Coronial

161 results for clinical dehydration

WA2017-07-14

Inquest into the Death of Maung PU

49y · Male·bronchopneumonia

…p, potentially influenced by concerns about cost and disruption to berthing. The case reveals failures in clinical recognition, decision-making hierarchy on vessels, and resource gaps in offshore medical evacuation.

emergency medicineretrieval medicinediagnosticdelayparacetamol
QLDhome2012-12-06

Bramble, Julie Anne

50y · Female·septicaemia

…n. The coroner found that appropriate medical intervention called earlier could have prevented death. Key clinical lesson: recognise that severely ill patients lack capacity to make sound decisions about refusing emergen…

emergency medicineparamedicinedelaycommunicationmethamphetamine
SAhospital2017-02-01

Coroner's Finding: KLINGBERG Briony Caitlin

10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…

…ctors who also did not consider HSV. By Friday (day 5), blood tests showed severe liver dysfunction and dehydration but were not acted upon appropriately. Critical failures included: not including HSV in the differentia…

paediatricsemergency medicinediagnosticcommunicationceclor
VIChospital2023-12-11

Finding into death of Vili Kovac

88y · Male·Sepsis of unknown aetiology in a man with ischaemic cardiomyopathy and other med…

…nection between his death and incarceration, and no evidence of negligence in his medical management. The clinical course reflects appropriate initial assessment and treatment, though the sepsis source remained unidentif…

emergency medicinegeneral medicineflucloxacillin
VIChospital2026-03-12

Finding into death of Nicole Jennifer Kateiva

39y · Female·Respiratory failure in the setting of aspiration pneumonia in a woman with arthr…

…eover, and treatment distress were attributed to underlying pathology and hospital operations rather than clinical failures.

general medicineintensive careceftriaxone
WAhospital

Inquest into the death of Amanda Dana TAUAI

21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)

…ailure in March 2012 after presenting with symptoms initially consistent with viral gastroenteritis and dehydration. Initial management at remote Paraburdoo Hospital was appropriate, but critical clinical deterioration …

general practiceemergency medicinediagnosticcommunicationmetoclopramide
NSWcommunity2018-05-29

Inquest into the disappearance and suspected deaths of Yue Ping Wang and Jilin Du

Male·Unable to determine; death by misadventure in the ocean near Black Rock, Steamer…

…icated survival time in the water would have been less than 12 hours due to hypothermia, exhaustion and dehydration, with death likely occurring within minutes if beaten against rocks without lifejackets. No medical car…

WAcommunity2017-02-28

Inquest into the Death of Colin John JOHNSTON

46y · Male·Unknown - possible causes include traumatic injury or dehydration in remote terr…

…ack of any contact with services or family since disappearance, and explicit suicidal communications. The clinical lessons centre on recognition of acute psychological crisis in the context of criminal investigation stre…

VIChospital2015-06-22

Finding into death of Stephen Robert Blom

45y · Male·Acute renal failure in the setting of urosepsis and San Filippo Syndrome

… vomiting, and constipation. Despite outpatient management and investigation including abdominal imaging, clinical deterioration continued. He was admitted to hospital on 15 May 2014 where pre-renal acute kidney injury w…

general practiceemergency medicineantibiotics
QLDhospital2014-03-31

Platt, Christopher Robert Edmund - Non-inquest findings

69y · Male·Perforated bowel/septicaemia as a result of diverticulitis

A 69-year-old man presented to the ED with abdominal distension, incontinence and dehydration but was discharged with a diagnosis of depression and constipation. He returned 2 days later critically…

emergency medicinegeneral surgerydiagnosticcommunicationsodium citrate enema
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 o…

general medicinenephrologydiagnosticcommunicationondansetron
VIChospital2024-12-17

Finding into death of Yvonne Eddolls

68y · Female·Sepsis (palliated)

…sis, acute kidney injury, hypernatraemia and malnutrition. The coroner found death due to natural causes. Clinical lessons include: early recognition and aggressive prevention of pressure ulcers in immobile, vulnerable p…

general practiceemergency medicinedelaysystem
WA2015-03-17

Inquest into the Death of Thomas Francis LEVINGE

73y · Male·Unknown (possibly impact with water, drowning, injury, exhaustion, dehydration, …

…old man with recent cognitive decline jumped from a cruise ship in Western Australia, resulting in death. Clinical lessons include recognising that cognitive impairment and depression may manifest as behavioural changes …

diagnostictemazepam
SAhospital2018-05-23

Coroner's Finding: LA BELLA Claudia

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

…anation (pain medication). The diagnosis of eating disorder was not pursued despite severe weight loss, dehydration, and clinical suspicion. She discharged against medical advice and died days later. Key failures includ…

general practicegeneral medicinediagnosticcommunicationbisacodyl
NTcommunity2026-01-23

Inquest into the death of Kumanjayi Johnson

45y · Male·Environmental exposure and dehydration

…, traumatic brain injury, epilepsy and multiple medical conditions died from environmental exposure and dehydration after walking away from his supported independent living residence on 3 December 2022. Clinical lessons…

geriatric medicinepsychiatrycommunicationsystem
WAcommunity2020-06-03

Inquest into the Suspected Death of Anthony JOHNSTONE

33y · Male·Exposure to the elements whilst in a mentally unstable state; manner of death Op…

… while evading contact due to his mental disturbance. No remains were ever found. The case highlights the clinical challenges of managing acute delirium/psychosis in remote communities where vulnerable individuals may fl…

alcohol
WAhospitalJuly 2023

Inquest into the Death of Lincoln Arthur CAMPBELL

52y · Male·end-stage throat cancer

… likely within 24 hours of disappearance in remote terrain, having exercised his right to die on country. Clinical lessons include the tension between respecting patient autonomy and duty of care in palliative settings, …

oncologypalliative caremorphine
WAhospital2021-11-29

Inquest into the Death of Miss T (Name Subject to Suppression Order)

16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…

A 16-year-old Aboriginal girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdominal pa…

emergency medicinegeneral practicediagnosticsystemcannabis
VIChospital2014-11-17

Finding into death of Allan Phipps

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

…orrhage secondary to rupture of his thoracic aorta into the adjacent lung (pulmonary aortic fistula). Key clinical lessons include the challenges of managing complex cases combining severe depression with inoperable life…

vascular surgerycardiologysystemdelayquetiapine
WAhospital2005-09

Inquest into the Death of Maria Donatelli

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

…al diagnosis of pancreatitis or bowel obstruction. During overnight observation in the surgical ward, her clinical condition deteriorated markedly from approximately 22:00 hours on 6 February 2003, with progressively dec…

general surgeryemergency medicinediagnosticcommunicationtramadol
14569

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