Coronial

248 results for dehydration

VIChospital2023-06-06

Finding into death of Dianne Linford

63y · Female·Complications following sedation for percutaneous endoscopic gastrostomy (PEG) t…

…monia and severe mouth ulcers limiting oral intake. She presented in June requiring hospitalisation for dehydration. During attempted PEG insertion on 27 June, she desaturated requiring intubation and ICU admission. The…

anaesthesiagastroenterologyprocedural
VIChospital2015-09-03

Finding into death of James Donohoe

59y · Male·Combined effects of acute on chronic pneumonia and pulmonary thromboembolism

…inical lessons include recognition of aspiration risk in patients with dysphagia, management of chronic dehydration in vulnerable patients with communication difficulties, and appropriate escalation to palliative care w…

respiratory medicinegeriatric medicine
VICaged care2013-02-13

Finding into death of Peter Kosciuk

83y · Male·Aspiration pneumonia

An 83-year-old man with stroke, dementia, dysphagia, and multiple comorbidities developed aspiration pneumonia while in aged care. On 1 May 2008, he presented with acute swallowing difficulty and was examined by his GP w…

general practicegeriatric medicinediagnosticcommunicationpenicillin
WAcommunity2016-03-18

Inquest into the Death of David Davidson LAWSON

41y · Male·unascertained

…h services or family afterwards. The cause of death remains unascertained; likely possibilities include dehydration, self-harm related to psychosis, crocodile predation, or drowning. This case highlights the vulnerabili…

psychiatryemergency medicinesystemcommunicationolanzapine
NSWcommunity2023-03-03

Inquest into the death of Darren Higgins

25y · Male·Dehydration with contributory causes of severe mental health conditions and hype…

…ar-old Wiradjuri man with treatment-resistant schizophrenia and polysubstance abuse disorder, died from dehydration and hyperthermia in Moira State Forest after absconding during escorted weekend leave from an involunta…

psychiatryemergency medicinediagnosticcommunicationolanzapine
VIChome2019-08-01

Finding into death of Caleb Harley Pearson

17y · Male·Diabetic ketoacidosis

… 27 May evening and found him with tachycardia (120 bpm), tachypnoea (40 bpm), hypothermia and signs of dehydration, but attributed his presentation to anxiety and upper respiratory infection. They did not take a blood …

emergency medicinepaediatricsdiagnosticcommunicationpholcodine
SAcommunity2022-04-22

Coroner's Finding: Bentley, John James

80y · Male·Dehydration and the effects of heat with contributing Alzheimer's dementia

…eimer's dementia disappeared from a respite care facility on a day of extreme heat (39°C) and died from dehydration and heat exposure. Key failures included: (1) relocation of the day program to an unsuitable facility w…

geriatric medicineemergency medicinediagnosticsystem
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

…ght despite deteriorating vital signs (hypotension, bradycardia, desaturation); and (4) misdiagnosis of dehydration/possible MI on morning review, without considering pelvic bleeding as the primary differential. A CT sc…

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
NThospital2006-01-18

Inquest into the death of David Mather

67y · Male·undetermined; likely exposure and dehydration

…ified as the deceased. The cause of death could not be determined but likely resulted from exposure and dehydration. The Coroner found staff acted appropriately under existing policy but recommended that future decision…

orthopaedic surgeryemergency medicinecommunicationsystem
QLDaged care2015-06-11

Ms C - Non-inquest findings

90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia

A 90-year-old woman with dementia, admitted to aged care in September 2012, developed a large necrotic sacral pressure ulcer despite nursing interventions. She was markedly dehydrated and malnourished, repeatedly refusin…

general practicegeriatric medicinecommunicationdelayfentanyl
NTmental health2015-01-21

