Coronial

16 results for pressure dressing

VIChospital2026-02-12

Finding into death of Kristy Ann Mitchener

45y · Female·Complications of sepsis secondary to sacral pressure wound in a woman with genet…

…pmental and epileptic encephalopathy, and oesophageal dysmotility, died from sepsis secondary to a sacral pressure ulcer despite intravenous antibiotics. A pressure area was first identified on 30 June 2024 and rapidly d…

general practiceemergency medicinesystemcommunicationantibiotics
TASaged careNew2026-05-19

Coroner's Finding: de-identified BE

85y · Male·systemic sepsis due to infected right perineal ulcer and associated perianal abs…

An 85-year-old man with dementia and multiple comorbidities died of sepsis caused by an infected sacral pressure ulcer that developed and deteriorated while resident at an aged care facility. Initially assessed as stag…

geriatric medicinegeneral practicedelaymedication
WAhome2016-11-22

Inquest into the Death of Maria Carmel NICEFORO

75y · Female·organ failure due to sepsis, likely from infected pressure sores, in the context…

…olled diabetes and ischaemic heart disease, died from septic shock secondary to extensive infected sacral pressure wounds. She received home care through KinCare for approximately 9 months, during which her condition det…

general practiceemergency medicinecommunicationsystem
SAhospital2019-08-30

Coroner's Finding: SHUEARD Braydon Adrian

60y · Male·Sepsis due to pressure ulcers due to immobility on a background of advancing fro…

…old man with frontotemporal dementia, diabetes, and ischaemic heart disease died from sepsis secondary to pressure ulcers while subject to a Mental Health Act inpatient treatment order. He developed sacral and heel press…

psychiatrygeneral medicinehaloperidol
QLDaged care2024-10-10

Non-inquest findings into the death of Diane Margaret Crowther

76y · Female·multiple organ failure due to abdominal wall cellulitis (surgically treated)

…ltiple organ failure secondary to abdominal wall cellulitis. A critical care failure occurred when an old dressing left in an abdominal skin fold on 10 August 2023 was not managed with a care plan until 7 days later. The…

geriatric medicineplastic and reconstructive surgerydiagnosticcommunicationhydrozole cream
QLDcommunity2016-12-08

Floyd, Leah Elizabeth

48y · Female·Sepsis due to pulmonary and cutaneous infections, with urinary tract infection a…

A 48-year-old tetraplegic woman died from sepsis originating from a necrotic sacral pressure wound. Multiple system failures contributed: inadequate pressure sore prevention at the disability care p…

neurologypsychiatrycommunicationsystemdiazepam
TASaged care2025-06-16

Coroner's Finding: McDonald, Maureen June

87y · Female·Terminal exacerbation of chronic obstructive pulmonary disease; antecedent cause…

Maureen 'Kitty' McDonald, 87, died from terminal exacerbation of COPD with an antecedent sacral pressure wound infection. She was admitted to residential aged care in October 2020 with a stage-two sacral pressu…

geriatric medicinegeneral practicesystemcommunicationantibiotics
NSWaged care2019-09-27

Inquest into the death of Sylvia CONFOS

87y · Female·Natural causes in the context of multiple co-morbidities including a sacral ulce…

…gs error—dynamic mattress set incorrectly (5.5 for 145kg patient vs. 40kg actual weight), contributing to pressure injury; (4) Clinical coordination breakdown—multiple staff (nurses, Clinical Care Co-ordinator, GP, wound…

geriatric medicinegeneral practicecommunicationsystemrozex
TAShospital2021-02-03

Coroner's Finding: Boon Alison Kim

51y · Female·peritoneal sepsis with multiple organ failure due to perforation of bowel by for…

A 51-year-old woman with intellectual disability and schizoaffective disorder died from peritoneal sepsis and multiple organ failure caused by bowel perforation from a wooden stick. The stick entered her body via her vag…

general surgerycolorectal surgerydiagnostic
VIChome2025-07-15

Finding into death of Lachlan Rayner

44y · Male·Airways obstruction with mucous plugging secondary to quadriplegia post accident

Lachlan Rayner, a 44-year-old man with quadriplegia from a 2019 spinal injury, died from airways obstruction due to mucous plugging and pneumonia. He was a specialist disability accommodation resident receiving in-home c…

emergency medicineneurologydelayoxycodone
VIChospital2021-07-21

Finding into death of Lorinda Stacey Ruff

55y · Female·Complications of metastatic colorectal carcinoma

…er GP on 29 July 2019 with three days of appetite loss and suspected abdominal pain, exhibiting low blood pressure, low pulse, and abdominal tenderness. She was referred to ED and admitted to ICU with septic shock and bo…

general practiceemergency medicine
NTcommunity1998-09-02

Inquest into the death of Esky Muller

14y · Male·Loss of blood arising from incised wound to the left arm (cubital fossa)

…e enabled earlier ambulance dispatch and medical guidance; trained first-aid personnel could have applied pressure or tourniquet correctly.

emergency medicineaddiction medicinediagnosticsystempetrol
QLDhospital2016-11-14

Ms H - non-inquest findings

23y · Female·Necrotising retroperitoneal fasciitis due to acute perforated gangrenous appendi…

Ms H, a 23-year-old with Asperger's syndrome and intellectual impairment under OPG guardianship for healthcare decisions, presented to Redcliffe Hospital ED with abdominal pain, vomiting and diarrhoea. Despite clinical c…

emergency medicinesurgerysystemdiagnosticparacetamol
VICmental health2017-02-07

Finding into death of Esther Ng Kit Ching

53y · Female·Hypoxic brain injury due to hanging

A 53-year-old woman with severe depression, anxiety, and recent suicide attempt died by hanging in a psychiatric hospital's low-dependency unit. She had received ECT and was on hourly observations. On the day of her deat…

psychiatrycommunicationdelaymirtazapine
QLDaged care2017-05-03

Biffin, Albert Eric

86y · Male·Cardiac arrest triggered by electrolyte imbalance and sepsis secondary to compli…

… of clinical instructions, and nursing responsibility for recognizing deterioration despite falling blood pressure and changed behaviour. Better history-taking, complete examination, written discharge instructions, and s…

general practicesurgerydiagnosticcommunicationmacrogol
NSWhospital2024-05-10

Inquest into the death of Finlay Browne

16y · Male·mid-gut volvulus and bowel obstruction, leading to ischaemic bowel and related c…

Finlay Browne, a 16-year-old with Down syndrome, presented to Bathurst Base Hospital on 30 September 2016 with acute abdominal pain and vomiting. Despite clear clinical signs—including a lactate of 7.2 mmol/L (grossly ab…

emergency medicinesurgerydiagnosticcommunication

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.