Coronial

231 results for respiratory symptoms

NSWhospital2022-04-05

Inquest into the death of Ronald TURNER

81y · Male·Consequences of bowel obstruction

…history of recurrent sigmoid volvulus despite previous surgery. On 22 January 2020, he reported abdominal symptoms; initial assessment was reasonable. On 23 January, he deteriorated acutely with low blood pressure and vo…

colorectal surgerygeriatric medicine
QLDhospital2012-09-28

Harold, Rex

59y · Male·disseminated carcinoma due to right lung carcinoma

…rom disseminated small cell lung carcinoma. He was transferred to hospital on 19 July 2009 with pneumonia symptoms and rapidly deteriorated despite appropriate antibiotic therapy and supportive care. A chest X-ray showed…

general medicinecardiologydiagnostic
QLDhome2005

Shaw, Lillian Margaret

67y · Female·perforated gastric ulcer; morphine toxicity also made a significant contribution

…as administered at home—a large dose inappropriate for undiagnosed abdominal pain and potentially masking symptoms of perforation. The patient died 2.5 hours later from a perforated gastric ulcer, with morphine toxicity …

general practicegastroenterologydiagnosticmedicationtramadol
VICaged care2022-06-17

Finding into death of Brent Andrew Newman

58y · Male·Pneumonia and urosepsis

…ausing urethral trauma and erosion. Staff failed to recognise signs of clinical deterioration including respiratory decline, fever, and behavioural changes indicative of pain. Basic clinical assessments were not complet…

geriatric medicinegeneral practicecommunicationsystemcefalexin
VICcommunity2023-08-18

Finding into death of Jackson David Eales

27y · Male·Injuries sustained in motor vehicle collision (driver)

…protocols, improved information sharing between licensing bodies, and earlier recognition of sleep apnoea symptoms in high-risk occupations could potentially prevent similar deaths.

general practicecardiologysystemdelay
VIChospital2026-01-12

Finding into death of Lydia Christopherson

39y · Female·Undifferentiated large right pleural effusion

…de with large effusion on CT. After discussion, her family elected not to pursue biopsy given her lack of symptoms and unlikely benefit of treatment. She was discharged but readmitted on 2 June 2024 with breathlessness a…

respiratory medicineemergency medicine
NSW2016-03-08

Inquest into the death of Allen BURKE

50y · Male·acute myocardial infarction due to coronary atherosclerosis

…h, he reported headache, vomiting, and sore throat. Nurse assessment found normal blood pressure and no respiratory distress; chest pain was denied. The coroner found care standards appropriate and that nothing could ha…

forensic medicineemergency medicinesalbutamol
NT2026-03-19

Inquest into the death of Bradley Murdoch

66y · Male·metastatic adenocarcinoma (palliated) from an unidentified primary tumour

…ma on 15 July 2025. He had presented to the correctional centre clinic in November 2024 with non-specific symptoms including neck swelling, cough and shortness of breath. Initial chest X-ray was unremarkable but CT imagi…

oncologypalliative carecarboplatin
WAhospital2016-06-28

Inquest into the Death of Geoffrey Mark REID

23y · Male·combined drug toxicity (methadone, clozapine, quetiapine, diazepam, chlorpromazi…

…rsing education about opioid toxicity, and failure to recognize and escalate early warning signs before respiratory depression.

psychiatryaddiction medicinecommunicationdiagnosticmethadone
SAhospital2022-08-15

Coroner's Finding: Kelley, John Michael

83y · Male·General inanition and aspiration pneumonia on a background of end-stage Alzheime…

An 83-year-old man with end-stage Alzheimer's dementia died from general inanition and aspiration pneumonia while subject to a Mental Health Act order in hospital. He had experienced two episodes of aspiration pneumonia …

psychiatrygeriatric medicineantibiotics
VIChospital2009-12-08

Finding into death of Timothy Jack Wood

1y · Male·Cerebral anoxia caused by cardiac arrest caused by bronchiolitis and bronchopneu…

… bronchiolitis and bronchopneumonia secondary to influenza A infection. He initially presented with croup symptoms on 15 July 2005, was discharged after appropriate treatment. On re-presentation on 16 July to the Austin …

emergency medicineintensive carecommunicationsystemprednisolone
VICcommunity2014-12-17

Finding into death of Paul Kanis

38y · Male·Organizing pneumonia with loculated pleural effusion in the setting of drug use …

Paul Kanis, a 38-year-old man with schizoaffective disorder, drug dependency, diabetes, and asthma, died from organizing pneumonia with loculated pleural effusion in the setting of methadone and benzodiazepine use. The c…

general practiceaddiction medicinecommunicationsystemmethadone
NSWhome2025-06-24

Inquest into the death of Jade

3y · Female·Bilateral Bronchopneumonia (Streptococcus Pyogenes/Staphylococcus Aureus) with k…

…rns about maintaining engagement and institutional messaging discouraging 'over-reporting'. The child's respiratory infection progressed untreated for days, becoming fatal. Systemic failures included chronic caseworker …

paediatricspsychiatrydiagnosticcommunicationquetiapine
NSWhospital2015-11-16

Inquest into the death of Ivy Dwyer

18y · Female·Severe cardiogenic shock caused by myocarditis as a consequence of an unknown vi…

… from viral myocarditis causing cardiogenic shock. She presented over weeks with progressive non-specific symptoms (nausea, vomiting, fatigue, cough) consistent with viral illness. A locum GP diagnosed Epstein-Barr hepat…

general practiceemergency medicinediagnosticcommunicationloperamide
TAShome2022-02-18

Coroner's Finding: XY - deidentified

84y · Male·Overdose of prescription morphine (Ordine oral morphine liquid), self-administer…

An 84-year-old man with advanced emphysema, colorectal cancer history, and severe functional decline took an intentional overdose of prescription morphine at home. In the weeks before death, he experienced progressive dy…

general practicerespiratory medicinemorphine
NSWcommunity2012-09-05

Inquest into the death of Lynda Vanessa CLIFFORD

29y · Female·respiratory depression as a result of the interaction of prescribed medications

…, no doctor coordinated treatment despite obvious escalating sedation observed by family. She died from respiratory depression caused by drug interactions. Key failures: incomplete medication reconciliation at discharge…

psychiatrygeneral practicecommunicationsystemclozapine
VIChospital2014-11-19

Finding into death of Noah Philip James Sheekey

3y · Male·Escherichia Coli sepsis in a low birth weight infant

…sed on the evening of 9 January or received closer paediatric supervision, earlier detection of infection symptoms may have enabled earlier intervention, potentially altering outcome. The hospital subsequently implemente…

neonatologypaediatricscommunicationsystemcefalexin
VIChome2025-07-28

Finding into death of Heather Ida Simone Calgaret

30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…

…trolled diabetes, and was prescribed quetiapine. Following injection on 22 November 2021, she experienced symptoms consistent with opioid intoxication (nausea, vomiting, drowsiness). While asleep that night, she likely e…

general practiceaddiction medicinemedicationdiagnosticbuprenorphine
ACThospital2019-06-25

Inquest into the death of Jay Alan Paterson

43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …

Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone table…

general practicepain medicinesystemproceduraloxycodone
NThospital2005-08-26

Inquest into the death of Sampson Paii

35y · Male·Disseminated Lymphoblastic Lymphoma

… man died from disseminated lymphoblastic lymphoma while in prison custody. He presented with progressive symptoms including oedema, shortness of breath, and difficulty walking. Dr J. appropriately ordered echocardiograp…

haematologycardiologycommunicationdiagnostic
1891012

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