Coronial

169 results for reflux

VIChospital2025-03-03

Finding into death of Caroline Anne McCormack

74y · Female·Infective exacerbation of chronic obstructive airways disease in the setting of …

Caroline McCormack, 74, died from infective exacerbation of chronic obstructive airways disease following a medication administration error where pregabalin was erroneously included in her Webster-pak despite being cease…

general practicepalliative caremedicationsystempregabalin
TAShome2020-08-13

Coroner's Finding: Wellington, Timothy John

44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…

Timothy Wellington, a 44-year-old man with longstanding opioid and polysubstance use disorder, died from acute pulmonary hypertension caused by intravenous injection of foreign debris (crushed tablets). He had been presc…

general practiceaddiction medicinemedicationsystemmethadone
VICcommunity2014-02-04

Finding into death of Andrew John Griffith

49y · Male·Acute myocardial infarction due to coronary artery atherosclerosis with thrombus

… days before death. The GP diagnosed indigestion based on symptom relief with antacids and prescribed acid reflux medication. No electrocardiogram or cardiac markers were obtained. The patient died of acute myocardial in…

general practiceemergency medicinediagnosticcommunicationcitapralam
QLD2022-09-02

Mitchell, Vanelee Curtis

30y · Male·Sudden unexpected death in epilepsy

Vanelee Mitchell, a 30-year-old First Nations man with epilepsy, died suddenly in custody at Townsville Correctional Centre on 10 April 2020. He had suffered a head injury in 2014 resulting in acquired brain injury and s…

neurologycorrectional healthsystemsodium valproate
VIChospital2020-05-25

Finding into death of Chris Perdios

42y · Male·Aspiration pneumonia in the setting of impacted large bowel in a man with intell…

Chris Perdios, a 42-year-old man with intellectual disability, autism, and chronic constipation, died from aspiration pneumonia complicated by an impacted large bowel. He was admitted to hospital on 12 October 2018 with …

intensive careemergency medicinecommunicationsystemquetiapine
VIChome2022-05-20

Finding into death of Mandy Hawkey

51y · Female·Mixed drug toxicity

A 51-year-old woman with longstanding treatment-resistant depression, chronic pain, and suicidal ideation died from mixed drug toxicity. She intentionally overdosed on multiple medications including benzodiazepines, anti…

general practicepsychiatrymedicationcommunicationflunitrazepam
SAaged care2008-06-06

Coroner's Finding: MANN Richard Lesley

45y · Male·choking on food

Richard Mann, a 45-year-old man with intellectual disability and psychiatric illness residing in an institutional setting (Strathmont Centre infirmary), died from choking on food. Critical failures in observation and mon…

psychiatrygeneral practicemedicationcommunicationhaloperidol
VIC2026-02-05

Finding into death of H M

48y · Female·Unascertained; presumed sudden cardiac arrhythmia

A 48-year-old woman with cerebral palsy, intellectual disability, and multiple comorbidities died unexpectedly in residential care. Post-mortem examination showed acute pulmonary oedema and intra-alveolar haemorrhage wit…

general practicepsychiatrymedicationsystemolanzapine
QLDhome2014-07-28

Copeland, Alison Ruth - Non-inquest findings

55y · Female·Plastic bag suffocation

Alison Copeland, aged 55, died by plastic bag suffocation after living with severe physical disability and depression since suffering a subarachnoid haemorrhage in 1995. She had made multiple suicide attempts over 16 yea…

psychiatryneurologysystemdelaytemazepam
VIChome2015-07-15

Finding into death of Margaret Helen McCall

60y · Female·hanging

Margaret McCall, a 60-year-old woman with chronic regional pain syndrome and longstanding anxiety and depression, died by hanging. She received multiple ketamine infusions for pain management, with cessation of fentanyl …

pain medicinepsychiatrycommunicationsystemketamine
SAhospital2013-08-19

Coroner's Finding: WEEKS Ronald Geoffrey

84y · Male·respiratory failure due to hospital-acquired pneumonia

Ronald Geoffrey Weeks, aged 84, died of respiratory failure due to hospital-acquired pneumonia following a hip fracture sustained in a fall at James Nash House psychiatric facility. He was serving an 8-year sentence for …

geriatric medicineorthopaedic surgerysystemdelay
NSW2015-11-27

Inquest into the death of Madeleine Duffy

18y · Female·asphyxiation and respiratory failure on a background of severe dystonic quadripl…

