Coronial

1,010 results for pain

Export CSV (1,010)
QLDhospital2016-07-08

Talbot, James Patrick

87y · Male·Strangulated small bowel due to adhesions from previous abdominal surgery

An 87-year-old man with diabetes, hypertension and dementia was admitted with presumed UTI and dehydration. Within 24 hours, nursing staff observed a distended abdomen and bile-stained vomiting—clinical signs of bowel ob…

general medicinenephrologydiagnosticcommunicationondansetron
SAhome2002-07-11

Coroner's Finding: TAYLOR Yutta

47y · Female·serotonin syndrome due to combined toxicity of moclobemide and paroxetine

…lures included: a locum doctor's misdiagnosis of UTI when she presented with fever, sweating, and abdominal pain (actually serotonin syndrome); a GP switching her from one SSRI to MAOI without adequate washout warning or…

general practicepsychiatrydiagnosticmedicationmoclobemide
WAhospital2009-09-30

Inquest into the Death of Watmore

17y · Male·fatal asphyxia resulting from severe upper airway obstruction secondary to acute…

…8 August 2008 while being treated for acute tonsillitis. He presented to ED on 27 August with severe throat pain and was prescribed morphine via patient-controlled analgesia by telephone without medical review for over 5…

emergency medicinegeneral practicediagnosticcommunicationmorphine
VIChome2010-11-05

Finding into death of Veronica Therese Campbell

38y · Female·complications following a ruptured ectopic pregnancy

…8 from complications of a ruptured ectopic pregnancy. She presented to Cobram District Hospital with severe pain and was diagnosed with a possible ectopic pregnancy requiring urgent transfer to Goulburn Valley Hospital. …

emergency medicineobstetricscommunicationdelaymorphine
NSWhospital2022-05-30

Inquest into the death of Alex BRAES

18y · Male·Multi organ failure due to sepsis from a Group A streptococcus infection

…Group A streptococcus sepsis. He presented to Broken Hill Base Hospital three times over 24 hours with knee pain that progressed to sepsis. Critical clinical lessons include: (1) the dangerous Business Rule that discoura…

emergency medicineinfectious diseasessystemdelayceftriaxone
VIChome2025-09-02

Finding into death of Mr IKL

29y · Male·Mixed drug toxicity (gabapentin, codeine, diazepam, oxycodone, doxylamine, prome…

A 29-year-old man died from mixed drug toxicity involving multiple CNS depressants. His GP, Dr X, had maintained an inappropriate three-year sexual relationship with the patient while prescribing escalating doses of opio…

general practicepsychiatrydiagnosticmedicationgabapentin
SAcommunity2017-05-29

Coroner's Finding: WESTWOOD John Laurence

63y · Male·neck compression due to hanging

A 63-year-old man with treatment-resistant depression died by hanging. His wife had been maintaining a 'suicide watch' for six weeks prior to his death and telephoned his GP on the morning of his final appointment, expli…

general practicepsychiatrydiagnosticcommunicationmorphine
NSW2024-05-21

Inquest into the death of Mohamed Warwar

35y · Male·cardiac arrhythmia with amisulpride toxicity, and myocarditis being contributory…

…00mg on 20 October. On 22-23 October, Warwar made three knock-up calls reporting severe distress, neck/back pain, and hallucinations. Both nurse and correctional officer failures occurred: nurses did not attend despite b…

psychiatrycardiologycommunicationdiagnosticamisulpride
QLDhospital2018-07-09

AD - Non-inquest findings

75y · Male·Multi-organ failure secondary to cardiogenic shock and anterior myocardial infar…

A 75-year-old man presented to a tertiary hospital ED with acute anterior STEMI but diagnosis was delayed by approximately 10 hours. The first hospital ECG at 6:47am showed diagnostic ST elevation but was not recognised …

emergency medicinecardiologydiagnosticcommunicationmorphine
QLDhospital2015-08-28

Wright, Verris Dawn; Carter, Jasmyn Louise

Female·Verris Dawn Wright: septic shock due to small bowel ischaemia secondary to small…

