Coronial

180 results for anticoagulation

SAhospital2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

John Matthew Murray, aged 35, died of pulmonary thromboembolism complicating pelvic and leg fractures sustained in a motorcycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic sur…

orthopaedic surgerytrauma surgerymedicationsupervisionheparin
VIChospital2025-04-03

Finding into death of Alan John Trevor Deem

67y · Male·Intracranial haemorrhage complicating coronary artery bypass graft surgery follo…

A 67-year-old man died from intracranial haemorrhage following coronary artery bypass graft surgery. He had suffered a right coronary artery dissection during percutaneous coronary intervention at Sunshine Hospital and w…

cardiologycardiothoracic surgerycommunicationsystemdual anti-platelet agents
VIChospital2021-02-26

Finding into death of Ian Fraser

68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…

Ian Fraser, 68, died from retroperitoneal haemorrhage following inadvertent dual anticoagulation with apixaban and enoxaparin. On 29 November 2019, a respiratory registrar attempted to prescribe dis…

respiratory medicinecardiothoracic surgerymedicationsystemapixaban
TAShospital2017-04-19

Coroner's Finding: Sheedy, Barbara

77y · Female·Large acute subdural haemorrhage leading to uncal herniation subsequent to an ac…

…e right-sided subdural haemorrhage with brain stem compression. Critical lessons: elderly patients on anticoagulation or with bleeding risks require heightened vigilance after falls even without obvious head trauma; pro…

emergency medicinegeneral medicinediagnosticdelaytemazepam
TAShome2018-02-05

Coroner's Finding: Towns, Martin John

38y · Male·acute on chronic right hemisphere subdural haematoma

…ents with chronic subdural haematoma to minor trauma, the compounding risks of heavy alcohol use with anticoagulation risk, and the need for safety planning in patients with both psychiatric vulnerability and severe sub…

psychiatryneurosurgerysystemalcohol
VIChospital2015-07-30

Finding into death of Martin Robert Beaty

52y · Male·Community acquired pneumonia in a man with myotonic dystrophy

Martin Beaty, a 52-year-old man with myotonic dystrophy and history of pulmonary embolism, presented to the ED with shortness of breath. He was initially discharged with mild pneumonia diagnosis but returned two days lat…

emergency medicinerespiratory medicinedigoxin
TAS2024-05-02

Coroner's Finding: Gleeson, Bernice Valma

84y · Female·left subdural haematoma resulting from head injury due to fall from standing

An 84-year-old woman suffered a fatal head injury after slipping on steps at a café in Stanley, Tasmania on 20 October 2021, resulting in a left subdural haematoma. She was appropriately transported to neurosurgical faci…

neurosurgeryemergency medicineaspirin
TAShome2016-01-28

Coroner's Finding: Atkinson, James Robert

80y · Male·Subdural haematoma from closed head injury sustained in a fall at his residence

James Robert Atkinson, aged 80, died from subdural haematoma sustained in a fall at his home in Tasmania on 11 July 2014, four days after sustaining another head injury. He had mixed Alzheimer's and vascular dementia dia…

general practiceemergency medicine
SAhospital2025-11-14

Coroner's Finding: Wallace, Peter John

67y · Male·hypoxic respiratory failure in the setting of pneumonia, pulmonary embolism and …

…er 2022, he presented with chest pain and was found to have pneumonia and pulmonary embolism. Despite anticoagulation and intensive care support, his cancer had progressed significantly and prognosis became terminal. Th…

hepatologyoncologyenoxaparin
VICaged care2011-05-20

Finding into death of Lena Divola

59y · Female·Subdural haemorrhage from blunt force trauma to head sustained in a backwards fa…

…eving her behaviour was attention-seeking, failed to intervene despite her history of head injury and anticoagulation. She was finally hospitalized 27 December with a large intracerebral haemorrhage from blunt head trau…

general practicepsychiatryproceduralcommunicationwarfarin
QLDhospital2007-10-30

Noffke, Veronica Margaret

73y · Female·coronary atherosclerosis

…rred after transfer from ICU. The coroner found no fault in medical management and concluded risks of anticoagulation were outweighed by benefits in her clinical context.

