Coronial

176 results for recurrent pneumonia

WAhome2023-11-10

Inquest into the Death of Child ML (Name Subject to Suppression Order)

7y · Female·Pneumonia complicating a viral respiratory illness with acute combined drug effe…

Child ML, aged 7, died of pneumonia complicating viral respiratory illness with acute combined drug effect. She had severe cerebral palsy wi…

paediatricsrespiratory medicinemedicationsystemcodeine
NThome2011-09-09

Inquest into the death of Baby M

4y · Male·chronic degenerative damage (complications) from neonatal cerebral palsy

Baby M was a 4.5-year-old Aboriginal boy with severe neonatal cerebral palsy causing quadriplegia, intellectual disability, seizures, blindness, and severe gastro-oesophageal reflux. He died unexpectedly at home from chr…

paediatricsneonatology
QLDhospital2018-04-12

Mr RR - Non-inquest findings

86y · Male·Aspiration Pneumonia secondary to Recurrent Colorectal Carcinoma

An 86-year-old man died from aspiration pneumonia following bowel preparation for elective colonoscopy. He was admitted to an outlying ward rather than th…

gastroenterologycardiologydiagnosticcommunicationondansetron
VIChospital2025-08-21

Finding into death of Andrew William Barr

54y · Male·Complications of pelvic and spinal fractures sustained in a fall in man with Dow…

…fall, Mr Barr experienced a prolonged eight-month hospital admission complicated by seizures, aspiration pneumonia, weight loss, and functional decline. While medical management was deemed reasonable by coronial review,…

orthopaedic surgerypalliative carecommunicationsystemanti-epileptic medication
VICcommunity2010-01-20

Finding into death of Jennifer Gibbins

54y · Female·Sepsis due to bronchopneumonia complicating malignant spindle cell tumour of rig…

…ear-old woman with non-verbal communication disability living in supported accommodation, presented with recurrent cough from April 2005. Initial management consisted of antibiotics prescribed by her GP, but when sympto…

general practicerespiratory medicinediagnosticdelayantibiotics
TAShospital2022-03-21

Coroner's Finding: Mackey, Lois Winifred

83y · Female·decompensated right heart failure (cor pulmonale) immediately following mitral v…

…evented her death. Review concluded the GP's management was reasonable—he was anchored to a diagnosis of recurrent chest infections/pneumonia, cardiac examination was not routinely indicated, and time pressures were sig…

cardiothoracic surgerycardiologydiagnosticdelay
NThospital2016-04-22

Inquest into the death of Bundy Namarnyilk

56y · Male·Acute bronchopneumonia secondary to locally advanced, poorly differentiated squa…

A 56-year-old Aboriginal man died in custody from bronchopneumonia secondary to metastatic hypopharyngeal squamous cell carcinoma. He first presented with sore throat in F…

ENT surgeryoncology
WAhospital2015-08-06

Inquest into the Death of Francis Gerald ROBERTS

62y · Male·fatal cardiac arrhythmia secondary to end-stage ischaemic cardiomyopathy

A 62-year-old prisoner with severe ischaemic heart disease, diabetes, and cardiomyopathy died from a fatal cardiac arrhythmia in hospital. He had extensive cardiac history including pacemaker insertion, coronary stents, …

cardiologycardiothoracic surgeryfurosemide
TAShome2022-05-27

Coroner's Finding: TS de-identified

47y · Female·Traumatic closed head injury likely sustained in a fall from standing

…have deranged liver function; and consideration of capacity assessment and safeguarding in patients with recurrent hospitalizations related to substance abuse and self-harm.

emergency medicinegeneral practicecommunicationsystemalcohol
SAhospital2026-03-30

Coroner's Finding: Chadha, Hemant and Battagodage, Sachintha Nandula

Male·Hemant Chadha: acute on chronic pneumonia (mycoplasma pneumoniae). Sachintha Bat…

…en died after repeated ED presentations were not appropriately managed. Hemant Chadha (38) died of acute pneumonia complicated by possible neurological involvement after being discharged from Lyell McEwin Hospital despi…

emergency medicinegeneral practicediagnosticcommunicationdiazepam
VIChospital2013-08-13

Finding into death of Thelma Katherine Holt

79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…

…, and emergency surgery revealed large gastric perforation with peritonitis. She died 14 March 2009 from pneumonia in the setting of acute peritonitis. Key preventable failures included: Dr M. placing a second balloon i…

gastroenterologygeneral surgerydiagnosticproceduralsertraline
VIChome2025-11-18

Finding into death of JZA

65y · Female·Combined effects of acute pneumonia, pancreatitis, urinary tract infection, and …

…l use disorder, multiple comorbidities, and progressive functional decline died from combined effects of pneumonia, pancreatitis, urinary tract infection, and severe pressure ulcers with osteomyelitis following a prolon…

geriatric medicineinfectious diseasessystemcommunicationpholcodine
VIChospital2023-08-01

Finding into death of Michele Valentino

81y · Male·Head injury sustained in a fall

…e changed the outcome given the severe nature of bleeding and his post-operative complications including recurrent drain blockages. Key clinical lessons include: ensuring robust communication protocols for critical radi…

emergency medicineradiologydiagnosticcommunicationaspirin
VIC2024-02-19

Finding into death of John Robert Gregg

52y · Male·Hypoxic ischaemic encephalopathy and multi-organ failure due to coronary artery …

…significant medical history on pre-dive medical questionnaire, including prescription medications, prior pneumonia requiring ICU admission, and recurrent back problems—his GP stated he would not have endorsed diving wit…

emergency medicineintensive carediagnosticcommunication
NThome2007-11-13

Inquest into the death of Richard Kiel

37y · Male·acute heart failure caused by multiple drug toxicity (methadone and alprazolam)

Richard Mark Kiel, a 37-year-old with chronic opioid addiction, died from acute heart failure caused by lethally high levels of methadone and alprazolam, likely consumed on 9 September 2005. His GP, Dr G., prescribed the…

general practiceaddiction medicinediagnosticmedicationmethadone
QLDhospital2023-06-26

Searle, William Edward

74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …

…arle, a 74-year-old prisoner, died from aspiration of gastric contents following a Whipple procedure for recurrent ampullary adenoma. The clinical lessons involve recognition of gastroparesis risk in high-risk patients …

general surgeryintensive carediagnosticcommunicationadrenaline
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