Coronial — Australian Coroners Findings

State

WA1TAS1

Setting

hospitalaged caremental healthcommunityhome1other

Hospital

Sir Charles Gairdner Hospital1Royal Perth Hospital1Burnie Hospital1

Specialty

pathology1intensive care1general practice1correctional health1cardiothoracic surgery1cardiology1anaesthesia1

Error Type

diagnosticmedication1proceduralcommunication1system1delay

Preventability

PreventablePossibly preventableNot preventable1Not stated1

Age Group

Adult2PaediatricNeonate

Sex

Male1Female1

Clinical Flags

Prison / police custody1Has recommendations1

Year Range

–

2 results for “previous minor stroke”

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TAShome2017-01-23

Coroner's Finding: Mordha, Debra Christine

58y · Female·mixed drug toxicity

A 58-year-old retired nurse died from mixed drug toxicity involving tramadol, amitriptyline, and venlafaxine, all found at above-therapeutic concentrations. She had multiple chronic conditions including Addison's disease…

general practicepathologytramadol

WAprison- 20 March 2014

Inquest into the Death of Anthony Nigel AXTELL

38y · Male·Heart failure in a man with dilated cardiomyopathy and focal severe coronary art…

Anthony Axtell, a 38-year-old man with severe dilated cardiomyopathy from amphetamine use, died of heart failure while in prison custody. Initially treated successfully in 2002 with recovery to normal cardiac function by…

cardiologycardiothoracic surgerymedicationsystemamphetamine

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