Coronial

154 results for possible infection

QLDhospital2015-07-08

Hamilton, Michael John - Non-inquest findings

72y · Male·Multiple organ failure due to sepsis caused by abdominal adhesions from previous…

…l perforation based on CT findings; laparotomy was performed but found no perforation, only adhesions and possible pancreatitis (lipase 1080 U/L post-op). Key clinical lessons: (1) pre-operative lipase testing was not co…

surgeryintensive carediagnosticsystemwarfarin
WAhospital2024-09-24

Inquest into the death of Raymond Sydney CHEEK

89y · Male·Complications in association with a gastrointestinal illness in an elderly man w…

Raymond Sydney Cheek, an 89-year-old prisoner with multiple comorbidities including insulin-dependent diabetes, died from complications of gastrointestinal illness with acute renal failure. While medical care at Casuarin…

emergency medicineendocrinologymedicationsystemryzodeg insulin
WAhospital2023-12-13

Inquest into the Death of Ashleigh Rebecca HUNTER

26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia

… use disclosure may have created cognitive bias, with symptoms attributed to methamphetamine rather than infection; (5) inadequate pain management occurred because she remained on the Ramp/ABay without physician review;…

emergency medicineinfectious diseasesdiagnosticsystemMDMA
NSWhospital2018-06-29

Inquest into the death of Aidan Mara

3y · Male·Influenza A infection (Type H3N2)

Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons include: (1) distinguishing SIADH from dehydration ea…

paediatricsemergency medicinediagnosticcommunicationcefotaxime
QLDhospital2012-06-22

Paton, Daniel William

45y · Male·Hypoxic-ischaemic encephalopathy due to prolonged hypoxia

…ery. Multiple contributing factors were identified: undisclosed obstructive sleep apnoea, morbid obesity, possible respiratory infection detected intraoperatively, and post-operative medication management. Critical issue…

anaesthesiapain medicinediagnosticmedicationmorphine
QLDhospital2026-05-07

Non-inquest findings into the death of Lucy Campbell

0y · Female·Severe hypoxic ischemic encephalopathy due to brain injury from complicated assi…

Lucy Margaret Campbell died eight days after birth from severe hypoxic ischemic encephalopathy following complicated assisted vaginal birth at Ingham Hospital. Her mother had a low-risk pregnancy complicated by spontaneo…

obstetricsmidwiferydiagnosticcommunicationoxytocin
VIChospitalPodcast2026-02-20

Finding into death of James Harilaos Tsindos

17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis

…earlier administration would have improved outcomes. Contributing factors included James' concurrent RSV infection, poorly controlled asthma, ingestion of significant allergen quantity, and delays in recognizing deterio…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline (epinephrine) intramuscular
VICcommunity2022-07-12

Finding into death of Timothy Dale Fehring

15y · Male·Hypoxic-ischaemic encephalopathy complicating cardiac arrest in the setting of b…

…eassessment despite progressive weight loss, pallor, and continued vomiting. The coroner noted the acute infection may have been undetectable clinically, but the Vienna GP's failure to examine a clearly unwell patient a…

paediatricsemergency medicinediagnosticcommunicationparacetamol
NSW2025-02-24

Inquest into the death of Alfonso Ceniccola

82y · Male·Ischaemic heart disease due to coronary atherosclerosis with significant contrib…

…c event could not have been predicted, expert evidence suggests earlier hospital transfer might have been possible had officers recognized his cardiac vulnerability and responded to warning signs. The coroner found gross…

cardiologycorrectional healthsystemcommunication
ACTaged care2023-04-06

Inquest into the Death of Ruth McKay

90y · Female·acute bronchopneumonia caused by Staphylococcus aureus

Ruth McKay, 90, died of acute bronchopneumonia after accessing the external courtyard of the Memory Support Unit (MSU) at an aged care facility undetected in the early morning of 17 January 2015. She was found under a st…

geriatric medicineemergency medicinesystemcommunicationamitriptyline
QLDhospital2016-11-14

