Coronial

231 results for respiratory symptoms

SAhospital2001-10-19

Coroner's Finding: McCARTHY Nancy Clare

67y · Female·bronchopneumonia complicating disseminated pulmonary large cell carcinoma with r…

…y attributed to vertebral compression fracture. She deteriorated acutely with confusion, agitation, and respiratory distress, necessitating Mental Health Act detention. CT imaging revealed advanced disseminated lung can…

general practiceemergency medicinediagnostic
NSWhome2025-09-11

Inquest into the death of H GM

0y · Female·Unascertained

…tly before death. She had presented to medical practitioners multiple times in the preceding weeks with respiratory symptoms and was reviewed by a doctor three days before death, found to be improving on antibiotics for…

paediatricsemergency medicinediagnostic
VICaged care2014-11-20

Finding into death of Gerald Quinane

82y · Male·bronchopneumonia

…tual disability living in state-managed residential care, died from bronchopneumonia. He presented with respiratory symptoms and was taken to hospital on 1 March 2014, treated with antibiotics, and discharged the same d…

general practiceemergency medicinecommunicationdelay
VIChospital2012-09-18

Finding into death of Lorraine Therese Patrick

45y · Female·Aspiration pneumonia

…ving in a high-care community residential facility died from aspiration pneumonia. She developed cold/flu symptoms on 2 January 2011, with a coughing episode while eating. A locum was called but there was a 9.5-hour dela…

emergency medicineintensive caredelayceftriaxone
VIChome2026-01-13

Finding into death of Filippo Pignataro

52y · Male·Pulmonary thromboembolism

…ectual disability, and multiple comorbidities died from pulmonary thromboembolism at home. He developed respiratory symptoms on 24 March, was managed in primary care with telehealth and face-to-face consultations, was h…

general practiceemergency medicineamoxicillin
VIChospitalPodcast2026-02-20

Finding into death of James Harilaos Tsindos

17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis

…rather than Category 2; whether he was informed of the wheeze is disputed. When James deteriorated with respiratory distress some 12 minutes later, adrenaline was administered but he rapidly progressed to cardiac arrest…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline (epinephrine) intramuscular
VIChome2023-04-14

Finding into death of Jonathan Travis Palmer

36y · Male·Bronchopneumonia in a man with epilepsy

…ty living in a group home, died from bronchopneumonia on 24 February 2018. On 23 February, he developed respiratory symptoms (coughing, runny nose) recognized by support staff as potential seizure triggers outlined in h…

neurologygeneral practicecommunicationsystemlamotrigine
NSWhome2025-12-17

Inquest into the death of MQ

55y · Female·acute necrotising bronchopneumonia

…lleagues expressing serious concern for serious cardiopulmonary pathology. Critical clinical lesson: MQ's symptoms were consistent with severe bronchopneumonia yet she was not escalated for urgent in-person assessment; G…

general practiceemergency medicinediagnosticdelay
WAmental health2019-05-22

Inquest into the Death of Christopher John DEBNAM

40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…

…y overnight but deteriorated with progressive hypoventilation and hypercapnia despite apparently normal respiratory rate on visual inspection. He suffered cardiorespiratory arrest between 6.30am and 7.10am on 21 Novembe…

psychiatryrespiratory medicinediagnosticcommunicationhaloperidol
NThospital2025-05-27

Inquest into the death of Child MS

4y · Male·Haemophilus influenzae septicaemia with superimposed respiratory tract infection

… He was examined, found to have tachycardia (HR 156) and fever (39.2°C), and diagnosed with viral upper respiratory tract infection. He was discharged with paracetamol and advice to return if symptoms worsened. Over the…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
QLDaged care2017-06-09

DR - Non-inquest findings

46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)

…ith sudden arrhythmia. She presented to hospital multiple times in January 2015 with hyperglycaemia and respiratory symptoms but was discharged rapidly with minimal investigation or carer education. Key clinical lessons…

general medicineemergency medicinecommunicationsystemquetiapine
QLDhospital2013-07-05

Brennan, Phil John Richard

13y · Male·Staphylococcus aureus bronchopneumonia due to perinatal hypoxic-ischaemic brain …

…a can develop rapidly (within 2 days) making early recognition challenging when patients cannot verbalize symptoms. The case also highlighted systemic issues with child protection coordination and the need for better tra…

general practicepaediatricsdiagnosticdelay
SAhome2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

…ver 5 days (contrary to guidelines recommending 5-10mg increments every 4 days); misinterpreting toxicity symptoms as withdrawal and increasing doses accordingly; failing to recognise drug interactions (fluoxetine increa…

general practiceaddiction medicinediagnosticmedicationmethadone
VIC2013-08-20

Finding into death of PETER MALLIA

47y · Male·Severe Community Acquired Pneumonia; Aspiration; Critical Care Neuropathy; Cereb…

…ability support residential facility operated by Scope Victoria. On 21 May 2011, Peter developed flu-like symptoms at the facility. His regular GP reviewed him on 23 May and prescribed antibiotics with home management. O…

general practicespeech pathologydiazepam
VIChospital2024-01-18

Finding into death of Melissa Jan Hadland

55y · Female·Pneumonia

…ntellectual disability, died from community-acquired pneumonia at Box Hill Hospital. She presented with respiratory symptoms and was admitted to the ED where pneumonia was diagnosed. Despite intravenous antibiotic treat…

emergency medicinegeneral medicine
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately ingested benzodiazepines and possibly other substances in a self-harm attempt. However…

forensic medicinegeneral practicesystemdelaybenzodiazepines
VIChospital2011-07-13

Finding into death of Mary Welsh

44y · Female·pneumonia complicating epilepsy in a woman with microcephaly

… with intellectual impairment, microcephaly, severe kyphoscoliosis and epilepsy was admitted with upper respiratory symptoms and treated for presumed pneumonia. She developed an allergic reaction to Rulide antibiotic (f…

emergency medicineneurologyrulide
SAhospital2026-03-30

Coroner's Finding: Chadha, Hemant and Battagodage, Sachintha Nandula

Male·Hemant Chadha: acute on chronic pneumonia (mycoplasma pneumoniae). Sachintha Bat…

…ing discharged from Lyell McEwin Hospital despite three ED presentations within 4 days and concerning new symptoms (numbness, tingling). Ambulance officers treated him dismissively, undermining his confidence in the heal…

emergency medicinegeneral practicediagnosticcommunicationdiazepam
QLDhospital2012-02-21

Vaggs, Lyji

28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…

… Mental Health Unit on 13 April 2010. He had declined admission at ED on 28 March despite clear psychotic symptoms and self-harm risk. When readmitted on 13 April, initial calm presentation masked ongoing severe psychosi…

psychiatryemergency medicinediagnosticmedicationolanzapine
NTcommunity2023

Inquest into the death of Toddler R

3y · Male·Disseminated Staphylococcus aureus infection

…inic on 10 April with fever and dizziness, then returned on 13 April with irregular fever, lethargy and respiratory symptoms but was not reviewed immediately. On 14 April with obvious signs of severe illness (fever, swo…

general practicepaediatricsdiagnosticdelayparacetamol
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