Coronial

183 results for pulmonary oedema

WAprison2021-09-06

Inquest into the Death of Marshall Ruben EDGILL

38y · Male·combined effects of acute-on-chronic respiratory disease and cardiomegaly

Marshall Ruben Edgill, a 38-year-old Indigenous man, died in custody from acute-on-chronic respiratory disease and cardiomegaly. He had longstanding obstructive sleep apnoea (OSA), obesity, asthma, and hypertension. Crit…

respiratory medicinecardiologydiagnosticdelay
VICcommunity2023-06-05

Finding into death of Brad Anthony Godressi

40y · Male·Cardiomyopathy in the setting of immersion and amphetamine use

Brad Godressi, a 40-year-old man with end-stage dilated cardiomyopathy recently discharged against medical advice from ICU, died from cardiomyopathy in the setting of immersion and amphetamine use while operating a boat …

cardiologyintensive caresystemdelayamphetamine
VICcommunity2010-01-14

Finding into death of Joeanne Maree Brady

39y · Female·Mixed drug toxicity (methadone, oxycodone, hydromorphone, mirtazapine, diazepam,…

A 39-year-old woman with chronic pain from a previous work injury died from mixed drug toxicity involving methadone, oxycodone, hydromorphone, diazepam, mirtazapine, and promethazine. Her pain specialist prescribed metha…

pain medicineneurologycommunicationmedicationmethadone
NSWhospital2022-10-26

Inquest into death of Lucas PEYRET

21y · Male·Hypoxic brain injury arising from severe anaphylactic shock due to administratio…

Lucas Peyret, a 21-year-old with no significant medical history, presented to hospital with acute appendicitis and underwent emergency laparoscopic appendicectomy. Surgery was routine and uneventful. Upon emergence from …

surgeryanaesthesiasugammadex
VIChome2021-03-31

Finding into death of Jason

30y · Male·Mixed drug toxicity (4-Fluoroamphetamine, 25C-NBOMe, dimethylamphetamine, methyl…

Jason, aged 30, died from mixed drug toxicity after ingesting what he believed to be MDMA but which actually contained 25C-NBOMe and 4-fluoroamphetamine, combined with GHB. He experienced seizures and collapsed; CPR was …

toxicologyforensic medicinesystem25c-nbome
VIChospital2026-02-20

Finding into death of Brian Robert Dean

44y · Male·Sepsis due to Streptococcus pyogenes (Group A Streptococcus) septicaemia complic…

Brian Dean, a 44-year-old with obesity, presented to hospital on 1 July 2023 with influenza A and signs of shock (tachycardia, hypotension, elevated lactate). He was treated with fluids and discharged the next morning ap…

emergency medicineinfectious diseasesdiagnosticdelayondansetron
TASaged care2025-06-16

Coroner's Finding: McDonald, Maureen June

87y · Female·Terminal exacerbation of chronic obstructive pulmonary disease; antecedent cause…

Maureen 'Kitty' McDonald, 87, died from terminal exacerbation of COPD with an antecedent sacral pressure wound infection. She was admitted to residential aged care in October 2020 with a stage-two sacral pressure injury …

geriatric medicinegeneral practicesystemcommunicationantibiotics
SAmental health2016-06-09

Coroner's Finding: FALLON Peter John William

40y · Male·Unascertained; likely cardiac arrhythmia secondary to cardiomegaly and morbid ob…

Peter John William Fallon, aged 40, died in the psychiatric intensive care unit at Queen Elizabeth Hospital on 2 February 2013 of unascertained cause. He had bipolar affective disorder, was on antipsychotic therapy, and …

psychiatryintensive carecommunicationsystemrisperdal consta
SAcommunity2004-04-06

Coroner's Finding: KINNEAR Neville Arthur

58y · Male·salt water drowning following air embolism due to ascent barotrauma

… motor vehicle accident restricted lung expansion during ascent, causing lung rupture and air entry into pulmonary veins. Contributing factors included obesity (BMI 32), poor cardiovascular fitness, tight wetsuit, and p…

diving medicinehyperbaric medicinediagnosticcommunication
TAScommunity2024-04-11

Coroner's Finding: SR

58y · Male·drowning

A 58-year-old man died by drowning while hookah diving off the Tasmanian coast. He was using second-hand equipment purchased online that had multiple safety deficiencies: inadequate filtration allowing contaminants and r…

diving medicinehyperbaric medicineequipment selectionprocedural
QLD2012-11-13

Biddulph, Jayde Stephen Donovan

30y · Male·Traumatic cerebral contusions with subarachnoid and intraventricular haemorrhage…

