Coronial

171 results for severe shock

VICcommunity2023-07-13

Finding into death of Christopher James Wrigglesworth

59y · Male·Multiple injuries sustained from a tree falling on a motor vehicle (driver)

Christopher Wrigglesworth, aged 59, died when a tree fell on his vehicle during severe weather. Emergency services responded promptly, but he was trapped for approximately 100 minutes before ex…

emergency medicinetrauma surgeryondansetron
QLD2007-11-23

Walker, Nola Jean

66y · Female·Blood loss due to tearing of the spleen and fractured ribs occasioned by a motor…

…ficers attributed this to intoxication rather than recognising concealed internal injuries and progressive shock. She was found pulseless at 10:40 AM. Resuscitation attempts failed. Key clinical lessons: (1) Intoxicatio…

emergency medicineparamedicinediagnosticcommunicationalcohol
SAhospital2016-10-10

Coroner's Finding: MACMILLAN Kay Meredith

62y · Female·end-stage heart failure due to cardiac amyloidosis

A 62-year-old woman with end-stage cardiac amyloidosis died from cardiogenic shock approximately 90 minutes after being placed on a Level 1 inpatient treatment order. She had wished to disc…

cardiologypsychiatrydiagnosticcommunicationmirtazapine
SAhospital2017-04-07

Coroner's Finding: MAYELL Edward John

83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…

An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…

emergency medicinegeneral practicediagnosticmedicationceftriaxone
SAcommunity2006-02-22

Coroner's Finding: SINCLAIR-SPAAN Christopher James

21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…

…d the retrieval team provided high-quality resuscitation, the deceased developed irreversible hypovolaemic shock. Key clinical lessons: (1) Local medical officers should be systematically called to rural trauma scenes d…

intensive caretrauma surgerycommunicationsystem
VIChospital2025-07-30

Finding into death of YTR

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

…8-year-old woman with schizophrenia, depression, and undiagnosed retroperitoneal lymphoma died from septic shock complicating severe pressure ulcers, malnutrition, and dehydration. She had been immobile on a couch for a…

geriatric medicineintensive caredelaysystemasenapine
NSWcommunity2024-01-23

Inquest into the disappearance and suspected death of Bruce Robinson

72y · Male·The available evidence does not allow for any finding to be made as to the cause…

…t psychotic episodes. In the months before his death, his physical health declined significantly following severe community-acquired pneumonia with septic shock. On the day of his death, Mr Robinson was discharged from h…

psychiatryemergency medicinesystemolanzapine
QLDhospital2025-10-01

Non-inquest findings into the death of Mr S

26y · Male·Multi-organ failure due to pneumococcal septic shock

…nce. Expert opinion concluded that while earlier antibiotics and transfer would have been appropriate, the severe progressive pneumococcal sepsis with multi-organ failure was unlikely to have been prevented by these dela…

emergency medicineinfectious diseasesdiagnosticdelayantacid
WAhospital2019-07-22

Inquest into the Death of Arthur James BONNEY

59y · Male·ischaemic heart disease in the context of acute-on-chronic kidney failure associ…

…ecipitated contrast-induced nephropathy, acute kidney failure, and likely contributed to fatal cardiogenic shock. The coroner found that contemporary point-of-care eGFR testing and adherence to risk-stratification proto…

radiologycardiologydiagnosticproceduraliodinated contrast medium
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately in…

forensic medicinegeneral practicesystemdelaybenzodiazepines
WAcommunity2021-04-20

Inquest into the Death of Davide CANDELORO

48y · Male·Severe soft tissue injury to the left arm, consistent with impact with a wire fe…

Davide Candeloro, 48, died from severe laceration to his left arm after his Harley Davidson motorcycle crashed into a wire fence at high speed on…

methamphetamine
WA

Inquest into the Death of Dragan JACOVIC

63y · Male·ischaemic heart disease

Dragan Jacovic, a 63-year-old life prisoner with extensive comorbidities including severe ischaemic heart disease, type 2 diabetes, chronic kidney disease, and chronic paranoid schizophrenia, was …

cardiologypsychiatryolanzapine
WAhospital2019-05-13

Inquest into the Death of Daniel Josef ADWENT

44y · Male·gunshot wound to abdomen

A 44-year-old male died from a gunshot wound to the abdomen sustained during a police response to a domestic violence incident. He became aggressive, wielded a knife, and lunged at police after Taser and pepper spray fai…

emergency medicinegeneral surgerycommunicationdelay
VIChospital2024-11-22

Finding into death of RD Z

11y · Male·complications of bowel obstruction in the setting of chronic constipation

…e to financial constraints, leading to rapid deterioration. He presented to Bairnsdale ED on 24 March with severe abdominal distension, lactic acidosis, and signs of shock. Critical gaps in emergency care included incomp…

gastroenterologypaediatric surgerydiagnosticcommunicationmacrogol
VIChospital2011-10-20

Finding into death of Andrew Westley

56y · Male·Cardiogenic shock, end stage ischemia due to chemo related cardiomyopathy, fulmi…

Andrew Westley, 56, underwent heart transplantation at The Alfred Hospital for dilated cardiomyopathy secondary to chemotherapy for Hodgkins lymphoma and prior cardiac surgery. The procedure involved a 9-hour ischaemic t…

cardiothoracic surgerytransplant medicinedelayvancomycin
VICcommunity2010-04-12

Finding into death of Veronica Campbell

23y · Female·complications of ruptured ectopic pregnancy with massive intra-abdominal haemorr…

…ound crew at the destination. The patient was intubated during transport and became critically unwell with severe intra-abdominal haemorrhage. Key lessons include: classification of ectopic pregnancy cases should reflect…

emergency medicineobstetricscommunicationsystemmorphine
WA2013

Inquest into the Death of Ms D

39y · Female·Septic shock and nosocomial pneumonia secondary to pentobarbital (Nembutal) over…

… traits died by suicide in Mexico following a pentobarbital overdose on 28 April 2008, resulting in septic shock and nosocomial pneumonia. She had been an inpatient at the Mother and Baby Unit (MBU) with involuntary sta…

psychiatryintensive caresystemdelaypentobarbital
SA2011-11-04

Coroner's Finding: Sleeping Rough Inquest

Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…

…oronial inquests into six Aboriginal deaths in Ceduna, South Australia between 2004-2009. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and seizures. Deat…

emergency medicinerespiratory medicinesystemdelayalcohol
WAhospital2025-04-17

Inquest into the Death of Colin Stanley Francis NICHOLSON

69y · Male·septic shock with multi-organ failure in a man with neutropenic sepsis on a back…

Colin Nicholson, a 69-year-old man, died from septic shock with multi-organ failure due to acute myeloid leukaemia (AML). Missed opportunities occurred at multiple l…

haematologygeneral practicediagnosticcommunicationparacetamol
NThospital2000-09-06

Inquest into the death of Francis Kamaranga

28y · Male·asphyxiation following severe swelling to the larynx due to anaphylactoid reacti…

…d from anaphylactoid reaction to Haemaccel, a plasma volume expander administered pre-hospital following a severe laceration to the radial artery. Initial management was appropriate, but anaphylaxis was not recognized un…

emergency medicineintensive carediagnosticdelayhaemaccel
14569

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