Coronial

20 results for multiple organ dysfunction

WAhospital2024-03-28

Inquest into the Death of Alexander Robert EATTS

73y · Male·Complications, including multi-organ failure and pneumonia, of chronic obstructi…

…ar-old prisoner with severe chronic obstructive pulmonary disease (COPD), congestive cardiac failure, and multiple comorbidities, died from complications of COPD including multi-organ failure and pneumonia, with concurre…

respiratory medicinecardiology
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

74y · Male·small intestinal ischaemia caused by aortic atherosclerosis

…s within hours of admission. Despite clear warning signs and abnormal blood tests indicating infection and organ dysfunction, a MET call was not made for 18 hours. The underlying ischaemic bowel was not diagnosed until …

emergency medicineorthopaedic surgerydiagnosticcommunication
VIChospital2026-04-28

Finding into death of Ronald William Beaumont

74y · Male·Acute myocardial infarction complicated by multiple organ failure

Ronald William Beaumont, 74, died from acute myocardial infarction complicated by multiple organ failure following a second shoulder washout procedure. Key clinical lessons: (1) Despite inadverten…

cardiologyorthopaedic surgerymedicationcommunicationaspirin
TAShospital2018-11-08

Coroner's Finding: Fenton, Timothy John

57y · Male·sepsis and multiple organ failure secondary to aspiration pneumonia

…ontents, developing aspiration pneumonia, acute respiratory distress syndrome, and ultimately sepsis with multiple organ failure leading to death on 1 October 2017. The coroner found the failure to aspirate the nasogastr…

emergency medicinegeneral surgeryproceduralcommunicationsodium valproate
SAhospital2017-02-01

Coroner's Finding: KLINGBERG Briony Caitlin

10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…

A 10-year-old girl died from multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infection. She presented to the Women's and C…

paediatricsemergency medicinediagnosticcommunicationceclor
SAhospital2014-02-05

Coroner's Finding: COOK Eileen Hazel

76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…

Mrs Cook, a 76-year-old woman, died in January 2010 from hospital-acquired pneumonia, multiple organ dysfunction, and small bowel obstruction. She was admitted to a rural hospital with acute renal fai…

general practiceemergency medicinediagnosticcommunicationintravenous fluids
WAhospital2021-03-26

Inquest into the Death of Cyril CHURCHILL

68y · Male·surgical complications following laparoscopic cholecystectomy for cholecystitis,…

Cyril Churchill, a 68-year-old man with multiple comorbidities, died from surgical complications after laparoscopic cholecystectomy for acute cholecystiti…

general surgeryanaesthesiadiagnosticcommunication
VIChospital2026-02-10

Finding into death of David James Dorling

59y · Male·multiorgan failure complicating paracetamol toxicity

David James Dorling, a 59-year-old man with multiple sclerosis, ischaemic heart disease, and diabetes, ingested 90-100 paracetamol tablets on 1 February 2024 …

emergency medicineintensive careparacetamol
WAhospital2014-05-27

Inquest into the Death of Brian John DAVIES

57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy

A 57-year-old man with multiple comorbidities (obesity, diabetes, hypertension, COAD, sleep apnoea) underwent elective laparoscopic chole…

surgeryanaesthesiasystemdelaymorphine
VIChospital2024-12-09

Finding into death of Elizabeth Shine

64y · Female·End stage renal failure in the setting of sepsis

…and the importance of appropriate clinical decision-making regarding invasive procedures in patients with multiple organ dysfunction.

general medicinenephrologyantibiotics
NSWhospital2025-08-22

Inquest into the death of Frank Valentine

83y · Male·Congestive cardiac failure due to ischaemic and valvular heart disease, with her…

…ice Health, or Westmead Hospital contributed to his death. Medical management appropriately addressed his multiple organ system failures before palliative care was initiated.

cardiologygastroenterologywarfarin
VIChospital2019-10-31

Finding into death of Armani El-Sayegh

<1y · Female·Right ventricular failure secondary to pulmonary atresia with ventricular septal…

…nd 15 cardiac surgical procedures, she developed progressive complications including sepsis, seizures, and organ dysfunction. The Coroners Prevention Unit found her medical care was appropriately managed throughout from…

cardiologyneonatologyprostin
VICcommunity2026-07-27

Finding into death of Barbara Dorothy Cameron

88y · Female·Infective complications arising from injuries sustained in low speed motor vehic…

…etres, causing significant degloving injuries to her left lower leg with arterial bleeding. She underwent multiple surgical procedures at The Alfred Hospital including debridement and Vacuum-Assisted Closure wound manage…

emergency medicineintensive care
WAhospital2024-11-13

Inquest into the death of Chloe Grace Tupper

31y · Female·organ failure due to anorexia nervosa

Chloe Tupper died of organ failure due to severe anorexia nervosa at age 31. She had suffered from this illness for 17 years since ag…

psychiatrypaediatricssystemcommunicationmirtazapine
VIChospital2022-05-09

Finding into death of Robert Albert Burns

75y · Male·Multiorgan dysfunction syndrome complicating anastomotic leak following hemicole…

A 75-year-old man died from multiorgan dysfunction following an anastomotic leak after hemicolectomy for caecal adenocarcinoma. Initial post-oper…

colorectal surgeryintensive carediagnosticdelay
NSW2023-03-23

Inquest into the death of LT

24y · Male·methylamphetamine toxicity

LT, a 24-year-old male prisoner, died from methylamphetamine toxicity after ingesting multiple drug-filled balloons that ruptured in his stomach. He had received a prison visit from two individuals wi…

emergency medicinetoxicologysystemmethamphetamine
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

Dane Hortle, a 2-year-old with Pierre Robin Sequence and obstructive sleep apnoea, died from tramadol toxicity following adenotonsillectomy. He was discharged with a prescription for tramadol 25mg, which was dispensed as…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
WAhospital2022-06-23

Inquest into the Death of Lee MILCHERDY

75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…

…ed on 15 October 2018. The procedure caused serious complications including perforation, sepsis, and multi-organ dysfunction. Key clinical lessons: ensure all relevant investigation results are explicitly communicated b…

gastroenterologygeneral surgerycommunicationdiagnostic
ACThospital2023-01-30

Inquest into the Death of Maarouf El-Cheikh

57y · Male·streptococcus pneumonia septicaemia due to splenectomy

…nted to Calvary Hospital ED with sepsis on 21 March 2016 and died 22 March 2016. Expert review identified multiple sub-optimal care deficiencies: inadequate urine output monitoring (no urinary catheter despite critical i…

emergency medicineintensive carediagnosticmedicationceftriaxone
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…

…lt intubation history presented to a rural hospital with community-acquired pneumonia and sepsis. She had multiple 'red flag' indicators of severity including hypotension, tachypnoea, and hypoxia. Critical failures inclu…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol

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