145 results for “reflux disease”
84y · Male·respiratory failure due to hospital-acquired pneumonia
…ound his death resulted from the natural progression of multiple comorbidities (diabetes, ischaemic heart disease, interstitial pulmonary fibrosis, dementia) complicated by hospitalisation. While the hospital-acquired p…
61y · Male·Pulmonary aspiration of gastric contents (post seizure) due to chronic communica…
Michael Phillip Hyde-Wyatt, aged 61, died from pulmonary aspiration of gastric contents following a seizure. He had chronic communicating hydrocephalus and encephalomalacia. At 1:30am, support worker Julie Magrath observ…
53y · Male·Choking on food bolus in pharynx, with Huntington's disease and coronary atheros…
Paul Joseph Milward, aged 53 with Huntington's disease causing cognitive impairment and swallowing difficulties, died from choking on a bread sandwich while uns…
62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…
John Michael Jurdeczka, a 62-year-old man with autism, intellectual disability, and dysphagia, died from hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolu…
49y · Male·Acute myocardial infarction due to coronary artery atherosclerosis with thrombus
… days before death. The GP diagnosed indigestion based on symptom relief with antacids and prescribed acid reflux medication. No electrocardiogram or cardiac markers were obtained. The patient died of acute myocardial in…
30y · Male·Sudden unexpected death in epilepsy
Vanelee Mitchell, a 30-year-old First Nations man with epilepsy, died suddenly in custody at Townsville Correctional Centre on 10 April 2020. He had suffered a head injury in 2014 resulting in acquired brain injury and s…
58y · Female·Complications of poorly controlled type 2 diabetes
Ms Kathleen Earl, aged 58, died from complications of poorly controlled type 2 diabetes in June 2022. She had an intellectual disability and received support from IHCS (Individual Support Worker) since 2005. Critical def…
93y · Female·Catastrophic subdural haemorrhage resulting from head strike sustained in a witn…
Dayle Patricia Weldon, a 93-year-old woman 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 M…
48y · Male·Coronary atherosclerosis with acute cardiac event
…sbane Correctional Centre on 21 November 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabetes, obesity, and hypertension. Clinical lessons include: (1) the critical…
89y · Male·Complications of choking on a food bolus in a man with multiple medical comorbid…
Maurice Benedict Costello, 89, died from aspiration of a food bolus while eating on a geriatric ward three days after a fall. He had documented oropharyngeal dysphagia requiring supervision during oral intake. Speech pat…
51y · Male·combined effects of dilated cardiomyopathy with myocardial fibrosis and prescrip…
Jacob MacDonald, 51, died at the Forensic Hospital from combined effects of dilated cardiomyopathy with myocardial fibrosis and toxic levels of clozapine and aripiprazole. He was an involuntary forensic psychiatric patie…
90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia
… aged care facility failed to maintain consistent wound charts and care plans. While her advanced cardiac disease and age were significant, earlier appropriate wound debridement and better family communication regarding…
65y · Male·metastatic rectal cancer with extensive lung metastases
A 65-year-old man died from metastatic rectal cancer with extensive lung metastases while serving a prison sentence. He had presented with rectal bleeding symptoms since 2011 and returned a positive faecal occult blood t…
75y · Female·Aspiration of food in a woman with dementia
A 75-year-old woman with advanced dementia died from aspiration of food in an aged care facility. Despite being on a thickened diet and requiring full supervision due to documented swallowing difficulties and a tendency …
60y · Male·Ischaemic heart disease with a bleeding duodenal ulcer being a significant contr…
James Joseph Cunneen, a 60-year-old man with significant medical comorbidities (ischaemic heart disease, diabetes, peripheral arterial disease), died from cardiac arrest due to ischaemic heart disease with a b…
47y · Female·risperidone toxicity
Rosa Sinapi, a 47-year-old woman with delusional disorder, died from risperidone toxicity after ingesting an overdose of her antipsychotic medication. She had self-escalated her risperidone dose from 3mg to 6mg daily wit…
48y · Male·myocardial infarction due to ischaemic heart disease due to hypertension
A 48-year-old man died from myocardial infarction due to ischaemic heart disease and hypertension shortly after undergoing urology surgery. Critical failures in clinical communication pr…
58y · Female·lymphangitic carcinomatosis leading to hypoxaemic respiratory failure and cardia…
… ante-mortem. Experts agreed the resuscitation deficiencies did not affect outcome; she died from natural disease progression. The coroner found early hospital transfer was not definitively required, though better monit…
53y · Male·neck compression due to hanging
Neil Heyward, aged 53, died by hanging in Port Augusta Prison on 6 June 2009 while on remand for murder. He had been in custody since December 2007 and was managed by prison social workers and medical staff. Although he …
54y · Male·acute myocardial infarction
Gordon Arthur David Mitchell, 54 years old, died of acute myocardial infarction five days after successful stenting for an initial MI. He was discharged on 10 July 2019 despite presenting with chest pain, dyspnea, and co…
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