18 results for “prior cerebrovascular accident”
54y · Male·Complications following an old prior cerebrovascular accident - aspiration pneum…
…ficient care by Scope or treating clinicians. The death resulted from natural causes—a complication of his prior cerebrovascular accident. This case highlights the importance of appropriate swallowing assessment and man…
76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation
Malcolm George Baker, a 76-year-old prisoner serving a life sentence, died from complications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leavi…
83y · Male·left middle cerebral artery cerebrovascular accident
…ry stroke prevention. However, he refused anticoagulation and other cardiac medications for over 12 months prior to his fatal stroke. Forensic medicine advice confirmed that had Mr Radan complied with dabigatran, he wou…
81y · Male·Lung cancer
…e care in prison. He had documented his wishes for comfort-focused care and was registered on the DNR list prior to death. Medical review occurred appropriately in the days before death, with pain management prescribed …
63y · Male·Respiratory failure due to acute exacerbation of chronic obstructive airways dis…
…chronic renal failure, died from respiratory failure due to acute exacerbation of COPD. In the three weeks prior to death he had multiple ED presentations for lung disease and heart failure exacerbations. On 9 July 2011…
63y · Female·Sepsis with multiorgan failure in the setting of limb cellulitis complicating a …
A 63-year-old woman with multiple comorbidities (obesity, chronic lung disease, obstructive sleep apnoea, prior cerebrovascular disease with hemiparesis) sustained a 4cm laceration to her right shin from a motorised wh…
75y · Male·Metastatic prostatic carcinoma
… in prison custody. Diagnosed with cancer in 2012, he also had haemophilia A, ischaemic heart disease, and prior cerebrovascular accidents. By 2016, he required full-time palliative care. Despite attempts to arrange com…
88y · Female·Upper cervical spine injury in a motor vehicle incident
…ple incidents reported to VicRoads. A medical assessment by her GP found her fit to drive, unaware of her accident history. The coroner identified a communication gap: the GP was not informed of VicRoads' concerns about …
77y · Male·multisystem organ failure
…hin normal parameters of reasonable health care practice. The family raised concerns about medication at a prior facility, the transfer process, and supervision prior to the fall; however, the coroner found no evidence …
65y · Male·Acute myocardial infarction due to or as a consequence of coronary atheroscleros…
Barry Hadlow, a 65-year-old prisoner with known coronary artery disease, presented to prison medical centre on 13 July 2007 with chest pain, coughing up blood, fever and shortness of breath. He was appropriately diagnose…
86y · Male·Cardiovascular disease in a man with subdural haemorrhage (in keeping with a fal…
George Samuel Holmes, an 85-year-old man with significant cardiovascular history (prior myocardial infarction, stroke, atrial fibrillation) on anticoagulation, collapsed in his prison cell on 4 …
76y · Male·out-of-hospital cardiac arrest in a man with coronary artery atherosclerosis and…
…used by coronary artery atherosclerosis in the context of long-standing type 2 diabetes, hypertension, and prior myocardial infarction (2013). He was found unresponsive in his cell on 22 October 2023 and despite immedia…
24y · Male·Complications of head injuries (operated), sustained in a tram impact (pedestria…
…lity, poor lighting, and lack of barriers or warning signage at the collision site. The coroner found five prior tram-pedestrian collisions in the area between 2014-2019. No clinical errors were identified; the death re…
75y · Male·cerebral metastatic malignancy (lung cancer with brain metastases)
Kenneth Ballard, aged 75, died in prison custody from cerebral metastatic lung cancer. He had been diagnosed with chronic lymphocytic lymphoma in 2012 and managed at Mount Gambier Prison. In late 2014, Mr Ballard refused…
87y · Male·Complications of head injuries in setting of dementia
…a known risk but managed only by redirection. The perpetrator had a history of aggression toward staff and prior violence, though no documented aggression toward residents. An Aged Psychiatry Assessment Team referral wa…
73y · Male·Stab wound to the neck
Harold Nolan, 73, was fatally stabbed in the neck by his ex-wife Renee Nolan while asleep at home. Ms Nolan was his full-time carer following his 2013 stroke and was experiencing severe carer fatigue, mental health deter…
54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus
Terence James Robinson, 54, died from status epilepticus causing global cerebral hypoxic injury after 16 days at Belmont Private Hospital. He was admitted following a violent altercation with police and attempted suicide…
29y · Male·severe burns sustained in motor vehicle fire following collision
…d him as fit to drive. The coroner found that Dr G. lacked critical information: he was unaware of the two prior crashes, knew of only one unexplained blackout (not two), had no knowledge of epilepsy (EEG not yet perfor…
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