Coronial

171 results for severe shock

QLD2009-04-22

Moore, Paul James

35y · Male·Cerebral trauma, shock and anoxia resulting from a single vehicle traffic accide…

…ace, though they breached policy by failing to notify the radio operator. The death resulted from multiple severe injuries including cerebral trauma, rib fractures with haemothorax, and anoxia.

pathologyforensic medicinecommunication
WAhospital2023-02-22

Inquest into the Death of Aishwarya Aswath CHAVITTUPARA

7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)

…oncern. By the time sepsis was recognised at 7.30pm during resuscitation, she was irreversibly septic with severe acidosis. Expert evidence indicates earlier recognition and treatment between 5.30-6.00pm might have offer…

emergency medicinepaediatricsdiagnosticcommunication
VIChospital2023-02-22

Finding into death of Christine Ann Stephen

67y · Female·Intra-abdominal sepsis complicating an anastomotic leak following elective surge…

…ion protocols, documentation of clinical discussions, and the importance of consultant-level assessment in severe sepsis.

colorectal surgeryintensive carecommunicationdelaynoradrenaline
TAShospital2017-03-16

Coroner's Finding: HE

19y · Female·echovirus type 9 infection (myocarditis and pneumonitis)

…re could have been done, even in major teaching hospitals. This case highlights the challenges of managing severe viral myocarditis in resource-limited rural settings.

emergency medicinepaediatricsceftriaxone
NThospital2004-02-11

Inquest into the death of Robert Dalgleish

57y · Male·Multiple organ failure in consequence of peritonitis resulting from complication…

Robert Douglas Dalgleish died from multiple organ failure due to peritonitis resulting from complications of gastric banding surgery. He presented to the ED on 18 July 2002 with abdominal pain and vomiting. Dr B. appropr…

surgerygeneral surgerydiagnosticcommunication
ACThospital2024-09-11

Inquest Into The Death Of Baby X

0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…

Baby X, born at Canberra Hospital after a prolonged labour, died at age 2 days from injuries sustained during birth. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged …

obstetricsneonatologydiagnosticcommunication
VIChospital2023-10-20

Finding into death of Vanessa Li

0y · Female·subgaleal haematoma complicating an obstructed labour

…rm infant born following obstructed labour, died at four days of age from subgaleal haemorrhage (SGH) with severe hypoxic-ischaemic encephalopathy. Labour was managed by private obstetrician Dr K., who was not physically…

obstetricsneonatologycommunicationdiagnosticoxytocin
VIChospital2016-12-12

Finding into death of Hugo Edward Byard Gardiner

3y · Male·Streptococcus pyogenes group A pneumonia

…tococcus pyogenes group A pneumonia with pleural effusions. Clinical lessons include: early recognition of severe sepsis in children requires lower diagnostic thresholds; concerning vital signs warrant specialist consult…

general practicepaediatricsdiagnosticcommunication
SAhospital2006-05-10

Coroner's Finding: SLOAN Adam Edward John

15y · Male·right haemothorax due to lacerations of right lung

…consumed alcohol provided by an adult. Emergency response was appropriate: rescue teams extracted him from severe entrapment within 100 minutes; pre-hospital care including intubation was excellent; hospital resuscitatio…

emergency medicinecardiothoracic surgeryalcohol
QLDhome2021-01-22

Cobb, Tyrell - Non-inquest findings

4y · Male·Intra-abdominal injuries from blunt force trauma (ruptured duodenum and lacerate…

…oyfriend and mother). Critically, both caregivers failed to seek medical attention despite Tyrell becoming severely ill on 23 May with vomiting and abdominal pain. Had medical care been sought promptly following the firs…

paediatricsemergency medicinedelaysystem
QLDhome2012-12-06

Bramble, Julie Anne

50y · Female·septicaemia

…priate medical intervention called earlier could have prevented death. Key clinical lesson: recognise that severely ill patients lack capacity to make sound decisions about refusing emergency care; escalate to paramedics…

emergency medicineparamedicinedelaycommunicationmethamphetamine
VIChospital2024-09-26

Finding into death of FH C

11y · Male·Sepsis

An 11-year-old boy with autism spectrum disorder (ASD level 3), ADHD, and obesity died from sepsis on 20 June 2022. He presented to Rosebud Hospital ED on 14 June with fever, vomiting, and low blood pressure, was dischar…

emergency medicinepaediatricsdiagnosticcommunicationrisperidone
TAShome2026-02-17

Coroner's Finding: Gregory and Diane Burkhalter

73y · Male·Gregory Frank Burkhalter: carbon monoxide toxicity due to inhalation of carbon m…

…ailure and combustion. Mr Burkhalter (73) died from carbon monoxide toxicity; Mrs Burkhalter (74) suffered severe burns, survived initially but died from complications including myocardial infarction during acute resusci…

emergency medicineanaesthesiasystem
NThospital2012-10-29

Inquest into the death of Ben James Witham

17y · Male·Multi-organ failure with terminal fungal sepsis (Aspergillus) on a background of…

… with terminal fungal sepsis. The critical issue identified was a substantial delay in investigating acute severe abdominal pain on 13 May 2011. Despite classic peritoneal signs noted at 9:30 pm (generalised tenderness, …

oncologyhaematologydiagnosticdelaymorphine
SAhospital2024-05-22

Coroner's Finding: Kolega, Sime

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

…walk and also closed at 5:30pm. The following day was Good Friday. He presented to ambulance on 3 April in severe respiratory distress and was transferred to intensive care where he died on 8 April. The coroner found tha…

general practiceemergency medicinedelaysystemflixotide
WA2022-03-28

Inquest into the Suspected Death of Michael Richard GRUBB

33y · Male·Drowning (unascertained - possible injury sustained upon reaching dinghy)

…alia on 16 August 2019 after jumping from a yacht without a lifejacket to retrieve an adrift dinghy during severe weather conditions with gale-force winds (35-75 km/h). The yacht, an old vessel requiring significant repa…

systemdelay
SAhospital2013-02-08

Coroner's Finding: FENSOM Angela Catherine and TAANKINK Johaanes Andrew

Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …

Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…

emergency medicinegeneral practicediagnosticcommunicationoseltamivir
VIChospital2019-02-07

Finding into death of JP

39y · Male·septicaemia following self-administered intravenous injection of faeces

A 39-year-old Aboriginal man with schizophrenia, personality disorder, and substance dependence died from septicaemia after self-injecting faeces into his vein while an involuntary mental health patient. He obtained a sy…

psychiatryinfectious diseasessystemdelaypaliperidone
NSWhospital2026-03-19

Inquest into the death of Eve Brown

42y · Female·hypovolaemic shock due to an acute ruptured subcapsular splenic haematoma in the…

Eve Brown, a 42-year-old Aboriginal woman, died of hypovolaemic shock from a ruptured splenic haematoma in the context of urosepsis at a regional hospital. She presented with U…

emergency medicinegeneral practicediagnosticcommunicationceftriaxone
VIC2013-08-19

Finding into death of TH

2y · Female·Blunt force injury to the abdomen

…the death resulted from actions and inactions of two adult caregivers present that night. Clinical lesson: severe abdominal trauma in young children presenting with lethargy, pallor, and apparent illness requires immedia…

paediatric surgeryemergency medicinedelaysystem
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