Inquest into the death of Anthony Faulkner

42y · Male·Sudden cardiac death in the context of schizophrenia

…ance with Risperidone. In mid-September, he developed a fever with elevated sodium levels attributed to dehydration, which was being investigated and improving. He was found unresponsive at approximately 6:55am and pron…

psychiatrygeneral medicinepaliperidone
TAShospital2024-07-25

Coroner's Finding: Briffa, Gennette Anne

73y · Female·sepsis due to breakdown of oesophageal/gastric anastomosis following laparoscopi…

…ery. She had complex medical history with multiple post-operative complications including haematemesis, dehydration, vomiting, and deep vein thrombosis. The critical failure was delayed recognition and management of sep…

bariatric surgerygeneral surgerydiagnosticdelayapixaban
VIChospital2025-07-30

Finding into death of YTR

78y · Female·Complications of prolonged immobility and malnutrition in a woman with retroperi…

… retroperitoneal lymphoma died from septic shock complicating severe pressure ulcers, malnutrition, and dehydration. She had been immobile on a couch for approximately one week at home before paramedics found her in poo…

geriatric medicineintensive caredelaysystemasenapine
NSWPodcast2020-12-18

GORE Bernard - Findings

Male·The available evidence does not allow for any finding to be made as to the cause…

…ry 2017 and became trapped. He likely died within 24-48 hours from cardiac complications exacerbated by dehydration and stress, but was not found for 21 days. The coroner determined the manner of death was misadventure,…

systemcommunication
WAprison- 31 January 2014

Inquest into the Death of Amy TINKER

33y · Female·multiple organ failure complicating sepsis in a woman with cirrhosis of the live…

…s. On 13 September, she presented with non-specific symptoms (headache, dizziness) and was assessed for dehydration only. She deteriorated rapidly with sepsis and died two days later. The coroner found the Department ha…

general practicehepatologycommunicationsystem
WAcommunity2009-04-24

Inquest into the Death of Halford

17y · Female·Multi System Failure following acute onset (Acute Diabetic Ketoacidosis) Diabete…

Lee Rebecca Halford, a 17-year-old girl, died of acute diabetic ketoacidosis (DKA) following undiagnosed Type 1 diabetes. She initially presented to a GP with vomiting on 27 February 2007, diagnosed with gastroenteritis.…

general practiceemergency medicinediagnosticcommunicationmetoclopramide
NSWhospital2024-01-30

Inquest into the death of Subash Subedi

26y · Male·Not able to be determined - skeletalised remains

…estmead Hospital ED on 14 February 2018 with acute mental health symptoms, including disorientation and dehydration following cannabis use and a period of erratic behaviour. He was briefly assessed by nursing staff but …

emergency medicinepsychiatrycommunicationsystemolanzapine
NThome2010-09-01

Inquest into the death of Michael Aubrey Campbell

20y · Male·acute heat stress (circumstances undetermined)

Michael Campbell, aged 20 months, died on 18 April 2008 from acute heat stress. He was placed in his bedroom cot by his mother after returning home from grandparents' house. He was found unconscious and extremely hot app…

forensic medicineemergency medicinesystem
SAaged care2025-09-11

Coroner's Finding: Glenn, Millicent

89y · Female·acute-on-chronic renal failure on a background of ischaemic heart disease, hyper…

An 89-year-old Aboriginal woman with chronic renal impairment and congestive cardiac failure was prescribed gentamicin intramuscularly for a urinary tract infection caused by Klebsiella aerogenes. Gentamicin is nephrotox…

general practicegeriatric medicinemedicationdiagnosticgentamicin
WAcommunity

Inquest into the Death of Kim Martin FRANKER

36y · Male·Combined effects of trihexyphenidyl (benzhexol) toxicity, amphetamine-type stimu…

…d toxicity of benzhexol (prescribed by his GP for tardive dyskinesia), amphetamine-type stimulants, and dehydration with renal impairment. He was on a community treatment order for psychiatric care. Key failures: the de…

psychiatrygeneral practicecommunicationsystembenzhexol
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