Coronial

394 results for intensive care admission

SAhospital2018-07-27

Coroner's Finding: CUTTS Charles Desmond

70y · Male·aspiration pneumonia due to seizures

…bidities with poor medication compliance. Clinical decline was marked by acute delirium and confusion on admission (possibly alcohol withdrawal), progressing to severe depression with agitation and behavioral disturbanc…

emergency medicinepsychiatryrisperidone
NSWmental health2019-06-04

Inquest into the death of Andrea Sewell

46y · Female·hypoxic ischaemic brain injury as a result of cardiac arrest following a choking…

…atric illness, died from hypoxic brain injury following a choking episode during a meal in a psychiatric intensive care unit (PICU). She had a prior history of swallowing difficulties from ODS but had made substantial s…

psychiatryneurologyantipsychotic medications
VICcommunity2012-08-16

Finding into death of Janice King

45y · Female·Epilepsy

… She was found fitting, became unresponsive and apnoeic with asystolic arrest. Despite effective CPR and intensive care management including intubation and anti-seizure medication loading, she had severe hypoxic brain i…

intensive careemergency medicinesodium valproate
VIChospital2011-07-21

Finding into death of Anthony Mandel

50y · Male·Pneumonia

…pital on 18 May for rehydration due to dehydration and hypotension from refusing fluids. Within hours of admission, he deteriorated rapidly with vomiting, altered consciousness, and severe pneumonia ('white out' on ches…

psychiatryemergency medicinecommunicationsystem
SAhospital2011-09-23

Coroner's Finding: ANDERSON Rosemary Joy

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

…-old woman with a long history of anorexia nervosa and a BMI of 10.3 died from multi-organ failure after admission to hospital. She was found on her bedroom floor, dehydrated and malnourished, and was involuntarily admi…

psychiatryintensive care
QLDaged care2026-02-17

Non-inquest findings into the death of Mr G

84y · Male·Complications of fracture left humerus neck due to fall due to hyperactive delir…

…epartment with three falls and acute confusion requiring one-to-one nursing, he was discharged back to aged care on 18 August 2024. The coroner found the medical team failed to recognise delirium as the primary diagnosis…

geriatric medicineemergency medicinediagnosticcommunicationdonepezil
SAhospital2010-12-30

Coroner's Finding: D'AGOSTINO Antonia

59y · Female·sepsis due to faecal peritonitis due to perforation of sigmoid colon complicatin…

…ck. Expert evidence overwhelmingly supported that surgery should have been performed within 2-3 hours of admission (late Saturday evening or early Sunday morning), after brief resuscitation with fluids and antibiotics. …

gynaecologygeneral surgerydiagnosticdelaypethidine
NThospital2002-09-27

Inquest into the death of Sylvester Nawirridj

24y · Male·multiple organ failure resulting from a closed head injury

A 24-year-old Aboriginal man died from multiple organ failure following a closed head injury sustained during a domestic violence incident. After an argument at a licensed club, the deceased and his wife returned home in…

emergency medicineintensive care
VICaged care2020-11-06

Finding into death of VA

73y · Female·Combined effects of congestive cardiac failure, coronary artery atherosclerosis …

…an inpatient in a psychiatric unit. She had recently been treated for C. difficile colitis requiring ICU admission for hypotension. The coroner found that medical care was appropriate and the death could not have been p…

psychiatryintensive caremetaraminol
VIChospital2011-12-01

Finding into death of Tyler Di Blasi

1y · Male·Parainfluenza, pneumonitis and asthma; haemorrhagic mucositis of the bowel and g…

…openia, thrombocytopenia, and gastrointestinal bleeding with haemorrhagic mucositis. Despite appropriate intensive management including bronchodilators, oxygen, transfusions, and antivirals, he suffered sudden respirato…

intensive careoncologychemotherapy
VICmental health2013-02-11

Finding into death of Geoffrey Edward Farrow

67y · Male·Hypertensive cardiomegaly and ischaemic heart disease

…ffices. He was admitted involuntarily to John Cade Psychiatric Unit under the Mental Health Act 1986. On admission, psychiatry certified him as involuntary and administered antipsychotic medications (Olanzapine and Zucl…

psychiatryintensive careolanzapine
QLDhospital2017-12-04

Mr AC - Non-inquest findings

76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…

…elective sacroiliac arthrodesis. Critical failures included: (1) patient's sleep apnoea disclosed in pre-admission form but not flagged as anaesthetic alert; (2) absent pre-operative physician assessment despite previou…

neurosurgeryanaesthesiadiagnosticcommunicationamiodarone
VICmental health2025-09-17

Finding into death of Thi Thu Nguyen

61y · Female·Complications of pulmonary thromboembolism secondary to deep vein thrombosis

…uicide attempt and was placed on an Assessment Order due to ongoing suicidal behaviour. During her 5-day admission to the mental health unit, her physical health appeared stable though she exhibited suicidal ideation an…

psychiatryemergency medicine
QLDhospital2012-08-13

Krog, Shane Paul

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

… wife's MS Contin tablets. Key clinical failures included: Dr 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),…

emergency medicinegeneral practicediagnosticdelaymorphine
VIChospital2020-05-12

Finding into death of Richard Mark Ray

49y · Male·Complications of Influenza A infection

… failure requiring intubation and ECMO support but died on 29 March. The coroner found custodial and health care management met required standards. Earlier hospital admission when symptoms escalated on 22 March evening, …

infectious diseasesintensive caredelayparacetamol
VIChome2026-06-03

Finding into death of FBN

55y · Male·Unascertained

…ia (40°C), multiorgan failure, and disseminated intravascular coagulation (DIC). Despite appropriate and intensive clinical management including emergency intubation, mechanical ventilation, vasopressor support, and con…

emergency medicineintensive caremethamphetamine
VIChospital2023-07-31

Finding into death of Michael Stankic

29y · Male·Pulmonary thromboembolism secondary to deep venous thrombosis

…g. He was admitted to ICU and appropriately commenced on prophylactic enoxaparin 40mg daily. On day 3 of admission, due to aggressive behaviour and staff safety concerns, enoxaparin was ceased to facilitate de-escalatio…

intensive carepsychiatrysystemdelayenoxaparin
VIChospital2025-07-08

Finding into death of KD

48y · Female·Combined effects of cardiac hypertrophy, chronic obstructive pulmonary disease a…

…diac hypertrophy and obesity, died from combined natural causes while under assessment order in psychiatric care. She presented with acute psychosis on 22 September 2022 and was placed under Mental Health Act assessment …

psychiatryintensive careolanzapine
VIChospital2012-01-23

Finding into death of Elizabeth Maryanne Holley

52y · Female·Hypoxic brain injury due to hypotension in a woman with documented electrocardio…

…pliance. She received high-dose antipsychotic medications including 10g of olanzapine intramuscularly on admission. She developed a prolonged QT interval on electrocardiogram, a known complication of antipsychotic use. …

psychiatryintensive careolanzapine
SAhospital2006-05-18

Coroner's Finding: PAHL-CADMAN Emma Rose

20y · Female·cardiac dysrhythmia/arrest in a 20 year old Down's Syndrome female following abd…

…ered by registrar without senior consultant present despite extreme anaesthetic risk; failure to provide intensive monitoring (ECG, continuous oximetry) post-operatively despite preoperative oxygen saturation of 48% and…

general surgeryanaesthesiadiagnosticcommunication
1220

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