Coronial

22 results for cardiac catheterisation

SAaged care2009-06-26

Coroner's Finding: DAVIES Harold Leslie

87y · Male·multi organ failure due to septic shock complicating urinary tract infection and…

…l fibrillation on warfarin developed septic shock and multi-organ failure following traumatic bladder catheterisation. Two catheterisation attempts occurred on 15 July 2005: an unsuccessful attempt by an RDNS nurse foll…

general practiceurologyproceduralcommunicationwarfarin
NSWhospital2016-04-08

Inquest into the death of Ida ROMEO

59y · Female·acute cardiogenic shock, with acute mechanical obstruction of a remote mechanica…

Ida Romeo, 59, died during cardiac catheterisation at Liverpool Hospital when a pressure wire became trapped in her mechanical aortic valve.…

cardiologyintensive careconsentcommunicationfentanyl
VIChospital2013-11-18

Finding into death of Sean Raymond Adams

51y · Male·Multiorgan failure in a man with corrected congenital coarctation of the aorta a…

Sean Raymond Adams, 51-year-old male with complex cardiac history including corrected coarctation of aorta, valvular disease, and biventricular heart failure, pres…

cardiologyemergency medicinecommunicationsystemhaloperidol
SAhospital2022-03-29

Coroner's Finding: Duthie, Norman Alec

96y · Male·hospital acquired pneumonia on a background of advanced Alzheimer's dementia

… due to behavioural concerns. During his 8-day admission, he developed urinary retention managed with catheterisation, pneumonia identified on chest X-ray, and subsequently renal failure despite antibiotic treatment. Hi…

geriatric medicinepsychiatry
WAhospital2025-02-21

Inquest into the Death of Fabian Alec COFFIN

51y · Male·complications of myocardial infarction in association with ischaemic heart disea…

…d. Severe coronary artery disease required urgent stent insertion. Despite intensive resuscitation, fatal cardiac arrests occurred. The coroner found custodial healthcare of high standard with appropriate preventive man…

cardiologycorrectional health
NSWhospital2014-07-11

Inquest into the death of Toni Ann PEADON

52y · Female·laceration of the superior vena cava and right atrium during defibrillator lead …

…he laser sheath cut through the vessel wall, causing a large laceration. This led to massive bleeding and cardiac tamponade. Despite emergency sternotomy, the patient died from exsanguination approximately 40 minutes af…

cardiologycardiothoracic surgerysystemdelay
WAhospital2021-01-04

Inquest into the Death of Baby JDU

<1y · Male·Scimitar syndrome

…severe pulmonary hypertension. The infant received intensive care at Princess Margaret Hospital including cardiac catheterisation and emergency surgery. The coroner found that care provided by both the paediatric cardio…

cardiologyneonatologysildenafil
VIChospital2010-12-10

Finding into death of Angela Budaj

60y · Female·haemopericardium following thoracic aortic dissection Type A

…G was obtained but not appropriately interpreted. She had minimal urine output over 7.5 hours despite catheterisation. Doctors discharged her at 4 am with provisional diagnosis of infection, missing signs of acute aorti…

emergency medicinecardiologydiagnosticcommunicationibuprofen
SAhospital2020-06-18

Coroner's Finding: TUCKER Colin Pryor

96y · Male·general inanition on a background of advanced dementia, chronic congestive cardi…

…Pryor Tucker, aged 96, died of general inanition on a background of advanced dementia, chronic congestive cardiac failure and pneumonia at Repatriation General Hospital. He was admitted with urinary retention, acute ren…

psychiatrygeriatric medicineantipsychotic medication
VIChospital2014-10-02

Finding into death of Penrin John Maxworth Halliday

60y · Male·Ischaemic gut secondary to superior mesenteric artery dissection complicating in…

A 60-year-old man with severe coronary artery disease presented with acute myocardial infarction, requiring emergency stenting and subsequent bypass surgery. An intra-aortic balloon pump (IABP) was inserted for haemodyna…

cardiologycardiothoracic surgery
NThospital2005-03-01

Inquest into the death of Debbie Douglas

3y · Female·Complications resulting from progressive right ventricular failure as a conseque…

…y to manage her complex medical needs alongside their own alcohol and domestic violence issues. Following cardiac surgery in Adelaide and Melbourne in 2003, she was placed with a foster carer. In late June 2004, she dev…

paediatricscardiologyamoxicillin
VIChospital2012-02-20

Finding into death of Belle Bromley

1y · Female·Complex congenital heart disease (operated) and sepsis

…with ventricular septal defect and major aorta-pulmonary collateral arteries), died from sepsis following cardiac surgery. She was born in March 2010 and underwent emergency cardiac surgery in February 2011 to connect p…

cardiologycardiothoracic surgery
QLDhospital2011-06-10

Conlan, Kathleen Anne

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

Mrs Kathleen Anne Conlan, 70, died from cardiac arrest caused by gastric haemorrhage and pneumonia on a background of coronary artery disease. She presen…

emergency medicinesurgerydelaymorphine
VIChospital2021-10-29

Finding into death of John Crabtree

69y · Male·Myocardial infarction secondary to coronary artery atherosclerosis in the settin…

…t an early ECG might have identified MI and potentially altered outcome if the patient was stable for catheterisation. A significant delay (58 minutes) in calling an ambulance from the group home was identified as a con…

emergency medicinegeneral practicediagnosticdelayamoxicillin/clavulanate
VIChospital2026-03-13

Finding into death of Wayne Ronald Watson

61y · Male·Intracranial haemorrhage and myocardial infarct

A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. …

cardiologyemergency medicinediagnosticcommunicationheparin
WA2019-08-20

Inquest into the Death of Judy Sonia BOLTON

44y · Female·acute myocardial infarction due to coronary thrombosis

A 44-year-old Aboriginal woman died from acute myocardial infarction (heart attack) due to coronary thrombosis while in custody at Bandyup Women's Prison in Western Australia. She had multiple cardiovascular risk factors…

cardiologyemergency medicinediagnosticsystemmetoprolol
QLDhospital2016-10-25

Hemsley, Joanne - non-inquest findings

55y · Female·Cardiac tamponade due to haemopericardium due to acute ruptured myocardial infar…

… direction for post-procedure management. The patient was discharged the next morning without appropriate cardiac enzyme testing or extended observation despite having chest pain and ECG changes following the procedure.…

cardiologycardiothoracic surgerydiagnosticcommunicationticagrelor
NSW2011-07-01

Coroner's Finding: Michael Peter Magro

40y · Male·Hypoxic brain injury consequent upon cardiac disease, possible viral infection o…

…-old male inmate at a correctional facility, died on 27 December 2008 from hypoxic brain injury following cardiac disease and severe pneumonia. Critical failures in prison healthcare were identified. On 17 December, Mr.…

correctional healthgeneral practicediagnosticcommunicationmethadone
QLDaged care2017-06-09

DR - Non-inquest findings

46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)

…ltiple presentations were missed opportunities for holistic assessment and differentiation of respiratory/cardiac symptoms; (4) after-hours weekend discharges were particularly problematic with less robust coordination …

general medicineemergency medicinecommunicationsystemquetiapine
TAShome2026-01-22

Coroner's Finding: Kerrie Dawn Grant

72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis

Kerrie Dawn Grant, a 72-year-old woman with multiple comorbidities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods…

general medicinecardiologydischargecommunication

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