Coronial

267 results for severe heart failure

VIChospital2018-03-29

Finding into death of Roy Irvin Dorner

64y · Male·Complications of redo thoracotomy/aortic valve replacement in a man with ischaem…

A 64-year-old physician with significant cardiac history (prior CABG, pacemaker, congestive failure, and newly severe aortic stenosis) underwent redo thoracotomy for aortic valve replacement. During sterna…

cardiothoracic surgerycardiology
WA2013

Inquest into the Death of Bropho, Robert Charles

81y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis

Robert Charles Bropho, an 81-year-old Aboriginal man imprisoned since 2008 with severe medical comorbidities including insulin-dependent diabetes, hypertension, chronic renal failure, and sever…

cardiologygeneral medicinecommunicationsysteminsulin
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 …

emergency medicinehaematologydiagnosticproceduraliron polymaltose
SAhospital2023-07-28

Coroner's Finding: Searle, Bodhi Leo

0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia

…red to a monitoring suite for continuous cardiotocography (CTG). Critically, the CTG recorded the mother's heart rate instead of the baby's for approximately 26 minutes, during which time the baby was likely experiencin…

obstetricsmidwiferydiagnosticcommunication
SAcommunity2009-12-16

Coroner's Finding: PENN Dulcie Janet Mary

83y · Female·Congestive cardiac failure due to ischaemic and valvular heart disease

An 83-year-old woman with Down syndrome and cardiac disease died from congestive cardiac failure at Royal Adelaide Hospital following accidental medication administration error in a community group home…

emergency medicineintensive caremedicationproceduralclozapine
NSWhospital2022-10-14

Inquest into the death of Malouvailoa Tafau

20y · Male·cardiac arrest due to complications of infective endocarditis against a backgrou…

…0-year-old man in custody, died from cardiac arrest due to infective endocarditis complicated by rheumatic heart disease. He had submitted two patient self-referral forms (September 2016 and February 2017) reporting che…

cardiologyinfectious diseasesdiagnosticcommunicationflucloxacillin
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Ov…

psychiatrygeneral practicesystemdelayrisperidone
SAhospital2015-09-22

Coroner's Finding: WHETTERS Peter Richard Bertram

75y · Male·Multiorgan failure complicating mixed drug toxicity

A 75-year-old man with end-stage cardiac failure and chronic renal failure died from multiorgan failure complicating mixed drug toxicity following intenti…

cardiologyintensive caretemazepam
QLDhospital2025-08-11

Inquest into the death of John Reginald Wright

79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…

…derwent multiple amputations and vascular interventions but experienced declining renal function, cardiac failure, and episodes of aspiration. While early prison health records contained gaps in wound dressing documenta…

vascular surgerygeneral medicineglicazide
VIChospital2025-12-01

Finding into death of Larelle Sheridan Dean

51y · Female·Multiorgan failure in the setting of WHO Class III obesity, chronic excessive al…

…51-year-old woman with WHO Class III obesity, chronic alcohol consumption, and anaemia died of multiorgan failure following admission with community-acquired pneumonia and respiratory failure. She presented with abdomin…

general medicineemergency medicinehydromorphone
VIChospital2013-11-18

Finding into death of Sean Raymond Adams

51y · Male·Multiorgan failure in a man with corrected congenital coarctation of the aorta a…

…with complex cardiac history including corrected coarctation of aorta, valvular disease, and biventricular heart failure, presented to Alfred Hospital ED with chest pain and dyspnoea. He was diagnosed with NSTEMI and ad…

cardiologyemergency medicinecommunicationsystemhaloperidol
TAShome2023-05-25

Coroner's Finding: CE de-identified

69y · Male·amitriptyline and alcohol toxicity with ischaemic heart disease

…overdoses of amitriptyline died from combined amitriptyline and alcohol toxicity with underlying ischaemic heart disease. After a serious intentional overdose in May 2020 requiring ICU admission, hospital psychiatry dir…

psychiatrygeneral practicesystemcommunicationamitriptyline
VIChospital2025-08-20

Finding into death of Christine Klofa

47y · Female·Mycoplasma pneumonia secondary to rhinovirus infection

…s identified. This case illustrates appropriate end-of-life decision-making respecting patient autonomy in severe pneumonia.

general practiceemergency medicineamoxicillin
VICaged care2013-03-12

Finding into death of Jonathan Paul Tozer

48y · Male·Multiple injuries in a pedestrian struck by a bus

…by staff, he absconded from the Witt Street facility and ran into traffic on Whitehorse Road. He sustained severe injuries including traumatic subarachnoid haemorrhage, spinal injury with paraplegia, ruptured tricuspid v…

trauma surgerycardiothoracic surgery
NSWcustodial setting (correctional facility) with death at hospital2025-07-23

Inquest into the death of James Cunneen

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 w…

general practiceinfectious diseasesdiagnosticmedicationpantoprazole
NSW2020-09-04

Inquest into the death of Stephen Pitty

70y · Male·Complications of Ischaemic cardiomyopathy and Chronic Obstructive Pulmonary Dise…

…iate accommodation by Corrective Services NSW. The death appears to have been a natural consequence of his severe underlying cardiac and pulmonary disease, with no clinical errors or preventable factors identified.

cardiologyrespiratory medicine
SA2004-04-06

Coroner's Finding: HUMBERSTONE Rex Alexander John

52y · Male·salt water drowning

…owning whilst diving near Marion Bay, South Australia. Multiple medical and equipment factors contributed: severe obesity (132kg), emphysema with lung bullae, coronary atheroma, enlarged heart, tight-fitting wetsuit caus…

diving medicineforensic medicinediagnostic
QLD2013-09-11

Morris, David Samuel

57y · Male·Coronary atherosclerosis

…significant cardiac history including dilated cardiomyopathy, atrial fibrillation, and congestive cardiac failure, and had been recently discharged from Princess Alexandra Hospital on 16 November after treatment for dys…

cardiologyforensic medicinewarfarin
TASmental health2016-10-07

Coroner's Finding: Weily, Richard Maurice

85y · Male·Probable pneumonia following a hip fracture (comminuted fracture of right acetab…

…e given his age and poor prognosis. He died from pneumonia on 15 July. The coroner identified significant failures in RFC's falls risk management: assessment was delayed nine days post-admission, high falls risk was not…

general practicegeriatric medicinesystemdelayamiodarone
VICaged care2019-10-14

Finding into death of Grant White

65y · Male·Cardiomegaly

Grant White, a 65-year-old man with cardiomegaly and severe mitral regurgitation living in Department of Health and Human Services disability accommodation, died from…

cardiologygeneral practicesystemcommunicationhaloperidol
156714

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