Coronial

189 results for acidosis

SAhospital2013-09-03

Coroner's Finding: MUMFORD Michael John

41y · Male·multi-organ failure due to severe lactic acidosis due to metformin toxicity

…ialysis was commenced. Despite appropriate management including intubation and ventilation, severe lactic acidosis developed consistent with lethal metformin concentrations, leading to multi-organ failure and death on 26…

intensive careemergency medicinemetformin
SAhospital2011-09-23

Coroner's Finding: ANDERSON Rosemary Joy

56y · Female·multi-organ failure due to anorexia nervosa

… appropriate medical treatment in hospital, she deteriorated rapidly with hypoxia, hypotension and severe acidosis, requiring ICU admission and mechanical ventilation before dying. The coroner found her detention lawful,…

psychiatryintensive care
VIChospital2026-05-04

Finding into death of Baby E

3y · Female·COMPLICATIONS FROM SEVERE CEREBRAL PALSY

…r severe cerebral palsy. She presented with seizures, dark green sputum, and signs of sepsis (respiratory acidosis confirmed). Despite treatment for presumed chest sepsis and non-invasive ventilation support at Royal Chi…

intensive carepaediatrics
VIChospital2021-05-21

Finding into death of Robin Frank Henry Wisseling

59y · Male·Pneumonia in a man with Lennox-Gastaut syndrome

…tion pneumonia risk requiring assisted feeding. He was admitted to hospital on 6 October with respiratory acidosis and chest X-ray showing consolidation. Despite oxygen therapy and oral antibiotics, his condition deterio…

respiratory medicinegeneral medicineclobazam
VIChospital2015-07-30

Finding into death of Martin Robert Beaty

52y · Male·Community acquired pneumonia in a man with myotonic dystrophy

…h. He was initially discharged with mild pneumonia diagnosis but returned two days later with respiratory acidosis and type 2 respiratory failure. Non-invasive ventilation was commenced, but his condition deteriorated. C…

emergency medicinerespiratory medicinedigoxin
SAhospital2022-06-10

Coroner's Finding: Bertram, Kerry Anne

42y · Female·multiorgan failure complicating hyperthermia and metabolic acidosis following su…

A 42-year-old woman with long-standing depression, substance use issues, and multiple mental health presentations died from multi-organ failure following ingestion of caustic soda. She was found unresponsive at home on 1…

intensive carepsychiatryalcohol
WAhome2000-05-08

Inquest into the Death of Kaitlin Alyce Gubanyi

4y · Female·Immersion (drowning)

…rector of Paediatric Care, noted concerning clinical findings including severe hypothermia (30°C), marked acidosis, and failure to establish adequate cardiac output, suggesting either prolonged immersion (3-5 minutes rat…

emergency medicineintensive carecommunicationsystem
SAhospital2005-06-02

Coroner's Finding: HUTCHINSON Matthew

0y · Male·cardiogenic shock and neonatal encephalopathy

…ine cardiovascular and metabolic status before commencing cooling therapy, delayed treatment of metabolic acidosis, and incomplete coagulation assessment. These monitoring gaps prevented clinicians from recognizing progr…

neonatologyobstetricsproceduralcommunicationphenobarbital
ACThospital2018-04-26

AN INQUEST INTO THE DEATH OFJOHN BELL

71y · Male·cardiac arrest due to hyperkalemia due to acute on chronic renal failure, with r…

…erwent elective ileostomy reversal surgery. He died from cardiac arrest due to hyperkalemia and metabolic acidosis two days post-operatively. Expert renal review identified that his severely impaired kidney function and …

surgerynephrologydiagnosticsystem
SAhospital2001-09-07

Coroner's Finding: SANDS Celia Laurel

82y · Female·peritonitis due to a perforated viscus (proximal jejunum) resulting from motor v…

