Coronial

191 results for acute kidney injury

TAShospital2017-04-19

Coroner's Finding: Sheedy, Barbara

77y · Female·Large acute subdural haemorrhage leading to uncal herniation subsequent to an ac…

Barbara Sheedy, 77, died from acute subdural haemorrhage following an accidental fall in hospital. She fell while using a wheeled walker and i…

emergency medicinegeneral medicinediagnosticdelaytemazepam
ACThospital2019-11-04

Inquest into death of JEFFREY BROWN

72y · Male·Haemopericardium due to anti-coagulation treatment for pulmonary thromboemboliti…

…mboembolism. Post-mortem examination revealed fibrinous pericarditis (a known post-CABG complication) with acute bleeding into the pericardium causing cardiac tamponade. Although the family raised concerns about delayed…

cardiothoracic surgerycardiologywarfarin
SAaged care2026-02-12

Coroner's Finding: D Angelo, Adelina

88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…

An 88-year-old woman with Lewy body dementia, Parkinson's disease and congestive cardiac failure died from acute kidney injury precipitated by severe dehydration in aged care. June 2020 blood tests showed mild hypernatr…

general practicegeriatric medicinediagnosticcommunicationfurosemide
WAhospital2021-08-06

Inquest into the Death of Alex Carl MILLS

76y · Male·Sepsis, with osteomyelitis and infective endocarditis

…psis education and standardised deterioration protocols for the prison infirmary to improve recognition of acutely unwell patients.

infectious diseasescardiologydiagnosticdelayprednisolone
VIChospital2014-03-27

Finding into death of Lee Isabell Mills

52y · Female·Renal Failure Complicating Urosepsis in a Woman with Down Syndrome (Palliated)

… home, and was transported to hospital the following morning. She was diagnosed with E. coli urosepsis and acute-on-chronic renal failure, treated with antibiotics and hydration, but her organs failed despite active man…

emergency medicinegeneral medicineparacetamol
VIChospital2024-11-29

Finding into death of Michael King

59y · Male·Aspiration pneumonia secondary to recurrent anal squamous cell carcinoma with su…

Michael King, 59, died from aspiration pneumonia secondary to recurrent anal squamous cell carcinoma following total pelvic exenteration surgery in December 2021. He was admitted to Dandenong Hospital with vomiting, leth…

oncologyintensive care
VIChospital2022

Finding into death of Ms S

63y · Female·Sepsis complicating cellulitis following skin cancer excision and skin graft pro…

…r limb cellulitis. Despite appropriate intravenous antibiotics, she deteriorated with secondary myocardial injury and was transitioned to palliative care. The Coroner's Prevention Unit reviewed the case and found the GP'…

general practiceplastic and reconstructive surgeryantibiotics
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

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

77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…

cardiologycardiothoracic surgerydiagnosticproceduralramipril
VIChospital2014-09-12

Finding into death of Nola Margaret Moxon

77y · Female·Venlafaxine toxicity in a woman with severe renal impairment and depression

77-year-old woman admitted to psychiatric ward with severe depression and catatonic features. Despite documented severe renal impairment and dehydration on admission, no medical review occurred over the weekend prior to …

psychiatrygeriatric medicinecommunicationsystemvenlafaxine
VIChospital2025-08-20

Finding into death of Arnold Polis

68y · Male·Community acquired chest infection secondary to C6 quadriplegia secondary to rem…

…ted by heart failure. He had recurrent respiratory and urinary tract infections related to his spinal cord injury. In May-June 2024, he presented with urinary tract infection, pertussis-associated respiratory infection, …

general medicinepalliative care
NSWhospital2015-12-02

Inquest into the death of Dr Peter Domachuk

33y · Male·presumed fatal cardiac arrhythmia in the presence of coronary artery atheroscler…

Dr D., a 33-year-old physicist, was admitted to Hornsby Hospital on 27 December 2012 with abdominal pain, nausea, vomiting and joint pain. His presentation included hypotension (97/61), tachycardia (116/min), hyponatraem…

emergency medicinegeneral medicinecommunicationsystemdiclofenac
VIChospital2021-09-16

Finding into death of Anthony Swaney

58y · Male·Acute renal failure in the setting of pneumonia and acute bronchitis

Anthony Swaney, 58, died from acute renal failure in the setting of pneumonia and acute bronchitis following multi-organ failure. He had compl…

general medicinegeriatric medicine
WAcommunity2020-08-18

Inquest into the Death of Jessica Lesley JACKSON

18y · Female·multi-organ failure due to combined effects of environmental exposure (hyperther…

…ing on the morning of her weigh-in and died 72 hours later in ICU. Key clinical lessons: weight-cutting by acute water loss is extremely dangerous and can cause fatal heatstroke and organ failure, particularly in young …

emergency medicinesports medicinediagnosticsystem
NSW2018-10-26

Inquest into the death of Mahmoud Houri

27y · Male·multiple organ failure due to the consequences of multiple gunshot wounds to the…

Mahmoud Houri died aged 27 in custody from multiple organ failure, a consequence of gunshot wounds sustained in 2002. The inquest examined whether appropriate care was provided on 21 August 2008 when he presented with vo…

general surgerygastroenterologymetoclopramide
VIChome2025-02-27

Finding into death of Shayn Nathan Darmanin

43y · Male·Mixed drug toxicity (methadone, synthetic cannabinoids (5f-cumyl-pinaca and cumy…

…nical lessons include: recognising that synthetic cannabinoids carry significant risks including seizures, acute kidney injury, and myocardial infarction; understanding that patients with epilepsy who are inconsistent w…

toxicologypsychiatrymethadone
VIChospital2018-06-14

Finding into death of Ian John Gilbert

77y · Male·Complications of methotrexate toxicity in a man with chronic renal impairment, c…

A 77-year-old man with chronic kidney disease, COPD, and mild cardiac failure died from methotrexate toxicity after a GP prescribed it at an ina…

general practicepharmacydiagnosticmedicationmethotrexate
VIChospital2023-10-02

Finding into death of Trevor James Bayldon

55y · Male·Bronchopneumonia in a man with functional decline and trisomy 21

Trevor Bayldon, a 55-year-old man with Down syndrome, dementia, and epilepsy, died from bronchopneumonia at St Vincent's Hospital. He presented with respiratory distress and altered consciousness after functional decline…

emergency medicinepalliative care
VIChospital2025-10-15

Finding into death of Gary William Bruce

71y · Male·Complications following a right hepatic artery injury following an open cholecys…

…r-old man with myelofibrosis and prior abdominal surgery died from complications of a right hepatic artery injury during open cholecystectomy for acute cholecystitis. The operative decision was reasonable and the intraop…

general surgeryanaesthesiacommunicationsystem
NSWcommunity2016-01-29

Jimmy JAMES - Findings

44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)

… of septic shock (tachypnoea, hypoxia, hypotension, hypothermia, elevated lactate 12.7 mmol/L, leukopenia, acute kidney injury) but was managed on a trauma pathway focusing on traumatic injuries rather than the underlyi…

emergency medicineintensive carediagnosticmedicationceftriaxone
SAhospital2020-07-16

Coroner's Finding: HARVEY Lawrence George

85y · Male·end stage dementia

Lawrence George Harvey, aged 85, died from end-stage dementia while lawfully detained under the Mental Health Act at Noarlunga Hospital. He had experienced progressive dementia since 2013 with increasing aggression, requ…

geriatric medicinepsychiatryrisperidone
145610

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