Coronial

23 results for CT chest (not performed)

TAShospital2021-05-24

Coroner's Finding: Lumley, Barry Alyn

81y · Male·acute subdural haematoma

…ED with a small haematoma and confusion. The ED team concluded he had a cardiac cause for syncope based on chest pain, referred him for cardiology, and did not perform a head CT scan despite clear evidence of head injur…

emergency medicinecardiologydiagnosticproceduralparacetamol
TAShospital2020-04-07

Coroner's Finding: Pettersson, Jan Axel

71y · Male·disseminated fungal (Cryptococcus) infection of the lungs, brain and meninges

…d man presented with fever, confusion, and gait disturbance in October 2017. A lung mass was identified on chest X-ray and presumed malignant, but inflammatory markers were unremarkable. Despite clinical deterioration w…

general medicinerespiratory medicinediagnosticdelay
TAShospital2023-06-13

Coroner's Finding: HN de-identified

83y·cardiac tamponade due to haemopericardium resulting from traumatic parietal peri…

An 83-year-old woman presented to the ED with chest pain and was found to have a pericardial effusion. She underwent an aortic angiogram but critical investig…

emergency medicinecardiologyproceduralsystem
VIChospital2017-12-21

Finding into death of Sally Elizabeth Hopwood

57y · Female·Haemothorax following acute thoracic aortic dissection in a woman with congenita…

…ation of the aorta, and bicuspid aortic valve, presented to ED on 23 March 2012 with severe acute back and chest pain (8/10). A chest X-ray revealed widened mediastinum. She was admitted to CCU under cardiologist Dr G..…

cardiologyemergency medicinediagnosticcommunicationglyceryl trinitrate
VIChospital2013-06-17

Finding into death of Trevor Edward Hammond

72y · Male·ischaemic heart disease secondary to coronary artery disease

A 72-year-old man with hypercholesterolaemia and obesity presented to the ED with chest pain and atrial fibrillation. Initial ECG showed no acute changes. Clinicians pursued a pulmonary embolus …

emergency medicinecardiologydiagnosticdelaydigoxin
VIChospital2021-04-30

Finding into death of Valerie Margaret Fraser

94y · Female·Complications of metastatic lobular carcinoma of the breast in a woman with deme…

A 94-year-old woman with advanced dementia and metastatic breast cancer died from complications of her malignancy. She presented repeatedly with vomiting due to duodenal obstruction from metastatic tumour, but this was n…

general medicinegastroenterologycommunicationdiagnostictamoxifen
QLDhospital2012-12-19

Gerhardt, Robert John

44y · Male·Metastatic small cell neuroendocrine carcinoma of lung

…ate parole. He had presented to PAH emergency department on 28 September 2010 with respiratory symptoms. A chest x-ray that day revealed a mediastinal density reported by radiology as possibly requiring CT investigation…

oncologyemergency medicinediagnosticcommunicationoxycodone
QLDhospital2016-02-17

Dickinson, Rick Dudley

55y · Male·Cardiac tamponade due to ruptured aortic dissection (Type A) against a backgroun…

…inson, a 55-year-old man, presented to St Andrew's War Memorial Hospital after experiencing severe central chest pain and lower back pain with numbness at the gym. The treating senior doctor failed to adequately assess …

emergency medicinepathologydiagnosticcommunicationmorphine
TAShospital2017-03-31

Coroner's Finding: Hoskinson, Neville Robert

55y · Male·cardiac tamponade resulting from proximal aortic dissection due to hypertension

