Coronial
SAaged care2024-06-19

Coroner's Finding: Saberton, Linda Eileen

73y · Female·fractured neck of femur (operated) on a background of Alzheimer's dementia

Linda Eileen Saberton, aged 73, died from complications of a fractured neck of femur sustained in a fall at her aged care facility, on a background of advanced Alzheimer's dementia. S…

geriatric medicineorthopaedic surgerymedicationrisperidone
NSWhospital2014-12-05

Inquest into the death of Edna Beryl WHALEN

89y · Female·Pulmonary embolism due to deep venous thrombosis

…89, died from pulmonary embolism secondary to deep vein thrombosis following delayed diagnosis of a femoral neck fracture. She fell on 8 January 2007 at an aged care facility and reported hip pain, but the fracture was n…

emergency medicineorthopaedic surgerydiagnosticdelay
VICcommunity2015-08-21

Finding into death of Mohamed Hamza

40y · Male·coronary artery atherosclerosis

40-year-old male with hypercholesterolaemia presented to general practice with new-onset central chest pain radiating to neck and arm, plus shortness of breath. The practice nurse obtained an ECG and recorded the ra…

general practicecardiologydiagnosticcommunicationatorvastatin
VIChospital2024-10-07

Finding into death of Danielle Julie Kaye Thomson

41y · Female·Neck compression and hanging

…l health conditions including cervical dystonia, bipolar disorder, borderline personality disorder, chronic pain, and alcohol use disorder, died by suicide on 4 November 2022. She presented to Ballarat Hospital ED with s…

psychiatryaddiction medicinecommunicationsystembuprenorphine
WAhome2005-05-01

Inquest into the Death of Christopher Nigel Spinks

35y · Male·Acute Staphylococcus aureus Meningitis

… acute Staphylococcus aureus meningitis on 3 December 2002. He initially presented on 27 November 2002 with neck pain following a windsurfing accident. Dr R. noted boils under his left arm-pit and prescribed antibiotics,…

general practiceemergency medicinediagnosticdelaynurofen plus
TASaged care2022-08-10

Coroner's Finding: Paynter, Pamela

80y · Female·terminal exacerbation of congestive cardiac failure due to a fracture of the rig…

An 80-year-old woman resident in an aged care facility fell in her room and sustained a neck of femur fracture. She was conscious after the fall with no evidence of head injury. She declined hospital …

geriatric medicinepalliative carepain-relieving medications via syringe driver
VICcommunity2013-04-18

Finding into death of Robert John Spencer

43y · Male·Acute bacterial meningitis

… Spencer, a 43-year-old man, died from acute bacterial meningitis on 3 October 2009. He presented with back pain, fever, and paraesthesia on 25 September, attended Benalla Hospital (discharged home), saw GP Dr S. on 28 S…

general practiceemergency medicinediagnosticibuprofen
ACThome2018-06-25

INQUEST INTO THE DEATH OF SUELLEN EDITH DAVIS

57y · Female·Positional asphyxia caused by the combined effect of consumption of several opia…

57-year-old woman with chronic pain died from positional asphyxia caused by consumption of multiple sedative medications. She was prescribed op…

general practicepain medicinecommunicationsystemoxycodone
NT2018-11-26

Inquest into the death of Jeremy aka Lawrence Tunkin

39y · Male·acute myocardial ischaemia, coronary artery thrombosis and coronary artery ather…

…rison custody. On 6 August 2017, he presented to the medical clinic with what prisoners identified as chest pain, but staff interpreted as throat or shoulder complaints. Communication difficulties due to his deafness lik…

emergency medicinecardiologycommunicationdiagnosticadrenaline
TAShospital2022-02-23

