Coronial

144 results for forensic medical examination

VICaged care2015-05-18

Finding into death of Krizan Vuksan

75y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis; acute myoc…

…ress requiring intramuscular sedation. The autopsy confirmed significant natural coronary artery disease. Medical investigation confirmed appropriate respiratory infection management. Clinicians should remain alert to c…

psychiatrygeneral practicecommunicationsystemolanzapine
QLD2018-09-11

Cooper, David

54y · Male·Pneumonia due to Staphylococcus aureus

…scultated his chest on day 3 with conflicting findings (crackles vs clear), but this was not escalated to medical review; vital signs were incompletely recorded; and the Q-ADDS deterioration chart was not used. While th…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
WA2006-08-24

Inquest into the Death of Quilliam

60y · Male·incineration resulting from aircraft crash

…mpacting trees and the ground. Both occupants died from incineration in the resulting fire. Post-mortem examination of the pilot revealed no medical conditions that could have contributed to the crash. Despite comprehen…

aviation medicineforensic medicine
SA2020-11-26

Coroner's Finding: KEN Kenneth Ngalatji

68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…

…ary as recommended; missing his psychiatric appointment due to inflexible lockdown procedures; inadequate medical assessment of chest pain with borderline ECG showing changes from previous baseline, without cardiac risk…

psychiatrycardiologydiagnosticcommunicationolanzapine
VICcommunity2021-03-31

Finding into death of Bruce Vernon Taylor

53y · Male·Complications of old brain injury in prior motor vehicle incident

… The medication was ceased appropriately under specialist guidance with careful monitoring. Post-mortem examination found no acute injury or disease process. The coroner found no issues with the medical management of hi…

general practiceneurologysodium valproate
QLDcommunity2022-01-13

Clubb, Monique Irene

24y · Female·Undetermined

…ident, disappeared on 22 June 2013 after obtaining prescriptions for fentanyl patches and diazepam from a medical centre in Beenleigh. She was last seen entering a shopping centre toilet and subsequently seen crossing a…

general practiceforensic medicinemedicationdiagnosticfentanyl
WAhospital2005-06-30

Inquest into the Death of Reginald Brian O'Neill

45y · Male·Intra Abdominal Haemorrhage Associated with Metastatic Carcinoma of the Oesophag…

…present. The coroner found the death arose by natural causes and found no significant deficiencies in his medical care. Issues noted included inadequate communication protocols between hospitals and prison authorities r…

general medicinegastroenterologyheparin
VIChospital2014-03-25

Finding into death of Robert Glaisher

56y · Male·hypothermia

…d visual hallucinations. He had a history of heavy alcohol consumption and was on antidepressants. The ED medical and psychiatric assessments were suboptimal; alcohol withdrawal was not adequately considered despite his…

psychiatryemergency medicinediagnosticcommunicationvenlafaxine
WAhospital2014-10-22

Inquest into the Death of Francis Robert Ward

90y · Male·Pneumonia in a man with traumatic brain injury

…pneumonia, dying in palliative care at Rockingham General Hospital on 8 September 2013. The coroner found medical care was adequate but noted a mattress beside the bed might have prevented the August fall, which could h…

emergency medicineneurosurgerysystem
VIChospital2012-11-26

Finding into death of George Albert John Hutton

73y · Male·ruptured abdominal aortic aneurysm

George Hutton, a 73-year-old man with hypertension, presented to rural emergency department with sudden onset severe abdominal pain while turning his head. Clinical findings were atypical: he appeared calm, had relativel…

emergency medicinegeneral practicediagnosticdelaycoversyl plus
QLDhome2016-11-30

LAMH - non-inquest findings

31y · Female·Mixed drug toxicity

A 31-year-old woman with long-standing opioid dependence enrolled in the Queensland Opioid Treatment Program died from mixed drug toxicity, with toxic levels of Fentanyl and other drugs in her system. A general practitio…

general practiceemergency medicinemedicationdiagnosticfentanyl
VIC2022-09-29

Finding into death of Mark Skidmore

44y · Male·Unascertained

Mark Skidmore, a 44-year-old man, died in Port Phillip Prison on 14 February 2017. Post-mortem examination revealed multiple prescribed drugs (methadone, mirtazapine, pregabalin) and unprescribed drugs (clonaze…

forensic medicinetoxicologycommunicationsystemmethadone
TAScommunity2024-01-30

Coroner's Finding: Ryan, Robert John

35y · Male·Multiple organ failure—cause not determined to requisite standard

…. He presented with severe vomiting, profuse sweating, hypersalivation, and confusion. Despite aggressive medical treatment including atropine for suspected chemical poisoning, he developed multiorgan failure and died o…

toxicologyintensive carediagnosticdelayparoxetine
SA2004-08-06

Coroner's Finding: FREDERICKS Jeffrey Ronald

41y · Male·haemorrhage due to incised wounds to left and right cubital fossae

…on Stress Screening Form score 11 with positive responses to suicidal ideation questions), but subsequent medical assessment by Dr K. was inadequate. The assessment lasted only 7-10 minutes for both physical and mental …

general practiceemergency medicinediagnosticcommunicationdosulepin
VIChospital2011-06-16

Finding into death of Owen Appleby

0y · Male·Hypovolemic shock, metabolic acidosis and coagulopathy in association with subga…

Owen Appleby, born at Portland Hospital after labour induction, developed hypovolemic shock and died at Warrnambool Hospital 17 hours after birth. Ventouse extraction was used to assist delivery; he was born with low APG…

obstetricsneonatologydiagnosticdelayprostin gel
TAShome2022-07-15

Coroner's Finding: Summers, Nicholas John

41y · Male·heart failure related to exsanguination due to traumatic rupture of an arteriove…

…what they believed was a scab on the fistula, the coroner found no scab was present on that date based on forensic pathological evidence. Dr M.'s clinical assessment and decision not to refer for urgent vascular review w…

nephrologyvascular surgerysystemdelay
VICmental health2013-07-26

Finding into death of Amy Hauserman

26y · Female·Hypoxic brain injury in the setting of immersion

…iance with clozapine. Over two days, she developed severe abdominal pain and constipation unresponsive to medical management. Nursing staff offered her a bath to relieve discomfort. No formal risk assessment was complet…

psychiatryforensic medicinediagnosticcommunicationclozapine
NT2001-10-12

Inquest into the death of George Miller

40y · Male·multiple injuries sustained in a motor vehicle accident in which the deceased wa…

George Miller, a 40-year-old Aboriginal man with chronic alcohol dependence, was detained in protective custody at Katherine Police Station on 4 December 2000 after being found seriously intoxicated. After 7 hours detent…

emergency medicineforensic medicinealcohol
TAS2013-11-06

Coroner's Finding: Sullivan, Craig

18y · Male·rupture of a left frontal cerebral abscess

…s including multiple episodes of vomiting, anorexia, and marked illness. However, he was not referred for medical assessment until it was too late. The coroner found no individual staff member contributed to death, but …

infectious diseasesneurosurgerysystemdelay
NSWhospitalPodcast2021-05-07

Inquest into the death of Brent Justin CROUGH

24y · Male·Complications of Brown Snake Bite

Brent Crough, a 24-year-old man, died from complications of brown snake bite in hospital. He was bitten on his right finger while separating the snake from his dog and was transported to Tamworth Base Hospital. Despite a…

emergency medicinetoxicologysystemdelaybrown snake antivenom

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