Coronial

231 results for respiratory symptoms

SAhospital2024-05-22

Coroner's Finding: Kolega, Sime

54y · Male·multi-organ failure and sepsis complicating fulminant pneumonia with empyema (op…

…ma. He presented to his GP on 1 April 2021 with concerning signs including bilateral oedema, fever, and respiratory symptoms. The GP appropriately ordered blood tests but the appointment timing (4:36pm) meant the pathol…

general practiceemergency medicinedelaysystemflixotide
NThospital2014-02-13

Inquest into the death of Peter Clarke

55y · Male·bronchopneumonia complicating metastatic carcinoma of the right lung, with emphy…

…e and timely, with no evidence the cancer should have been detected earlier. Key learning: non-specific respiratory symptoms with normal vital signs can mask malignancy; early recognition of clinical deterioration remai…

emergency medicineintensive carediagnostic
VIC2016-04-29

Finding into death of Jack Glen Irvine

15y · Male·Global ischaemic brain injury post cardiac arrest secondary to anaphylaxis

…ministration during the 30-40 minute delay before collapse because his father, unaware that asthma-like respiratory symptoms could indicate anaphylaxis, attempted only Ventolin. The coroner found the death preventable t…

emergency medicineintensive caresystemcommunicationadrenaline
NSWhospital2020-06-12

Inquest into the death of Dat Nhieu HA

45y · Male·abdominal sepsis on a background of metastatic lung carcinoma

…ng cancer died from abdominal sepsis secondary to bowel perforation while imprisoned. He presented with respiratory symptoms in January 2019, was diagnosed with terminal lung cancer following bronchoscopy, and received …

respiratory medicineoncology
TAShospital2020-04-07

Coroner's Finding: Pettersson, Jan Axel

71y · Male·disseminated fungal (Cryptococcus) infection of the lungs, brain and meninges

…were unremarkable. Despite clinical deterioration with headaches, altered consciousness, and neurological symptoms suggesting intracranial involvement, diagnostic workup was incomplete. MRI and lumbar puncture were not p…

general medicinerespiratory medicinediagnosticdelay
VICmental health2015-12-07

Finding into death of Jeffrey John Hartwig

43y · Male·Pneumonia

…ig, a 43-year-old with chronic schizophrenia and opiate dependence, died from pneumonia following cardiorespiratory collapse on an acute psychiatric inpatient unit. He was on multiple psychoactive medications including …

psychiatryintensive caremonitoringcommunicationmethadone
VIChospital2025-02-12

Finding into death of Alexander Cameron

40y · Male·Aspiration pneumonia

…opies, imaging, and trials of NMS-specific therapies, he developed aspiration pneumonia and progressive respiratory failure. The Coroners Prevention Unit confirmed care was appropriate and thorough with no deficiencies …

intensive caregeneral surgeryclozapine
VICaged care2019-10-14

Finding into death of Grant White

65y · Male·Cardiomegaly

…2017. Two days before his death, on 9 September, he presented with fluid retention and laboured breathing—symptoms specifically flagged in his Specific Health Management Plans as requiring immediate medical review. Prest…

cardiologygeneral practicesystemcommunicationhaloperidol
QLDhospital2010-03-05

Hockey, Barry John

58y · Male·adenocarcinoma of the right lung

…onchopneumonia while in the Princess Alexandra Hospital Secure Unit. He presented in November 2007 with respiratory symptoms initially misdiagnosed as infection; chest imaging and pleural fluid analysis eventually confi…

respiratory medicineoncologyoxycodone
SAhospital2020-12-18

Coroner's Finding: ASTACHNOWICZ Maria

76y · Female·left lower lobe pneumonia complicating metapneumovirus infection

…lar) with chronic mental health admissions, managed at Clements House aged care facility. She developed respiratory symptoms consistent with metapneumovirus infection, was prescribed antibiotics initially, and transferr…

