Coronial

306 results for chest pain

NSWhospital2018-11-09

Inquest into the death of Alexander Costello

37y · Male·Haemopericardium secondary to aortic dissection

Alexander Costello, 37, presented to Gunnedah Hospital ED with acute onset severe chest pain, back pain, diaphoresis and nausea. Dr G., the sole ED physician, conducted initial assessment includ…

emergency medicinegeneral practicediagnosticcommunicationmorphine
TAScommunity2019-03-18

Coroner's Finding: Steshic, John Norman

60y · Male·ischaemic heart disease due to severe single vessel atherosclerosis

…e driving, which caused a motor vehicle collision. Two to three weeks after shoulder surgery, he developed chest pain and left arm pain. He consulted his GP on 30 October 2017 reporting chest pain, nausea, and shoulder …

general practiceemergency medicinediagnostic
VIChospital2023-02-28

Finding into death of Mrs K

81y · Female·Cardiac tamponade secondary to dissection of ascending aorta

…1-year-old woman with hypertension and hypercholesterolaemia presented to the ED with sudden-onset central chest pain radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrome v…

emergency medicinecardiologydiagnosticdelayaspirin
NSWhospital2010-09-02

Coxell 2011 06 14 12 32 04 475

61y · Male·cardiac tamponade caused by aortic dissection due to hypertension

…arry Coxell, a 61-year-old man with hypertension, presented to Blacktown Hospital with severe sudden-onset chest pain on 31 October 2006. The Emergency Department doctor, Dr H., assessed him as intermediate risk for isc…

emergency medicinecardiologydiagnosticproceduralglyceryl trinitrate
QLDhospital2016-02-17

Dickinson, Rick Dudley

55y · Male·Cardiac tamponade due to ruptured aortic dissection (Type A) against a backgroun…

…inson, a 55-year-old man, presented to St Andrew's War Memorial Hospital after experiencing severe central chest pain and lower back pain with numbness at the gym. The treating senior doctor failed to adequately assess …

emergency medicinepathologydiagnosticcommunicationmorphine
VIC2025-10-07

Finding into death of Anthony George Creaton

55y · Male·Acute myocardial infarction secondary to coronary artery thrombosis due to coron…

…dial infarction due to coronary artery thrombosis and atherosclerosis in prison custody. He presented with chest pain on 13 November 2022 (twice) and again on 14 November, but nursing staff did not refer him to a medica…

cardiologygeneral practicediagnosticcommunicationgliclazide
SAhospital2003-03-17

Coroner's Finding: DeIONNO Orazio

40y · Male·ischaemic heart disease due to coronary atherosclerosis

A 40-year-old man presented to an Emergency Department with chest pain lasting approximately a week and a half, presenting with symptoms including arm pain and associated c…

emergency medicinecardiologydiagnostictriage
VICcommunity2015-08-21

Finding into death of Mohamed Hamza

40y · Male·coronary artery atherosclerosis

40-year-old male with hypercholesterolaemia presented to general practice with new-onset central chest pain radiating to neck and arm, plus shortness of breath. The practice nurse obtained an ECG and recorded …

general practicecardiologydiagnosticcommunicationatorvastatin
TAScommunity2024-09-27

Coroner's Finding: Roberts, Leigh Ronald

56y · Male·coronary atherosclerosis

…P on 17 and 21 February 2020 with respiratory symptoms (cough, shortness of breath, fever) attributed to a chest infection. Critical clinical lesson: Roberts had multiple uncontrolled cardiovascular risk factors (hypert…

general practicecardiologydiagnosticcommunicationamoxicillin
QLD2012-04-19

Gates, Tony William

42y · Male·Acute myocardial infarction caused by extensive coronary atherosclerosis

