Coronial

17 results for anaemia requiring transfusion

SAhospital2003-03-12

Coroner's Finding: STOLL Ruth Sophie

71y · Female·massive acute haemolysis leading to severe anaemia and multi-system failure as a…

…oll, 71, died from massive acute haemolysis and multi-system failure after receiving incompatible blood transfusions during aortic aneurysm repair. Pre-operative blood samples from Stoll and another patient (Kovendy) we…

cardiothoracic surgeryanaesthesiadiagnosticprocedural
VIChospital2025-08-19

Finding into death of Con Koumis

43y · Male·complications of decompensated liver failure due to occult sepsis and retroperit…

Con Koumis, a 43-year-old man with beta-thalassaemia major requiring regular blood transfusions, died from decompensated liver failure complicated by occult sepsis and retro…

haematologyhepatology
SAaged care2022-04-14

Coroner's Finding: Lauder, Ian Ross

80y · Male·general inanition and pneumonia on a background of advanced vascular dementia, c…

…erated right hip fracture. He had suffered a fall on 3 October 2019, sustaining a neck of femur fracture requiring surgery. During hospitalisation, he experienced a posterior cerebral artery stroke, anaemia requiring bl…

geriatric medicineorthopaedic surgeryproton pump inhibitors
TAShospital2025-04-23

Coroner's Finding: Dow, Vicki Elizabeth

69y · Female·Multiple organ failure due to secondary haemochromatosis (transfusion-associated…

Mrs Vicki Dow, 69, died from multiple organ failure secondary to iron overload (transfusion-associated haemochromatosis) from treatment of myelodysplastic syndrome. She had declined iron chelatio…

haematologyemergency medicinecommunicationdiagnosticiron chelation therapy
VIChospital2014-11-17

Finding into death of Allan Phipps

76y · Male·exsanguination secondary to pulmonary aortic fistula and thoracic aorta aneurysm…

…r mental health legislation and treated for depression while managing multiple cardiac problems including anaemia and poor oral intake. He died suddenly from massive haemorrhage secondary to rupture of his thoracic aort…

vascular surgerycardiologysystemdelayquetiapine
SAhospital2016-09-01

Coroner's Finding: CALLAGHAN Brian Francis

79y · Male·Multi-organ failure due to pneumonia and bleeding duodenal ulcer complicating su…

A 79-year-old man with ischaemic heart disease and dementia fell at home, sustaining a left hip fracture requiring surgery. Post-operatively, he developed hospital-acquired pneumonia, upper gastrointestinal bleeding fro…

general surgeryorthopaedic surgery
WAhospital2005-03

Inquest into the Death of Bert Sharpe

58y · Male·Gastrointestinal haemorrhage due to erosive gastritis

…le accident in 1970. This injury caused chronic brain damage and progressive mental health deterioration requiring lifelong institutional care. In April 2004, he was admitted to hospital with a chest wall haematoma requ…

psychiatrygeneral surgery
SAhospital2007-06-29

Coroner's Finding: COCKBURN Michael Philip

40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)

…ions to antipsychotic medications, was admitted to Royal Adelaide Hospital from psychiatric detention for anaemia requiring blood transfusion. He became agitated during transfusion. An inexperienced intern prescribed ha…

psychiatryemergency medicinemedicationcommunicationhaloperidol
VIChospital2018-08-27

Finding into death of PH

51y · Male·Complications of aspiration pneumonia in a man with status epilepticus

…piration pneumonia and status epilepticus. He presented with status epilepticus and aspiration pneumonia requiring ICU admission, intubation, and prolonged hospitalization. Despite optimal treatment with escalating anti…

neurologyintensive careanticonvulsant medications
TAShome2021-04-12

Coroner's Finding: Rubenach, Timothy Luke

32y · Male·Aspiration pneumonia and reflux oesophagitis

…ently used medicinal cannabis. In his final year, Mr Rubenach suffered multiple episodes of haematemesis requiring eight hospital admissions. He was commenced on palliative care on 15 May 2018 with morphine analgesia, d…

general practicegastroenterologymorphine
QLDhospital2012-12-19

Evans, William Alfred

78y · Male·Acute renal failure due to metastatic malignancy (primary site unknown)

… key clinical lesson is the importance of appropriate placement for elderly prisoners with complex needs requiring high-level dementia-specific nursing care. While Mr Evans was appropriately assessed by ACAT and placed …

geriatric medicinenephrology
VIChospital2018-10-18

Finding into death of Maxwell Norman Campbell

68y · Male·pulmonary thromboembolism in the setting of recent surgery

…operative complications including fever, elevated inflammatory markers, and a possible bowel perforation requiring re-operation. A MET call at 5:30am revealed non-specific symptoms consistent with several diagnoses (sep…

bariatric surgerygeneral surgeryheparin
SAhospital2006-04-21

Coroner's Finding: EDWARDS Ruby Mabel

77y · Female·haemorrhagic diathesis due to warfarin toxicity

… diathesis due to warfarin toxicity after 84 days in a rural hospital. She had a prosthetic aortic valve requiring anticoagulation. INR monitoring was inadequate: no tests for 36 days (July 28–September 2), then reading…

general practicehaematologymedicationdelaywarfarin
NTcommunity2011-07-27

Inquest into the death of Marilyn Lalara

48y · Female·acute myocarditis resulting from systemic viral infection

A 48-year-old Aboriginal woman with chronic diseases (diabetes, COPD, ischaemic heart disease) presented with ongoing chest infection symptoms across multiple clinic visits between 30 March and 4 April 2010. Despite five…

emergency medicinecardiologydiagnosticdelayantibiotics
VIChospital2023-10-20

Finding into death of Vanessa Li

0y · Female·subgaleal haematoma complicating an obstructed labour

Vanessa Li, a term infant born following obstructed labour, died at four days of age from subgaleal haemorrhage (SGH) with severe hypoxic-ischaemic encephalopathy. Labour was managed by private obstetrician Dr K., who wa…

obstetricsneonatologycommunicationdiagnosticoxytocin
VIChospital2026-04-28

Finding into death of Ronald William Beaumont

74y · Male·Acute myocardial infarction complicated by multiple organ failure

Ronald William Beaumont, 74, died from acute myocardial infarction complicated by multiple organ failure following a second shoulder washout procedure. Key clinical lessons: (1) Despite inadvertent withholding of dual an…

cardiologyorthopaedic surgerymedicationcommunicationaspirin
WAhospital2013-11-12

Inquest into the Death of Ford, Valma May Ruth

77y · Female·Complications following a recent fracture and surgical repair of the right hip i…

A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…

orthopaedic surgeryemergency medicinediagnosticsystemwarfarin

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