…nd 24 hours, fever—should trigger escalation and senior review; (3) Critical vital sign changes including acidosis, hypoxia, and tachycardia in the early morning of day 2 indicated sepsis/peritonitis requiring immediate …

general surgeryemergency medicinediagnosticdelay
VICaged care2024-01-11

Finding into death of Phyllis Joan Porter

72y · Female·Large rectal prolapse and ischaemic bowel

A 72-year-old woman with intellectual disability residing in aged care presented with a large rectal prolapse and ischaemic bowel. She was found on the floor of her room with a prolapse containing approximately 80cm of n…

emergency medicinesurgeryfluoxetine
VIChospital2021-12-08

Finding into death of David John McDermott

70y · Male·Congestive cardiac failure in a man with ischaemic and hypertensive heart diseas…

…l treatment necessitated chemical restraint, delaying assessment and treatment. A blood gas showed severe acidosis (pH 7.08) with poor prognosis. He died hours later. The coroner found his medical care reasonable with no…

cardiologygeriatric medicineolanzapine
NSWcommunity2023-08-01

Inquest into the death of Peter Gretton

64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…

…Correctional Centre, died from metformin toxicity complicated by acute renal impairment and severe lactic acidosis. His renal function deteriorated in the three to four weeks before 2 January 2019, developing without obv…

emergency medicinecardiologydiagnosticcommunicationmetformin
TAShospital2022-09-21

Coroner's Finding: Brown, Sandra Anne

54y · Female·hypothermia, likely related to drug toxicity

Sandra Anne Brown, a 54-year-old woman with multiple chronic conditions including COPD, diabetes, bipolar disorder and epilepsy, died from hypothermia likely related to drug toxicity. She presented to the ED with breathi…

emergency medicinerespiratory medicinecommunicationsystemfluvoxamine
SAaged care2017-05-30

Coroner's Finding: NOCKOLDS Dorothy Ellen

93y · Female·dehydration with hypernatremia and acute renal failure with metabolic acidosis

Dorothy Ellen Nockolds, a 93-year-old woman with vascular dementia living in aged care, died from dehydration with hypernatremia and acute renal failure. She suffered a transient ischaemic attack on 8 July 2015, followed…

geriatric medicineneurology
NSWhospital2021-06-24

Inquest into the death of William BERGER

74y · Male·Acute exacerbation of chronic airways disease, with carcinoma of prostate being …

…te appropriate treatment. When his condition worsened with chest pain, elevated troponin, and respiratory acidosis, a retrieval team was arranged. However, transfer to intensive care was deemed unsafe as intubation was c…

respiratory medicineemergency medicinesalbutamol
QLDhospital2019-09-05

Mrs MDF - Non-inquest findings

76y · Female·multisystem organ failure due to or as a consequence of ischaemic small intestin…

…rar and ICU registrar) failed to recognize Mrs MDF's clinical deterioration despite progressive metabolic acidosis and haemodynamic instability over several hours. Critically, the Consultant Surgeon and Consultant Intens…

surgeryintensive carediagnosticcommunicationtramadol
NSW2021-11-08

Inquest into the death of Walter CLOUGH

66y · Male·Complications of chronic obstructive pulmonary disease. A significant contributi…

Walter Clough, aged 66, died from complications of COPD and cardiomegaly while incarcerated. He had significant respiratory compromise from prior chest trauma causing hemidiaphragm paralysis. Days before death, he was ho…

general practicerespiratory medicinesystemspriva
ACThospital2024-09-11

Inquest Into The Death Of Baby X

0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…

Baby X, born at Canberra Hospital after a prolonged labour, died at age 2 days from injuries sustained during birth. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged …

obstetricsneonatologydiagnosticcommunication
NSWhospital2024-01-29

Inquest into the death of Sean Montgomery

70y · Male·severe metabolic acidosis due to multi organ failure including liver ischaemia

70-year-old Sean Thomas Montgomery died from severe metabolic acidosis and multi-organ failure following a thoracoscopic repair of a chronic right diaphragmatic hernia. The cor…

cardiothoracic surgerygeneral surgerydiagnosticcommunicationmorphine
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