A 55-year-old man presenting with acute severe chest pain, headache and jaw pain to a regional hospital was evaluated for aortic dissection. A CT angiogram was…

emergency medicinecardiologydiagnosticcommunicationmorphine
SAhospital2008-08-22

Coroner's Finding: CARTER Kenneth Morton

76y · Male·ruptured abdominal aortic aneurysm

Kenneth Carter, 76, died from a ruptured abdominal aortic aneurysm (AAA) on 8 June 2005. He had presented to Flinders Medical Centre Emergency Department on 1 June 2005 with back pain, hypotension (90/65 mmHg), and two e…

emergency medicinegeneral medicinediagnosticsystemwarfarin
ACThospital2025-04-09

Inquest Into The Death Of Peter Hanisch

69y · Male·thoracic aortic aneurysm with dissection

…aneurysm with dissection on 22 August 2021. He presented to Calvary Hospital on 19 August 2021 with sudden chest discomfort and neurological symptoms. A CT angiogram was performed but the radiologist, Dr CD, failed to i…

radiologyemergency medicinediagnosticsystem
NSWcommunity2016-11-01

Inquest into the death of Michael JOHNSON

27y · Male·traumatic asphyxia

…his car rolled on a rural property. He was trapped under the vehicle with the car's pillar compressing his chest. Bystanders called 000, and following operator instructions, did not lift the vehicle. Police and ambulanc…

emergency medicinepathology
QLDhospital2012-09-28

Harold, Rex

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

… pneumonia symptoms and rapidly deteriorated despite appropriate antibiotic therapy and supportive care. A chest X-ray showed consolidation initially attributed to pneumonia; malignancy was suspected but could not be co…

general medicinecardiologydiagnostic
WA2016-10-10

Inquest into the Death of Hayder SAYED

30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…

A 30-year-old Afghan asylum seeker died from acute cardiac failure due to severe coronary atherosclerosis while in immigration detention. He had developed a large anteroseptal myocardial infarction between 4-18 August 20…

cardiologyemergency medicinemirtazapine
WAhospital2015-01-15

Inquest into the Death of Petra ZELE

28y · Female·hypoxic brain injury following cardiac arrest in association with pulmonary hype…

…n chronic thromboembolic pulmonary hypertension. She presented to Fremantle Hospital ED on 9 May 2010 with chest pain but was diagnosed with musculoskeletal pain and discharged. Clinical lessons include: (1) Dr H. faile…

emergency medicinecardiologydiagnosticcommunicationyasmin
QLDhospital2018-07-09

AD - Non-inquest findings

75y · Male·Multi-organ failure secondary to cardiogenic shock and anterior myocardial infar…

A 75-year-old man presented to a tertiary hospital ED with acute anterior STEMI but diagnosis was delayed by approximately 10 hours. The first hospital ECG at 6:47am showed diagnostic ST elevation but was not recognised …

emergency medicinecardiologydiagnosticcommunicationmorphine
WAhospital2013-11-11

Inquest into the Death of Kerr

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

…chaemic heart disease, and atrial fibrillation. After his first hernia repair in June 2011, he experienced chest pain on multiple occasions, but this was not clearly documented in a format accessible to the anaesthetist…

general surgeryanaesthesiacommunicationsystemglyceryl trinitrate
TAShospital2020-08-11

Coroner's Finding: Howard, Noeline Dawn

76y · Female·pulmonary embolism due to carcinomatosis

A 76-year-old woman presented to hospital with shortness of breath and was initially diagnosed with community-acquired pneumonia and later pulmonary oedema. Both diagnoses were incorrect. She had widespread cancer (carci…

emergency medicinerespiratory medicinediagnosticdelayintravenous fluids
SAhospital2020-07-14

Coroner's Finding: DUSZYNSKI Steve Stan Peter

66y · Male·Bronchopneumonia and influenza A complicating cardiac and renal failure associat…

A 66-year-old man with cryoglobulinaemic vasculitis secondary to non-Hodgkin's lymphoma died from bronchopneumonia and influenza A complicating cardiac and renal failure. He developed delirium, agitation and paranoia dur…

nephrologyhaematologydelayolanzapine
VICaged care2019-02-04

Finding into death of Margaret Elizabeth Barton

83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…

Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly contributed to her death. Dr C. tripled her dose from 15mg to…

general practicegeriatric medicinemedicationcommunicationoxazepam

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