Coronial

45 results for organ dysfunction

VIChospital2026-02-23

Finding into death of Suzanne Craig Morter

70y · Female·Multi-organ dysfunction complicating sepsis of unknown origin in setting of Alzh…

Suzanne Craig Morter, aged 70, with Down Syndrome and Alzheimer's dementia died from sepsis with multi-organ dysfunction of unknown origin. She collapsed at home on 9 May 2024 and was taken to hospital where investi…

geriatric medicineemergency medicineoxycodone
NSWhospital2026-06-01

Inquest into the death of Michael Anthony Guider

73y · Male·Thromboembolism on a background of a spindle cell tumour

…y to an underlying spindle cell tumour. He was admitted to intensive care with cardiogenic shock and multi-organ dysfunction. Despite appropriate management including thrombolysis, he suffered cardiac arrest and died on…

cardiologycorrectional health
WAhospital2020-03-27

Inquest into the Death of Alexander Robert EATTS

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

…), congestive cardiac failure, and multiple comorbidities, died from complications of COPD including multi-organ failure and pneumonia, with concurrent COVID-19 infection. He was admitted to hospital on 27 June 2022 wit…

respiratory medicinecardiology
NSWhospital2021-05-25

Inquest into the death of Melvin LYNCH

72y · Male·Complications of subtotal colectomy for diffuse polyposis and invasive adenocarc…

…ectomy for bowel cancer. Post-operatively, he developed complications including pleural effusion and multi-organ dysfunction. Following discussions with family, Mr Lynch transitioned to palliative care on 4 December. Th…

colorectal surgerygeneral surgery
NThospital2015-07-10

Inquest into the death of Clare Harrison

29y · Female·multi-lobe community acquired pneumonia and respiratory failure

…at home on 5 January 2015 and admitted with severe malnutrition (BMI 9.36), bilateral pneumonia, and multi-organ dysfunction. The treating team, led by psychiatrist Dr T. and physician Dr E., managed a complex case bala…

psychiatrygeneral medicineantibiotics
VIChospital2017-09-11

Finding into death of Baby Minahil Bhatti

0y · Female·Septic shock with multi-organ failure and probable meningitis, secondary to non-…

… Bhatti, a five-month-old with congenital non-compaction cardiomyopathy, died from septic shock with multi-organ failure and probable meningitis. She presented to Royal Children's Hospital on 27 July 2016 with acute car…

cardiologyintensive care
SAhospital2020-11-03

Coroner's Finding: WHISKEY Louise Kitty

51y · Female·community acquired pneumonia

…ember. A review panel concluded the pump failure did not contribute to death, as her underlying cardiac dysfunction and septic shock were the primary cause. The coroner found detention lawful, care appropriate, and no r…

intensive carepsychiatrysystemnoradrenaline
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
VIChospital2017-05-19

Finding into death of Jane Laura Gooding

39y · Female·multiorgan failure and probable sepsis

…ed tamponade, treated surgically by drainage. Despite initial haemodynamic improvement, she developed multiorgan dysfunction including acute kidney injury, liver failure, and pneumonia with ongoing seizures. After discu…

emergency medicineintensive care
ACThospital2018-11-26

AN INQUEST INTO THE DEATH OFADRIAN CHARLES WILFRED VAN DIE

50y · Male·Multi-organ failure caused by low flow ischaemia of coeliac artery and superior …

…l, and superior mesenteric arteries, causing progressive visceral ischaemia. Early post-operative signs of organ hypoperfusion were difficult to recognise in the context of expected severe post-operative cardiac dysfunc…

cardiothoracic surgeryintensive caresystem
VIChospital2011-08-31

Finding into death of Barry Wilson Howroyd

78y · Male·Complications of bowel surgery; specifically post-operative chest infection and …

…ht hemicolectomy. Post-operatively, he developed chest infection on day 4, progressing to sepsis and multi-organ failure. Death resulted from post-operative complications including overwhelming post-splenectomy infectio…

gastroenterologygeneral surgerycommunicationsystem
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 inadvertent withh…

cardiologyorthopaedic surgerymedicationcommunicationaspirin
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
QLDhospital2019-12-05

Burrows, Frank Leslie

58y · Male·Haemophagocytic lymphohistiocytosis, due to or as a consequence of T-cell lympho…

…. Diagnosis of HLH was made on 16 November, but despite ICU management, he deteriorated rapidly into multi-organ failure and died 7 days later. A forensic medical review found that while earlier haematology review might…

general medicinehaematologydexamethasone
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 failure an…

general practiceemergency medicinediagnosticcommunicationintravenous fluids
TAShospital2018-11-08

Coroner's Finding: Fenton, Timothy John

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

… 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 nasogastric tube…

emergency medicinegeneral surgeryproceduralcommunicationsodium valproate
VIChospital2012-12-14

Finding into death of Jeanette Brown

66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…

Mrs Jeanette Brown, 66, died from multi-organ failure following post-operative haemorrhage after elective laparoscopic cholecystectomy. Arterial clips a…

general surgeryanaesthesiaproceduralcommunicationamlodipine
VIChospital2026-02-10

Finding into death of David James Dorling

59y · Male·multiorgan failure complicating paracetamol toxicity

…ded promptly and he was transferred to Dandenong Hospital where he developed acute liver failure and multi-organ failure despite maximal intensive care and N-acetylcysteine. Transfer to Austin Hospital for potential liv…

emergency medicineintensive careparacetamol
WAhospital- 27 May 2014

Inquest into the Death of Brian John DAVIES

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

… acidosis and renal failure. He was transferred to ICU at a tertiary hospital on day 2 but died from multi-organ failure and intra-abdominal haemorrhage secondary to coagulopathy. Key learning: very high-risk patients w…

surgeryanaesthesiasystemdelaymorphine
WAhospital2021-03-26

Inquest into the Death of Cyril CHURCHILL

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

…litres of blood was evacuated from an aberrant branch of the cystic artery. Subsequent sepsis and multiple organ failure followed. Key lessons: blood loss is the default diagnosis in acute post-operative shock; FAST sca…

general surgeryanaesthesiadiagnosticcommunication

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