Coronial

135 results for immobility

VIChome2015-07-20

Finding into death of Hazel Angela Bampton

67y · Female·Pulmonary thromboembolus secondary to deep vein thrombosis in the setting of con…

A 67-year-old woman with obesity (BMI 35.88), type 2 diabetes and hypercholesterolaemia fell from a ladder on 14 December 2011, sustaining a partial Achilles tendon rupture. She was immobilised in plaster and discharged …

emergency medicineorthopaedic surgerysystem
NSWhome2014-12-22

Inquest into the death of Margaret Elizabeth HILLS

60y · Female·undetermined

Margaret Elizabeth Hills, a 60-year-old woman with chronic pain and depression from a work-related spinal injury, disappeared on 2 February 2010 from her home in Katoomba, NSW. Her skeletal remains were discovered nearly…

general practicepsychiatrycommunicationdelay
VIChome2021-10-28

Finding into death of Yunjie Zhang

20y · Female·Complications of malnutrition in the setting of presumed nitrous oxide use

A 20-year-old university student living alone in Melbourne died between 28 July and 7 August 2020 from complications of malnutrition in the setting of presumed nitrous oxide use. Thousands of nitrous oxide canisters were…

forensic medicinepublic healthsystemnitrous oxide
VIChospital2026-04-17

Finding into death of White-Wolf Patricia Mclellan

44y · Female·Pulmonary thromboembolism complicating a fractured left ankle (not operated), su…

A 44-year-old woman died from pulmonary thromboembolism 27 days after sustaining a Weber B ankle fracture from a fall. She was managed conservatively with a CAM boot then below-knee cast, with progressive immobilisation …

emergency medicineorthopaedic surgerysystemcommunicationtenecteplase
TASaged care2018-09-20

Coroner's Finding: Jones, Gweneth Elsie

84y · Female·left lower lung bronchopneumonia in conjunction with small distal pulmonary embo…

An 84-year-old woman with comorbidities sustained right shoulder and pelvic fractures from an accidental fall. She presented to ED with low oxygen saturation (77%) requiring supplemental oxygen. Despite these injuries an…

emergency medicineorthopaedic surgerycommunicationsystemparacetamol
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 included: no repeat VTE risk assessments despite policy requirements; inconsi…

neurosurgeryinfectious diseasesmedicationsystemapixaban
TAShospital2019-02-22

Coroner's Finding: Mansfield, Doreen

78y · Female·Complications arising from a left femur fracture following an unwitnessed fall i…

Doreen Mansfield, a 78-year-old woman with bipolar affective disorder managed with lithium and ECT, was admitted to the Royal Hobart Hospital under a Mental Health Act treatment order. She sustained an unwitnessed fall i…

psychiatryorthopaedic surgerysystemlithium
QLDhospital2016-06-20

Bradshaw, Scott Anthony - Non-inquest findings

38y · Male·Pulmonary thromboembolism due to bilateral deep calf vein thrombi

A 38-year-old man with schizo-affective disorder, bipolar disorder, and asthma presented to the emergency department with presumed pneumonia based on fever, pleuritic chest pain, and respiratory symptoms. His general pra…

emergency medicineintensive carediagnosticcommunicationhypnodorm
VIChospital2021-04-30

Finding into death of Valerie Margaret Fraser

94y · Female·Complications of metastatic lobular carcinoma of the breast in a woman with deme…

A 94-year-old woman with advanced dementia and metastatic breast cancer died from complications of her malignancy. She presented repeatedly with vomiting due to duodenal obstruction from metastatic tumour, but this was n…

general medicinegastroenterologycommunicationdiagnostictamoxifen
NSW2015-11-27

Inquest into the death of Madeleine Duffy

18y · Female·asphyxiation and respiratory failure on a background of severe dystonic quadripl…

Madeline Duffy, 18 years old with severe dystonic quadriplegic cerebral palsy, died from asphyxiation and respiratory failure while in respite care. She was positioned on her side in bed with pillows, contrary to her usu…

rehabilitation medicineneurologycommunicationdelaybaclofen
SAhospital2003-03-28

Coroner's Finding: BUTLER Irene

72y · Female·haemorrhage from penetrating duodenal ulcer

…logy based on elevated cardiac enzymes, which expert evidence suggested were misleading due to prolonged immobility. The patient died from massive haemorrhage from a large penetrating duodenal ulcer. The critical failure…

emergency medicinegeneral medicinediagnosticcommunicationaspirin
VICaged care2023-03-22

