Coronial

41 results for CT pulmonary angiogram

SAhospital2004-11-18

Coroner's Finding: PEDDEY Ross Dudley

63y · Male·pneumonia complicating anoxic brain injury, due to post-operative haemorrhage as…

…nappropriately delegated care to a first-year intern (Dr K.) and left for clinic without follow-up. A CT pulmonary angiogram was pursued despite low clinical probability, delaying diagnosis until cardiac arrest occurred…

colorectal surgerygeneral surgerydiagnosticdelaywarfarin
NSWmental health2026-08-11

Inquest into the death of Raeputa Tangatapoto

55y · Male·Unascertained natural causes

…pital on 17 December with chest pain, tachycardia, and postural hypotension; investigations including CT pulmonary angiogram and echocardiogram were normal, and symptoms resolved with intravenous therapy. He was returne…

psychiatryforensic medicineclozapine
VIChospital2016-10-25

Finding into death of Andrew Michael ODonnell

46y · Male·Pulmonary thromboembolism complicating left calf deep venous thrombosis

…Clexane and a follow-up ultrasound appointment. That evening at home he collapsed and died from a saddle pulmonary embolism. The coroner found the triage assessment was appropriate, Fast Track referral was justified, an…

emergency medicinehaematologydiagnosticenoxaparin
VIChospital2013-11-18

Finding into death of Sean Raymond Adams

51y · Male·Multiorgan failure in a man with corrected congenital coarctation of the aorta a…

Sean Raymond Adams, 51-year-old male with complex cardiac history including corrected coarctation of aorta, valvular disease, and biventricular heart failure, presented to Alfred Hospital ED with chest pain and dyspnoea.…

cardiologyemergency medicinecommunicationsystemhaloperidol
VIChospital2022-03-09

Finding into death of Daniel McQuilken

68y · Male·Lung cancer

Daniel McQuilken, a 68-year-old man in immigration detention, died from metastatic lung cancer. His lung cancer diagnosis was made while detained, likely related to his significant smoking history and prior asbestos and …

oncologyrespiratory medicinechemotherapy agents
QLDhospital2024-12-16

Inquest into the death of Shane Anthony May

61y · Male·Multiorgan failure, due to, or as a consequence of metastatic lung cancer (suspi…

Shane Anthony May, a 61-year-old prisoner, died of multiorgan failure secondary to metastatic lung cancer after 44 days in custody. He presented with COVID-19 symptoms on reception, then developed progressive respiratory…

emergency medicinerespiratory medicineamlodipine
VIChospital2012-01-23

Finding into death of Elizabeth Maryanne Holley

52y · Female·Hypoxic brain injury due to hypotension in a woman with documented electrocardio…

…ntipsychotic use. After experiencing dizziness and collapse, she suffered cardiac arrest requiring cardiopulmonary resuscitation. She developed refractory seizures and hypoxic brain injury, dying four days later. Post-m…

psychiatryintensive careolanzapine
SAhospital2025-11-14

Coroner's Finding: Wallace, Peter John

67y · Male·hypoxic respiratory failure in the setting of pneumonia, pulmonary embolism and …

…ed 67, died in custody at Lyell McEwin Hospital from hypoxic respiratory failure complicating pneumonia, pulmonary embolism, and advanced hepatocellular carcinoma. He had been imprisoned at Yatala Labour Prison and rece…

hepatologyoncologyenoxaparin
TAShospital2023-06-13

Coroner's Finding: HN de-identified

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

…resented to the ED with chest pain and was found to have a pericardial effusion. She underwent an aortic angiogram but critical investigations including echocardiography were not clearly documented. A pericardiocentesis…

emergency medicinecardiologyproceduralsystem
VIChomePodcast2018-11-09

Finding into death of Priyantha Nirmale Ranjith Peiris

57y · Male·hypoxic ischaemic brain injury complicating acute asthma

A 57-year-old man with asthma and hay fever died from hypoxic ischaemic brain injury following an acute asthma exacerbation during Melbourne's November 2016 thunderstorm asthma event. The deceased was outdoors during the…