emergency medicineintensive careanticoagulants
VICmental health2010-09-08

Finding into death of Brian O'Connor

73y · Male·Acute on chronic subdural haematoma due to recent head trauma in the context of …

…ematoma was not detected earlier despite the pattern of repeated head trauma in an elderly patient on anticoagulation or with bleeding risk.

psychiatryneurosurgerydiagnosticsystemfluphenazine
SAcommunity2015-04-24

Coroner's Finding: BYRNE Philip John and WEAVER Jacqueline

Philip Byrne: pulmonary thromboembolism due to right calf deep vein thrombosis; …

…enly 2-3 weeks later. The coroner found both deaths preventable through timely ultrasound imaging and anticoagulation. Key lessons: DVT cannot be reliably excluded clinically; calf pain without clear trauma warrants obj…

general practicephysiotherapydiagnosticcommunicationwarfarin
VIC2025-08-18

Finding into death of Wilhelm Bruno Mueller

69y · Male·Ischaemic and hypertensive heart disease

Wilhelm Mueller, a 69-year-old prisoner at Middleton Prison, died suddenly from ischaemic and hypertensive heart disease. Autopsy revealed critical coronary artery stenosis (>75%) with cardiac hypertrophy and remote myoc…

cardiologygeneral practicegliclazide
SAaged care2020-07-09

Coroner's Finding: HANSLOW Walter Robert

75y · Male·bilateral subdural haematoma due to fall

…rtance of careful observation and early recognition of deterioration post-fall in elderly patients on anticoagulation or with bleeding risk, and the need for low thresholds for neuroimaging when subdural haematoma is su…

geriatric medicineemergency medicinedelay
TAShospital2020-08-12

Coroner's Finding: Maynard, Grant Godfrey

60y · Male·multi-organ failure due to injuries sustained in motor vehicle accident, specifi…

A 60-year-old Aboriginal man with significant comorbidities (cardiomyopathy, cirrhosis, renal failure, diabetes) presented to ED following a motor vehicle accident at low speed. Despite chest imaging showing pleural effu…

emergency medicinegeneral medicinediagnosticdelaydoxycycline
SAhospital2020-06-18

Coroner's Finding: THOMPSON Wayne Robert McInnes

33y · Male·Multi-organ failure due to sepsis on a background of severe ischaemic cardiomyop…

Wayne Robert McInnes Thompson, aged 33, died from multi-organ failure due to sepsis complicated by severe ischaemic cardiomyopathy. He had a complex medical history including viral myocarditis, previous intestinal resect…

cardiologyintensive carewarfarin
VIChome2025-09-17

Finding into death of Robert John Robinson

74y · Male·Pulmonary thromboembolism in the setting of deep leg vein thrombosis

A 74-year-old man died from pulmonary thromboembolism with deep vein thrombosis 10 days after elective umbilical hernia repair. He received appropriate VTE prophylaxis (mechanical and pharmacological) intraoperatively an…

surgeryanaesthesiacommunicationenoxaparin
VIChospital2019-10-29

Finding into death of Ms C

49y · Female·hypoxic ischaemic encephalopathy complicating cardiac arrest due to pulmonary th…

A 49-year-old woman with morbid obesity, obstructive sleep apnoea, and psychiatric history was admitted following deliberate medication overdose. She was intubated, managed in ICU, then transferred to the ward where she …

emergency medicineintensive caresystemheparin
TAShospital2024-12-17

Coroner's Finding: Brown, Paul Louis

64y · Male·Subdural haematoma with mass effect following thrombolysis for acute myocardial …

A 64-year-old man with complex medical history including diabetes, mental illness, chronic alcohol misuse, and previous traumatic brain injury was admitted with diabetic ketoacidosis and acute kidney injury. He developed…

intensive carecardiologytenecteplase
1789

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