Coronial

244 results for acute haemorrhage

WAPodcast2015-02-09

Inquest into the Death of Myosotis Julianna MORIARTY

68y · Female·acute gastrointestinal haemorrhage secondary to bilateral dental extraction

A 68-year-old woman on long-term warfarin therapy for a prosthetic aortic valve died from acute gastrointestinal haemorrhage following dental extraction. The dentist failed to obtain an INR test within …

dentistrygeneral practicediagnosticcommunicationwarfarin
VIChospital2025-04-03

Finding into death of Alan John Trevor Deem

67y · Male·Intracranial haemorrhage complicating coronary artery bypass graft surgery follo…

A 67-year-old man died from intracranial haemorrhage following coronary artery bypass graft surgery. He had suffered a right coronary artery dissection duri…

cardiologycardiothoracic surgerycommunicationsystemdual anti-platelet agents
TAShospital2018-12-05

Coroner's Finding: Suckling, James William

72y · Male·hypovolemic shock due to haemoperitoneum following surgical repair of an abdomin…

A 72-year-old man died from hypovolemic shock due to intra-abdominal haemorrhage following Spigelian hernia repair. Post-operatively he presented with hypotension, bradycardia and swea…

surgeryemergency medicinediagnosticcommunicationmetaraminol
QLDhome2013-09-24

Taylor, Scott Matthew

38y · Male·Multiple self-inflicted stab wounds to the chest causing significant internal or…

…noted at least 21 external stab wounds with multiple deep penetrating wounds to the heart causing fatal haemorrhage.

emergency medicineparamedicine
VIChospital2022-10-18

Finding into death of Kenneth Ernest O'Brien

74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair

…developed hypotension and was transferred to ICU. The coroner found that post-operative intra-abdominal haemorrhage was not recognised early enough. Critical factors included: over-reliance on a single haemoglobin resul…

general surgeryanaesthesiadiagnosticcommunicationapixaban
QLDhospital2009-11-11

Baker, Philip

55y · Male·Haemorrhagic brain stem infarction due to hypertensive heart disease

…nced two falls during his hospital stay (one in the bathroom, one near his bed). Initial imaging showed no acute pathology, but subsequent CT and MRI scans revealed subarachnoid haemorrhage and extensive brain stem infa…

emergency medicinegeneral medicinemorphine
TASaged care2023-09-06

Coroner's Finding: Weldon, Dayle Patricia

93y · Female·Catastrophic subdural haemorrhage resulting from head strike sustained in a witn…

… with dementia, fell in the secure suite of an aged care facility and sustained a catastrophic subdural haemorrhage from which she died three days later. The coroner found that Mrs Weldon's rapid physical and mental det…

geriatric medicinegeneral practicebuprenorphine
VIChospital2014-01-30

Finding into death of Kerri Louise Gunn

41y · Female·Intracerebral haemorrhage secondary to Posterior Reversible Encephalopathy Syndr…

… pursued as Mrs Gunn improved symptomatically. She collapsed four days later with massive intracerebral haemorrhage secondary to posterior reversible encephalopathy syndrome (PRES). The coroner found that further radiol…

emergency medicinegeneral medicinediagnosticdelayparacetamol
VIChospital2012-12-14

Finding into death of Jeanette Brown

66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…

Mrs Jeanette Brown, 66, died from multi-organ failure following post-operative haemorrhage after elective laparoscopic cholecystectomy. Arterial clips applied to the cystic artery during surgery…

general surgeryanaesthesiaproceduralcommunicationamlodipine
VIChospital2011-06-17

Finding into death of George Samuel Holmes

86y · Male·Cardiovascular disease in a man with subdural haemorrhage (in keeping with a fal…

…und death resulted from natural causes—cardiovascular disease with a contributory fall causing subdural haemorrhage—with no evidence of inadequate custodial or clinical care. The case highlights the importance of recogn…

cardiothoracic surgeryneurosurgerywarfarin
QLDcommunity2010-09-16

Petersen, David Robert

35y · Male·intra-abdominal haemorrhage caused by ruptured spleen

… liver disease, cirrhosis, hepatitis C and other comorbidities presented to his GP on 24 January 2007 with acute severe chest pain, profuse sweating, shaking, vomiting and a history of passing black blood per rectum. Ex…

