Coronial

95 results for intensive care unit admission

TASmental health2020-10-09

Coroner's Finding: Le Roy, Carole Ann

40y · Female·hypoxic encephalopathy due to asphyxia from hanging

…OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after expressing suicidal intent. Despite being assessed as high-risk with a management plan requiring hour…

psychiatryintensive carediagnosticsystem
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
VICmental health2013-02-11

Finding into death of Geoffrey Edward Farrow

67y · Male·Hypertensive cardiomegaly and ischaemic heart disease

…sted after making threats at Federal Police offices. He was admitted involuntarily to John Cade Psychiatric Unit under the Mental Health Act 1986. On admission, psychiatry certified him as involuntary and administered an…

psychiatryintensive careolanzapine
VICmental health2011-10-14

Finding into death of Amanda Billie Jo Kennedy

26y · Female·compression of the neck consequent upon hanging

…uma, substance abuse, depression, and multiple suicide attempts, died by hanging in the Northern Psychiatry Unit on 24 June 2010 while under involuntary psychiatric admission. She had presented to emergency with acute su…

psychiatryemergency medicinecommunicationsystemquetiapine
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
VICmental health2022-12-13

Finding into death of Jamie Andrew Kowalewsky

27y · Male·Global cerebral ischaemic injury in the setting of hanging

… (ICE and cannabis), and previous suicide attempt, was voluntarily admitted to a low dependency psychiatric unit on 24 April 2018. Over four days, he was assessed as medium risk despite expressing suicidal and homicidal …

psychiatryintensive carecommunicationlorazepam
NSWmental health2011-12-13

Coroner's Finding: Samuel Dibley

23y · Male·cerebral hypoxia secondary to strangulation from hanging by belt

Samuel Dibley, aged 23, was involuntarily admitted to the Mental Health Unit on 19 May 2009 with cannabis-induced psychosis and suicidal ideation. He was placed in the Low Dependence U…

psychiatryemergency medicinerisperdone
VIChospital2011-07-21

Finding into death of Anthony Mandel

50y · Male·Pneumonia

…Box Hill Hospital on 4 May 2007 following an acute psychotic episode. He was transferred to a mental health unit, then back to Box Hill Hospital on 18 May for rehydration due to dehydration and hypotension from refusing …

psychiatryemergency medicinecommunicationsystem
VICaged care2020-11-06

Finding into death of VA

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

… congestive cardiac failure, coronary atherosclerosis, and cardiomegaly while an inpatient in a psychiatric unit. She had recently been treated for C. difficile colitis requiring ICU admission for hypotension. The corone…

psychiatryintensive caremetaraminol
TAShospital2017-05-15

Coroner's Finding: Fellows, Peter Leslie

33y · Male·Decompensated congestive cardiac failure complicating acute myocardial infarctio…

…ly diagnosed acute coronary syndrome with elevated troponin. However, cardiogenic shock developed during admission, requiring intensive haemodynamic support. Medical experts identified that prescribing beta-blocker on d…

cardiologyemergency medicinediagnosticmedicationbeta-blocker
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
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
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
VIChospital2010-12-08

Finding into death of Peter Greenhill

57y · Male·Sepsis and acute renal failure due to pneumonia

…was diagnosed with chest sepsis, septic shock, respiratory failure, and acute renal failure. Despite ICU admission and treatment with antibiotics, inotropes, and supportive care, his condition deteriorated and he died w…

intensive caregeneral medicineantibiotics
QLDhospital2016-06-16

Mr M - Non-inquest findings

53y · Male·Bilateral ACA stroke

… angiogram identified an ACA thrombus, lysis therapy was not administered. The coroner found a missed opportunity for thrombolysis due to delayed stroke team notification, though the patient's rapidly fluctuating symptom…

emergency medicineneurologydiagnosticcommunication
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
VIChospital2023-03-10

Finding into death of Armin Andrew Schaefer

63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…

…emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 August 2019 with acute psychosis requiring sedation with multiple CNS-depressing …

psychiatryemergency medicinediagnosticcommunicationdiazepam
QLDmental health2013-07-02

Saccu, Jonathan Clarence

20y · Male·Multiple injuries due to contact with a train

…an Saccu, a 20-year-old with severe treatment-resistant schizophrenia, absconded from an open mental health unit and was fatally struck by a train approximately 3 hours later. He was admitted on an involuntary treatment …

psychiatrydiagnosticcommunicationdiazepam
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

…spital after police noted concerning psychiatric behaviour. He was appropriately assessed in the Short Stay Unit, where blood gas analysis revealed critical hypoxemia (pO2 48mmHg, PaCO2 100mmHg) following midazolam admin…

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
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

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