Coronial

226 results for type 2 diabetes mellitus

VICmental health2019-03-27

Finding into death of Robert Conkie Gray

75y · Male·Ischaemic Heart Disease and Cardiomegaly

Robert Conkie Gray, a 75-year-old man with significant cardiac disease (ischaemic heart disease, cardiomegaly, triple vessel coronary atherosclerosis with right coronary artery thrombosis), died suddenly on a psychiatric…

psychiatrycardiologyolanzapine
NSWmental health2019-11-22

Inquest into the death of David Dungay

29y · Male·cardiac arrhythmia

David Dungay, a 29-year-old Aboriginal man with chronic schizophrenia, type 1 diabetes, and obesity, died on 29 December 2015 in Long Bay Hospital's Mental Health Unit while in custod…

psychiatryemergency medicineproceduralcommunicationmidazolam
QLDhospital2023-06-26

Searle, William Edward

74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …

… ampullary adenoma. The clinical lessons involve recognition of gastroparesis risk in high-risk patients (diabetes, obesity, opioid use, post-major surgery). Multiple missed opportunities to recognize and manage gastropa…

general surgeryintensive carediagnosticcommunicationadrenaline
SAhospital2013-03-27

Coroner's Finding: SMITH Norman Ebanezer John

54y · Male·Respiratory failure due to aspiration pneumonia and acute autonomic and sensory …

… decline. The coroner found his treatment generally appropriate but noted two concerns: poorly controlled diabetes at Glenside Hospital (unrelated to his death) and critical failure to recognize his detained status, resu…

psychiatryintensive caresystemcommunicationantipsychotics
VICcommunity2021-11-29

Finding into death of Adrian Christian Victor Meneveau

56y · Male·Unascertained

Adrian Christian Victor Meneveau, aged 56, and his mother Felicity Ruth Loveday, aged 83 with dementia, disappeared while sailing on Port Phillip Bay on 11 December 2019 after setting out in a vessel unsuitable for exten…

WAhospital2021-08-06

Inquest into the Death of Hassan Mohamed YOUSSEF

60y · Male·Complications of gastrointestinal haemorrhage due to cirrhosis of the liver seco…

… serious pre-existing conditions including oesophageal varices, ischaemic heart disease, and uncontrolled diabetes. In prison, his medication compliance improved significantly compared to community care, and he received …

gastroenterologyhepatology
VIChospital2010-01-15

Finding into death of Josephine Cesnik

76y · Female·complications of subdural haemorrhage (operation)

Josephine Cesnik, 76, died from complications of subdural haemorrhage following head trauma on 20 January 2008. She initially concealed the injury, attributing it to a fall, and did not seek medical attention for 9 days …

emergency medicineneurosurgerydelaywarfarin
QLDaged care2024-08-15

Non-inquest findings into the death of Charlotte Paluszak

84y · Female·Complications associated with Diabetes Mellitus (likely hyperosmolar hyperglycae…

…aluszak, 84, died at a residential aged care facility after rapid deterioration from complex dementia and diabetes. On 10 November 2017, she developed acute semiconsciousness and agitation. The clinical nurse consultant …

geriatric medicinepalliative caremedicationdiagnosticmorphine sulphate
VICcommunity2026-03-27

Finding into death of Sacha Timothee Louis Lefebvre

52y · Male·Complications of chronic cardiac failure in the setting of ischaemic heart disea…

…ing rough at Hawthorn Library. He had multiple chronic conditions including heart failure, unstable angina, type 2 diabetes, and microcytic anaemia, alongside mental health issues and substance use. Despite contact with …

cardiologyemergency medicinesystemdelaymethamphetamine
QLDprison2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

…vember 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabetes, obesity, and hypertension. Clinical lessons include: (1) the critical importance of systematic deteriora…

emergency medicinecardiologydiagnosticcommunicationaspirin
VIChospital2025-08-19

Finding into death of Con Koumis

43y · Male·complications of decompensated liver failure due to occult sepsis and retroperit…

Con Koumis, a 43-year-old man with beta-thalassaemia major requiring regular blood transfusions, died from decompensated liver failure complicated by occult sepsis and retroperitoneal haemorrhage. He was remanded in cust…

haematologyhepatology
VIChospital2024-04-19

Finding into death of Andrew Peter De Julia

61y · Male·Ischaemic heart disease in the setting of aspiration pneumonia in a man with Pra…

Andrew Peter De Julia, a 61-year-old man with Prader-Willi syndrome, complex medical history including severe ischaemic heart disease, and multiple comorbidities, died of ischaemic heart disease complicated by aspiration…

general medicineintensive carenoradrenaline
VIChospital2017-02-23

Finding into death of Carey Livingstone James

73y · Male·multisystem organ failure in the context of trauma and limb fracture

A 73-year-old Indigenous man with multiple comorbidities (diabetes, hypertension, obesity, sleep apnoea, ischaemic heart disease) sustained a right ankle fracture following…

emergency medicinegeneral surgerysystempiperacillin/tazobactam
VIChospital2024-05-28

Finding into death of Trevor Lindsay Jones

75y · Male·ruptured abdominal aortic aneurysm

A 75-year-old man with hypertension, diabetes, and smoking history presented to a regional emergency department with right lower quadrant abdominal pai…

emergency medicinevascular surgerydiagnostic
NTcommunity2024

Inquest into the death of Road Death 13 of 2024

77y · Male·Blunt force head and chest injuries from motor vehicle collision

A 77-year-old male with a history of seizures (2017, 2023) died from blunt force head and chest injuries sustained in a motor vehicle collision on 10 March 2024. The vehicle travelled at 157 km/h approaching a red traffi…

neurologycardiologysystemlamotrigine
VICaged care2012-09-18

Finding into death of Brian Lench

58y · Male·Aspiration pneumonia in a man with a left middle cerebral artery stroke (palliat…

Brian Lench, a 58-year-old man with intellectual disability in DHS residential care, suffered a left middle cerebral artery stroke on 6 October 2011. He developed aspiration pneumonia complicated by acute respiratory dis…

emergency medicineneurologyantibiotics
VIChospital2025-07-15

Finding into death of Linda Snadden

62y · Female·Aspiration pneumonia in the setting of refractory focal status epilepticus

Linda Snadden, a 62-year-old woman with cognitive decline, brain tumour history, and multiple comorbidities including severe sleep apnoea and pulmonary hypertension, died from aspiration pneumonia during refractory focal…

neurologyneurosurgeryanti-seizure medications
VICcommunity2025-12-04

Finding into death of Mr PNF

60y · Male·Neck compression secondary to hanging

A 60-year-old man with Type 2 diabetes and low mood died by hanging within 24 hours of being interviewed by police regarding child sexu…

general practicepsychiatrycommunicationsystemfluoxetine
NThospital2021-01-07

Inquest into the death of Edgar Forrester

56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…

Edgar Forrester, a 56-year-old Aboriginal man, died of aspiration pneumonitis secondary to oesophageal squamous cell carcinoma with metastases while in custody. He presented with progressive dysphagia from September 2019…

general practicecardiologydiagnosticdelay
VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

Helen Welsh, 63, died from E. coli septicaemia with multiple comorbidities. She presented with respiratory symptoms and underwent bronchoscopy. On discharge day, she deteriorated with fever, altered consciousness, and hy…

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
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