Coronial

64 results for blood culture

VIChospital2014-12-04

Finding into death of Leroy William Scott

1y · Male·Staphylococcus aureus septicaemia of unknown origin

…y, and poor oral intake. He was triaged as semi-urgent and not seen by a doctor until 5 AM, 8 hours later. Blood cultures drawn at 5:50 AM showed positive growth (Staphylococcus aureus) by 8 PM Sunday, with gram-positiv…

paediatricsemergency medicinediagnosticcommunicationparacetamol
VIChospital2023-07-17

Finding into death of Sasha

12y · Female·Hypoxic ischaemic encephalopathy complicating an aortic root abscess (operated) …

…s (cough, vomiting, abdominal pain, chest pain) to a rural hospital. Despite high inflammatory markers and blood culture eventually showing pneumococcal infection, she was diagnosed with viral illness. Critical factors …

paediatricsinfectious diseasescommunicationsystem
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

74y · Male·small intestinal ischaemia caused by aortic atherosclerosis

…mmatory markers consistent with sepsis within hours of admission. Despite clear warning signs and abnormal blood tests indicating infection and organ dysfunction, a MET call was not made for 18 hours. The underlying isc…

emergency medicineorthopaedic surgerydiagnosticcommunication
NSWhospital2018-12-03

Inquest into the death of Troy Almond

1y · Male·Septicaemia due to Streptococcal (Beta Haemolytic Group A) infection

…ng signs of toxicity and persistent tachycardia throughout his 4-hour ED stay, Troy was discharged without blood tests to investigate possible bacterial infection. He deteriorated overnight and died from Group A Strepto…

emergency medicinepaediatricsdiagnosticsystemparacetamol
TAShospital2017-09-22

Coroner's Finding: Hosking, Jason Mathew Henry

34y · Male·Staphylococcus aureus sepsis and endocarditis

…ing, 34, presented to ED with vomiting, diarrhoea, fever, tachycardia and hypotension on 10 November 2014. Blood tests by 11.23am showed markedly elevated inflammatory markers (CRP 234.3, neutrophils 10.8, elevated urea…

emergency medicinemicrobiologydiagnosticcommunicationoxycodone
SAhospital2020-07-09

Coroner's Finding: SHAW Laurel Jean

84y · Female·multi-organ failure arising from Staphylococcal septicaemia

Laurel Jean Shaw, aged 84, died from multi-organ failure secondary to Staphylococcal septicaemia. She was detained under a Mental Health Act order for Lewy Body Dementia when she developed MRSA pneumonia and sepsis on 15…

intensive carepsychiatry
TAShospital2021-04-12

Coroner's Finding: Davis, Graeme Charles

56y · Male·sepsis

…-operative infection developed with clear clinical signs: elevated CRP (205-284 mg/L), positive bacterial cultures (Staphylococcus aureus, Klebsiella pneumoniae), fever, wound drainage, and systemic symptoms from 16 Jan…

urologysurgerydiagnosticmedicationcefazolin
VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

…ed. However, clinical staff prioritised CT imaging over immediate antibiotic administration while awaiting blood culture results. She suffered cardiac arrest during scanning and died despite resuscitation. The coroner f…

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
QLDhospital2012-10-25

Paudel, Preston

Male·Global hypoxic-ischaemic encephalopathy

… CTG interpretation (particularly at 0900 review), absent or poorly communicated care plans, lack of fetal blood sampling despite clinical indication, failure to escalate to senior staff, and communication breakdown bet…

obstetricsmidwiferydiagnosticcommunicationoxytocin
VIChospital2010-04-16

Finding into death of Kum Yeo Bae

60y · Female·Penetrating injury of the descending thoracic aorta complicating spinal stabiliz…

