Coronial

163 results for acute respiratory infection

QLDhospital2025-08-11

Inquest into the death of John Reginald Wright

79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…

John Reginald Wright, a 79-year-old remand prisoner, died from complications of peripheral vascular disease with diabetes, atrial fibrillation, cardiomyopathy and delirium. He was transferred to Princess Alexandra Hospit…

vascular surgerygeneral medicineglicazide
SAhospital2006-08-22

Coroner's Finding: DENNIS Jessica-Lee

16y · Female·consequences of acute asthma with hypoxic encephalopathy

Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheez…

general practicerespiratory medicinediagnosticcommunicationsalbutamol
VIChospital2015-02-12

Finding into death of Mary Mulqueen

57y · Female·small bowel ischaemia; distal gastrectomy

…following year despite multiple attempts at nutritional support. However, the immediate cause of death was acute small bowel ischaemia with sepsis in August 2009, and the specific trigger for this acute deterioration co…

general surgerygastroenterologyproceduraldiagnosticesomeprazole
SAprison2023-11-10

Coroner's Finding: Trotta, Giovanni

58y · Male·acute bronchopneumonia

Giovanni Trotta, aged 58, died in custody from acute bronchopneumonia. He was a vulnerable prisoner with COPD, schizoaffective disorder, and profound deafness.…

emergency medicinerespiratory medicinediagnosticcommunicationclozapine
VIChospital2020-03-26

Finding into death of Matthew John George

45y · Male·Global cerebral hypoxia following cardio-respiratory collapse due to anaphylaxis…

A 45-year-old man with poorly controlled diabetes, ischaemic heart disease, and recurrent lower limb infections died from anaphylaxis to intravenously administered flucloxacillin. He presented with sepsis secondary …

general medicineinfectious diseasescommunicationdiagnosticflucloxacillin
SAhospital2006-11-13

Coroner's Finding: SALMON Daniel Brindley

27y · Male·Airway obstruction due to sublingual and submandibular cellulitis (Ludwig's angi…

A 27-year-old man died from airway obstruction due to Ludwig's angina (bilateral sublingual and submandibular cellulitis) following a tooth extraction. Critical failures included: delayed treatment with inadequate timely…

emergency medicinedentistrycommunicationdiagnosticparacetamol/codeine
QLDhome2022-06-30

Tabuai, James Daniel

0y · Male·Acute traumatic head injury (non-accidental)

A 7-month-old child died from acute traumatic head injury sustained from non-accidental blunt force. Clinical lessons include: medical staff s…

general practiceemergency medicinecommunicationdelay
NSWhospital2025-08-14

Inquest into the death of Wilfred Whippy Williams

45y · Male·Diabetic ketoacidosis with multi-organ failure caused by pneumonia

A 45-year-old Aboriginal man with poorly managed diabetes and schizophrenia presented to Cowra District Hospital ED with lethargy, cough and fever. Despite being triaged as category 2 (urgent) with abnormal vital signs i…

emergency medicineendocrinologycommunicationdiagnosticmetformin
ACTaged care2023-04-06

Inquest into the Death of Ruth McKay

90y · Female·acute bronchopneumonia caused by Staphylococcus aureus

Ruth McKay, 90, died of acute bronchopneumonia after accessing the external courtyard of the Memory Support Unit (MSU) at an aged care f…

geriatric medicineemergency medicinesystemcommunicationamitriptyline
SAhospital2005-11-10

Coroner's Finding: LAZOPOULOS Christopher

34y · Male·multi-organ failure with right-sided tension pneumothorax

…ey learning: when re-presenting patients have severe symptoms with radiological abnormalities suggesting infection, senior clinician review and timely integration of all diagnostic information (imaging plus clinical fin…

emergency medicineintensive carediagnosticsystem
QLDhospital2018-07-30

Matthew Douglas McLachlan - Non-inquest findings

28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…

…chronic pain from spinal cord injury, died from mixed drug toxicity while hospitalized for urinary tract infection treatment. He was receiving fentanyl patches, oxycodone, and diazepam in hospital, but deliberately conc…

infectious diseasesemergency medicinecommunicationsystemfentanyl
VIChospital2010-03-24