… in recognising clinical deterioration in rural hospital patients. Mrs Wright, 86, presented with abdominal pain and a low temperature (early sepsis), but staff did not escalate when she deteriorated over four hours. No …

emergency medicinegeneral practicediagnosticcommunication
VIChospital2014-04-17

Finding into death of Gail Fergusson

65y · Female·Liver failure secondary to paracetamol toxicity

…tired nurse died from paracetamol toxicity and liver failure after taking excessive paracetamol tablets for pain relief following a fractured arm. She presented to hospital on Saturday with a fracture. Critical pathology…

emergency medicineendocrinologycommunicationsystemparacetamol
NSWhospital2012-11-01

Michelle Mcilquham Findings

28y · Female·acute streptococcus pneumonia meningitis with left-sided otitis media as anteced…

…sented to Bankstown Hospital Emergency Department with a first-time seizure, fever, severe headache and ear pain. Despite multiple clear danger signs and repeated nursing escalations of concern, the junior doctor diagnos…

emergency medicinediagnosticcommunication
SAhospital2018-05-23

Coroner's Finding: LA BELLA Claudia

28y · Female·aspiration of gastric contents complicating laxative abuse

…g a RAH admission, a CT scan revealed dozens of tablets in her stomach, but staff accepted her explanation (pain medication). The diagnosis of eating disorder was not pursued despite severe weight loss, dehydration, and …

general practicegeneral medicinediagnosticcommunicationbisacodyl
NSW2025-08-22

Inquest into the death of Michael Black

33y · Male·stab wound to the chest

Michael Black, a 33-year-old First Nations man, died from a stab wound to the chest while detained at Parklea Correctional Centre on 22 April 2020. He was stabbed by fellow inmate Emmett Sheard in a crowded holding cell …

correctional healthaddiction medicinediagnosticsystembuprenorphine
QLDrural hospital2020-05-08

FD - Non-inquest findings

68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…

…2018. She presented to a rural hospital 5.5 hours post-discharge with fever, nausea, vomiting and abdominal pain. Critical failures included: failure to recognise sepsis despite elevated lactate (2.98), elevated WCC and …

gastroenterologyemergency medicinediagnosticcommunicationaugmentin duo
QLDhospital2015-07-27

KS - Non-inquest findings

69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…

A 69-year-old man with a history of myocardial infarction and atrial fibrillation presented to a rural hospital with fever, lethargy, tachycardia and elevated troponin. The treating doctor diagnosed NSTEMI based on the e…

emergency medicinecardiologydiagnosticmedicationrivaroxaban
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)

…d analgesia. By 23 August 2023, the wound was severely infected and malodourous with Mrs Crowther in severe pain—a critical moment when hospital referral should have occurred. Poor communication about goals of care, inad…

geriatric medicineplastic and reconstructive surgerydiagnosticcommunicationhydrozole cream
NThome2010-01-19

Inquest into the death of Deborah Leanne Melville

12y · Female·acute septicaemia resulting from osteomyelitis of the left femur

… severe and deteriorating illness including inability to walk, uncontrollable defecation/urination, extreme pain, delirium and fever, her foster carers failed to seek medical attention. The Department of Families and Chi…

orthopaedic surgeryinfectious diseasesdiagnosticsystem
WAhospital2023-05-26

Inquest into the Death of Jacob George Isaac TAULELEI

28y · Male·Multiple injuries sustained when struck by a freight train

Jacob Taulelei, a 28-year-old man with long-standing depression, anxiety, and suicidal ideation, presented to St John of God Hospital on 5 February 2020 expressing intent to jump in front of a train. Despite being assess…

psychiatryemergency medicinediagnosticcommunicationduloxetine
NSWhospital2023-08-21

Inquest into the death of Maureen Smith

75y · Female·Septicaemia (Staphylococcus aureus) with antecedent cause of septic arthritis

A 75-year-old woman with chronic pain and previous staphylococcal infections presented to Glen Innes District Hospital with a swollen, warm right…

orthopaedic surgeryemergency medicinediagnosticcommunicationcorticosteroid injections

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.