Coronial
WAhospital2021-03-26

Inquest into the Death of Cyril CHURCHILL

68y · Male·surgical complications following laparoscopic cholecystectomy for cholecystitis,…

…ple organ failure followed. Key lessons: blood loss is the default diagnosis in acute post-operative shock; FAST scans have significant limitations and are unreliable in post-operative settings; drain settings must be ve…

general surgeryanaesthesiadiagnosticcommunication
NSWhospital2018-10-22

Inquest into the death of Sandra Cree

71y · Female·Ruptured abdominal aortic aneurysm, with coronary artery atherosclerosis contrib…

… instead becoming dismissive of the local doctor; (3) the retrieving doctor (Dr J.) performed an inadequate FAST ultrasound, over-relied on a negative result, and incorrectly prioritized sepsis as the working diagnosis; …

emergency medicinevascular surgerydiagnosticcommunicationgentamicin
WAhospital2015-07-29

Inquest into the Death of Tien Chung NGUYEN

55y · Male·ruptured dissection of the thoracic aorta

Tien Chung Nguyen, a 55-year-old male prisoner, died from rupture of a thoracic aortic dissection during emergency surgery at Royal Perth Hospital. He presented with chest pain and dyspnoea at Wooroloo Prison on 26 Novem…

emergency medicinecardiothoracic surgerydiagnostic
VICcommunity2025-07-17

Finding into death of John Michael Jurdeczka

62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…

John Michael Jurdeczka, a 62-year-old man with autism, intellectual disability, and dysphagia, died from hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolu…

speech pathologygeneral practicecommunicationsystemmorphine
VIC2017-08-28

Finding into death of Frederick Hylla

87y · Male·Multiple injuries in a motor vehicle incident

Mr Frederick Hylla, 87 years old, died from injuries sustained in a motor vehicle incident 18 days after discharge from hospital for acute myocardial infarction. He suffered a likely cardiac event while driving, causing …

general practicecardiologycommunicationsystem
TAShospital2018-12-05

Coroner's Finding: Suckling, James William

72y · Male·hypovolemic shock due to haemoperitoneum following surgical repair of an abdomin…

A 72-year-old man died from hypovolemic shock due to intra-abdominal haemorrhage following Spigelian hernia repair. Post-operatively he presented with hypotension, bradycardia and sweating. ECG changes were misinterprete…

surgeryemergency medicinediagnosticcommunicationmetaraminol

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