Coronial

33 results for intramuscular injection

VIChospital2014-09-09

Finding into death of Glenni Goodwin Ker

84y · Female·allergic reaction to metoclopramide (Maxalon) in a woman with acute myocardial i…

…oman with acute myocardial infarction (AMI) and ischaemic bowel died following an allergic reaction to intramuscular metoclopramide (Maxalon) administered by nursing staff without a doctor's order, despite the patient h…

general medicineemergency medicinemedicationproceduralmetoclopramide
WAhome2022-12-08

Inquest into the Death of Child B (Name Subject to Suppression Order)

3y · Male·Hypoxic ischaemic encephalopathy complicating hypoglycaemia with shock and statu…

…lycaemic shock. He was in state care and had an emergency management plan for adrenal crisis requiring intramuscular hydrocortisone administration. His foster carer received only one-off training in 2018 on emergency hy…

endocrinologypaediatricssystemdelayhydrocortisone
VIChospital2012-09-11

Finding into death of Robert Anderson

50y · Male·Complications of right buttock necrotising fasciitis secondary to chronic right …

…e with chronic pain from jockey injuries became dependent on morphine. General practitioner prescribed intramuscular (IM) morphine for self-administration at home from 2005–2007 at doses of 120–240mg daily without appro…

general practicepsychiatrydiagnosticmedicationmorphine sulphate
WAaged care2013-09-11

Inquest into the Death of Taylor, Evelyn

87y · Female·heart failure and probable pneumonia in an elderly lady complicated by morphine …

… hypertension presented with chest pain and hypoxia. A locum doctor (Dr B.) administered 20mg morphine intramuscularly without reviewing the patient's notes, medical history, or full clinical picture. The deceased was o…

emergency medicinegeneral practicemedicationdiagnosticmorphine
QLDcommunity2021-05-14

Cahill, Margaret Ann

61y · Female·Multiple drug (tapentadol, morphine, diazepam, citalopram) intoxication

…hill, a 61-year-old nurse assistant, died from multiple drug intoxication after a GP administered 60mg intramuscular morphine without knowing she had consumed tapentadol 1-2 hours earlier. The coroner identified three c…

general practiceemergency medicinediagnosticmedicationtapentadol
NSWhome2018-02-23

Inquest into the death of Yongxing Wang

79y · Male·hypoxic brain injury due to cardio-respiratory arrest caused by opioid toxicity

…ty from combined morphine and oxycodone. After a minor back injury on 21 August, he received a cortisone injection on 22 August with complications. Dr L. administered two doses of morphine (30mg and 20mg) intramuscularl…

general practiceradiologymedicationcommunicationmorphine
WAmental health2019-05-22

Inquest into the Death of Pamela Edith ASHLEY

64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…

…ed to an aged-care psychiatric ward (Banksia Ward) the following afternoon. At 3.10 pm she received an intramuscular olanzapine injection to manage extreme agitation and refusal of care. She appeared to settle and fell …

psychiatryemergency medicinecommunicationsystemchlorpromazine
WAcommunity2019-06-26

Inquest into the Death of Frederick John COLLARD

35y · Male·atherosclerotic heart disease with methylamphetamine effect in a man under physi…

…was restrained by four police officers to allow parenteral sedation (midazolam 10mg and ketamine 160mg intramuscularly). Following sedation, he developed asystole and cardiac arrest. He could not be resuscitated. Expert…

cardiologyemergency medicinemethamphetamine
TAScommunity2018-01-25

Coroner's Finding: Lockwood, Shane

45y · Male·Stab wound to the chest, self-inflicted

… Community Treatment Order. He was discharged on a complex medication regime requiring fortnightly depot injections at a general practice in George Town, a significant change from his 15-year pattern of receiving medica…

psychiatrygeneral practicecommunicationsystemclozapine
NSWhospital2015-10-28

Inquest into the death of Michael NELSON

62y · Male·multiple co-morbidities including dementia, Parkinson's disease, undernourishmen…

…d. During acute agitation management, he was mistakenly given 2.5mg midazolam intravenously instead of intramuscularly due to miscommunication between Dr C. and RN Louise Copeland. Although the dose was within recommend…

emergency medicineneurologymedicationcommunicationmidazolam
QLDmental health2008-01-31

