Coronial

27 results for electrolyte disturbance

SAhospital2011-12-07

Coroner's Finding: LANGHANS Doris Merle

89y · Female·acute renal failure with severe electrolyte disturbance due to sigmoid volvulus …

…ency (bowel obstruction) in an elderly patient with advanced dementia, underlying vascular disease, and electrolyte disturbance. Early recognition of the volvulus occurred but rapid decompensation prevented intervention…

psychiatrygeneral medicine
VIChome2011-06-28

Finding into death of Robert William Keith

34y · Male·Unascertained; likely fatal cardiac arrhythmia secondary to electrolyte disturba…

…nted prolonged QT interval on previous ECGs and multiple prior hospital admissions for vomiting-induced electrolyte disturbances (hypokalaemia, hypochloraemia, metabolic alkalosis). The coroner concluded his death was l…

psychiatryemergency medicinerisperidone
SAhospital2005-04-07

Coroner's Finding: MULVINSKAS Anna

79y · Female·pulmonary oedema and electrolyte imbalance, both secondary to renal failure

…end-stage renal disease, renal carcinoma, diabetes, and cardiac failure, died from pulmonary oedema and electrolyte imbalance secondary to renal failure. On 21 October 2004, she became aggressive, refused treatment, and…

general medicinenephrologycalcium
VIChospital2021-07-19

Finding into death of Pamela Mary Bell

63y · Female·Aspiration of gastric contents and acute renal failure complicating intestinal p…

…ronic hyponatraemia requires careful monitoring; considering pseudo-obstruction in patients with severe electrolyte disturbances; and recognising deterioration early to guide palliative versus interventional approaches.

neurologygeneral medicinecarbamazepine
NThospital2017-01-13

Inquest into the death of Ray Gibson

41y · Male·respiratory arrest secondary to advanced metastatic breast cancer

…is health gradually deteriorated over the following years with multiple hospital admissions for sepsis, electrolyte disturbance and pleural effusion. At end of life, he transitioned to palliative care at Alice Springs H…

oncologypalliative carechemotherapy
VIChome2019-11-28

Finding into death of Sonya Szala

49y · Female·Anorexia

Sonya Szala, 49, died from anorexia nervosa after suffering severe metabolic derangement and extreme emaciation. She became a recluse following her mother's death in 2016 and progressively deteriorated both physically an…

emergency medicinepsychiatrydelaybisacodyl
NSWhome2017-06-07

Inquest into the death of Craig LEISHMAN

46y · Male·Complications of chronic alcoholism and hypertension

Craig Leishman, 46, died from complications of chronic alcoholism and hypertension. He had a 10-year history of heavy alcohol use, liver failure (identified February 2016), and completed rehabilitation. Two weeks before …

intensive carepathologyalcohol
TAShospital2017-06-16

Coroner's Finding: Baldock, Andrea Eileen

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

…y ischaemic heart disease. Post-operative recovery was beset with persistent vomiting, dehydration, and electrolyte disturbances from 10 May onwards. Despite multiple presentations to hospital and general practice over …

general surgerygastroenterologysystemdelay
SAhospital2016-09-12

Coroner's Finding: GREET Shirley Blanche

87y · Female·digoxin toxicity with hyperkalaemia

…l drug overdose in elderly patients with multiple comorbidities, where rapid drug absorption and severe electrolyte disturbances can lead to fatal arrhythmias despite appropriate antidotal therapy.

emergency medicineintensive caredigoxin
VIChome2023-01-30

Finding into death of Veronica Nelson

37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…

…ceased at 7:50am, with post-mortem examination revealing malnutrition (BMI 12.9), gastric dilation, and electrolyte disturbances from withdrawal and/or Wilkie Syndrome. Clinical lessons: reception assessments require co…

general practiceaddiction medicinediagnosticsystembuprenorphine/naloxone
NSWhospital2019-12-13

Inquest into the death of Lorraine BARNES

85y · Female·sepsis, with aspiration pneumonitis being an antecedent cause. Iatrogenic injury…

