Coronial

125 results for chronic severe pain

VIChome

Finding into death of E H

51y · Male·Complications of chronic ethanol use

EH was a 51-year-old man with chronic alcohol dependence, liver cirrhosis, and recent hip fracture complications who died at home on 1 November…

emergency medicineorthopaedic surgerysystemdelayalcohol
VIChospital2025-05-20

Finding into death of Michael Philip Young

67y · Male·Complications of pressure ulcers in the setting of a thoracic vertebral fracture…

… on 3 January 2023. He had fallen from his wheelchair at home and presented to ED with hypotension and back pain. Despite being unable to lie flat due to severe scoliosis and ankylosing spondylitis, he was positioned fla…

emergency medicineintensive carediagnosticproceduralhydromorphone
TAShome2023-05-01

Coroner's Finding: Koeter, Jacqueline Francis

59y · Female·Global hypoxic brain injury due to mixed drug toxicity, specifically alprazolam …

…situations. Her daughter discovered her unresponsive the next morning; despite resuscitation, she suffered severe anoxic brain damage. The coroner found no criticism of her GP, who was unaware of her medication misuse pa…

general practicepsychiatryalprazolam
QLD2022-11-15

Childs, Dennis William

64y · Male·Peritonitis, due to or as a consequence of a ruptured gallbladder, due to or as …

… died from peritonitis secondary to a ruptured gallbladder. On 8 December 2018, he presented with abdominal pain at the correctional centre but refused hospital transfer despite clinical concerns. He was given morphine a…

emergency medicinegeneral surgerydiagnosticdelaymorphine
VIChospital2017-05-24

Finding into death of Stanley Brian Taylor

79y · Male·acute bronchitis on a background of cardiomegaly with coronary artery disease

…a background of cardiomegaly with coronary artery disease. He presented to St Vincent's Hospital with chest pain and shortness of breath, was found to have pneumonia on chest X-ray, and deteriorated suddenly with new ST …

emergency medicinecardiologyatropine
NSWhospital2017-07-06

Inquest into the death of Kerry Forrest

56y · Female·Complications of cervical cancer

Kerry Forrest, aged 56, died in custody on 26 January 2016 from complications of advanced cervical cancer. She was serving a 25-year sentence after being diagnosed with terminal cervical cancer in 2012, prior to sentenci…

palliative careoncology
QLDhospital2025-07-22

Inquest into the death of Hazel Mary Ritchie Brodie

79y · Female·Dilated cardiomyopathy with decompensated heart failure not appropriately treate…

A 79-year-old woman with severe COPD and heart failure presented with two weeks of nausea and vomiting. She was diagnosed with left ventri…

cardiologyrespiratory medicinediagnosticcommunicationfurosemide
VIChospital2021-05-10

Finding into death of Karim Aarras

45y · Male·Blood loss due to multiple self-inflicted incised injuries

Karim Aarras, a 45-year-old man with longstanding mental health issues, chronic pain, and substance use disorder (methamphetamine), presented to police in a severely agitated state foll…

psychiatryemergency medicinemethamphetamine
TAShospital2020-06-30

Coroner's Finding: Shrimpton, Dallas Brooks

54y · Male·carbon monoxide asphyxia

Dallas Brooks Shrimpton, a 54-year-old man with severe alcohol dependence, chronic depression, and multiple previous suicide attempts, died by carbon monoxide as…

psychiatryemergency medicinecommunicationsystemalcohol
TAShospital2019-04-18

Coroner's Finding: Fulham, Julianne

58y · Female·Ischaemic small bowel due to bowel obstruction most likely due to a combination …

…ecurrence. On 22 November, she presented to GP with two weeks of diarrhoea, vomiting, nausea, and abdominal pain. The GP noted possible obstruction, ordered imaging and bloods, and referred non-urgently to gastroenterolo…

general practicegastroenterologydiagnosticcommunication
NTcommunity2017-06-29

Inquest into the death of John Munkara

44y · Male·coronary artery disease superimposed upon chronic obstructive pulmonary disease …

