Coronial

38 results for indwelling catheter

TASaged care2022-10-13

Coroner's Finding: Krushka, Robert

66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion

…n with severe dementia and multiple comorbidities died from sepsis following bacteraemia after a routine indwelling urinary catheter change at a nursing home. The catheter insertion was traumatic, resulting in haematuria…

geriatric medicineemergency medicineproceduralsystem
VICaged care2022-06-17

Finding into death of Brent Andrew Newman

58y · Male·Pneumonia and urosepsis

…nset dementia, died from pneumonia and urosepsis following inadequate care at an aged care facility. His indwelling catheter was poorly managed, causing urethral trauma and erosion. Staff failed to recognise signs of cli…

geriatric medicinegeneral practicecommunicationsystemcefalexin
SAhospital2017-11-15

Coroner's Finding: BROADWAY Rita Ann

66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…

…g to Modbury Hospital Emergency Department with vaginal pain and signs of infection. She had a long-term indwelling catheter placed for urinary incontinence. The ED doctor did not recognize catheter-associated urinary tr…

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine
VIChospital2016-03-15

Finding into death of George Mavraganis

50y · Male·Complications of urosepsis in the setting of T3/4 paraplegia

… with T3/4 paraplegia from a childhood injury, was residing in supported accommodation. He had a chronic indwelling urinary catheter with recurrent infections. On 24 August 2015, his long-term GP prescribed antibiotics f…

intensive caregeneral practice
VIC2025-08-15

Finding into death of Donald Raymond Muir

59y · Male·Urosepsis and aspiration pneumonia (with Trisomy 21 as underlying condition)

…cline over 12+ months with multiple falls, recurrent respiratory infections, urinary retention requiring indwelling catheterization, and aspiration risk due to swallowing difficulties. Despite occupational therapy input …

general medicineoccupational therapydutasteride
NSWhospital2022-08-17

Inquest into the death of Michael Quinn

31y · Male·sepsis due to urosepsis and pneumonia on a background of C3 incomplete tetrapleg…

…inn received appropriate medical care in custody. The death was attributed to complications of long-term indwelling bladder catheterisation, a known risk factor for sepsis in spinal cord injury patients. The expert speci…

urologyinfectious diseases
VICaged care2019-02-21

Finding into death of Kathleen Schleibs

88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…

…e following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. Critical failures included: inadequate assessment before discharge from acute care despite unc…

orthopaedic surgerygeriatric medicinediagnosticcommunicationfentanyl
VIChospital2017-10-25

Finding into death of Larry James Faderson

53y · Male·Aspiration pneumonia in a man with myotonic dystrophy

…r home environment. The community residential unit staff were inadequately trained in palliative care and catheter management, and he deteriorated rapidly, requiring readmission within hours. The coroner found care was r…

respiratory medicineinfectious diseasescommunicationsystem
SAhospital2010-06-04

Coroner's Finding: PRIDE Wilfred Thomas

93y · Male·ischaemic heart disease

…er the Mental Health Act. He presented with delirium likely secondary to urinary tract infection from an indwelling catheter. Despite aggressive behaviour and refusal of care, Mental Health Act detention was deemed appro…

cardiologypsychiatryheparin
SAhospital2018-09-07

Coroner's Finding: MCBRIDE Peter James

86y · Male·multi-organ failure due to sepsis on a background of sacral pressure ulcer

…ressure-relieving mattress for weeks despite clear need), and inadequate nursing documentation. A urinary catheter was inserted without clear indication, promoting immobility. High-dose antipsychotics (olanzapine, risper…

general practicegeriatric medicinediagnosticproceduralolanzapine
SAaged care2009-06-26

Coroner's Finding: DAVIES Harold Leslie

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

…trial 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 f…

general practiceurologyproceduralcommunicationwarfarin
NSWhospital2018-06-29

Inquest into the death of Aidan Mara

3y · Male·Influenza A infection (Type H3N2)

Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons include: (1) distinguishing SIADH from dehydration ea…

paediatricsemergency medicinediagnosticcommunicationcefotaxime
SAhospital2018-11-05

Coroner's Finding: SIZE Mervyn Eric

77y · Male·multi-organ failure due to general inanition on a background of end-stage Alzhei…

Mervyn Eric Size, a 77-year-old man with end-stage Alzheimer's dementia, died from multi-organ failure due to general inanition while subject to a Level 2 Inpatient Treatment Order at Repatriation General Hospital. His c…

geriatric medicinepsychiatryoxazepam
SAhospital2003-04-24

Coroner's Finding: KERKMAN Johannes Leonardis Stephanes

75y · Male·Multi-organ failure due to sepsis secondary to hospital-acquired pneumonia

A 75-year-old man with Alzheimer's dementia who was detained under Mental Health Act orders died from multi-organ failure due to sepsis secondary to hospital-acquired pneumonia. He was admitted to Royal Adelaide Hospital…

general medicineneurologyaspirin
SAhospital2019-04-15

Coroner's Finding: CURTIN Roger

63y · Male·metastatic non-small cell lung carcinoma with chronic obstructive lung disease

Mr Curtin, a 63-year-old with metastatic non-small cell lung carcinoma and severe COPD, was admitted to Repatriation General Hospital on 14 August 2015 with dyspnea and confusion. His condition deteriorated with delirium…

palliative carepsychiatryolanzapine
SAhospital2019-06-12

Coroner's Finding: CHEETHAM Robert Boyd

84y · Male·dilated cardiomyopathy with cardiomegaly due to pulmonary hypertension and valvu…

An 84-year-old man with advanced cardiac disease (dilated cardiomyopathy, pulmonary hypertension, atrial septal defect) and chronic schizophrenia died of natural causes while subject to a Mental Health Act detention orde…

cardiologypsychiatry
VIChospital2025-10-09

Finding into death of Graham Keith Moore

57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia

Graham Keith Moore, a 57-year-old man with Down syndrome and early Alzheimer's dementia, died of pneumonia at Bendigo Hospital on 11 February 2025. He resided in specialist disability accommodation and received NDIS-fund…

general medicinegeriatric medicineintravenous fluids
VIChospital2014-02-12

Finding into death of Kenneth James Morrison

61y · Male·Pneumonia

Kenneth Morrison, a 61-year-old man with Down's syndrome, dementia and multiple comorbidities, died from pneumonia following hospitalisation at Casey Hospital in March 2008. Community Residential Unit (CRU) carers raised…

general medicinegeriatric medicinecommunicationantibiotics
NSW2022-10-24

Inquest into the death of GL

69y · Male·neck compression due to hanging

GL, a 69-year-old Chinese national, died by hanging in Long Bay Correctional Centre's Medical Services Unit on 12 April 2022. He was incarcerated following the murder of his wife in September 2020 and had become a parapl…

psychiatrygeriatric medicine
WA2025-06-12

Inquest into the Death of Graham John BUTLER

76y · Male·out-of-hospital cardiac arrest in a man with coronary artery atherosclerosis and…

Graham John Butler, aged 76, was a sentenced prisoner at Acacia Prison who died from out-of-hospital cardiac arrest caused by coronary artery atherosclerosis in the context of long-standing type 2 diabetes, hypertension,…

correctional healthgeneral medicinebenzydamine

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