…er, died of acute myocardial infarction due to extensive undiagnosed coronary atherosclerosis. He reported chest pain and leg pain to fellow inmates and a nurse at pill parade on 5 August 2010 after recently resuming st…

emergency medicinegeneral practicediagnosticibuprofen
VIChospital2014-06-05

Finding into death of Constandia Petzierides

74y · Female·haemothorax secondary to dissecting thoracic aorta

…ierides, a 74-year-old woman, presented to the emergency department with sudden-onset, severe left scapular pain radiating to the jaw, occurring shortly after midnight. She was assessed by an emergency medicine registrar…

emergency medicinecardiologydiagnosticcommunicationwarfarin
VIC2022-09-02

Finding into death of Bazouni Bazouni

21y · Male·Hypoxic brain injury in the setting of drug toxicity

…cant system failures were identified. Key missed opportunities included: failure to perform an ECG despite chest pain complaint (SVCHS protocol breach), failure to communicate that he had swallowed a package containing …

emergency medicinecorrectional healthdiagnosticcommunicationmethamphetamine
SAcommunity2023-01-31

Coroner's Finding: Bromage, Ronald

72y · Male·acute cerebral infarction complicating acute myocardial infarction

…, aged 72, died from acute cerebral infarction complicating acute myocardial infarction. He presented with chest pain on 22 and 25 February 2016 to his GP, Dr P., who diagnosed costochondritis without performing ECG or …

general practicecardiologydiagnosticdelayparacetamol/codeine
WAhospital2025-02-21

Inquest into the Death of Fabian Alec COFFIN

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

…holesterol, chronic kidney disease, obesity, and smoking history. On 26 January 2024, he presented with jaw pain extending to chest and chest tightness; an ECG was normal and he was not admitted despite atypical presenta…

cardiologyemergency medicinediagnosticinsulin
VIChospital2024-05-06

Finding into death of Errol Leslie Solly

67y · Male·Ischaemic heart disease; coronary artery atherosclerosis (stented)

A 67-year-old man with extensive cardiac history presented to the ED with recurrent ischaemic-sounding chest pain. Despite multiple episodes of chest pain during admission, initial ECGs and troponins were normal. Fo…

emergency medicinecardiologydiagnosticcommunicationmorphine
NSWhome2017-09-15

Inquest into the death of Charles Welsford SMITHERS

32y · Male·Presumed cardiac arrhythmia with congenital coronary artery anomaly (absent righ…

…th no significant medical history and no regular GP. Months before death, he experienced three episodes of chest or shoulder pain but did not seek medical evaluation. The inquest established that the left coronary circu…

cardiologyforensic medicinediagnostic
VIChospital2016-08-19

Finding into death of Margaret Smith

91y · Female·Unascertained

…ved electroconvulsive therapy (ECT) as a compulsory patient. On 5 March 2015, she developed epigastric and chest pain in the early hours; Dr O. assessed this as likely reflux or angina, prescribed appropriate medication…

psychiatrygeriatric medicinediagnosticdelaylithium
TAShospital2021-12-13

Coroner's Finding: Barnett Catherine Diana

55y · Female·acute myocardial infarction due to right coronary artery thrombosis

A 55-year-old woman presenting to the emergency department with 24 hours of chest pain, arm pain, sweating and vomiting was discharged without an ECG or troponin measurement. She had an ab…

emergency medicinecardiologydiagnosticdelay
VIChospital2013-06-17

Finding into death of Trevor Edward Hammond

72y · Male·ischaemic heart disease secondary to coronary artery disease

A 72-year-old man with hypercholesterolaemia and obesity presented to the ED with chest pain and atrial fibrillation. Initial ECG showed no acute changes. Clinicians pursued a pulmonary embolus …

emergency medicinecardiologydiagnosticdelaydigoxin
NSW2021-11-30

Inquest into the death of Elias MELHEM

49y · Male·atherosclerotic and hypertensive cardiovascular disease, with type 2 diabetes me…

… hypertensive cardiovascular disease with contributing type 2 diabetes. On 8 December 2019, he experienced chest pain at work but reported feeling better after resting. He did not disclose this symptom to Justice Health…

cardiologynephrologycommunicationinsulin
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