…pedicle cannulation, the surgical awl fractured the left T11 pedicle and plunged superiorly, causing acute blood loss of 300-400ml and aortic laceration. Critical communication failure occurred: the surgeon believed blo…

neurosurgeryanaesthesiacommunicationdelay
QLDhospital2011-06-10

Conlan, Kathleen Anne

70y · Female·Cardiac arrest caused by a combination of gastric haemorrhage and pneumonia exac…

…sease. She presented with severe epigastric pain and was appropriately admitted for investigation. Initial blood tests and CT scan showed no evidence of gastrointestinal bleeding. Her symptoms improved and she was disch…

emergency medicinesurgerydelaymorphine
QLDhospital2014-12-08

Gulliver, Graeme Barry; Harrison, Joanne Lee; Morten, Aileen Margaret

21y · Male·Sepsis caused by Leptospirosis (Graeme Gulliver); Group A streptococcal meningit…

…later. The third patient (82-year-old with E. coli septicaemia) was discharged on 19 July despite positive blood cultures not being actioned, then readmitted and died four days later. Common failures: inadequate doctor …

emergency medicineinfectious diseasesdiagnosticsystem
NThospital2017-04-07

Inquest into the death of Gabby Wanambi

11y · Female·Acute Staphylococcal Septicaemia due to suppurative arthritis of the left ankle

An 11-year-old Aboriginal girl died from acute staphylococcal septicaemia following an ankle injury. She presented three times over three days with escalating signs of infection (fever, tachycardia, tachypnoea, swollen w…

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

<1y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure

…old. Critical clinical lessons emerged regarding neonatal assessment: persistently pale newborns with cord blood pH 7.02 and hypothermia require investigation for anaemia and foetal-maternal haemorrhage, and repeat bloo…

obstetricspaediatricsdiagnosticdelay
QLDhospital2014-11-03

Proberts, Mark William

52y · Male·Acute coronary syndrome caused by coronary artery embolus secondary to infective…

Mark Proberts, a 52-year-old man with multiple chronic conditions (diabetes, liver disease, hypertension), died in hospital from acute coronary syndrome secondary to infective endocarditis. He was transferred from correc…

emergency medicineintensive carepenicillin
WAhospital2010-03-03

Inquest into the Death of McLevie

38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)

…ical warning signs including repeated elevated temperatures (38.7°C at 6:50am), severe abdominal pain, low blood pressure (80/60 at ~4:45pm), and low urine output, she was never prescribed antibiotics during her 23-hour…

obstetricsmidwiferydiagnosticcommunicationparacetamol/codeine
SAhospital2024-03-27

Coroner's Finding: Collins, Jennifer Ann

30y · Female·tricuspid valve bacterial endocarditis

…ED on 20 August 2018 with chest tightness, fever, and tachycardia (heart rate 150). The ED did not perform blood cultures or investigate for pulmonary embolism, discharging her with a diagnosis of viral illness. Four da…

emergency medicinecardiologydiagnosticcommunicationmethamphetamine
QLDcommunity2014-09-26

Haken, Guss Robert

21y · Male·Cerebral trauma to pons, mid brain, thalamus and subthalamic nuclei due to unsta…

A 21-year-old experienced quad bike rider died from severe head trauma sustained in a quad bike accident while pig hunting. Intoxicated (0.164% urine alcohol, three times legal driving limit), he was travelling at 30-40 …

VIChospital2017-11-09

Finding into death of Emma Kate McGrath

19y · Female·Meningococcal septicaemia

…cate timely diagnosis. However, once in hospital, she received appropriate and prompt management including blood cultures, antibiotics (ceftriaxone at 1.30pm), intensive supportive care with vasopressors, ICU admission,…

emergency medicineintensive careparacetamol
NSWhospital2018-10-16

Inquest into the death of Basilio Alesandro Petsas

54y · Male·Unascertained

…e investigation and support at St Vincent's Hospital, the source of infection was never identified despite blood cultures, imaging, and microbiology. He deteriorated with coagulopathy, DIC, acute kidney injury, and live…

infectious diseasesemergency medicinedelaymethamphetamine

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