psychiatrygeriatric medicineclonazepam
NSWhospital2018-07-18

Inquest into the death of Neville Betteridge

72y · Male·Ruptured abdominal aortic aneurysm

…rysm while in custodial care. He was admitted to Prince of Wales Hospital following a fall in prison with symptoms of light-headedness and tunnel vision. Clinical assessment identified urinary tract infection, chest infe…

emergency medicinegeriatric medicine
NSW2021-03-11

Inquest into the death of Nathan REYNOLDS

36y · Male·bronchial asthma

…d rigid procedures requiring three officers before medical assistance was called, absence of specialist respiratory input, and poor clinician understanding of chronic disease management protocols.

respiratory medicineemergency medicinediagnosticsystemsalbutamol
ACThospital2018-01-30

AN INQUEST INTO THE DEATH OF ROBERT DOUGLAS

67y · Male·respiratory failure with antecedent causes including chronic emphysematic lung d…

67-year-old male with 40-year smoking history presented with chest symptoms in 2012. CT scan revealed a left upper lobe mass. Core biopsy was incorrectly reported as adenocarcinoma …

respiratory medicinepathologydiagnosticsystemenoxaparin
SAhospital2012-07-31

Coroner's Finding: KISON Trinity Isabel

0y · Female·respiratory failure due to congenital pneumonia with hyaline membrane disease ca…

Trinity Kison, a 21-hour-old neonate born at 35 weeks gestation, died from respiratory failure due to congenial pneumonia caused by streptococcus pneumoniae. The maternal high vaginal swab t…

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
SAhospital2019-06-12

Coroner's Finding: NGUYEN An Hoang Le

4y · Male·acute lymphoblastic leukaemia

…ukaemia with CNS involvement. He presented with a 4-day history of abdominal pain, lethargy, fever, and respiratory symptoms at Royal Darwin Hospital where leukaemia was diagnosed. He developed life-threatening complica…

haematologyintensive carechemotherapy
QLDcommunity2020-04-17

Russo, Matthew Anthony

37y · Male·Cardiac failure due to sepsis due to bilateral bronchopneumonia

…streaked sputum. Vital signs were not systematically assessed or recorded—blood pressure was not taken, respiratory rate was assessed by observation only (not counting breaths), and none of the results were documented. …

general practicerespiratory medicinediagnosticcommunicationamoxicillin
SAhospital2015-09-22

Coroner's Finding: HEWLETT Betty Lorraine

92y · Female·community acquired pneumonia on a background of end stage chronic obstructive ai…

… in late December 2012 with health deterioration and malnutrition (38kg). She developed acute psychiatric symptoms including paranoid delusions and refusal of care, leading to Mental Health Act detention on 4 January 201…

psychiatrygeneral medicineprednisolone
VIChome2022-04-29

Finding into death of Mr S

20y · Male·Mixed drug toxicity (ethanol, etizolam, flubromazolam, cocaine)

…thing) but emergency services were not called for several hours. Those present did not recognise overdose symptoms despite observing concerning signs. The case highlights the dangers of novel psychoactive substance benzo…

toxicologyforensic medicinedelayalcohol
NSWcommunity2023-08-01

Inquest into the death of Peter Gretton

64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…

… renal function deteriorated in the three to four weeks before 2 January 2019, developing without obvious symptoms. On the morning of his death, he presented with chest pain and hypoglycaemia (BGL 1.4 mmol/L). Critical c…

emergency medicinecardiologydiagnosticcommunicationmetformin
VIC2025-05-14

Finding into death of Adrian Colin Phillips

58y · Male·Complications of community-acquired pneumonia, in a man with chronic lung diseas…

…sthma), died from community-acquired pneumonia caused by MRSA and Rhinovirus. He presented with cold-like symptoms on 30 August, was prescribed antibiotics by his GP, then developed breathing difficulties and was hospita…

general practicerespiratory medicinebromhexine
156712

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