Finding into death of Adam Michael Francis Fabre

19y · Male·acute bacterial meningitis with secondary cerebritis (meningococcus)

…h nursing staff and his mother, a junior doctor (Dr D., only 2 weeks in ED) misdiagnosed him with upper respiratory tract infection. The supervising senior doctor (Dr B.) did not personally examine him despite being inf…

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine
QLDhospital2015-07-08

Hamilton, Michael John - Non-inquest findings

72y · Male·Multiple organ failure due to sepsis caused by abdominal adhesions from previous…

Michael Hamilton, 72, presented with acute abdominal pain post-bladder surgery while anticoagulated with warfarin. Initial assessment suspected duode…

surgeryintensive carediagnosticsystemwarfarin
WAhospital2017-03-21

Inquest into the Death of Masaly MOSBY

0y · Female·acute necrotising pneumonia

Masaly Mosby, a 36-day-old Aboriginal infant, died from acute necrotising pneumonia after presenting to Broome Hospital Emergency Department three times in four days bu…

emergency medicinepaediatricsdiagnosticsystemparacetamol
NSWcommunity2016-01-29

Jimmy JAMES - Findings

44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)

… of septic shock (tachypnoea, hypoxia, hypotension, hypothermia, elevated lactate 12.7 mmol/L, leukopenia, acute kidney injury) but was managed on a trauma pathway focusing on traumatic injuries rather than the underlyi…

emergency medicineintensive carediagnosticmedicationceftriaxone
NSWhospital2019-12-13

Inquest into the death of Lorraine BARNES

85y · Female·sepsis, with aspiration pneumonitis being an antecedent cause. Iatrogenic injury…

Lorraine Barnes, an 85-year-old woman admitted to Wollongong Private Hospital for convalescence, died from sepsis with aspiration pneumonitis following iatrogenic lung injury. She developed severe malnutrition and electr…

general medicinerespiratory medicinediagnosticsystemciprofloxacin
SAhospital2016-08-02

Coroner's Finding: SMITH Gordon Charles

91y · Male·Multi-organ failure due to inanition complicating prolonged delirium of uncertai…

…ly 2014. He had been admitted voluntarily and subsequently placed on mental health detention orders due to acute confusion and agitated behaviour. The critical clinical lesson is the need to investigate delirium urgentl…

psychiatrygeneral medicinecommunicationsystemmirtazapine
VIChospital2024-09-26

Finding into death of FH C

11y · Male·Sepsis

An 11-year-old boy with autism spectrum disorder (ASD level 3), ADHD, and obesity died from sepsis on 20 June 2022. He presented to Rosebud Hospital ED on 14 June with fever, vomiting, and low blood pressure, was dischar…

emergency medicinepaediatricsdiagnosticcommunicationrisperidone
QLDaged care2017-09-20

Mr RO'H - Non-inquest findings

69y · Male·septic shock due to infected decubitus ulcers complicated by osteomyelitis

… failure to escalate deteriorating clinical signs on 16 February (fever 38.7°C, hypotension 80/50, high respiratory rate) to the GP, and a 6-day delay before hospital transfer. While earlier intervention might not have …

geriatric medicinegeneral practicediagnosticsystemdicloxacillin
WA2024-07-10

Inquest into the Death of Kevin John KEATH

76y · Male·metastatic prostate cancer with terminal palliative care

Kevin John Keath, aged 76, died from metastatic prostate cancer while serving a life sentence at Casuarina Prison. He received holistic, compassionate, and appropriate healthcare throughout his incarceration, including r…

oncologypalliative caresystemdelay
1789

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