Coronial

30 results for obstructive shock

SAhospital2022-04-14

Coroner's Finding: Esposito, Pasquale

76y · Male·combined effects of acute myocardial infarction and urosepsis

Pasquale Esposito, age 76, died in custody at Lyell McEwin Hospital from combined acute myocardial infarction and urosepsis. He had extensive cardiac history including prior MI, CABG, COPD, and recent stent placement. On…

cardiologyinfectious diseasesantibiotics
VIChospital2021-10-29

Finding into death of John Crabtree

69y · Male·Myocardial infarction secondary to coronary artery atherosclerosis in the settin…

…atory distress on 26 May 2016. He was diagnosed with infective exacerbation of COPD and treated for septic shock. However, autopsy revealed acute myocardial infarction secondary to critical coronary artery atheroscleros…

emergency medicinegeneral practicediagnosticdelayamoxicillin/clavulanate
VIChospital2008-03-20

Finding into death of Julie Stephens

54y · Female·sepsis

…le comorbidities including cardiac failure, respiratory failure, and obesity. She deteriorated with septic shock secondary to pneumonia and was transferred to ICU where she was intubated and given morphine sedation desp…

intensive carerespiratory medicinemedicationsystemmorphine
SAhospital2004-04-30

Coroner's Finding: YOUNG Iris Patricia

60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…

A 60-year-old woman with metastatic breast cancer and COAD died from haemorrhagic shock due to right-sided haemothorax complicating thoracentesis. The procedure was appropriately performed to dr…

oncologyrespiratory medicinediagnosticcommunicationheparin
SAhospital2011-09-23

Coroner's Finding: BLYTHE Dorothy Josephine

81y · Female·ischaemic bowel

…ychiatric care under Mental Health Act detention. On 9 May 2009, her physical health acutely declined with shock-like symptoms. Emergency laparotomy revealed extensive bowel ischaemia deemed incompatible with life. She …

psychiatrygeneral surgerydiagnosticdelay
VIChospital2025-04-01

Finding into death of ZSQ

81y · Male·Community acquired pneumonia in a man with acute on chronic renal failure

An 81-year-old man with chronic respiratory disease and renal failure died from community-acquired pneumonia complicated by acute-on-chronic renal failure. He presented to hospital on 25 April 2023 with respiratory failu…

intensive carerespiratory medicinediagnosticdelayadrenaline
NSWhospital2020-03-04

Inquest into the death of Paul MORTIMER

65y · Male·ischaemic heart disease following complications of colorectal surgery

A 65-year-old man with significant comorbidities (cardiomyopathy, diabetes, obesity) underwent colorectal surgery for adenocarcinoma. Post-operative course was complicated by anastomotic breakdown causing sepsis on day 1…

colorectal surgeryintensive careproceduralsystemenoxaparin
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately ingested benzodiazepines and possibly other substances in a self-harm attempt. However…

forensic medicinegeneral practicesystemdelaybenzodiazepines
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

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

…8 hours. The underlying ischaemic bowel was not diagnosed until 9pm when he was critically ill with septic shock and multiple organ failure. By then, his entire small intestine was dead and surgery could not save him. K…

emergency medicineorthopaedic surgerydiagnosticcommunication
WAhospital2022-06-08

Inquest into the Death of Salvatore Giovanni OTRANTO

68y · Male·Complications following myocardial infarction and its treatment in a man with mu…

…d without complication on 5 June. Despite appropriate medical management, he deteriorated with cardiogenic shock and died on 9 June. The coroner found no major contributing factors from the VasCath error. The only ident…

cardiologyintensive careproceduralenoxaparin
QLD2022-11-15

Childs, Dennis William

64y · Male·Peritonitis, due to or as a consequence of a ruptured gallbladder, due to or as …

Dennis Childs, a 64-year-old Indigenous man serving a life sentence, died from peritonitis secondary to a ruptured gallbladder. On 8 December 2018, he presented with abdominal pain at the correctional centre but refused …

emergency medicinegeneral surgerydiagnosticdelaymorphine
QLDhospital2014-01-31

George, Lynda Margaret - Non-inquest findings

60y · Female·Peritonitis due to anastomotic leak following subtotal colectomy for treatment o…

60-year-old woman died from septic shock due to anastomotic leak following subtotal colectomy for synchronous bowel cancers. Early postoperative br…

general surgerycolorectal surgerydiagnosticcommunication
WAhospital- 27 May 2014

Inquest into the Death of Julissa Teresa GILBERT

57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …

…tively, mesenteric tears caused intra-abdominal haemorrhage (1600mls), but this was misdiagnosed as septic shock. The locum doctor managing post-operative care failed to recognize critical clues: severely low haemoglobi…

anaesthesiasurgerydiagnosticcommunicationaramine
TAShospital2021-11-29

Coroner's Finding: Bennett, Anthony George

77y · Male·shock due to bowel ischaemia following massive blood loss due to bleeding of the…

…c heart disease, atrial fibrillation, peripheral vascular disease, and end-stage kidney disease, died from shock due to bowel ischaemia following massive blood loss from the left internal iliac artery after elective abd…

vascular surgerycardiology
TAShospital2017-01-03

Coroner's Finding: Summerfeldt; Ian Patrick

48y · Male·sepsis and renal failure due to perforated gastric ulcer

…rating of 8/10. Clinical observations were normal and he self-discharged. He re-presented on 22 October in shock with slurred speech, mottled skin, and pale appearance, found lying outside his home. Despite worsening pa…

emergency medicinegeneral practicediagnosticdelayketorolac
VIChospital2012-02-06

Finding into death of David Crisfield

43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…

…d immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compromise and low oxygen saturat…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
WAhospital2022-10-05

Inquest into the Death of David Arthur RICE

75y · Male·acute bronchopneumonia in a man with comorbidities

A 75-year-old sentenced prisoner died from acute bronchopneumonia with comorbidities. Mr Rice had extensive medical complexity including COPD, cardiac disease, peripheral vascular disease, and diabetes. He was appropriat…

general medicinecardiologysystemapixaban
QLD2007-11-23

Walker, Nola Jean

66y · Female·Blood loss due to tearing of the spleen and fractured ribs occasioned by a motor…

…ficers attributed this to intoxication rather than recognising concealed internal injuries and progressive shock. She was found pulseless at 10:40 AM. Resuscitation attempts failed. Key clinical lessons: (1) Intoxicatio…

emergency medicineparamedicinediagnosticcommunicationalcohol
VIChospital2022-08-19

Finding into death of Ruth Ann McKenna

62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…

…osis, cardiomegaly, thrombocytopenia, chronic kidney disease, COPD) died from hypovolaemic and cardiogenic shock during elective total laparoscopic hysterectomy for an endometrial polyp. Intraoperative blood loss was 20…

gynaecologyanaesthesiadiagnosticsystemmetaraminol
SAhospital2017-04-07

Coroner's Finding: MAYELL Edward John

83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…

An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…

emergency medicinegeneral practicediagnosticmedicationceftriaxone

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