Finding into death of Margaret Alice Cook

88y · Female·Complications of a stage 3 sacral pressure ulcer in a woman with dementia

Margaret Alice Cook, an 88-year-old woman with end-stage dementia, died from complications of a stage 3 sacral pressure ulcer at a palliative care unit. She had resided at Crofton House Supported Residential Services (SR…

geriatric medicinegeneral practicesystemcommunicationflucloxacillin
QLDaged care2015-06-11

Ms C - Non-inquest findings

90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia

A 90-year-old woman with dementia, admitted to aged care in September 2012, developed a large necrotic sacral pressure ulcer despite nursing interventions. She was markedly dehydrated and malnourished, repeatedly refusin…

general practicegeriatric medicinecommunicationdelayfentanyl
VIChospital2023-07-19

Finding into death of Daryl William Nioa

74y · Male·Pulmonary thromboembolism secondary to deep vein thrombosis in the setting of re…

A 74-year-old man died from pulmonary thromboembolism secondary to deep vein thrombosis following a cervical spinal fracture. He presented to rural ED with mental health concerns, was restrained by security guards after …

emergency medicineneurosurgerydiagnosticdelayclonazepam
QLDhome2024-12-06

Inquest into the death of Audrey Yvette Carrick

83y · Female·Pulmonary thromboembolism due to aortic stenosis (recent transcatheter aortic va…

An 83-year-old woman with severe aortic stenosis, atrial fibrillation, and heart failure died from pulmonary embolism one day after discharge following transcatheter aortic valve replacement (TAVI). Clinical lessons cent…

cardiologycardiothoracic surgerycommunicationdocumentationwarfarin
NSWhospital2019-03-01

Inquest into the death of Stephen Kline

51y · Male·Pulmonary thromboemboli due to deep vein thrombosis on a background of a leg bur…

Stephen Kline, a 51-year-old Aboriginal man, died from pulmonary thromboembolism due to deep vein thrombosis following a leg burn wound sustained when NSW Police deployed a taser during a confrontation on 8 March 2016. H…

plastic and reconstructive surgerypsychiatrydiagnosticsystemheparin
NSWhospital2020-02-28

Inquest into the death of Peter ROBIN

56y · Male·Pulmonary embolism with deep vein thrombosis an antecedent cause; coronary arter…

Peter Robin, a 56-year-old man with a medical history of hypercholesterolaemia, hypertension, obesity, and depression, underwent elective dental surgery on 28 October 2015 to remove four wisdom teeth and resect a cyst. H…

oral and maxillofacial surgeryanaesthesiacommunicationsystemoxycodone
TASaged care2016-09-01

Coroner's Finding: Westcott, Barbara

84y · Female·Positional asphyxia due to head and neck entrapment between mattress and bed pol…

Barbara Westcott, aged 84, died of positional asphyxia on 31 March 2012 when her head and neck became trapped between her mattress and a bed pole at Vaucluse Gardens aged care facility in Hobart, Tasmania. The bed pole, …

geriatric medicinegeneral practicesystemdelay
TASaged care2025-06-16

Coroner's Finding: McDonald, Maureen June

87y · Female·Terminal exacerbation of chronic obstructive pulmonary disease; antecedent cause…

…idential aged care in October 2020 with a stage-two sacral pressure injury resulting from femur fracture immobility. The facility's wound management plan required regular monitoring, repositioning, and dressing changes. …

geriatric medicinegeneral practicesystemcommunicationantibiotics
QLDhospital2019-07-24

Mr P - Non-inquest findings

47y · Male·Pulmonary thrombo-embolism secondary to deep vein thrombosis in setting of morbi…

A 47-year-old man with morbid obesity presented with respiratory failure, productive cough, and calf swelling. His GP appropriately suspected both pneumonia and pulmonary embolism (PE), requesting urgent CTPA. At Townsvi…

intensive careemergency medicinediagnosticcommunicationheparin

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.