Coronial

231 results for respiratory symptoms

WAhospital2015-02-26

Inquest into the Death of Peta Susan DOIG

58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury

…Key clinical challenges included severe non-compliance with medical examination, inability to communicate symptoms verbally, and reliance on behavioural observations for clinical assessment. The coroner noted that earlie…

psychiatryintensive carediagnosticdelayazithromycin
NSWhospital2023-05-09

Inquest into the death of Harriet Ostler

1y · Female·sudden cardiac death on a background of rhinovirus infection

Harriet Ostler, a 19-month-old toddler, was admitted to Port Macquarie Base Hospital with viral respiratory symptoms and died from sudden cardiac death due to underlying myocarditis/cardiomyopathy precipitated b…

paediatricsemergency medicinediagnosticcommunicationsalbutamol
VIChospital2024-12-09

Finding into death of Donald Charleson

68y · Male·pneumonia in the setting of metastatic malignancy of unknown primary, likely bow…

… a vulnerable population with multiple comorbidities and the importance of timely emergency response when symptoms developed.

respiratory medicineoncology
VIChospital2018-04-26

Finding into death of James Pickup

59y · Male·Pulmonary embolus

A 59-year-old man with obesity, smoking history, hypertension, and hypercholesterolaemia presented to the ED with two days of acute onset shortness of breath. The registrar diagnosed COPD based on normal vitals, clinical…

emergency medicinerespiratory medicinediagnosticcommunication
VIChospital2014-07-17

Finding into death of Susanne Maree Deeker

64y · Female·Aspiration pneumonia in the setting of Down Syndrome and recent seizures

…owing recent seizures. She presented to hospital twice in November 2013 with seizure-related events and respiratory symptoms. Clinical lessons include recognising that patients with Down syndrome, dementia, and seizure …

emergency medicinegeneral medicine
QLDhospital2007-11-23

Scholz, Karl David

31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…

…hout proper consultation between intensive care and surgical teams; failure to escalate two episodes of respiratory distress on 20 May to senior staff; and misdiagnosis of upper airway obstruction as lower respiratory t…

intensive careanaesthesiadiagnosticcommunicationamoxicillin
NSWhospital2026-01-13

Inquest into the death of Paul Harris

43y · Male·Bilateral pulmonary thrombo-emboli; contributory factors included obesity, coron…

…onal exposure from kangaroo processing), was discharged, then readmitted in October 2019 with worsening respiratory symptoms including haemoptysis—a 'red flag' for PE. Despite explicit documentation of concern about PE …

general practiceemergency medicinediagnosticcommunicationceftriaxone
VIChospital2022-08-31

Finding into death of Cindy Jane Martin

40y · Female·Complications of WHO Class III Obesity

…psychiatric admission. She was sedated with multiple antipsychotic medications to manage severe psychotic symptoms and aggression. While none were at toxic levels, the sedating effects in the presence of untreated sleep …

psychiatryrespiratory medicinesystemdelaysodium valproate
WAmental health2018-07-16

Inquest into the Death of Stanley KING

45y · Male·Cardiorespiratory arrest due to coronary artery disease, severe psychosis requir…

…ey King, a 45-year-old man with severe psychosis, coronary artery disease, and obesity, died from cardiorespiratory arrest triggered by antipsychotic-induced laryngeal dystonia. Admitted involuntarily for acute psychoti…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
TAScommunity2015-03-18

Coroner's Finding: Bronson, Connan Taiaroa

59y · Male·Multiple blunt injuries following a fall from a cliff

A 59-year-old man with a long history of illicit drug use, homelessness, and untreated mental health symptoms died by suicide after jumping from a cliff. He had refused offers of accommodation and support from his s…

methamphetamines
WAhospital2024-01-12

Inquest into the Death of Herbert William MACKAY

45y · Male·complications associated with metastatic adenocarcinoma of the lung, treated pal…

…ung discovered at stage 4 in late December 2020 while imprisoned at Casuarina Prison. He presented with respiratory symptoms on 31 December 2020 and underwent five hospital admissions over three months for management of…

oncologycardiothoracic surgery
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
NT2012-01-03

Inquest into the death of Steven Andrew Forbes

37y · Male·acute viral pneumonia secondary to swine flu (H1N1) infection of the lungs, exac…

…cent hospitalization and missing medication; when prison officers attended his cell on 6 October noting respiratory distress, fever, cough and recent surgery, the on-call nurse was not contacted, despite guidelines reco…

emergency medicineinfectious diseasescommunicationsystemdicloxacillin
VIC2023-12-13

Finding into death of Elizabeth Helen Barber

74y · Female·Metastatic duodenal carcinoma

… with Melbourne City Mission Palliative Care support. The palliative team adjusted her pain management as symptoms progressed. She died of natural causes on 15 June 2021. The coroner found no causative link between her c…

respiratory medicinepalliative careapixaban
VIChospital2025-08-17

Finding into death of Stephen Feltscheer

61y · Male·aspiration pneumonia in a man with Down syndrome and early onset dementia

…rom aspiration pneumonia. He was admitted to hospital on 25 July 2024 with a two-day history of infection symptoms and hypoactive delirium, already in the terminal phase of illness. Following discussions with family, he …

palliative careinfectious diseasesmidazolam
SAhospital2025-11-14

Coroner's Finding: Menzies, Jason Douglas

33y · Male·Marburg variant of multiple sclerosis

… with urinary retention on 1 December 2022, which was appropriately investigated. When acute neurological symptoms emerged on 3 December, he received comprehensive investigations including MRI, lumbar puncture, and broad…

emergency medicinegeneral medicineamitriptyline
WAhospital2016-09-28

Inquest into the Death of Donald Richard BROADRIBB

79y · Male·Bronchopneumonia and acute bronchiolitis

…ced fever response), importance of considering infection in differential diagnosis even with non-specific symptoms, value of secondary medical assessment before discharge, and risks of diagnostic anchoring on gastrointes…

emergency medicinegeneral practicediagnosticcommunicationhyoscine butylbromide
QLD2012-05-31

Perry, Anthony Mark

41y · Male·Respiratory depression caused by alcohol and morphine poisoning

Anthony Mark Perry, aged 41, died in police custody at Rockhampton watch house on 23 March 2010 from respiratory depression due to morphine and alcohol. He was arrested for breaching a domestic violence order after d…

forensic medicineemergency medicinediagnosticsystemmorphine
QLDhospital2016-06-20

Bradshaw, Scott Anthony - Non-inquest findings

38y · Male·Pulmonary thromboembolism due to bilateral deep calf vein thrombi

…presented to the emergency department with presumed pneumonia based on fever, pleuritic chest pain, and respiratory symptoms. His general practitioner appropriately referred him urgently. The ED team treated him for pne…

emergency medicineintensive carediagnosticcommunicationhypnodorm
TAShome2022-10-25

Coroner's Finding: Meyer, Glenn Sturley

45y · Male·mixed drug toxicity

…ea. Post-mortem examination revealed these CNS-depressant medications acted synergistically to suppress respiratory function, particularly oxycodone and diazepam. Obese individuals with sleep apnoea are at greatly incre…

general practicepsychiatryoxycodone
178912

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