Coronial

45 results for debridement

QLDaged care2015-06-11

Ms C - Non-inquest findings

90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia

… and care plans. While her advanced cardiac disease and age were significant, earlier appropriate wound debridement and better family communication regarding her deteriorating condition could have altered outcomes.

general practicegeriatric medicinecommunicationdelayfentanyl
SAhospital2019-08-30

Coroner's Finding: SHUEARD Braydon Adrian

60y · Male·Sepsis due to pressure ulcers due to immobility on a background of advancing fro…

…lcers became infected and he deteriorated rapidly, requiring hospitalisation where he received surgical debridement and medical management before transitioning to comfort care. The coroner found the care at both the res…

psychiatrygeneral medicinehaloperidol
QLDaged care2024-10-10

Non-inquest findings into the death of Diane Margaret Crowther

76y · Female·multiple organ failure due to abdominal wall cellulitis (surgically treated)

…ure to escalate deteriorating wounds to hospital contributed to preventable morbidity. Earlier surgical debridement and appropriate hospital management would likely have prevented death.

geriatric medicineplastic and reconstructive surgerydiagnosticcommunicationhydrozole cream
VIChospital2012-04-05

Finding into death of Abdullah Kocoglu

4y · Male·Complications of cutaneous thermal burn injuries

…d household goods. Despite expert medical management including emergency escharatomies, staged surgical debridement, skin grafting and intensive ICU care at Royal Children's Hospital, Abdullah died on 24 April 2011 from…

plastic and reconstructive surgeryintensive caresystemdelay
SAhospital2011-12-07

Coroner's Finding: VAN GELDER Herman

40y · Male·large bowel obstruction complicating disseminated carcinoma of rectum

A 40-year-old male died in prison custody from large bowel obstruction complicating disseminated rectal carcinoma. He had been diagnosed with adenocarcinoma in 2004, treated with radiotherapy and chemotherapy, with progr…

oncologysurgery
TAShospital2024-11-04

Coroner's Finding: de-identified EK

80y · Male·haemorrhagic stroke caused by Staphylococcus aureus sepsis due to L4/5 discectom…

An 80-year-old man underwent elective microdiscectomy for spinal pain in April 2023. In late June, he developed a wound infection with Staphylococcus aureus causing discitis. Despite appropriate diagnosis and aggressive …

orthopaedic surgeryinfectious diseasesantibiotics
TAShospital2015-02-20

Coroner's Finding: Lucas, Troy Dale

41y · Male·multiple injuries sustained in a motorcycle crash with superimposed infection

Troy Dale Lucas, aged 41, died from multiple injuries sustained in a motorcycle crash on 15 May 2012 in East Devonport, Tasmania. He collided head-on with a Toyota Corolla driven by Jacqueline Roberts-Thompson, who was t…

trauma surgeryintensive care
QLDhospital2020-05-25

Newstead, Mark Graham

51y · Male·metastatic small round cell malignancy (Ewing's Sarcoma)

Mark Graham Newstead, a 51-year-old man with schizophrenia and untreated hepatitis C, died from metastatic small round cell tumour (Ewing's Sarcoma) while in custody. He presented with urinary retention and lower limb we…

orthopaedic surgeryspinal surgery
NSWhome2022-06-07

Findings - AD & Aleksander Stefanovic

Male·Gunshot wound to chest (Aleksander Stefanovic); gunshot wound to head (AD)

Joint inquest into the deaths of two males at their shared Lewisham home on 4 September 2020. AD (aged 55), with documented depression, anxiety and recent suicidal ideation, shot his flatmate Aleksander Stefanovic (aged …

emergency medicineparamedicine
VIChospital2020-07-07

Finding into death of Marek Koziol

61y · Male·Injuries sustained in motor vehicle collision (pedestrian)