Ms H - non-inquest findings

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

Ms H, a 23-year-old with Asperger's syndrome and intellectual impairment under OPG guardianship for healthcare decisions, presented to Redcliffe Hospital ED with abdominal pain, vomiting and diarrhoea. Despite clinical c…

emergency medicinesurgerysystemdiagnosticparacetamol
TAShospital2014-09-19

Coroner's Finding: Tetley, Barry Lindsay

72y · Male·sepsis of undetermined source (pneumonia or spinal epidural abscess)

…ltures; discharge requires documented clinical review with vital signs and case summary; 95% survival was possible with appropriate treatment.

emergency medicineintensive carediagnosticcommunication
WAhome2013-05-16

Inquest into the Death of Levissianos, Katina

55y · Female·Aspiration of Gastric Contents in Association with Gastric Necrosis in a patient…

…pite having excruciating necrosis. Her GP made home visits on 2 and 3 November, diagnosed a likely viral infection, and prescribed antibiotics and anti-emetics. The deceased refused hospital admission. Her stomach had h…

general surgerybariatric surgerycommunicationdiagnosticamoxicillin/clavulanate
NT2013-11-20

Inquest into the death of Sara Lorraine Hampel

21y · Female·Multiple organ failure as a result of overwhelming Streptococcus pyogenes (Group…

Sara Hampel, 21 years old, died from sepsis caused by necrotising fasciitis (Group A Streptococcus) on 14 October 2011, presenting 8 days post-partum with severe leg pain and multiple signs of sepsis. Critical failures i…

obstetricsemergency medicinediagnosticcommunicationparacetamol
SAhospital2020-10-30

Coroner's Finding: VELT Hank Jakob

65y · Male·ischaemic and hypertensive heart disease with contributing acute cholecystitis (…

…led due to technical issues. Mr Velt was left alone with a student nurse despite the nurses' awareness of possible MI. He suffered an unwitnessed cardiac arrest and died. Expert evidence confirmed timely medical interven…

general surgerycardiologydiagnosticcommunication
QLDprison2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

…medication changes and clinical reasoning; (4) the potential masking effect of antipyretics in obscuring infection signs; (5) environmental factors affecting patient safety—Mr Hobbs was required to walk 4 metres to an a…

emergency medicinecardiologydiagnosticcommunicationaspirin
SAhospital2007-06-29

Coroner's Finding: COCKBURN Michael Philip

40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)

Michael Cockburn, a 40-year-old man with treatment-resistant schizophrenia and documented severe adverse reactions to antipsychotic medications, was admitted to Royal Adelaide Hospital from psychiatric detention for anae…

psychiatryemergency medicinemedicationcommunicationhaloperidol
SAhospital2006-08-22

Coroner's Finding: DENNIS Jessica-Lee

16y · Female·consequences of acute asthma with hypoxic encephalopathy

Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheezing over six weeks starting September 2001, with significant family h…

general practicerespiratory medicinediagnosticcommunicationsalbutamol
VIChospital2023-01-18

Finding into death of S J

24y · Male·Injuries sustained in fall from height

SJ, a 24-year-old man with recently diagnosed Stage 4B non-Hodgkin lymphoma and pre-existing depression managed by Orygen Youth Health, died by suicide on 22 September 2016 by jumping from the seventh-floor rooftop garde…

psychiatryhaematologycommunicationdelaymetoclopramide
WAhospital2025-06-30

Inquest into the death of Houston PEEL

29y · Male·ligature compression of the neck (hanging)

Houston Peel, a 29-year-old man, presented to Fiona Stanley Hospital ED at 4:35 am on 30 March 2023 with acute psychotic symptoms including auditory and visual hallucinations, bizarre behaviour, and paranoid ideation fol…

emergency medicinepsychiatrycommunicationdelayolanzapine
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