Coronial

134 results for blood transfusion

SAhospital2005-04-07

Coroner's Finding: MULVINSKAS Anna

79y · Female·pulmonary oedema and electrolyte imbalance, both secondary to renal failure

Mrs Mulvinskas, a 79-year-old with end-stage renal disease, renal carcinoma, diabetes, and cardiac failure, died from pulmonary oedema and electrolyte imbalance secondary to renal failure. On 21 October 2004, she became …

general medicinenephrologycalcium
WAhospital2005-06-30

Inquest into the Death of Reginald Brian O'Neill

45y · Male·Intra Abdominal Haemorrhage Associated with Metastatic Carcinoma of the Oesophag…

… November 2003, he presented with upper abdominal pain and jaundice. Dr G. appropriately investigated with blood tests and ultrasound, becoming concerned by results and urgently referring him to Fremantle Hospital on 28…

general medicinegastroenterologyheparin
TAShospital2020-08-12

Coroner's Finding: Maynard, Grant Godfrey

60y · Male·multi-organ failure due to injuries sustained in motor vehicle accident, specifi…

A 60-year-old Aboriginal man with significant comorbidities (cardiomyopathy, cirrhosis, renal failure, diabetes) presented to ED following a motor vehicle accident at low speed. Despite chest imaging showing pleural effu…

emergency medicinegeneral medicinediagnosticdelaydoxycycline
VIChospital2014-11-17

Finding into death of Allan Phipps

76y · Male·exsanguination secondary to pulmonary aortic fistula and thoracic aorta aneurysm…

Allan Phipps was a 76-year-old man with a known thoracic aortic aneurysm and severe depression admitted to Austin Hospital in October 2012 for unstable angina and depression management. His aneurysm, discovered in March …

vascular surgerycardiologysystemdelayquetiapine
TAShome2021-04-12

Coroner's Finding: Rubenach, Timothy Luke

32y · Male·Aspiration pneumonia and reflux oesophagitis

Timothy Luke Rubenach, aged 32, died of aspiration pneumonia following severe reflux oesophagitis. He had profound intellectual disability and drug-resistant epilepsy from meningococcal infection at 5 months. His parents…

general practicegastroenterologymorphine
NSWhospital2023-08-11

Inquest into the death of Andrew Stubbs

32y · Male·Cerebral oedema secondary to dialysis disequilibrium syndrome

…P prescribed lithium at an incorrect dose (1250mg instead of 1000mg) for three months and failed to repeat blood tests despite elevated lithium levels and signs of dehydration; hospital teams lacked communication betwee…

general practicepsychiatrydiagnosticmedicationlithium
VIChospital2013-09-17

Finding into death of Mary Anna Powlina Korzeniewski

37y · Female·Hypoxic brain injury complicating cardiorespiratory arrest during manual removal…

…m) facilitated by a patent foramen ovale, rather than postpartum haemorrhage or anaesthetic complications. Blood loss was adequately managed and documented; fluid resuscitation was appropriate; spinal anaesthesia was ap…

obstetricsanaesthesiacommunicationoxytocin
SAhospital2006-04-21

Coroner's Finding: EDWARDS Ruby Mabel

77y · Female·haemorrhagic diathesis due to warfarin toxicity

Ruby Mabel Edwards, 77, died from haemorrhagic diathesis due to warfarin toxicity after 84 days in a rural hospital. She had a prosthetic aortic valve requiring anticoagulation. INR monitoring was inadequate: no tests fo…

general practicehaematologymedicationdelaywarfarin
QLDhospital2005-05-04

Robinson, Jacinta Kate

7y · Female·cardiac tamponade due to total parenteral nutrition fluid leakage into the peric…

…ng complication of central lines presenting with deceptively non-specific signs (tachycardia, unobtainable blood pressure, cool peripheries, pale appearance). The patient remained alert and communicative until sudden co…

paediatric surgeryanaesthesiadiagnosticcommunicationtotal parenteral nutrition
NSWhospital2024-04-12