Hauff-Green, Edward Thomas

32y · Male·Systemic sarcoidosis with severe steatosis and acute myocardial infarction

A 32-year-old man with schizophrenia died at a mental health unit shortly after receiving emergency intramuscular sedation (haloperidol 10mg and midazolam 10mg) for acute agitation and refusal of oral medication. Whi…

psychiatryemergency medicinediagnosticcommunicationhaloperidol
WAcommunity2010-04-15

Inquest into the Death of Lynch

20y · Female·food-induced anaphylaxis, likely to peanut allergen

…t Exmouth Hospital 150km away. Despite appropriate emergency treatment including oxygen, nebulised and intramuscular adrenaline, intravenous hydrocortisone, and an attempted cricothyroidotomy, Kylie died at 21:50. The c…

emergency medicinegeneral practicedelaydiagnosticadrenaline
VICcommunity2013-07-04

Finding into death of Rhys Andrew Rodger

16y · Male·Bacterial meningitis

…The GP recorded a borderline temperature (37°C) and concluded gastroenteritis, prescribing an antiemetic injection. Critical diagnostic failures included: inadequate history-taking; failure to communicate between nurse …

general practiceinfectious diseasesdiagnosticcommunicationparacetamol
WAmental health2001-02-02

Inquest into the Death of Giovanni Mario Franco

30y · Male·Acute Cardiac Dysrhythmia of Uncertain Aetiology

…duced delirium. He was treated with multiple anti-psychotic agents, including an inadvertent long-acting injection, leading to suspected neuroleptic toxicity. Care was transferred to an intensive psychiatric acute care …

psychiatryintensive caremedicationflupenthixol decanoate
VIChospital2020-07-14

Finding into death of Gerard Guy Vaz

61y · Male·Undetermined

Gerard Guy Vaz, a 61-year-old man with bipolar disorder, obstructive sleep apnoea, and renal impairment, was admitted to Maroondah Hospital on 2 April 2015 with acute manic relapse with psychosis. He was administered zuc…

psychiatryemergency medicinesystemdelayzuclopenthixol acetate
VIChome2010-04-27

Finding into death of David Mathew Smith

32y · Male·plastic bag asphyxia

…He was subject to concurrent bail conditions and a Community Treatment Order requiring depot risperidone injections and forensic counselling. Smith rejected his mental illness diagnosis, refused antipsychotic medication…

psychiatryforensic medicinemedicationcommunicationrisperidone
SAhospital2006-12-14

Coroner's Finding: PETTER Elemer

79y · Male·myocardial infarction

A 79-year-old man with significant comorbidities (ischaemic heart disease, diabetes, peripheral vascular disease) was admitted to hospital with anorexia and weight loss. He developed acute confusion and delirium, initial…

cardiologypsychiatrycommunicationhaloperidol
QLDmental health2020-06-29

Rangi, Taare Tamakehu

44y · Male·Cardiac arrhythmia during physical restraint

…ealth unit. Critical failures occurred at multiple levels: (1) the decision to acutely sedate him with intramuscular lorazepam was not clinically warranted—he was calm and not aggressive; (2) the restraint was poorly pl…

psychiatryemergency medicinediagnosticprocedurallorazepam
QLDhome2005

Shaw, Lillian Margaret

67y · Female·perforated gastric ulcer; morphine toxicity also made a significant contribution

… and did not firmly insist on hospitalisation despite clear warning signs. On the final visit, 30mg of intramuscular morphine was administered at home—a large dose inappropriate for undiagnosed abdominal pain and potent…

general practicegastroenterologydiagnosticmedicationtramadol
SAhospital2006-07-17

Coroner's Finding: HERBERT Raelene Vicki

29y · Female·respiratory depression caused by morphine intoxication on a background of upper …

…ression caused by morphine intoxication with concurrent upper airway narrowing. A GP administered 30mg intramuscular morphine twice within 12 hours (2 doses totalling 60mg) based on an outdated weight-based dosing calcu…

general practiceemergency medicinemedicationdiagnosticmorphine

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