Coronial

204 results for pulmonary embolism

SAhospital2024-03-27

Coroner's Finding: Collins, Jennifer Ann

30y · Female·tricuspid valve bacterial endocarditis

…tness, fever, and tachycardia (heart rate 150). The ED did not perform blood cultures or investigate for pulmonary embolism, discharging her with a diagnosis of viral illness. Four days later, paramedic Shaun Falls atte…

emergency medicinecardiologydiagnosticcommunicationmethamphetamine
VIChospital2025-03-28

Finding into death of Barbara Anne Deal

86y · Female·Pulmonary thromboembolism in the setting of deep leg vein thrombosis, secondary …

Barbara Deal, 86, died from pulmonary embolism secondary to deep vein thrombosis 17 days after lumbar spinal fusion surgery. Critical failures…

neurosurgeryinfectious diseasesmedicationsystemapixaban
NSWprison2023-03-01

Inquest into the death of William Haines

37y · Male·Pulmonary thromboembolus due to left leg deep vein thrombosis

A 37-year-old Aboriginal man died of pulmonary thromboembolism due to deep vein thrombosis while incarcerated. He presented to hospital on his birthday…

emergency medicinecardiologydiagnosticsystemenoxaparin
SA2011-02-09

Coroner's Finding: MADELEY Daniel Nicholas

18y · Male·respiratory failure secondary to closed chest trauma

…ok 8 seconds to stop, allowing catastrophic injuries including flail chest with bilateral rib fractures, pulmonary fat embolism, and bilateral foot amputation. The coroner found the death entirely preventable—a replacem…

occupational and environmental healthsystemdelay
QLDhospital2014-06-20

O - Non-inquest findings

82y · Male·hypoxic-ischaemic encephalopathy due to cardiac arrest as a result of fractured …

An 82-year-old man died from hypoxic-ischaemic encephalopathy following perioperative cardiac arrest during ankle fracture surgery. The anesthetist failed to recognise clinical deterioration, did not intubate despite sig…

anaesthesiaorthopaedic surgerydiagnosticproceduralbisoprolol
VIChome2024-03-20

Finding into death of Antonios Myrianthopoulos

76y · Male·pulmonary thromboembolism in the setting of deep vein thrombosis

…ot continued post-discharge despite therapeutic anticoagulation being interrupted. The patient died from pulmonary embolism 3 days after discharge. The coroner found the death preventable, identifying failures in antico…

general medicinegastroenterologycommunicationsystemwarfarin
SA2004-04-06

Coroner's Finding: WALKER Robert Anthony

55y · Male·Ascent barotrauma resulting in cerebral arterial gas embolism (CAGE) and drownin…

A 55-year-old man with undiagnosed viral myocarditis and cardiomegaly died from cerebral arterial gas embolism (CAGE) during a scuba dive at 37 metres depth. Despite being advised by his cardiologist not to dive, he …

diving medicinecardiologydiagnosticcommunication
SAcommunity2015-04-24

Coroner's Finding: BYRNE Philip John and WEAVER Jacqueline

Philip Byrne: pulmonary thromboembolism due to right calf deep vein thrombosis; …

Two patients died from pulmonary thromboembolism caused by undiagnosed deep vein thrombosis (DVT). Mr Byrne presented with right calf pai…

general practicephysiotherapydiagnosticcommunicationwarfarin
NThospital2008-10-29

Inquest into the death of Sandra McRae

57y · Female·acute pulmonary embolism

Sandra McRae, age 57, died from pulmonary embolism on day 13 of hospitalisation following pelvic fractures sustained in a motor vehicle accident. …

orthopaedic surgeryintensive carediagnosticsystem
WAhospital2012

Inquest into the Death of Keogh

38y · Female·Pulmonary Thromboembolism

Kellie Anne Keogh, 38, died from pulmonary thromboembolism on 10 November 2008 after complex pancreatic surgery. She had nephrotic syndrome with de…

general surgeryintensive carecommunicationdelaywarfarin
SAhospital2004-04-30

Coroner's Finding: YOUNG Iris Patricia

60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…

…ty. When the patient deteriorated three hours post-procedure, clinicians made a provisional diagnosis of pulmonary embolism (common in cancer patients) and administered heparin, which exacerbated bleeding. This misdiagn…

oncologyrespiratory medicinediagnosticcommunicationheparin
NThospital2018-06-19

Inquest into the death of Naomi Smith

26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis

Naomi Smith, aged 26, died from pulmonary embolism caused by dislodged deep vein thrombosis while in ICU at Royal Darwin Hospital. She had complex…

psychiatryintensive caresystemdelay
TAShospital2019-04-16

Coroner's Finding: Ham, Roderick David Charles

59y · Male·pulmonary thromboemboli due to deep vein thrombosis following right hip replacem…

A 59-year-old man died from pulmonary thromboembolism following right hip replacement surgery. He had mild polycythaemia and elevated BMI (33.…

orthopaedic surgeryanaesthesiadiagnosticmedicationaspirin
VIChospital2018-10-18

Finding into death of Maxwell Norman Campbell

68y · Male·pulmonary thromboembolism in the setting of recent surgery

A 68-year-old man died from pulmonary thromboembolism following revisional gastric bypass surgery. He developed multiple post-operative compli…

bariatric surgerygeneral surgeryheparin
ACThospital2010-04-30

Inquest Into The Death Of Meg Malaika

39y · Female·heart failure connected to a massive pulmonary embolus as a result of deep vein …

A 39-year-old woman died from acute heart failure due to massive pulmonary embolus from deep vein thrombosis two days after laparoscopic appendicectomy. She presented to ED with a…

emergency medicinegeneral surgerymedicationcommunicationheparin
VIChospital2011-07-29

Finding into death of Marlene Kenny

64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…

…dination, and adverse weather. She deteriorated, suffered myocardial infarction, and died from bilateral pulmonary embolism complicated by stroke. Key failures: initial hypoxia not investigated; complexity not recognise…

emergency medicinegeneral practicediagnosticcommunicationdiazepam
VIChospital2015-07-30

Finding into death of Martin Robert Beaty

52y · Male·Community acquired pneumonia in a man with myotonic dystrophy

Martin Beaty, a 52-year-old man with myotonic dystrophy and history of pulmonary embolism, presented to the ED with shortness of breath. He was initially discharged with mild pneumonia …

emergency medicinerespiratory medicinedigoxin
TAScommunity2019-03-08

Coroner's Finding: Paraskevas, Odissefs

56y · Male·pulmonary thromboembolism due to left deep vein thrombosis

A 56-year-old man died from pulmonary thromboembolism secondary to deep vein thrombosis. He presented to his GP on 20 January 2017 with persis…

general practicecardiologydiagnosticdelay
SAhospital2001-05-16

Coroner's Finding: KLOSE Glen Malcolm

71y · Male·Saddle pulmonary embolus as a consequence of deep venous thrombosis in the right…

Glen Malcolm Klose, aged 71, died from a saddle pulmonary embolus secondary to deep vein thrombosis in his right calf, a complication associated with his history …

psychiatrygeneral medicinedelay
VIChospital2019-06-07

Finding into death of Maria Kerr

60y · Female·Pulmonary thromboembolism in a woman recovering from a fractured right ankle

Maria Kerr, a 60-year-old woman with obesity and thalassemia minor, died from pulmonary thromboembolism 33 days after sustaining a fractured ankle. An administrative error resulted in her urge…

emergency medicineorthopaedic surgerysystemcommunication
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