Coronial

7 results for barium swallow

SAhospital2019-10-23

Coroner's Finding: GIBSON Anthony Stephen

53y · Male·aspiration pneumonia on a background of oesophageal cancer and ischaemic heart d…

… clinical requests from June 23 onwards, shackles were not fully removed until the morning of his death. A barium swallow test on July 1 caused massive aspiration that precipitated acute deterioration. The coroner found …

gastroenterologygeneral surgerycommunicationsystem
VIChospital2024-03-07

Finding into death of Ms AC

73y · Female·Metastatic oesophageal cancer

…ngstanding physical disabilities, died from metastatic oesophageal cancer. She presented with progressive swallowing difficulties, weight loss, and elevated inflammatory markers from December 2022. Her GP appropriately …

general practicegastroenterology
SA2017-07-27

Coroner's Finding: DICKINSON Raymond George

64y · Male·hypertensive and valvular heart disease

A 64-year-old man died in custody from hypertensive and valvular heart disease. He had pre-existing cardiac disease diagnosed in 2008, including mild aortic stenosis and left ventricular hypertrophy, managed in the commu…

cardiologygeneral practiceaspirin
NThospital2021-01-07

Inquest into the death of Edgar Forrester

56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…

…from September 2019, initially managed as benign (dental abscess, rib fracture). Critical delay occurred: swallowing difficulties were documented but endoscopy not arranged until February 2020, despite symptoms from Sep…

general practicecardiologydiagnosticdelay
VIChospital2026-06-12

Finding into death of Helen Mahlis

87y · Female·Oesophageal perforation following an elective oesophageal dilatation, secondary …

87-year-old Helen Mahlis died from oesophageal perforation following an elective balloon dilation procedure at Epworth Richmond for treatment of achalasia. The coroner identified two contributing factors: use of a 35mm b…

gastroenterologygeneral surgeryproceduraldiagnostic
TAShospital2017-06-16

Coroner's Finding: Baldock, Andrea Eileen

46y · Female·combined effects of aspiration pneumonia due to gastroparesis following sleeve g…

A 46-year-old woman died from aspiration pneumonia due to gastroparesis following sleeve gastrectomy, complicated by ischaemic heart disease. Post-operative recovery was beset with persistent vomiting, dehydration, and e…

general surgerygastroenterologysystemdelay
QLDhome2019-04-17

Davis, John

50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus

…reversible brain damage. Clinical lessons include: disability care providers should systematically assess swallowing risks using standardised checklists; carers need training to recognise choking and perform basic airwa…

emergency medicineparamedicinediagnosticcommunicationmidazolam

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