A 61-year-old legally blind man was struck by a motor vehicle while crossing a busy highway with his guide dog. He sustained severe head injuries including subarachnoid and subdural haemorrhage, and diffuse axonal injury…

trauma surgeryintensive care
NSWhospital2018-10-04

Inquest into the death of D H

56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…

…h diabetes, ischaemic heart disease, morbid obesity, and an implanted defibrillator underwent minor toe debridement surgery. The anaesthetist failed to conduct an adequate pre-operative assessment, unaware of the defibr…

anaesthesiageneral surgerydiagnosticproceduralpropofol
WAhospital2021-09-10

Inquest into the Death of James David HECTOR

47y · Male·bronchopneumonia and upper airway obstruction in a man with end-stage oral cance…

James David Hector, a 47-year-old Aboriginal man, died of bronchopneumonia and upper airway obstruction related to end-stage oral cancer. He had a 13-year history of squamous cell carcinoma of the mouth with multiple rec…

palliative careoncologyoxycodone
TAShospital2016-08-26

Coroner's Finding: Brook, Jason Mark

45y · Male·massive pulmonary embolism due to deep vein thrombosis of the left leg

A 45-year-old man died of massive pulmonary embolism secondary to deep vein thrombosis, 15 days after a motorcycle injury in Thailand requiring surgical wound management and foot fracture immobilization. He was discharge…

orthopaedic surgerygeneral surgerymedicationcommunicationenoxaparin
VIChospital2011-09-19

Finding into death of Stephen Johnson

47y · Male·Multiple organ failure due to Aeromonas Sobria sepsis in a man with cirrhosis

Stephen Johnson, a 47-year-old teacher, died from sepsis caused by Aeromonas Sobria bacteria acquired through a cut hand exposure to contaminated farm water. He presented to hospital with non-specific symptoms and elevat…

emergency medicineinfectious diseasesdelay
SAhospital2024-05-22

Coroner's Finding: Kolega, Sime

54y · Male·multi-organ failure and sepsis complicating fulminant pneumonia with empyema (op…

A 54-year-old man died from sepsis and multi-organ failure secondary to fulminant pneumonia with empyema. He presented to his GP on 1 April 2021 with concerning signs including bilateral oedema, fever, and respiratory sy…

general practiceemergency medicinedelaysystemflixotide
NThospital2020-07-17

Inquest into the death of Ishmael Nawirridj

51y · Male·Multiple organ failure due to Influenza A pneumonia, in the context of chronic k…

Ishmael Nalaiyir Nangarid, a 51-year-old Aboriginal man with complex medical history including myasthenia gravis, chronic kidney disease, COPD, and ischaemic heart disease, died from multiple organ failure due to Influen…

intensive carerespiratory medicinemedicationmeropenem
TAShome2023-10-01

Coroner's Finding: Czerniejewski, Roswitha

66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet

A 66-year-old woman with untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couc…

general practicerheumatologysystem
VICcommunity2015-04-05

Finding into death of James Michael Hoctor

93y · Male·Complications following colectomy for Clostridium difficile pancolitis in the se…

A 93-year-old man with a history of antibiotic use for a neck abscess developed diarrhoea during hospitalisation. Despite testing negative for Clostridium difficile at St Vincent's Hospital, he was transferred to a rural…

general practiceinfectious diseasesdiagnosticpenicillin
QLDhospital2025-08-11

Inquest into the death of John Reginald Wright

79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…

John Reginald Wright, a 79-year-old remand prisoner, died from complications of peripheral vascular disease with diabetes, atrial fibrillation, cardiomyopathy and delirium. He was transferred to Princess Alexandra Hospit…

vascular surgerygeneral medicineglicazide
QLDhospital2018-10-24

Statis, Joshua Ryan

12y · Male·Cardiac haemorrhage due to or as a consequence of congenital aortic stenosis (su…

…ic bleeding. He developed a sternotomy wound infection 9 days post-operatively, returned to theatre for debridement with VAC dressing on day 15, and acutely bled 18 days post-operatively. Key clinical lessons: (1) Commu…

cardiothoracic surgerycardiologycommunicationdiagnosticwarfarin

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