…sis with aspiration pneumonitis following iatrogenic lung injury. She developed severe malnutrition and electrolyte disturbances after refusing oral intake from hospital day 5 onwards. A fine-bore nasogastric tube was i…

general medicinerespiratory medicinediagnosticsystemciprofloxacin
SAhospital2000-07-21

Coroner's Finding: DRESCHLER Michelle Lee

27y · Female·Aspiration of gastric contents associated with persistent vomiting following gas…

A 27-year-old woman died from aspiration of gastric contents following a vertical-banded gastroplasty performed for morbid obesity. The surgeon created a stoma (opening) of 4-5mm diameter using a 27 French bougie, smalle…

general surgerygeneral practiceproceduralcommunicationdiazepam
SAhospital2006-01-24

Coroner's Finding: McMAHON Gary Michael

63y · Male·pancreatic carcinoma

…alcohol abuse, and self-harm. Initial assessment identified frontal lobe encephalopathy and behavioural disturbance warranting detention. A frontal meningioma was subsequently diagnosed; neurosurgery was planned but def…

psychiatryneurosurgery
TAShospital2022-08-09

Coroner's Finding: Tedmanson, Wayne Douglas

76y · Male·ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS) due…

Wayne Douglas Tedmanson, aged 76, died from ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS), a complication of type 2 diabetes mellitus. Clinical lessons include recognising HHS presentations…

emergency medicinegeneral medicinedelay
SA2019-06-12

Coroner's Finding: WRIGHT Martin Norman

59y · Male·Chronic liver disease due to alcoholism and chronic hepatitis C infection with c…

Martin Norman Wright, aged 59, died in Yatala Labour Prison on 26 August 2015 from chronic liver disease due to alcoholism and chronic hepatitis C infection, with contributing ischaemic heart disease and chronic obstruct…

emergency medicinegeneral medicinewarfarin
VIChospital2014-07-28

Finding into death of Glen David Kingsun

42y · Male·Cardiac arrhythmia secondary to electrolyte imbalance (hyperkalaemia) and verapa…

Glen Kingsun, 42, died from cardiac arrhythmia secondary to electrolyte imbalance and verapamil toxicity. He had complex medical needs requiring multiple specialist and GP car…

general practiceemergency medicinemedicationcommunicationverapamil
WAhospital2005-06-30

Inquest into the Death of Daniel Allan Sullivan

48y · Male·Hypoxic brain injury following cardiac arrest in a patient with sigmoid colon vo…

Daniel Allan Sullivan, a 48-year-old man with chronic paranoid schizophrenia who had been an involuntary patient at Graylands Hospital for 23 years, presented to Sir Charles Gairdner Hospital on 13 June 2004 with abdomin…

emergency medicinegeneral surgeryclozapine
VIChome2025-06-02

Finding into death of Christina Lackmann

32y · Female·Caffeine toxicity

…likely would have survived with appropriate management including activated charcoal, haemodialysis, and electrolyte management. The delay resulted from multiple system failures: ambulance ramping at hospitals reducing a…

emergency medicinetoxicologytriagesystemcaffeine
VIChospital2012-04-12

Finding into death of Gayle Maree Johnson

51y · Female·Complications of anorexia nervosa

A 51-year-old woman with severe anorexia nervosa, BMI 12.1, was admitted to hospital acutely unwell with hypothermia, bradycardia, heart block, and extreme malnutrition. She was discharged after only 2 days with minimal …

psychiatryemergency medicinediagnosticcommunication
ACThospital2025-02-26

Inquest Into The Death Of Jessica Hilary Bovill

43y · Female·Severe diffuse hypoxic brain injury caused by administration of supratherapeutic…

…ling and death resulted. The consultant failed to adequately monitor blood gas results showing critical electrolyte derangements, did not consult available Toxicology Hotline until after excessive dosing, and lacked awa…

emergency medicinetoxicologymedicationcommunicationamitriptyline

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