Coronial

21 results for organ retrieval

SAhospital2020-07-16

Coroner's Finding: GRAEFE Phillip Brian

62y · Male·Multi-organ failure due to paraquat ingestion

A 62-year-old man with diabetes, renal failure, and hypertension died from multi-organ failure following intentional ingestion of approximately 100-150ml of paraquat. He had recently assumed so…

toxicologyemergency medicineparaquat
NSWhospital2022-05-30

Inquest into the death of Alex BRAES

18y · Male·Multi organ failure due to sepsis from a Group A streptococcus infection

Alex Braes, an 18-year-old from Broken Hill NSW, died of multi-organ failure due to Group A streptococcus sepsis. He presented to Broken Hill Base Hospital three times over 24…

emergency medicineinfectious diseasessystemdelayceftriaxone
QLDhospital2018-05-04

LM - Non-inquest findings

1y · Female·Sepsis (Group A Streptococcus)

…hock, delayed intravenous access (three hours), delayed antibiotics and fluid resuscitation, and delayed retrieval initiation. The child deteriorated acutely with petechial haemorrhages and shock, ultimately developing …

general practiceemergency medicinediagnosticdelaymupirocin
NTcommunity2006-05-04

Inquest into the death of Cynthia Diane Ching

29y · Female·multiple organ failure following persistent sepsis occurring as a complication o…

…ors ignited near a naked flame. She died 42 days later at Royal Adelaide Hospital from sepsis and multiple organ failure. The coroner found the refuelling practice manifestly dangerous and referred the matter to prosecu…

plastic and reconstructive surgeryintensive careproceduralsystemmorphine
VIChome2013-05-07

Finding into death of JOVO VRANJESEVIC

57y · Male·thalamic haemorrhage with ventricular extension

…llation suffered a massive thalamic haemorrhage while at home and was declared brain dead at hospital. His organs were donated to three recipients who all died within six days in early January 2007 from a novel arenavir…

transplant medicineintensive care
NSWhospital2010-07-22

Finding helanisirianni257 08 dscmitchell

Female·Hypoxic ischaemic encephalopathy following hypovolaemic shock and multi-organ fa…

Helani Sirianni, born 8 February 2008, died less than 3 days later from subgaleal haemorrhage and multi-organ failure. She was delivered by vacuum extraction after labour complicated by fetal distress. The vacuum ext…

obstetricsmidwiferydiagnosticcommunication
VIChospital2025-01-28

Finding into death of Dustin Buckley

17y · Male·Gunshot wound to the head

Dustin Buckley, 17, died from a gunshot wound to the head at Royal Melbourne Hospital on 27 August 2017. The incident occurred during target shooting at Cat Track when KD fired a .22 rifle that discharged, striking Dusti…

trauma surgeryemergency medicinesystemproceduralmidazolam
VIChospital2013-05-07

Finding into death of Carmelina Rachela Sirianni

63y · Female·Lymphocytic choriomeningitis virus (LCMV)-like virus infection; post failed rena…

…ly, ultimately dying from a novel lymphocytic choriomeningitis-like virus (LCMV) transmitted via the donor organ. The donor and all three recipients of his organs died within days of each other. While the screening proc…

nephrologytransplant medicinecommunicationsystem
VIChospital2013-05-07

Finding into death of Karen Elizabeth Wilkinson

44y · Female·Lymphocytic choriomeningitis virus (LCMV)-like virus infection following failed …

… woman died on 1 January 2007, six days after receiving a cadaveric renal transplant. She was one of three organ recipients from the same donor who died within six days of each other from a novel lymphocytic choriomenin…

transplant medicinenephrologycommunicationsystem
VIChospital2013-05-07

Finding into death of Gurpal Sandhu

64y · Female·Lymphocytic choriomeningitis virus (LCMV)-like arenavirus infection, post liver …

…rom Serbia with unexplained weight loss, lethargy, and headaches. Two other recipients of the same donor's organs also died from the same novel virus within 6 days. Post-hoc investigations identified this previously unk…

transplant medicinehepatologycommunicationsystem
NSWworkplace2015-06-19

Inquest into the death of Vijay SINGH

23y · Male·complications of hypothermia

…m, Mr Singh was severely hypothermic and in cardiac arrest. Despite heroic rescue efforts and helicopter retrieval, he could not be revived. Post-incident, the employer Laurent pleaded guilty to Work Health and Safety A…

emergency medicineintensive carecommunicationsystem
NT2013-11-20

Inquest into the death of Sara Lorraine Hampel

21y · Female·Multiple organ failure as a result of overwhelming Streptococcus pyogenes (Group…

Sara Hampel, 21 years old, died from sepsis caused by necrotising fasciitis (Group A Streptococcus) on 14 October 2011, presenting 8 days post-partum with severe leg pain and multiple signs of sepsis. Critical failures i…

obstetricsemergency medicinediagnosticcommunicationparacetamol
NT2014-10-14

Inquest into the death of Richard Baird

8y · Male·hypoxic brain injury and multi-organ failure from drowning

…as intubated and ventilated but remained deeply unresponsive, and died from hypoxic brain injury and multi-organ failure on 20 January. The coroner found that the drain grates were inadequately secured (bolts were missi…

intensive careemergency medicinesystemdelay
SA2018-01-30

Coroner's Finding: JONES Heath Ryan

35y · Male·hypoxic-ischaemic encephalopathy (post cardiac arrest) on a background of acute …

A 35-year-old man died by hanging in a medium-security prison while on remand. He was found unresponsive in his cell with a ligature around his neck. Despite immediate CPR, transfer to hospital and transfer to ICU at Fli…

emergency medicineintensive caresystemmethamphetamine
SAhospital2025-06-12

Coroner's Finding: Salter, Kathleen Ethel

76y · Female·multi-organ failure and sepsis due to complications of cholecystectomy

A 76-year-old woman died from multi-organ failure and sepsis following a laparoscopic cholecystectomy at a rural hospital. During surgery, the surge…

general surgeryanaesthesiadiagnosticproceduralapixaban
WAhospital2023-11-17

Inquest into the Death of Child MD (Name Subject to a Suppression Order)

2y · Male·multiorgan failure in a boy with clinically suspected sepsis and Cockayne syndro…

A 2-year-old boy with Cockayne syndrome (a rare life-limiting genetic condition) died from multiorgan failure due to clinically suspected sepsis following hospitalisation for acute illness with vomiting, leth…

intensive carepaediatricsmedicationceftriaxone
QLDhospital2021-11-01

Masoumali, Omid

24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns

… self-immolating at the Nibok settlement. He was airlifted to Brisbane but died on 29 April 2016 from multiorgan failure. Critical clinical lessons include: (1) inadequate mental health triage—his self-referral for psyc…

plastic and reconstructive surgeryintensive carecommunicationsystem
QLDhospital2018-07-30

Khazaei, Hamid

24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …

Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone
WAhospital2011-05-12

Inquest into the Death of Walden

68y · Female·Multi-organ failure associated with septic shock following duodenal perforation …

Athenia Hana Walden, 68, died from multi-organ failure and septic shock following duodenal perforation during laparoscopic surgery at Swan District Hospi…

general surgerygeneral practicediagnosticcommunicationpethidine
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

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

…ailures included: inadequate appreciation of sepsis severity; failure to escalate to ICU consultation or retrieval services; insufficient IV fluid resuscitation (patient encouraged to refuse); misinterpretation of respi…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol

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