Coronial

135 results for blood transfusion

VIChospital2018-10-05

Finding into death of Mrs Z

70y · Female·Tiger snake envenomation

Mrs Z, a 70-year-old woman, died from tiger snake envenomation after being bitten on the left foot while sleeping. She received two vials of antivenom within 2.5–4 hours of the bite at Royal Melbourne Hospital, consisten…

toxicologyemergency medicinediagnosticcsl tiger snake antivenom
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

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

…al was probable if bleeding had been identified and managed by morning, using anticoagulation reversal, transfusion, and ICU care.

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
VIChome2016-03-24

Finding into death of Caroline Emily Lovell

36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…

…y deteriorated with agitation and shortness of breath, the midwives attributed this to anxiety rather than blood loss and delayed calling an ambulance by at least 10 minutes despite her explicit requests. Clinical lesso…

midwiferyobstetricsdiagnosticcommunicationsyntocin
QLDhospital2015-11-03

Steer, Summer Alice

4y · Female·Haemorrhage due to aorto-oesophageal fistula caused by ingestion of a button bat…

…pain and likely black stools (melaena), treating presumptively for Giardia without basic questioning about blood in stools. The private hospital doctor discharged the child within 15 minutes of arrival despite multiple …

general practiceemergency medicinediagnosticcommunicationmetronidazole/flagyl
SAhospital2004-04-30

Coroner's Finding: YOUNG Iris Patricia

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

A 60-year-old woman with metastatic breast cancer and COAD died from haemorrhagic shock due to right-sided haemothorax complicating thoracentesis. The procedure was appropriately performed to drain a pleural effusion on …

oncologyrespiratory medicinediagnosticcommunicationheparin
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 complications including fever, elevated inflammatory markers, and a possible bowel p…

bariatric surgerygeneral surgeryheparin
ACTcommunity2014-01-20

Inquest Into The Death Of Brody Lee Oppelaar

<1y · Male·Motor vehicle collision injuries

On 20 March 2010, a motor vehicle collision on Canberra Avenue, Narrabundah, ACT, killed four people: an infant (Brody Lee Oppelaar, 3 months), his father (Scott Raymond Oppelaar, 33), his mother (Samantha Leanne Ford, 2…

emergency medicinetrauma surgeryalcohol
NTcommunity2011-07-27

Inquest into the death of Marilyn Lalara

48y · Female·acute myocarditis resulting from systemic viral infection

…carditis earlier. On 4 April, she presented severely unwell with dramatically falling haemoglobin and high blood sugar. Although rapidly evacuated to Alyangula clinic where she was assessed as critically ill and awaitin…

emergency medicinecardiologydiagnosticdelayantibiotics
VIChospital2011-06-16

Finding into death of Owen Appleby

<1y · Male·Hypovolemic shock, metabolic acidosis and coagulopathy in association with subga…

…tion and arranged transfer to Warrnambool. Post-mortem revealed subgaleal haemorrhage (approximately 100ml blood loss), a recognized complication of vacuum extraction. The coroner found that early contact with NETS (New…

obstetricsneonatologydiagnosticdelayprostin gel
QLDaged care2024-12-10

Non-inquest findings into the death of Mr O.

79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…

A 79-year-old man with extensive comorbidities died following multiple falls in residential aged care. He was identified as high falls risk on admission but experienced inadequate falls prevention after a second fall on …

geriatric medicineemergency medicinediagnosticmedicationaspirin
VIChospital2015-12-02

Finding into death of Khodr El Mustapha

77y · Male·Complications of reaction to an iron infusion in a man with ischaemic heart dise…

A 77-year-old man with iron deficiency anaemia and underlying ischaemic heart disease died from anaphylaxis following iron polymaltose infusion. Critical clinical lessons: (1) IV iron should only be administered after or…

emergency medicinehaematologydiagnosticproceduraliron polymaltose
NThospital2011-09-09

Inquest into the death of Linda Nha Tran

34y · Female·Catastrophic post-partum haemorrhage following caesarean delivery, secondary to …

…ollowing an elective caesarean delivery. Placenta accreta was discovered intraoperatively and managed with blood transfusion, uterotonic agents, and a Bakri balloon. Dr L. administered prostaglandin F2α at an excessive …

obstetricsanaesthesiamedicationcommunicationoxytocin
VIChospital2025-08-13

Finding into death of Jordan Thomas Alexander McDonald

<1y · Male·complications of extreme prematurity in the setting of precipitant premature bre…

Jordan was born at 25 weeks 4 days gestation in an emergency department following precipitant breech labour with a circumvallate placenta. He received appropriate initial resuscitation but was administered 10 times the p…

neonatologyobstetricsmedicationdiagnosticmorphine
VIChospital2025-10-15

Finding into death of Gary William Bruce

71y · Male·Complications following a right hepatic artery injury following an open cholecys…

A 71-year-old man with myelofibrosis and prior abdominal surgery died from complications of a right hepatic artery injury during open cholecystectomy for acute cholecystitis. The operative decision was reasonable and the…

general surgeryanaesthesiacommunicationsystem
VIChospital2012-08-24

Finding into death of Cameron Yeates

31y · Male·Acute colonic pseudo-obstruction; death certificate amended to 'unascertained' -…

Cameron Yeates, a 31-year-old man with intellectual disability (IQ 64) and longstanding gastrointestinal issues, died from acute colonic pseudo-obstruction with underlying malnourishment. Key clinical lessons: (1) severe…

gastroenterologygeneral practicecommunicationsystemwarfarin
SAhospital2016-09-29

Coroner's Finding: MCSHANE Robert Ian

66y · Male·Multi-system failure and ischaemic gut after left nephrectomy complicated by mas…

A 66-year-old man died from multi-system failure and ischaemic bowel following laparoscopic left nephrectomy complicated by massive haemorrhage and vascular injury. During surgery for renal carcinoma, the surgeon attempt…

urologyvascular surgeryproceduralsurgical judgment
NSWcommunity2023-11-30

Inquest into the death of Jacob Carr

53y · Male·Gunshot wound to the left thigh with transection of femoral artery and vein; exs…

Jacob Carr died from a gunshot wound to his left thigh sustained during a police operation at his home. He had assaulted his elderly mother, and police responded to a domestic violence call. During confrontation, Mr Carr…

emergency medicineparamedicinesystemdelayalcohol
QLD2025-10-08

Inquest into the death of Peter Owen Pilkington

48y · Male·gunshot wound to chest

Peter Owen Pilkington, 48, died from a gunshot wound sustained during a police siege on 6 December 2021. After escalating behaviour at his NDIS support office in Stretton, Queensland, Peter produced what police believed …

emergency medicinetrauma surgerysystemmethamphetamine
WAhospital2009-02-01

Inquest into the Death of Fox

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

Kenneth Charles Fox, 62, presented to Fremantle Hospital ED on 12 April 2006 with a gastrointestinal bleed after fainting. He was diagnosed with a massive bleed causing hypovolaemic shock and stabilized with fluid resusc…

emergency medicinegeneral surgerydiagnosticdelayaspirin
VICaged care2020-07-06

Finding into death of Irene Florence Curran

79y · Female·Ischaemic bowel in the setting of cardiomegaly, pneumonia and chronic renal fail…

A 79-year-old woman died from ischaemic bowel in the setting of cardiomegaly, pneumonia and chronic renal failure, four days after discharge from hospital following a hysterectomy for endometrial cancer. Key clinical les…

gynaecologygeneral practicecommunicationsystemoxycodone

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