Coronial

191 results for acute kidney injury

NThospital2016-09-01

Inquest into the death of Kerry James Murphy

73y · Male·Acute subdural haematoma

Kerry James Murphy, 73, died from acute subdural haematoma following a fall in Royal Darwin Hospital's overcrowded Emergency Department. He was ad…

emergency medicinecardiologysystemcommunicationblood thinners
QLDhospital2016-11-14

Ms H - non-inquest findings

23y · Female·Necrotising retroperitoneal fasciitis due to acute perforated gangrenous appendi…

…inical lessons: presumption of capacity may not apply when guardianship is unknown; early consideration of acute appendicitis in presentations with fever, tachycardia, right lower quadrant pain and elevated inflammatory…

emergency medicinesurgerysystemdiagnosticparacetamol
SAhospital2020-11-03

Coroner's Finding: WHISKEY Louise Kitty

51y · Female·community acquired pneumonia

Louise Kitty Whiskey, a 51-year-old Aboriginal woman with chronic alcohol misuse, cirrhosis, and recurrent respiratory infections, died from community-acquired pneumonia at Royal Adelaide Hospital. She was admitted on 23…

intensive carepsychiatrysystemnoradrenaline
QLDhospital2024-11-20

Non-inquest findings into the death of Mr W

82y · Male·sepsis due to infected sacral ulcer with osteomyelitis and necrotising fasciitis

An 82-year-old man with multiple comorbidities developed a sacral pressure injury during admission to a private hospital for investigation of leg weakness. Despite being assessed as high-r…

general medicinegeriatric medicinediagnosticcommunicationendone 2.5mg
VICaged care2023-02-20

Finding into death of Terence Michael Brooks

76y · Male·Streptococcus pneumoniae sepsis in the setting of acute bronchopneumonia and ren…

…year-old man with dementia, vascular disease, and depression, died of streptococcal pneumoniae sepsis with acute bronchopneumonia and renal failure from obstructive uropathy at an aged care facility. Key clinical lesson…

geriatric medicinegeneral practicecommunicationdelayvenlafaxine
SAhospital2006-01-25

Coroner's Finding: RAPHAEL Glenn Howard

74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…

…d for infected ischaemic toe secondary to diabetes mellitus. During his 17-day hospital stay, he developed acute renal failure leading to cardiac arrest and death. Critical failures included: failure to monitor creatini…

vascular surgerygeneral medicinemedicationcommunicationgentamicin
NSWprison2021-11-19

Inquest into the death of Danny Whitton

25y · Male·Multiple organ failure due to acute paracetamol poisoning

Danny Whitton, a 25-year-old Aboriginal prisoner at Junee Correctional Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November …

emergency medicinetoxicologydiagnosticcommunicationparacetamol
NSWhospital2025-02-28

Inquest into the death of Heather Winchester

75y · Female·multiple organ failure due to severe anaemia secondary to blood loss post electi…

A 75-year-old woman died from multiple organ failure due to severe anaemia after elective hysterectomy surgery. Critical failures occurred: the surgical and anaesthetic teams held conflicting understandings about whether…

gynaecologyanaesthesiacommunicationsystem
SAhospital2010-12-06

Coroner's Finding: GEORGE Irene Thelma

84y · Female·septicaemia secondary to septic arthritis of the left knee

An 84-year-old woman presented to hospital with acute left knee swelling and pain. Initial assessment at Ashford Hospital ED reasonably excluded septic arthriti…

emergency medicinegeneral medicinediagnosticcommunicationmorphine
VIChospital2022-05-09

Finding into death of Robert Albert Burns

75y · Male·Multiorgan dysfunction syndrome complicating anastomotic leak following hemicole…