emergency medicineintensive caresalbutamol
VIChospital2024-03-07

Finding into death of Ms AC

73y · Female·Metastatic oesophageal cancer

Ms AC, a 73-year-old woman with longstanding physical disabilities, died from metastatic oesophageal cancer. She presented with progressive swallowing difficulties, weight loss, and elevated inflammatory markers from Dec…

general practicegastroenterology
ACThospital2025-04-09

Inquest Into The Death Of Peter Hanisch

69y · Male·thoracic aortic aneurysm with dissection

…ented 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 identify the aortic dissection, instead reporting on…

radiologyemergency medicinediagnosticsystem
TAShospital2020-08-11

Coroner's Finding: Howard, Noeline Dawn

76y · Female·pulmonary embolism due to carcinomatosis

…ospital with shortness of breath and was initially diagnosed with community-acquired pneumonia and later pulmonary oedema. Both diagnoses were incorrect. She had widespread cancer (carcinomatosis) with multiple pulmonar…

emergency medicinerespiratory medicinediagnosticdelayintravenous fluids
WAhospital

Inquest into the Death of Robert Paul RODDA

62y · Male·Multi-organ failure following surgical repair of ruptured abdominal aortic aneur…

…c clamping caused acute renal failure requiring permanent dialysis. Post-operatively, he developed acute pulmonary oedema, atrial fibrillation, and cardiac ischaemia. The patient voluntarily declined dialysis on 12 Octo…

vascular surgerycardiology
TAShospital2023-05-05

Coroner's Finding: Pedler, Anne Helen

71y · Female·multiple pulmonary thromboemboli and deep vein thrombosis

…oea, hypoxia) and progressive leg pain/swelling over one week. ECG showed S1Q3T3 pattern consistent with pulmonary embolism; bedside ultrasound showed right ventricular strain. Despite presumptive diagnosis of PE being …

emergency medicinecardiologydiagnosticdelaycannabis oil
NSWhospital2023-09-13

Inquest into the death of Jeffrey Blundell

44y · Male·cardiogenic shock, on a background of severe tricuspid valve regurgitation, seve…

…e in police custody. Expert cardiothoracic evidence indicated his condition was inoperable due to severe pulmonary hypertension and right ventricular dysfunction, with surgery contraindicated by recent upper GI bleeding…

cardiothoracic surgerycardiologyhydromorphone
VIChospital2014-10-01

Finding into death of Raymond John O_Brien

71y · Male·acute myocardial infarction due to coronary artery disease

Raymond O'Brien, a 71-year-old forensic patient with a history of ischaemic heart disease, hypertension, and dyslipidaemia, was admitted to hospital with chest pain in August 2013. Initial diagnosis of non-ST elevation a…

cardiologypsychiatryaspirin
TAS2018-09-14

Coroner's Finding: Ronald Grundy, Aaron Jeffrey and Ian Smith

Unknown·Three separate cases: (1) Ronald Grundy - advanced atherosclerotic coronary vasc…

Three men died in custody in Tasmania between 2016 and 2017. Ronald Grundy (80) died of advanced atherosclerotic coronary vascular disease while hospitalised with pneumonia and gastroenteritis; his treatment was adequate…

cardiologyrespiratory medicineantibiotics
SAhospital2012-11-15

Coroner's Finding: Butler Mark Andrew

49y · Male·pneumonia, hypoxic brain injury and cardiac arrest

49-year-old male with chronic cannabis dependence and depression developed post-surgical delirium following emergency anterior resection for perforated diverticulum. He became acutely agitated and paranoid, was detained …

colorectal surgerypsychiatrydiagnosticmedicationfentanyl
VIChospital2013-06-17

Finding into death of Trevor Edward Hammond

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

…he ED with chest pain and atrial fibrillation. Initial ECG showed no acute changes. Clinicians pursued a pulmonary embolus diagnosis based on pleuritic-sounding pain and positive d-dimer, commencing anticoagulation. CTP…

emergency medicinecardiologydiagnosticdelaydigoxin

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