Jayde Biddulph died from traumatic head injuries sustained during a prison fight with another inmate, Ryan Dwyer, on 16 December 2009. The coroner found systemic failures in prisoner risk assessment and information manag…

communicationsystem
WAhospital2013-09-24

Inquest into the Death of Whiteford, Carol Freda

68y · Female·Anaphylaxis in a woman with atherosclerotic cardiovascular disease and emphysema

A 68-year-old woman with severe COPD and undiagnosed atherosclerotic heart disease underwent cataract surgery at Northam Hospital. Post-operatively, she was prescribed Diamox (acetazolamide), a sulphonamide medication. D…

ophthalmologyanaesthesiadiagnosticmedicationdiamox
VICcommunity2013-05-27

Finding into death of Nikos Vourdoulidis

46y · Male·Myocardial fibrosis in a man with epilepsy

Nikos Vourdoulidis, a 46-year-old man with intellectual disability and epilepsy, died from myocardial fibrosis in the setting of epilepsy. He collapsed in a shower in November 2008 and was found several hours later. Crit…

general practiceneurologycommunicationsystemcarbamazepine
QLDcommunity2018-09-11

Giorgio, Pasquale

54y · Male·Ischaemic cardiomyopathy following a period of restraint on a background of morb…

A 54-year-old man with schizophrenia, homelessness, and morbid obesity was arrested for wilful exposure and disorderly conduct. During restraint in the prone position with handcuffs, he struggled for several minutes. Alt…

emergency medicineforensic medicinediagnosticcommunicationflupenthixol
QLDhospital2025-07-22

Inquest into the death of Hazel Mary Ritchie Brodie

79y · Female·Dilated cardiomyopathy with decompensated heart failure not appropriately treate…

…espiratory physician managing her, faced a diagnostic dilemma between apparent fluid overload (raised JVP, oedema) and poor perfusion markers. He did not implement strict fluid balance monitoring or daily weights, and di…

cardiologyrespiratory medicinediagnosticcommunicationfurosemide
SA2018-01-30

Coroner's Finding: JONES Heath Ryan

35y · Male·hypoxic-ischaemic encephalopathy (post cardiac arrest) on a background of acute …

A 35-year-old man died by hanging in a medium-security prison while on remand. He was found unresponsive in his cell with a ligature around his neck. Despite immediate CPR, transfer to hospital and transfer to ICU at Fli…

emergency medicineintensive caresystemmethamphetamine
WAhospital2024-11-13

Inquest into the death of Chloe Grace Tupper

31y · Female·organ failure due to anorexia nervosa

Chloe Tupper died of organ failure due to severe anorexia nervosa at age 31. She had suffered from this illness for 17 years since age 14, receiving multiple episodes of hospital-based refeeding that never achieved lasti…

psychiatrypaediatricssystemcommunicationmirtazapine
QLDhome2009-09-21

Zaza, Jean-Marie Jeremie Yannick

2y · Male·Drowning

A 2-year-9-month-old child drowned in a residential swimming pool while in the care of his father, who had fallen asleep indoors. The pool gate's self-closing hinge mechanism had deteriorated over four years without insp…

systemdelay
VICmental health2017-04-07

Finding into death of Natasha Calleja

32y · Female·combined drug toxicity, mainly heroin

Natasha Calleja, 32 years old, died from combined drug toxicity (mainly heroin) while an involuntary inpatient at Swanston Centre psychiatric unit after her de facto partner supplied heroin during an unsupervised visit. …

psychiatryemergency medicinecommunicationsystemheroin
VIChospital2025-10-15

Finding into death of Gary William Bruce

71y · Male·Complications following a right hepatic artery injury following an open cholecys…

A 71-year-old man with myelofibrosis and prior abdominal surgery died from complications of a right hepatic artery injury during open cholecystectomy for acute cholecystitis. The operative decision was reasonable and the…

general surgeryanaesthesiacommunicationsystem
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