…e 44 following cardiac arrest while in police custody after being found at Vestey's Beach. He had suffered severe, chronic alcohol abuse with multiple protective custody episodes. Critically, when he requested an ambulan…

emergency medicineparamedicinecommunicationsystemalcohol
NSWaged care2025-01-24

Inquest into the deaths at Newmarch House

Unknown·COVID-19 infection with various comorbidities as contributing factors

…use residential aged care facility in April-May 2020. Deaths occurred during inadequate infection control, severe staffing shortages, and suboptimal clinical management under a Hospital-in-the-Home model. Key failures in…

geriatric medicineinfectious diseasessystemdiagnosticmorphine
SAhospital2011-09-23

Coroner's Finding: BLYTHE Dorothy Josephine

81y · Female·ischaemic bowel

An 81-year-old woman with longstanding depression and multiple comorbidities fell and fractured her humerus in March 2009. During rehabilitation, she became increasingly depressed and self-neglectful, refusing food and c…

psychiatrygeneral surgerydiagnosticdelay
VIChospital2024-02-04

Finding into death of Miranda Louise Lynch

46y · Female·Sepsis of unknown origin

Miranda Lynch, a 46-year-old woman with severe cerebral palsy, spastic quadriplegia, epilepsy, and aspiration pneumonia history, died from sepsis of unkn…

emergency medicinegeneral medicineintravenous fluids
QLD2019-12-05

Harrison, Steven Leslie

61y · Male·Coronary atherosclerosis

…uding Type 2 diabetes, heavy smoking history, and intravenous drug use. CT scans in 2013 and 2015 revealed severe abdominal aortic calcification, later noted as 'age-advanced atherosclerosis' on lumbar spine X-ray in 201…

cardiologygeneral practicediagnosticsystemmetformin
TAScommunity2021-04-20

Coroner's Finding: Young, Jeremy Dean

45y · Male·drowning and intoxication with methamphetamine and other substances

45-year-old male with long-standing substance use disorder, depression, and anxiety died from drowning combined with acute methamphetamine intoxication. In the weeks before death, he displayed escalating paranoia and del…

pathologyaddiction medicinemethamphetamine
TAShome2024-03-07

Coroner's Finding: Dorothy Jean Atkins

83y · Female·meningitis with sepsis with the likely source of infection being a large and dee…

…July 2017 from meningitis and sepsis secondary to a large stage 4 sacral decubitus ulcer. Autopsy revealed severe malnutrition (24.5kg, BMI 13), poor hygiene with faecal soiling under fingernails, dystrophic toenails, an…

geriatric medicinepathologydiagnosticcommunicationirbesartan
QLDaged care2024-10-10

Non-inquest findings into the death of Jean Alice Dowson

79y · Female·Chronic obstructive pulmonary disease

… Alice Dowson, 79, died in an aged care facility after being commenced on end-of-life medications. She had severe COPD and was frail (29kg). On 10 April 2017, when she deteriorated with respiratory distress, a Clinical N…

general practicepalliative caremedicationdiagnosticmorphine
SAhospital2020-07-02

Coroner's Finding: WHATLEY Deborah Rose

55y · Female·ischaemic heart disease complicated by epilepsy, asthma and schizophrenia

A 55-year-old woman with schizophrenia, epilepsy, asthma and COPD presented to hospital with abdominal pain and confusion. Initial ED assessment treated presumed UTI and discharged her. She returned the next day wit…

emergency medicinepsychiatryclozapine
TAShospital2020-06-05

Coroner's Finding: Dickinson, Mary Marguerite

58y · Female·pneumonia, likely aspiration pneumonia

…f pneumonia on 20 January 2018 at the Roy Fagan Centre after admission with a complex scapula fracture and severe cognitive decline from alcoholic dementia. The coroner found her overall care at Royal Hobart Hospital and…

geriatric medicineemergency medicinecommunicationsystemmorphine

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