Coronial

228 results for hypotension

VIChospital2012-12-14

Finding into death of Jeanette Brown

66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…

…pplicator and subsequently displaced, causing significant bleeding. Critical clinical lessons: profound hypotension at 3.05pm post-operatively was not escalated to senior surgeons and was incorrectly attributed to prior…

general surgeryanaesthesiaproceduralcommunicationamlodipine
SAhospital2011-09-23

Coroner's Finding: ANDERSON Rosemary Joy

56y · Female·multi-organ failure due to anorexia nervosa

…e assistance. Despite appropriate medical treatment in hospital, she deteriorated rapidly with hypoxia, hypotension and severe acidosis, requiring ICU admission and mechanical ventilation before dying. The coroner found…

psychiatryintensive care
QLDhospital2023-07-05

Conlon, Edgar

75y · Male·End-stage renal disease, with hypertension, ischaemic heart disease, and diabete…

…ertension, and ischaemic heart disease. During routine haemodialysis on 12 July 2021, he suffered acute hypotension and loss of consciousness. Subsequent attempts at dialysis were unsuccessful due to intractable hypoten…

nephrologycardiologyaspirin
NTaged care2021-01-07

Inquest into the death of Robert Curtis

61y · Male·end stage renal failure, in the context of type 2 diabetes mellitus and chronic …

…he prison shower that evening, sustaining a head injury. Subsequent hospital admissions revealed severe hypotension and ascites requiring drainage. His clinical condition deteriorated despite dialysis, and discussions f…

nephrologypalliative carefentanyl
TAShospital2024-06-27

Coroner's Finding: Patterson, Alexander Frank

65y · Male·Bleeding duodenal ulcer

…-year-old man with type 2 diabetes presented to hospital with haematemesis, hypoglycaemia, and postural hypotension caused by a bleeding duodenal ulcer. He was misdiagnosed with atypical pneumonia causing confusion. Cri…

emergency medicinegastroenterologydiagnosticcommunication
VIChospital2016-09-15

Finding into death of Bernas Hasibuan

50y · Male·gastrointestinal haemorrhage; haemorrhage from cystic artery post laparoscopic c…

… following laparoscopic cholecystectomy. Over five days post-surgery, he developed repeated episodes of hypotension, declining haemoglobin, and gastrointestinal bleeding that were not appropriately escalated. Critical f…

general surgeryintensive carediagnosticcommunication
SAhospital2012-06-18

Coroner's Finding: GRIPTON William John

62y · Male·multi organ failure due to atypical pneumonia

…ed significant abnormalities (low sodium 127, elevated potassium 5.3, renal impairment) with concurrent hypotension (88/68). At 02:30 on 12 May when the nurse called about persistent hypotension, Dr S. did not reassess …

general medicineintensive carediagnosticcommunicationamoxicillin
VIChospital2026-03-03

Finding into death of Nicole Buckley

53y · Female·Metastatic breast cancer

…iple hepatic metastases. Despite IV fluids and antibiotics, her condition deteriorated with hypoxia and hypotension. Palliative care was involved on 12 June, and goals of care discussions occurred with family and carers…

palliative caregeneral medicine
QLDhospital2018-08-20

RD - Non-inquest findings

64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…

… COPD, presented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaemia, metabolic acidosis). The locum doctor and nurse…

emergency medicineintensive carediagnosticmedicationintravenous normal saline
VIChospital2015-02-17

Finding into death of Margaret Teresa O'Donnell

69y · Female·Congestive cardiac failure

…us had deteriorated significantly over six months. On 26 March, she developed acute decompensation with hypotension, hypoxia, and acute renal failure in the context of recent leg surgery and septic complications. Despit…

cardiologygeriatric medicine
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

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

A 74-year-old man presented to hospital with abdominal pain following a fall. He developed hypotension, fever, tachycardia, and elevated inflammatory markers consistent with sepsis within hours of admission…

emergency medicineorthopaedic surgerydiagnosticcommunication
TAShospital2019-08-21

Coroner's Finding: Golus, Peter

65y · Male·escherichia coli urosepsis

…ve fever developed within 2 hours of surgery. By 2:00am, clinical evidence of septic shock was present (hypotension 84/60 mmHg progressing to 60/40 mmHg). Critical delays occurred: transfer to high-dependency care was n…

urologyanaesthesiadelaysystemondansetron
SA2021-11-25

Coroner's Finding: Clark, Murray Eric

81y · Male·valvular heart disease with cardiac amyloidosis

Murray Eric Clark, 81-year-old prisoner with extensive cardiac history including aortic stenosis, sick sinus syndrome with pacemaker, and recent TAVI procedure, collapsed and died in prison infirmary on 20 September 2019…

cardiologyemergency medicineanticoagulants
ACThospital2019-11-06

Inquest into death of THEADORA ZAAL

75y · Female·cardiac arrest in the context of aortic stenosis (moderate to severe), coronary …

…t ventricular hypertrophy) underwent elective ankle ulcer debridement surgery. She developed refractory hypotension post-operatively. Although her Modified Early Warning Score indicated need for escalation, MET calls we…

anaesthesiasurgerydiagnosticsystem
VIChospital2024-04-19

Finding into death of Andrew Peter De Julia

61y · Male·Ischaemic heart disease in the setting of aspiration pneumonia in a man with Pra…

…pital with vomiting, loose stools and cough, was diagnosed with aspiration pneumonia, deteriorated with hypotension requiring ICU admission for circulatory support. Despite noradrenaline and milrinone, he developed a ne…

general medicineintensive carenoradrenaline
QLDhospital2014-06-20

O - Non-inquest findings

82y · Male·hypoxic-ischaemic encephalopathy due to cardiac arrest as a result of fractured …

…e anesthetist failed to recognise clinical deterioration, did not intubate despite signs of hypoxia and hypotension, and allegedly prevented nursing staff from calling for emergency assistance. The pre-operative assessm…

anaesthesiaorthopaedic surgerydiagnosticproceduralbisoprolol
SAhospital2008-08-22

Coroner's Finding: CARTER Kenneth Morton

76y · Male·ruptured abdominal aortic aneurysm

…e 2005. He had presented to Flinders Medical Centre Emergency Department on 1 June 2005 with back pain, hypotension (90/65 mmHg), and two episodes of syncope at his physiotherapist. Despite a documented prior AAA repair…

emergency medicinegeneral medicinediagnosticsystemwarfarin
VIChospital2011-07-21

Finding into death of Anthony Mandel

50y · Male·Pneumonia

…o a mental health unit, then back to Box Hill Hospital on 18 May for rehydration due to dehydration and hypotension from refusing fluids. Within hours of admission, he deteriorated rapidly with vomiting, altered conscio…

psychiatryemergency medicinecommunicationsystem
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

… L.'s delayed attendance (over 5 hours post-admission), failure to recognize the severity of persistent hypotension (70/40 mmHg initially, dropping to 50/35), and critically, failure to transfer the patient to an intens…

emergency medicinegeneral practicediagnosticdelaymorphine
WAhospital- 27 May 2014

Inquest into the Death of Julissa Teresa GILBERT

57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …

…g post-operative care failed to recognize critical clues: severely low haemoglobin (53 g/L), persistent hypotension despite vasopressors, and lactosis/acidosis. Key failures included: incomplete handover between anaesth…

anaesthesiasurgerydiagnosticcommunicationaramine
1212

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.