Coronial

119 results for acute respiratory distress

VIChospital2024-11-29

Finding into death of Michael King

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

…ement, he was transferred to Peter MacCallum Cancer Centre for ongoing management. He deteriorated with respiratory distress, pulmonary embolism and ureteric obstruction, and was transitioned to palliative care. The cor…

oncologyintensive care
NSWhospital2026-02-26

Inquest into the death of Jeremy Webb

16y · Male·Anaphylaxis due to mammalian meat allergy after tick bite, causing an acute exac…

…ed) which triggered status asthmaticus. He had experienced red meat reactions since age 10 and a severe respiratory event in April 2021 that was diagnosed as asthma without consideration of anaphylaxis. This represented…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline
WA2017-05-12

Inquest into the Death of Arulselvam VELMURUGU

35y · Male·bronchial asthma

A 35-year-old man with mild asthma died from severe bronchial asthma within hours of arriving at a Christmas Island immigration detention centre. He was initially identified as asthmatic at the jetty but not transferred …

emergency medicinegeneral practicecommunicationsystemsalbutamol
NSWhospital2018-10-16

Inquest into the death of Basilio Alesandro Petsas

54y · Male·Unascertained

A 54-year-old man with HIV, hepatitis C, cirrhosis, and significant immunocompromise presented with acute sepsis on 23 December 2016. Despite rapid ambulance response with sepsis protocol initiation and ICU-level…

infectious diseasesemergency medicinedelaymethamphetamine
VIChospital2025-06-02

Finding into death of Julie Elizabeth Bruton

58y · Female·Aspiration pneumonia in association with rapidly progressive frontotemporal deme…

…gressive frontotemporal dementia and malnourishment. She was admitted to hospital on 17 December 2023 with acute respiratory distress and died three days later. The coroner found the care provided by her disability supp…

palliative caregeriatric medicine
VIChospital2021-03-26

Finding into death of Resel Juerchott

59y · Female·Aspiration pneumonia in the setting of Down's syndrome

…26 May and was kept nil by mouth pending speech pathology review. She deteriorated with tachycardia and respiratory distress, was transitioned to palliative care and died on 28 May. The case illustrates the high aspirat…

geriatric medicineinfectious diseases
QLD2018-02-06

Murray, Eric James

69y · Male·Ischaemic cardiomyopathy due to or as a consequence of coronary atherosclerosis …

…iple coronary bypass in 2000), Type 2 diabetes, hypertension, hyperlipidaemia, and morbid obesity, died of acute myocardial infarction while in custody at Wolston Correctional Centre. He was found in respiratory distres…

cardiologyendocrinology
WAhospital2013

Inquest into the Death of Williams, Ronald Graham

52y · Male·Coronary Atherosclerosis

…ncy response, appropriate escalation to ambulance transport, and skilled clinical interventions during the acute event exemplified good practice. The death was from natural causes related to extensive underlying coronar…

emergency medicinecardiology
SAhospital2019-05-31

Coroner's Finding: CHAPLIN Gray Clyde

81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…

…anagement, and transfer to major trauma centres due to high mortality risk from complications including respiratory failure, pneumonia, and multi-organ failure.

general practiceemergency medicinediagnosticdelaymorphine sulphate
SAhospital2005-08-11

Coroner's Finding: BEGBIE Peter John

41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…

…to RAH. He absconded after 24 hours, returning to the community in a delirious state due to sepsis-induced acute organic brain syndrome. He was appropriately detained under the Mental Health Act to ensure treatment, re-…

cardiothoracic surgerygeneral medicinediagnosticantibiotics
WAhospital2017-03-21

Inquest into the Death of Masaly MOSBY

0y · Female·acute necrotising pneumonia

Masaly Mosby, a 36-day-old Aboriginal infant, died from acute necrotising pneumonia after presenting to Broome Hospital Emergency Department three times in four days bu…

emergency medicinepaediatricsdiagnosticsystemparacetamol
WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

…oncluded his death arose from natural causes, most likely sudden arrhythmia secondary to extreme physical distress from tardive dyskinesia.

general practicepsychiatrythioridazine
NSW2021-03-11

Inquest into the death of Nathan REYNOLDS

36y · Male·bronchial asthma

…d rigid procedures requiring three officers before medical assistance was called, absence of specialist respiratory input, and poor clinician understanding of chronic disease management protocols.

respiratory medicineemergency medicinediagnosticsystemsalbutamol
WA2013-03-08

Inquest into the Death of Thoms, Gemma Geraldine

17y · Female·Acute Methylenedioxymethylamphetamine (MDMA) toxicity

Gemma Thoms, a 17-year-old girl, died from acute MDMA toxicity after consuming three ecstasy tablets at the Big Day Out music festival on 1 February 2009. …

emergency medicineintensive carediagnosticsystemMDMA
WAhospital2013

Inquest into the Death of Kerr, William

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

…rwent left inguinal hernia repair under general anaesthesia at a regional hospital. He experienced a small acute myocardial infarction during or immediately after surgery, which remained undiagnosed in theatre despite i…

anaesthesiageneral surgerycommunicationdiagnosticglyceryl trinitrate
QLDhospital2025-03-31

Inquest into the death of Jamie Brian Campbell

43y · Male·Hypoxic ischaemic encephalopathy, due to or as consequence of, cardiac arrest of…

… unnecessary and given too soon. Critical failures included: inadequate assessment of vital signs, with respiratory rates severely under-documented (actual 50+ breaths/min recorded as 36), misinterpretation of involunta…

emergency medicinetoxicologydiagnosticmedicationmethamphetamine
WA2013

Inquest into the Death of Ms D

39y · Female·Septic shock and nosocomial pneumonia secondary to pentobarbital (Nembutal) over…

A 39-year-old woman with major depression and Cluster B personality traits died by suicide in Mexico following a pentobarbital overdose on 28 April 2008, resulting in septic shock and nosocomial pneumonia. She had been a…

psychiatryintensive caresystemdelaypentobarbital
VIC2023-06-22

Finding into death of Cherie Virginia Pearl Guest

61y · Female·Diffuse alveolar damage in a woman with restrictive lung disease following catar…

…st part of the procedure. Despite this decompensation, the second part proceeded, requiring intubation for acute pulmonary oedema. She died five days later from diffuse alveolar damage. The coroner found the surgery was…

ophthalmologyanaesthesiadiagnosticcommunicationlidocaine
WAmental health2015-11-18

Inquest into the Death of Anna Maria CAMERON

65y · Female·Early bronchopneumonia and hypoxic brain injury following aspiration of food (ch…

Anna Maria Cameron, a 65-year-old woman with treatment-resistant schizophrenia, died from aspiration choking while eating on a psychiatric ward. She had been recently transferred to a rehabilitation unit for reassessment…

psychiatryintensive carelorazepam
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

2y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure

…servative approach, whilst appropriate for stable infants, was inadequate for this at-risk baby born after acute blood loss. Systems failures in pathology result communication (2.5-hour delays) delayed necessary escalat…

obstetricspaediatricsdiagnosticdelay

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