Coronial
WAhospital2015-09-18

Inquest into the Death of David Yehuda WEISER

70y · Male·gastrointestinal haemorrhage in a man with gastric ulcers

David Weiser, 70, presented to an emergency department with melaena and dizziness on 11 November 2012. An advanced trainee in emergency medicine, Dr H., examined him and fou…

emergency medicinegastroenterologydiagnosticcommunicationaspirin
TAShospital2023-02-17

Coroner's Finding: Hanslow, Rodney James

86y · Male·progressive cognitive decline/decompensation and gastrointestinal haemorrhage

… subdural and subarachnoid haemorrhage. While hospitalised, nursing staff documented multiple episodes of melaena (black tarry stools) from 21 July onwards, indicating gastrointestinal bleeding. Critical errors occurred…

general medicinegastroenterologymedicationdiagnosticproton pump inhibitor
VIChospital2014-07-16

Finding into death of Beverly Davidge

78y · Female·Acute gastrointestinal haemorrhage

…, died from acute gastrointestinal haemorrhage in hospital. She presented initially with haematemesis and melaena on 11 November 2013, was treated conservatively (deemed unsuitable for surgery), and discharged after 24 …

gastroenterologygeneral medicine
SAhospital2003-03-28

Coroner's Finding: BUTLER Irene

72y · Female·haemorrhage from penetrating duodenal ulcer

A 72-year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not pr…

emergency medicinegeneral medicinediagnosticcommunicationaspirin
QLDhospital2015-11-03

Steer, Summer Alice

4y · Female·Haemorrhage due to aorto-oesophageal fistula caused by ingestion of a button bat…

… serious gastrointestinal pathology when the child presented with abdominal pain and likely black stools (melaena), treating presumptively for Giardia without basic questioning about blood in stools. The private hospita…

general practiceemergency medicinediagnosticcommunicationmetronidazole/flagyl
VIChospital2019-04-04

Finding into death of Isabella Estelle Rees

1y · Female·Gastrointestinal haemorrhage due to aorto-oesophageal fistula caused by lodged b…

…eightening clinical suspicion of battery ingestion in cases with unexplained gastrointestinal symptoms or melaena. Key failures were incomplete documentation of parental statements and lack of systematic consideration o…

emergency medicinepaediatricsdiagnosticcommunicationondansetron
VIChospital2020-09-10

Finding into death of Allan Richard Hodson

73y · Male·Metastatic rectal carcinoma

A 73-year-old man died from metastatic rectal carcinoma while serving a prison sentence. He was transferred from Port Phillip Prison to St Vincent's Hospital on 16 September 2018 for end-of-life care and died five days l…

palliative careoncologymorphine
WAAugust 2024

Inquest into the Death of Robert Allan EXELL

55y · Male·Complications of liver cirrhosis and hepatocellular carcinoma in a man with mult…

Robert Exell, a 55-year-old Aboriginal man, died from complications of liver cirrhosis and hepatocellular carcinoma while in custody. He had chronic hepatitis C and alcohol-related liver disease since at least 2012. Key …

hepatologygastroenterologydelaysystemmorphine
QLDhospital2007-04-05

Smith, Arthur Lawrence

75y · Male·Acute cardiac failure due to mitral valve disease (surgically treated)

Arthur Lawrence Smith, 75, underwent successful mitral valve repair and coronary artery bypass grafts at TPCH on 2 August 2004 and was discharged 5 days later. On 19 August, his wife called TPCH reporting acute shortness…

cardiothoracic surgeryemergency medicinecommunicationdiagnosticadrenaline
WAhospital2009-02-01

Inquest into the Death of Fox

62y · Male·Acute Gastrointestinal Haemorrhage in association with Acute on Chronic Peptic U…

Kenneth Charles Fox, 62, presented to Fremantle Hospital ED on 12 April 2006 with a gastrointestinal bleed after fainting. He was diagnosed with a massive bleed causing hypovolaemic shock and stabilized with fluid resusc…

emergency medicinegeneral surgerydiagnosticdelayaspirin

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