Coronial
TAShome2023-10-25

Coroner's Finding: de-identified IY

54y · Male·Acute exacerbation of chronic obstructive pulmonary disease due to inhalation of…

A 54-year-old male with chronic obstructive pulmonary disease died from acute exacerbation triggered by inhalation of xylene during hobby spray-painting work. He was not wearing protective equipment despite warnings on p…

respiratory medicinecardiologytramadol
WAhospital- 11 April 2014

Inquest into the Death of Kevin Maxwell COLLINS

50y · Male·bronchitis (pandemic influenza A/H1N1 2009) in a man with chronic obstructive pu…

…deceased could not be revived. Postmortem examination confirmed influenza A/H1N1 bronchitis with underlying COPD as the fatal combination. The coroner found the supervision, treatment and care provided was reasonable and…

psychiatryrespiratory medicineclozapine
VIChospital2025-04-01

Finding into death of ZSQ

81y · Male·Community acquired pneumonia in a man with acute on chronic renal failure

An 81-year-old man with chronic respiratory disease and renal failure died from community-acquired pneumonia complicated by acute-on-chronic renal failure. He presented to hospital on 25 April 2023 with respiratory failu…

intensive carerespiratory medicinediagnosticdelayadrenaline
VIChospital2023-06-25

Finding into death of Peter John Weatherly

63y · Male·Aspiration pneumonia in the setting of functional decline in a man with an intel…

A 63-year-old man with intellectual disability, cerebral palsy, dysphagia, and COPD died from aspiration pneumonia following functional decline. He had a three-month hospital admission with m…

general medicineemergency medicinesystemcommunicationrisperidone
SAhospital2015-08-27

Coroner's Finding: JONES John David

65y · Male·Multi-organ failure in a man with an ischaemic right leg treated with opioids

A 65-year-old man with multiple chronic conditions (COPD, cardiac failure, diabetes, obesity) was admitted with pneumonia and severe ischaemic right leg pain. Opioi…

emergency medicinerespiratory medicineopioids
TAShome2020-06-30

Coroner's Finding: Hinley, David John

74y · Male·Mixed prescription drug toxicity (codeine, paracetamol, mirtazapine, promethazin…

A 74-year-old man with multiple chronic conditions including cerebellar ataxia, COPD, depression and anxiety died from mixed prescription drug toxicity. He had cognitive impairment affecting m…

general practicepsychiatrycommunicationsystemcodeine
VIChospital2014-07-14

Finding into death of Mary Una Barnett

71y · Female·Diffuse Lymphoid Malignancy

…her death. She had extensive comorbidities including chronic heart failure, renal impairment, diabetes, and COPD. While receiving medical care both in custody and at St Vincent's Hospital, she missed a scheduled renal cl…

cardiologynephrologysystemdelay
TAShospital2021-11-29

Coroner's Finding: Bennett, Anthony George

77y · Male·shock due to bowel ischaemia following massive blood loss due to bleeding of the…

Anthony George Bennett, a 77-year-old man with significant comorbidities including ischaemic heart disease, atrial fibrillation, peripheral vascular disease, and end-stage kidney disease, died from shock due to bowel isc…

vascular surgerycardiology
NSW2022-05-19

Inquest into the death of Robert Fennell

77y · Male·Complications of Metastatic Colorectal Carcinoma

…-Acute Unit on 27 October 2020. He had an extensive medical history including systemic lupus erythematosus, COPD, and cardiac failure. Following diagnosis of incurable advanced colorectal cancer with less than 12 months …

palliative careoncology
WAhospital2014-12-30

Inquest into the Death of Gheorghe Gruici

71y · Male·Organ failure in an elderly man receiving palliative medical care for renal fail…

… endocarditis, and chest infection. Over 15 years in custody, he developed multiple comorbidities including COPD, early gastric carcinoma (treated with gastrectomy), diabetes, and psychiatric illness. His complex medical…

general medicinenephrologyomeprazole
TASaged care2023-10-10

Coroner's Finding: Rouse, Wayne Victor

68y · Male·Sudden cardiac death due to congestive cardiac failure and chronic obstructive p…

Wayne Victor Rouse, 68, died from sudden cardiac death at a residential aged care facility when CPR was not provided despite his active resuscitation order. Staff incorrectly believed he had a 'do not resuscitate' order …

geriatric medicinecardiologycommunicationsystem
QLD2021-07-26

Cunningham, Luke

21y · Male·Hanging

Luke Cunningham, aged 21, died by hanging in a prison cell at Arthur Gorrie Correctional Centre in Queensland in September 2018. He was on remand facing murder charges. An initial psychological assessment upon reception …

psychiatrycorrectional healthsystem
TAShome2023-07-24

Coroner's Finding: QD de-identified

45y · Female·combined drug (tapentadol, nortriptyline, venlafaxine, codeine, oxycodone, queti…

QD, a 45-year-old woman with significant comorbidities including obesity, obstructive sleep apnoea, COPD, depression, and substance abuse history, died from mixed drug and alcohol intoxication. Toxicology reveale…

general practicepsychiatrydelaysystemtapentadol
QLDhospital2023-03-13

Timms, Peter John

71y · Male·Acute myeloid leukaemia due to transformation from chronic myelomonocytic leukae…

Peter Timms, a 71-year-old prisoner with multiple comorbidities, died from acute myeloid leukaemia (AML) transformed from chronic myelomonocytic leukaemia. He made over 40 health service requests while incarcerated, incl…

haematologypalliative caredelaydiagnosticoral antibiotics
NThospital2015-02-19

Inquest into the death of Victor Campbell

63y · Male·cancer in the left lung metastatic to the heart, right lung, liver, pancreas and…

Victor Albert Campbell, a 63-year-old man remanded in custody for serious criminal offences, was incarcerated at Alice Springs Correctional Centre on 10 April 2013. He was assessed by medical staff and seen by a doctor p…

oncologypalliative caredexamethasone
TASaged care2018-12-10

Coroner's Finding: McKenzie, Alan John

92y · Male·heart failure secondary to ischaemic heart disease/arrythmia aggravated by a fal…

A 92-year-old man with dementia, Alzheimer's disease and COPD died following a fall from a defective princess chair in aged care. The chair's right armrest had a worn sp…

geriatric medicineneurosurgerysystemdelay
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
TAShospital2018-03-26

Coroner's Finding: Russell; Patricia Joy

74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…

Mrs Russell, a 74-year-old woman with diabetes, obesity, COPD and coronary disease, underwent elective hernia repair in November 2016 at a regional hospital. An unexpect…

surgeryanaesthesiadiagnosticdelay
VIChospital2025-02-27

Finding into death of Steven John Parlby

73y · Male·Complications of multiple injuries sustained in a motor vehicle incident (car vs…

A 73-year-old man with extensive medical comorbidities including severe biventricular heart failure, COPD, sleep apnoea, and hypertension experienced a medical episode while driving, causing him to cross into onco…

general practicecardiologysystemcommunicationvalsartan
WAhospital2022-08-01

Inquest into the Death of Ronald Joseph BUCKLAND

70y · Male·bronchopneumonia in a man with intra-abdominal carcinoma and multiple co-morbidi…

…ife-sentenced prisoner, he had extensive medical conditions including cardiac disease, liver cirrhosis, and COPD. Key clinical issues included: (1) unauthorised self-administration of oxygen from Oxiboots without medical…

cardiologygastroenterologysystemcommunication

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