Coroner's Finding: Attwood, Maurice

86y · Male·hospital acquired pneumonia

Maurice Attwood, 86 years old, died of hospital-acquired pneumonia following surgical repair of a femoral neck fracture sustained in a fall at home. He had significant comorbidities including dysphagia with aspiration …

orthopaedic surgeryintensive care
VICaged care2023-06-27

Finding into death of Elizabeth Ethel Watson

89y · Female·Complications of fractured neck of femur in the setting of a fall in a woman wit…

…ry. Although initial examination showed no obvious fracture, the patient deteriorated overnight with severe pain. Medical review by a locum at 5pm diagnosed only soft tissue injury. Hospital transfer was delayed until th…

geriatric medicineemergency medicinediagnosticcommunicationtramadol
VIC2018-04-16

Finding into death of Jason Joseph Mirko Ljepojevic

30y · Male·Haemopericardium due to dissecting aortic aneurysm secondary to bicuspid aortic …

A 30-year-old man in prison presented with severe central chest pain radiating to neck and back after gym exercise. A GP conducted physical examination, ECG, and diagnosed musc…

general practiceemergency medicineparacetamol
VIChome2022-11-23

Finding into death of B JF

23y · Male·Undetermined

…e experienced paranoid and delusional thoughts, hallucinations about demonic possession, and reported chest pain and dyspnea. He was submerged multiple times in a bathtub by a friend during this intoxicated, delusional s…

forensic medicineemergency medicinesystemcocaine
QLD2023-10-24

CUMMINS, James

48y · Male·Subarachnoid haemorrhage

…ppointment in October 2021. He collapsed suddenly without preceding warning symptoms like acute headache or neck pain. The coroner found he received appropriate medical care during incarceration and that no staff action …

neurosurgeryemergency medicinepregabalin
VIChome2017-06-21

Finding into death of Mrs DA

59y · Female·Multiple drug toxicity (propoxyphene, citalopram, oxazepam and others)

…ers) in March 2014. She had suffered a severe stroke in 2006 with resultant significant disability, chronic pain, and subsequent depression with suicidal ideation. Despite psychiatric involvement and GP care, she remaine…

rehabilitation medicinegeneral practicepropoxyphene
SAhospital2000-02-25

Coroner's Finding: STONEHOUSE Jarrod William (aka Scott)

23y · Male·aspiration of blood due to stab wound to trachea

23-year-old man with self-inflicted stab wound to neck presenting to emergency department while intoxicated and agitated. Ambulance noted 3cm laceration to midlin…

emergency medicinesurgerydiagnosticcommunicationalcohol
WAaged care2014-07-23

Inquest into the Death of Daniel

83y · Female·Complications following fracture and surgical repair of the left hip in an elder…

…cture and subsequent surgery at Bunbury Regional Hospital on 7 January 2010. She sustained a fractured left neck of femur during a fall at Regis Forrest Gardens aged care facility on Christmas Day 2009, but the fracture …

geriatric medicineorthopaedic surgerydiagnosticcommunication
TASaged care2025-10-14

Coroner's Finding: de-identified XT

86y · Female·Hypostatic pneumonia due to the consequences of a right pubic rami fracture and …

…ubic rami and hip fractures. Post-fall documentation was insufficient, delaying proper clinical assessment. Pain management was suboptimal after the fall; she was moved inappropriately by hoist despite severe pain. Hospi…

geriatric medicineemergency medicinediagnosticcommunication
NSWaged care2025-01-28

Inquest into the Death of Robert Driver

89y · Male·Cervical spine trauma

… facility. He was assessed overnight at the facility and transferred to hospital the following morning when neck pain developed, where imaging revealed a high cervical fracture. He was managed conservatively with an Aspe…

emergency medicineneurosurgerydelaycommunicationrisperidone
NSW2022-10-24

Inquest into the death of GL

69y · Male·neck compression due to hanging

…rvices—GL consistently denied suicidal ideation while expressing emotional distress about his wife, chronic pain, and physical limitations. He was reviewed daily by nursing staff and received appropriate specialist care.…

psychiatrygeriatric medicine

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