Coronial
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SA2011-09-19

Coroner's Finding: RIGNEY Vincent Norman

35y · Male·ischaemic heart disease due to coronary atherosclerosis

A 35-year-old Aboriginal man died of ischaemic heart disease due to coronary atherosclerosis whilst in prison custody. He presented with chest pain and arm tingling at 6:20am but received only Panadol and Mylanta from no…

cardiologyemergency medicinediagnosticdelayparacetamol
SAhospital2011-08-03

Coroner's Finding: GILL Dennis William

72y · Male·acute leukaemia on a background of ischaemic heart disease

Dennis William Gill, a 72-year-old man serving a suspended home detention sentence, died of acute leukaemia on a background of ischaemic heart disease after admission to Ashford Hospital in August 2009. He had significan…

haematologycardiology
SAhospital2011-06-22

Coroner's Finding: LAWRENCE Rebecca Mary

41y · Female·acute myocardial infarction

Rebecca Lawrence, a 41-year-old woman with no significant cardiac history, presented to the Royal Adelaide Hospital Emergency Department with chest pain on 4 November 2008. She had experienced a myocardial infarction (AM…

emergency medicinecardiologydiagnosticsystempantoprazole
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of …

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
SAcommunity2011-05-12

Coroner's Finding: KILTIE Andrew

52y · Male·clozapine toxicity

Andrew Kiltie, 52-year-old Aboriginal man, died from clozapine toxicity on 26 December 2007. He had been on clozapine 400mg daily for 5 years with significant clinical benefit for aggressive behaviour and psychosis, enab…

psychiatrycardiologyclozapine
SAhospital2010-10-25

Coroner's Finding: CAMERON Louise Cherise

32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage

A 32-year-old woman with schizophrenia presented to the emergency department with chest pain radiating to both arms, profuse sweating, and vomiting black material for several days. She also reported black stools. The fir…

emergency medicinecardiologydiagnosticproceduralmorphine
SA2010-10-06

Coroner's Finding: MILLER James William

68y · Male·end stage liver failure due to hepatitis C

James William Miller, aged 68, died of end-stage liver failure due to hepatitis C while an inmate at Yatala Labour Prison, admitted to Mary Potter Hospice for terminal care. He had multiple comorbidities including prosta…

palliative careoncologythiamine
SAhome2010-08-30

Coroner's Finding: VASIC Radisav

72y · Male·ischaemic heart disease

A 72-year-old man with a history of hypertension, diabetes, hypercholesterolaemia, and prior myocardial infarction died of ischaemic heart disease. He was under regular management by his GP who had recently arranged an e…

general practicecardiologyatenolol
SA2010-06-07

Coroner's Finding: PETER Stanley Walter

55y · Male·dilated cardiomyopathy

Stanley Walter Peter, 55, died of dilated cardiomyopathy while in GSL custody at Port Adelaide Police Station. He had presented with alcohol intoxication (0.311% blood alcohol) on arrest and was transferred to GSL custod…

cardiologypathologysystemcommunicationalcohol
SA2010-06-07

Coroner's Finding: THOMPSON Kym Joseph Paul

45y · Male·sepsis with infective endocarditis, right lobar pneumonia (with abscess formatio…

A 45-year-old man with severe disability (wheelchair-bound following burn injury), borderline personality disorder, and chronic medical conditions including ischaemic heart disease, hypertension, diabetes, and recent pne…

emergency medicineinfectious diseasesmorphine
SAhospital2010-06-04

Coroner's Finding: PRIDE Wilfred Thomas

93y · Male·ischaemic heart disease

A 93-year-old man with extensive cardiac history died of ischaemic heart disease while detained under the Mental Health Act. He presented with delirium likely secondary to urinary tract infection from an indwelling cathe…

cardiologypsychiatryheparin
SAcommunity2010-04-01

Coroner's Finding: HALLORAN James Gordon

52y · Male·hypoxic-ischaemic encephalopathy due to cardiac arrest due to unknown aetiology

James Halloran, age 52, collapsed during chiropractic treatment and suffered cardiac arrest of unknown aetiology. He remained unconscious despite resuscitation and died from hypoxic-ischaemic encephalopathy. Initially su…

emergency medicineintensive caredelaycommunication
SAhospital2010-02-04

Coroner's Finding: KRIVITCH Olga

81y · Female·hypovolaemic shock following bleeding from the site of a femoral angiogram

Olga Krivitch, 81-year-old woman, died from hypovolaemic shock caused by bleeding from her femoral angiogram puncture site. She was admitted for ischaemic leg and underwent unsuccessful thrombolytic therapy. Subsequently…

vascular surgeryradiologydiagnosticmedicationheparin
SAcommunity2009-12-16

Coroner's Finding: PENN Dulcie Janet Mary

83y · Female·Congestive cardiac failure due to ischaemic and valvular heart disease

An 83-year-old woman with Down syndrome and cardiac disease died from congestive cardiac failure at Royal Adelaide Hospital following accidental medication administration error in a community group home. On 1 July 2007, …

emergency medicineintensive caremedicationproceduralclozapine
SAcommunity2009-08-17

Coroner's Finding: TURNER Brian Raymond

59y · Male·ischaemic heart disease due to coronary atherosclerosis

Brian Raymond Turner, 59, died from ischaemic heart disease due to coronary atherosclerosis following an out-of-hospital cardiac arrest in a medical clinic car park. He experienced symptoms of chest discomfort and breath…

cardiologyemergency medicinecommunicationdelay
SAcommunity2009-03-30

Coroner's Finding: DALLING Brian Terrance and SALOTTI Jack William and GRZYWACZ Richard John and SOBEY Brian Leslie

Male·acute myocardial infarction due to coronary artery disease (all four); specific …

Four rural South Australian men (aged 42-76 years) died from acute coronary syndrome in 2004-2006. All presented to country medical practitioners with symptoms suggestive of acute coronary syndrome but were not identifie…

general practiceemergency medicinediagnosticcommunicationaspirin
SAhospital2008-09-19

Coroner's Finding: ALLEN Richard Grant

60y · Male·haemopericardium due to rupture of right ventricle complicating removal of cardi…

Richard Allen, a 60-year-old man with a permanent pacemaker for sick sinus syndrome, died from haemopericardium due to rupture of the right ventricle during pacemaker lead extraction on 2 November 2005. The 14mm perforat…

cardiologyanaesthesiadiagnosticdelaypropofol
SAaged care2008-02-07

Coroner's Finding: WELLS Gladys Ruth

71y · Female·undetermined

71-year-old woman found dead in unusual position at Brighton aged care facility. Her body was positioned with head resting against bed pole, with marks on neck and bruising observed by carers. The death was certified as …

geriatric medicinegeneral practicediagnosticsystem
SAcommunity2007-12-12

Coroner's Finding: BAUMANIS Bronislawa Sonia

84y · Female·ischaemic heart disease

An 84-year-old woman with dehydration, fever, and confusion initially refused hospital admission due to fears of nursing home placement. Her GP appropriately obtained a Mental Health Act detention order when she refused …

general practiceemergency medicineadrenaline
SAhospital2007-07-02

Coroner's Finding: VINER Robert John

58y · Male·Hypoxic encephalopathy secondary to cardiac arrest due to cardiomegaly

Robert John Viner, a 58-year-old man with long-standing schizoaffective disorder, was detained under the Mental Health Act on 28 July 2006 following erratic behaviour and aggression towards family and his GP. He was admi…

psychiatryemergency medicineolanzapine

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