Inquest into the death of Everett Carleton

0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …

…ord transection—the NICU team was unaware, preventing deployment of high-risk resuscitation with emergency blood transfusion; and equipment malfunction (dim laryngoscope light) during resuscitation. First-year registrar…

obstetricsneonatologycommunicationprocedural
WAhospital2005-09

Inquest into the Death of Maria Donatelli

72y · Female·Peritonitis due to perforated diverticulum in transverse colon

…tion deteriorated markedly from approximately 22:00 hours on 6 February 2003, with progressively declining blood pressure (85/56 to 70/53) and hypoxia. However, these vital sign changes were attributed to mechanical deh…

general surgeryemergency medicinediagnosticcommunicationtramadol
QLDhospital2012-12-19

Evans, William Alfred

78y · Male·Acute renal failure due to metastatic malignancy (primary site unknown)

William Alfred Evans, aged 78, died of acute renal failure secondary to metastatic malignancy while in custody at Princess Alexandra Hospital Secure Unit. He had been diagnosed with advanced dementia and prostate cancer.…

geriatric medicinenephrology
ACThospital2018-06-28

AN INQUEST INTO THE DEATH OFJOSEPH YATRAS

52y · Male·Left chest cavity and abdominal cavity haemorrhage due to multiple rib fractures…

A 52-year-old man died from massive internal bleeding (left chest and abdominal cavity haemorrhage) following a motorcycle accident with multiple rib fractures and splenic laceration. He initially appeared to recover wit…

trauma surgeryintensive carediagnosticdelaycannabis
VIChospital2026-03-25

Finding into death of JNL (Jeremy)

14y · Male·Retroperitoneal haemorrhage secondary to abdominal injuries sustained in a motor…

A 14-year-old boy riding an illegally high-powered e-scooter (capable of 40-50 km/h) collided with a utility vehicle at a residential intersection. The e-scooter exceeded legal speed limits and age restrictions under Vic…

emergency medicinetrauma surgery
VIChospital2019-08-30

Finding into death of Agostino Cutugno

57y · Male·Small bowel perforation complicating small bowel obstruction arising from intra-…

Agostino Cutugno, a 57-year-old prisoner with intellectual disability (IQ 55) and history of self-inflicted abdominal stab wounds, died from small bowel perforation complicating obstruction due to intra-abdominal adhesio…

general surgeryintensive carecommunicationsystemproton pump inhibitors
SAhospital2011-12-02

Coroner's Finding: BINCH Joyce

82y · Female·acute pyelonephritis complicating base of bladder malignancy

Joyce Binch, 82, died of acute pyelonephritis from bladder malignancy while detained under mental health legislation. She was admitted with urinary tract infection, anaemia, acute renal failure, and acute exacerbation of…

psychiatrygeneral medicinerisperidone
TAShospital2022-12-15

Coroner's Finding: Mather, Robert Andrew

80y · Male·asphyxia due to choking on food

Robert Mather, 80, died from asphyxia due to choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary retention. He had schizophrenia with 40+ year history and poo…

psychiatrygeriatric medicineantipsychotic medications
WAhospital2022-01-05

Inquest into the Death of Terrence Alexander Penman WELLS

61y · Male·metastatic oesophageal neuroendocrine carcinoma

Terrence Wells, a 61-year-old prisoner, died from metastatic oesophageal neuroendocrine carcinoma in December 2018. Cancer was diagnosed in April 2018 after he reported difficulty swallowing, which was initially attribut…

oncologypalliative caremedicationsystempantoprazole
NSWhospital2023-09-13

Inquest into the death of Jeffrey Blundell

44y · Male·cardiogenic shock, on a background of severe tricuspid valve regurgitation, seve…

Jeffrey Blundell, a 44-year-old man with severe intravenous drug use history, died from cardiogenic shock secondary to severe tricuspid valve regurgitation caused by infective endocarditis from non-sterile injection prac…

cardiothoracic surgerycardiologyhydromorphone
VIChospital2018-10-05

Finding into death of Mrs Z

70y · Female·Tiger snake envenomation

Mrs Z, a 70-year-old woman, died from tiger snake envenomation after being bitten on the left foot while sleeping. She received two vials of antivenom within 2.5–4 hours of the bite at Royal Melbourne Hospital, consisten…

toxicologyemergency medicinepossibly diagnostic or management; guideline application unclear in severe envenomingcsl tiger snake antivenom

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