAHERAS Haralambos

74y · Male·ischaemic heart disease; acute myocardial infarction due to significant atherosc…

A 74-year-old man with severe dementia died suddenly of ischaemic heart disease while detained at a secure mental health residential facility. He had been transferred to Clements House after his severe behavioural distur…

geriatric medicinepsychiatryclonazepam
SAaged care2018-04-26

Coroner's Finding: MCKENNA Joseph

83y · Male·cholangiocarcinoma on a background of advanced dementia and ischaemic valvular a…

Joseph McKenna, 83 years old, died of cholangiocarcinoma with advanced dementia and cardiac disease at an aged care facility where he was detained under a guardianship order. He was appropriately managed with palliative …

geriatric medicinepalliative care
SAhospital2018-03-29

Coroner's Finding: BUTSON Graham Joseph

81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…

Graham Joseph Butson, aged 81, died from aspiration of gastric contents complicating undiagnosed metastatic lung cancer with brain metastases. He presented with confusion, agitation and atrial fibrillation; a lung mass w…

orthopaedic surgerygeneral medicinesystemwarfarin
SAhospital2018-03-02

Coroner's Finding: ZERK Ike Jordan

14y · Male·ventricular arrhythmia on a background of congenital aortic valve disease

A 14-year-old boy with congenital aortic stenosis collapsed and died from ventricular arrhythmia during football training in March 2015. He had undergone aortic valve repair in 2006 and was under long-term cardiology fol…

cardiologycardiothoracic surgerycommunicationsystem
SAhospital2017-08-25

Coroner's Finding: KELBIN William Thomas

81y · Male·gastrointestinal haemorrhage and multi-organ failure on a background of severe d…

William Thomas Kelbin, aged 81, died from gastrointestinal haemorrhage and multi-organ failure on a background of severe dementia. He had been placed under guardianship with detention powers after becoming unable to self…

geriatric medicinegeneral medicine
SAaged care2017-08-25

Coroner's Finding: RAMM Gladys Maud

92y · Female·heart failure secondary to aortic stenosis, anaemia, atrial fibrillation and isc…

A 92-year-old woman with multiple comorbidities (aortic stenosis, anaemia, atrial fibrillation, ischaemic heart disease) died of heart failure four days after admission to aged care. She had been hospitalised for three m…

geriatric medicinegeneral practicefurosemide
SAhospital2017-08-25

Coroner's Finding: WARNE Garry Robert

58y · Male·pneumonia on a background of adenocarcinoma of the lung stage 4, ischaemic heart…

58-year-old male prisoner died from pneumonia complicated by stage 4 lung adenocarcinoma, ischaemic heart disease, and chronic emphysema. He presented with critical leg ischaemia requiring femoral endarterectomy, develop…

vascular surgerycardiology
SAhospital2017-08-10

Coroner's Finding: HERCZEG Stephen

72y · Male·Bilateral pneumothoraces and pneumoperitoneum due to insufflation of the bladder…

Stephen Herczeg, a 72-year-old patient with COPD and urinary tract infection, died from bilateral pneumothoraces and pneumoperitoneum caused by insufflation of his bladder with oxygen. The oxygen supply tubing was someho…

respiratory medicineemergency medicinecommunicationmedicationoxygen
SA2017-07-27

Coroner's Finding: DICKINSON Raymond George

64y · Male·hypertensive and valvular heart disease

A 64-year-old man died in custody from hypertensive and valvular heart disease. He had pre-existing cardiac disease diagnosed in 2008, including mild aortic stenosis and left ventricular hypertrophy, managed in the commu…

cardiologygeneral practiceaspirin
SAhospital2017-04-19

Coroner's Finding: ANNS William James

69y · Male·end-stage interstitial lung disease and chronic congestive cardiac failure

A 69-year-old male Vietnam veteran with end-stage interstitial lung disease, biventricular heart failure, ischaemic heart disease, diabetes, and chronic renal impairment died at Flinders Medical Centre. He had a history …

cardiologyrespiratory medicine
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