A 75-year-old man died from multiorgan dysfunction following an anastomotic leak after hemicolectomy for caecal adenocarcinoma. Initial post-operative recovery appeared normal, but he deteriorated from day 3 onwards. The…

colorectal surgeryintensive carediagnosticdelay
TAShospital2024-10-18

Coroner's Finding: Long, Leonard

73y · Male·subdural haematoma from fall

…without imaging. On 3 February, he deteriorated with altered consciousness and was found to have a massive acute subdural haematoma with herniation. The critical failure was non-completion of the standardized post-fall …

general medicineemergency medicinediagnosticsystemwarfarin
TASaged care2016-12-19

Coroner's Finding: Cobham, David Alexander

84y · Male·aspiration pneumonia following rhabdomyolysis due to entrapment of his right arm…

David Cobham, aged 84 with dementia, died on 23 April 2015 from aspiration pneumonia following rhabdomyolysis caused by prolonged entrapment of his right arm in a bathroom hand rail at The Lodge aged care facility. His d…

geriatric medicinegeneral medicinecommunicationsystem
VIChospital2012-03-02

Finding into death of Elsa Harrington

45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…

Elsa Harrington, a 45-year-old woman, died from acute liver failure secondary to paracetamol toxicity in November 2002. She was admitted post-hysterectomy with …

general surgerycardiologydiagnosticcommunicationparacetamol
VIChospital2014-05-29

Finding into death of Lilian Olive Blanche McClurkin

61y · Female·Peritonitis due to anastomotic leak at gastrectomy site; pathological obesity as…

… days post-operatively before bursting on day three, causing sudden cardiac arrest and fatal hypoxic brain injury. Clinical lessons include: difficulty detecting post-operative deterioration in obese patients (abdominal …

bariatric surgerygeneral surgerycommunicationsystemtramadol
TAS2020-08-11

Coroner's Finding: Howe, Rowland Michael Chilton

27y · Male·Hypothermia and rhabdomyolysis due to traumatic crush injuries of back and legs …

A 27-year-old man died from hypothermia and rhabdomyolysis following crush injuries sustained when a tree fell on him during tree felling on family property. He was using a chainsaw to fell a large eucalyptus tree that b…

procedural
WAhospital2018-03-22

Inquest into the Death of Steven John COLLOFF

47y · Male·Organ failure following use of synthetic cannabinoids and consequent hyperthermi…

A 47-year-old man died from organ failure following synthetic cannabinoid use and consequent heat stroke. After smoking synthetic cannabinoids (AB-CHMINACA and 5F-AMB), he became confused and dehydrated in a hot environm…

toxicologyintensive careab-chminaca
NSWhospital2020-03-04

Inquest into the death of Paul MORTIMER

65y · Male·ischaemic heart disease following complications of colorectal surgery

A 65-year-old man with significant comorbidities (cardiomyopathy, diabetes, obesity) underwent colorectal surgery for adenocarcinoma. Post-operative course was complicated by anastomotic breakdown causing sepsis on day 1…

colorectal surgeryintensive careproceduralsystemenoxaparin
SAhospital2019-05-31

Coroner's Finding: CHAPLIN Gray Clyde

81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…

…o revealed 9 rib fractures, the treating general practitioner failed to appreciate the seriousness of this injury pattern in an elderly patient and did not seek specialist advice or arrange transfer to a tertiary centre.…

general practiceemergency medicinediagnosticdelaymorphine sulphate
VIChospital2012-12-14

Finding into death of Jeanette Brown

66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…

Mrs Jeanette Brown, 66, died from multi-organ failure following post-operative haemorrhage after elective laparoscopic cholecystectomy. Arterial clips applied to the cystic artery during surgery were inadequately secured…

general surgeryanaesthesiaproceduralcommunicationamlodipine
QLDaged care2017-09-20

Mr RO'H - Non-inquest findings

69y · Male·septic shock due to infected decubitus ulcers complicated by osteomyelitis

…transfer. While earlier intervention might not have changed survival, adherence to evidence-based pressure injury prevention guidelines and timely escalation would have been appropriate.

geriatric medicinegeneral practicediagnosticsystemdicloxacillin
167810

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