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
VIChospital2024-10-29

Finding into death of Shane Hughes

40y · Male·Acute hepatic and renal failure in the setting of postoperative haemorrhage foll…

A 40-year-old man with obesity, COPD, diabetes and hypertension died from acute hepatic and renal failure following postoperative haemorrhage after left radical nephrectomy for a 10cm re…

urologysurgeryproceduraldiagnosticmetaraminol
QLDhospital2016-09-15

Mr B, a 41 year old indigenous man - Non-inquest findings

41y · Male·Subdural haematoma

…tures including severe headache (9/10), vomiting, pupil changes, and progressive drowsiness. A subdural haemorrhage (acute on chronic) was not diagnosed until transfer to a regional hospital, by which time he had deteri…

emergency medicineneurologydiagnosticcommunicationdiazepam
QLDhospital2017-08-29

Mr C - Non-inquest findings

87y · Male·Endobronchial and pulmonary haemorrhage secondary to pneumonia complicating chro…

…e. This error led to unnecessary bridging anticoagulation with heparin. The patient developed pulmonary haemorrhage, pneumonia, and respiratory failure post-procedure, dying 2 days after bronchoscopy. Autopsy confirmed …

respiratory medicinecardiologydiagnosticcommunicationwarfarin
VIChospital2019-10-02

Finding into death of David Sheppard

76y · Male·Intracranial Haemorrhage Secondary to Blunt Head Trauma (Fall) in the Setting of…

…topenia from chemotherapy. He suffered multiple falls while confused from sepsis, sustaining a subdural haemorrhage that progressed despite maximal medical therapy. The coroner found no clinical mismanagement caused or …

haematologyinfectious diseasessystemdocumentationhydroxyurea
WAhospital2009-02-01

Inquest into the Death of Fox

62y · Male·Acute Gastrointestinal Haemorrhage in association with Acute on Chronic Peptic U…

…n performed around 08:00 hours on 13 April, the ulcer could likely have been treated to prevent massive haemorrhage and death. Key systemic issues included lack of dedicated emergency surgical cover during business hour…

emergency medicinegeneral surgerydiagnosticdelayaspirin
VICcommunity2020-06-17

Finding into death of Pierino Taranto

65y · Male·Traumatic high cervical spine injury in the setting of frontal head impact in a …

…minimal force. The fall caused C2 and C5/6 vertebral fractures with spinal compression and subarachnoid haemorrhage, resulting in respiratory arrest. The coroner found the arrest decision justified, the use of handcuffs…

emergency medicineforensic medicinealcohol
QLDhospital2015-07-27

KS - Non-inquest findings

69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…

…ital, sepsis was correctly identified, but the patient deteriorated and developed a large intracerebral haemorrhage, likely ischaemic stroke from sepsis-induced thrombosis that converted to haemorrhage, worsened by the …

emergency medicinecardiologydiagnosticmedicationrivaroxaban
WAhospital- 27 May 2014

Inquest into the Death of Julissa Teresa GILBERT

57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …

…g on friable tissues with limited visibility. Post-operatively, mesenteric tears caused intra-abdominal haemorrhage (1600mls), but this was misdiagnosed as septic shock. The locum doctor managing post-operative care fai…

anaesthesiasurgerydiagnosticcommunicationaramine
VIChospital2014-04-17

Finding into death of Grazia Giosserano

61y · Female·Acute renal failure and dehydration in the setting of cirrhosis (secondary to he…

… 6 hours despite her underlying liver disease and coagulopathy. She deteriorated rapidly 3 days later with acute renal failure, dehydration and internal bleeding, dying within 2 hours of re-presentation. The coroner fou…

emergency medicinesurgerydiagnosticdelaytramadol
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