Coronial

15 results for altered conscious state

VIChospital2017-07-13

Finding into death of Michelle Louise Rosevear

41y · Female·Left middle cerebral artery territory ischaemic stroke

A 41-year-old registered nurse presented to the Emergency Department with altered consciousness on 28 May 2015. She was initially assessed as having a possible medication overdose rather …

emergency medicineneurologydiagnosticdelayquetiapine
VIChome2026-05-25

Finding into death of Robyn Julia Richards

69y · Female·Hydrocephalus and subarachnoid haemorrhage in the setting of a fall in a woman w…

…s and SDA staff found no serious injury. Five days later, she presented to hospital with acute agitation, altered conscious state, and seizure-like activity. CT imaging revealed bilateral subarachnoid haemorrhage and hy…

general practiceparamedicine
VIChospital2015-04-23

Finding into death of Ian Kenneth Pye

56y · Male·Cerebral hypoxia in a man with respiratory insufficiency and Down's Syndrome

…nd severe cervical stenosis residing in supported care presented to hospital with respiratory failure and altered consciousness. He had aspirated food or secretions leading to type II respiratory failure with a GCS of 7…

respiratory medicineneurologyolanzapine
VIChospital2010-03-22

Finding into death of Magdalena Schauer

36y · Female·Acute brain injury due to intracerebral haemorrhage secondary to sepsis

A 36-year-old woman with intravenous heroin use history presented with depressed consciousness and purpuric rash. Paramedics appropriately administered empiric antibiotics for suspected meningoco…

emergency medicineintensive careheroin
VICpolice2017-04-10

Finding into death of Michael John Darmody

51y · Male·Combined drug toxicity (methadone and benzodiazepines) in a man with coronary an…

…in the setting of underlying coronary and cerebrovascular disease. He was remanded overnight and found unconscious at 6.01am. Key clinical lessons: police observations of deteriorating consciousness (grunting response, …

emergency medicineintensive carecommunicationdiagnosticmethadone
VIChospital2024-10-08

Finding into death of Donna Michelle Corlett

53y · Female·Aspiration pneumonia complicating cerebral palsy

…ities, the role of early palliative care involvement, and appropriate end-of-life management. The terminal state was identified and actively palliated, with hospital transfer arranged for symptom management. No systemic…

palliative caresurgery
VIChospital2021-09-21

Finding into death of AH

37y · Male·Mixed Drug Toxicity (Oxycodone, Quetiapine, Pregabalin and Clonazepam)

… receiving naloxone doses and being in a monitored resuscitation cubicle, he deteriorated with worsening conscious state (GCS 15→11→9) and was found in cardiac arrest at 2:22pm. Critical failures included: inadequate kn…

emergency medicinetoxicologydiagnosticcommunicationoxycodone
VICcommunity2016-06-07

Finding into death of Simon Mark Everill

55y · Male·Complications of right middle cerebral artery infarction

…on on 3 September 2014 after experiencing two falls during a day service activity. His symptoms—including altered consciousness, weakness, and facial drooping—were initially attributed to an epileptic seizure by carers …

general practiceemergency medicinediagnosticcommunicationsimvastatin
NThospital2009-02-20

Inquest into the death of Peter Jacobs

49y · Male·Acute bronchopneumonia as a consequence of recent intracranial and intra-cerebra…

Peter Raymond Jacobs, a 49-year-old Aboriginal man with severe cirrhosis and chronic alcohol abuse, was apprehended by police on 5 April 2008 for intoxication. He fell twice before custody (hitting his head at Town Hall …

emergency medicinegeneral surgeryphenytoin
VICcommunity2017-03-22

Finding into death of Peter Van Danh

36y · Male·Head injuries from motor vehicle strike

Peter Van Danh, a 36-year-old man, died on 11 September 2014 from head injuries consistent with being struck by a motor vehicle. He had consumed approximately 40 diazepam tablets and tested positive for methamphetamine, …

forensic medicinediazepam
QLDhospital2008-09-12

Neville, Elise Susannah

10y · Female·Head injuries due to fall from a bunk bed

…cal lessons: always perform thorough neurological examination in head injury, never discharge unexplained altered conscious state without investigation, maintain low threshold for admission/referral, escalate to senior …

emergency medicineneurosurgerydiagnosticcommunicationmannitol
VIChospital2022-01-10

Finding into death of John Wilfred Warner

79y · Male·Complications of multiple injuries (operated), sustained in a motor vehicle inci…

A 79-year-old man died from complications of multiple injuries sustained when his wife's vehicle was struck by an unmarked police car at an intersection. The police vehicle was engaged in a pursuit of a stolen vehicle an…

proceduralcommunication
VIChospital2012-08-02

Finding into death of Elsinore Mitchell

74y · Female·right lower lobe pneumonia (Staphylococcus aureus)

A 74-year-old woman admitted for depression and functional decline following aortic valve replacement received 15mg Nitrazepam instead of prescribed 15mg Mirtazapine due to drug name confusion. The sedation caused aspira…

general medicinepsychiatrymedicationcommunicationnitrazepam
SAhospital2018-03-29

Coroner's Finding: BUTSON Graham Joseph

81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…

Graham Joseph Butson, aged 81, died from aspiration of gastric contents complicating undiagnosed metastatic lung cancer with brain metastases. He presented with confusion, agitation and atrial fibrillation; a lung mass w…

orthopaedic surgerygeneral medicinesystemwarfarin
VICaged care2011-05-20

Finding into death of Lena Divola

59y · Female·Subdural haemorrhage from blunt force trauma to head sustained in a backwards fa…

Lena Divola, a 59-year-old woman with intellectual disability, schizophrenia, and depression living in supported accommodation, sustained a head injury on 24 December 2007 when she fell backwards from a walker being push…

general practicepsychiatryproceduralcommunicationwarfarin

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.