Madeline Duffy, 18 years old with severe dystonic quadriplegic cerebral palsy, died from asphyxiation and respiratory failure while in respite care. She was positioned on her side in bed with pillows, contrary to her usu…

rehabilitation medicineneurologycommunicationdelaybaclofen
NSWhospital2018-12-04

Inquest into the death of June Nutter

58y · Female·lymphangitic carcinomatosis leading to hypoxaemic respiratory failure and cardia…

June Nutter, a 58-year-old woman presenting with weight loss, anorexia, and unexplained shortness of breath, underwent gastroscopy and colonoscopy at a private hospital to investigate suspected gastric pathology. She had…

anaesthesiagastroenterologymedicationproceduralfentanyl
NSWcommunity2022-10-13

Inquest into the death of Harvey McGlinn

0y · Male·positional asphyxia

Harvey McGlinn, a 3-week-old infant, died from positional asphyxia while being carried in a Boba Wrap fabric sling in an incorrect position on 8 April 2019. The sling was positioned horizontally and low across his mother…

paediatricsneonatologysystemparacetamol
NSWaged care2016-10-20

Inquest into the death of Savvas Epsimos

84y · Male·Complications of large right subdural haematoma

An elderly man with cognitive impairment and multiple comorbidities fell out of bed at an aged care facility while an assistant in nursing (AIN) was absent obtaining equipment. The AIN had raised the bed to facilitate us…

geriatric medicineemergency medicineproceduralcommunication
VIC2026-03-30

Finding into death of Hari Prasad Dhakal

57y · Male·Neck compression and hanging

A 57-year-old man with schizophrenia and schizoaffective disorder died by hanging in prison on 4 August 2024. He had been receiving antipsychotic treatment via injection (paliperidone) but ceased antipsychotic medication…

psychiatrygeneral practicesystemcommunicationpaliperidone
QLDhospital2013-04-19

Brockel, Ronald James

64y · Male·aspiration pneumonia following insertion of a jejunostomy tube

Ronald Brockel, a 64-year-old with cerebral palsy, oropharyngeal dysphagia, and recurrent aspiration pneumonia, underwent insertion of a feeding jejunostomy tube (FJT) on 23 December 2004 to bypass his stomach and improv…

general surgerygastroenterologyproceduraldiagnosticomeprazole
TAShospital2022-10-07

Coroner's Finding: Willetts, Ernest Charles

80y · Male·aspiration pneumonia

Ernest Charles Willetts, 80, died from aspiration pneumonia following an appendectomy. On hospital day 3, he developed coffee-ground vomitus indicating gastrointestinal bleeding. A gastroscopy was performed that afternoo…

surgerygastroenterologycommunicationsystempariet
QLDhome2019-04-17

Davis, John

50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus

A 50-year-old man with acquired brain injury and intellectual disability died from hypoxic-ischaemic encephalopathy following aspiration of a food bolus during lunch at his disability care residence. The carer appropriat…

emergency medicineparamedicinediagnosticcommunicationmidazolam
QLDaged care2015-06-11

Ms C - Non-inquest findings

90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia

A 90-year-old woman with dementia, admitted to aged care in September 2012, developed a large necrotic sacral pressure ulcer despite nursing interventions. She was markedly dehydrated and malnourished, repeatedly refusin…

general practicegeriatric medicinecommunicationdelayfentanyl

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