Coronial

34 results for reduced consciousness

VIChospital2024-02-19

Finding into death of Kathryne Frances Callaghan

51y · Female·Aspiration pneumonia in a woman with cerebral palsy and epilepsy

…agia diagnosed on 26 December. Despite intravenous antibiotics, she had minimal oral intake due to low consciousness and swallowing difficulty. Chest imaging on 4 January showed right lung collapse with foreign material…

general practicerespiratory medicineparacetamol
VIChospital2025-12-15

Finding into death of Yan Jin

64y · Male·Pneumonia secondary to ischaemic cerebrovascular incidents, hypertension, and at…

…bed. Despite no fractures, he remained hospitalised for discharge planning given inadequate home support (reduced from 24 to 8 hours daily NDIS care). On day 2 of admission, he experienced acute decline in consciousness

emergency medicinegeneral medicinepiperacillin/tazobactam
VIChospital2024-10-15

Finding into death of Melissa Joanne Dibble

53y · Female·Bronchopneumonia on a background of cerebral palsy

…ge and multidisciplinary care, her condition deteriorated over several days with episodes of hypotension, reduced consciousness and worsening dysphagia. Following a hypoxic event, she was transitioned to palliative care…

respiratory medicinepalliative care
VIChospital2025-07-15

Finding into death of Linda Snadden

62y · Female·Aspiration pneumonia in the setting of refractory focal status epilepticus

…ietal brain mass on CT, and despite anti-epileptic medication, experienced progressive deterioration with reduced consciousness, hypoxaemia, and tachypnoea. The coroner found treatment at Northern Hospital and by CareCh…

neurologyneurosurgeryanti-seizure medications
NThome2008-02-13

Inquest into the death of Billy Martin

33y · Male·accidental drowning

…ol intoxication itself is life-threatening and impairs cognition and judgment, and the risk of loss of consciousness in severely intoxicated individuals. The coroner identified no preventable medical errors but highligh…

general practiceemergency medicinesystemalcohol
VIChospital2021-02-25

Finding into death of Laurence Joseph Kermond

65y · Male·Complications of end stage renal failure in a man with multiple co-morbidities

…-stage renal failure and multiple comorbidities. On 4 August 2019, carers noted deterioration (altered consciousness, left eye rolling back, left arm slumped) at 3:30pm. An on-call GP was consulted and he was transporte…

general practicenephrology
VIC2014-10-14

Finding into death of William Morrison Nunan

78y · Male·urinary tract infection in a man with dementia and epilepsy

…ssion for end-of-life care. His health had deteriorated rapidly over several months due to advancing age, reduced oral intake, and increasing medical complications. Clinical management at both his disability accommodati…

palliative caregeneral practiceclonazepam
VIChomeNew2026-06-10

Finding into death of Laura Claire Brady

41y · Female·Aspiration pneumonia complicating an ischaemic stroke in a woman with epilepsy, …

… EEG), intravenous antibiotics, and close monitoring. Hypoactive delirium contributed to her declining consciousness alongside the effects of the stroke. The treating team identified her prognosis as very poor given the…

neurologyemergency medicine
VIChospital2016-12-15

Finding into death of Henry Francis Oakley

85y · Male·pneumonia

…ite oral antibiotic therapy. On 28 January 2016, he was found with altered mental status, tachypnoea, and reduced Glasgow Coma Scale (6/15), with chest X-ray showing left-sided consolidation. He was transferred to St Vi…

emergency medicineinfectious diseasesamitriptyline
VIChospital2018-09-13

Finding into death of Andrew Bond

47y · Male·Aspiration pneumonia in the setting of Down syndrome

…ologist recommended progression to pureed diet with thickened fluids. Although gastric feeding could have reduced aspiration risk, his family chose to continue oral intake to preserve quality of life and ability to enjo…

geriatric medicinepalliative careamoxicillin/clavulanate
VIChome2025-04-17

Finding into death of Michael Hodgkinson

Unknown·Toxicity to protonitazene

…ntervention window. Clinical lessons include recognising nitazene overdose signs (respiratory depression, reduced consciousness, pinpoint pupils), understanding that naloxone reversal may require multiple doses due to e…

toxicologyforensic medicineprotonitazene
TAScommunity2024-04-17

Coroner's Finding: QR

42y · Female·Drowning due to combined drug (tramadol, venlafaxine, diazepam, quetiapine and c…

…en her medications and lung disease, particularly as she resumed diving. The combination of drug effects, reduced diving experience, and excessive weights in her buoyancy vest likely contributed to loss of consciousness

general practicepsychiatrycommunicationtramadol
WAhospital2017-08-23

Inquest into the Death of Marjorie Joy JARICK

54y · Female·Opioid toxicity (predominantly fentanyl)

…ion was not communicated to Dr Y.. The patient vomited medications on the evening of 9 July and developed reduced oxygen saturation (94%), but was re-dosed with methadone without escalation to the anaesthetist. She was …

anaesthesiasurgerymedicationcommunicationfentanyl
VIChomeNew2026-06-10

Finding into death of Patricia Elizabeth Davidson

53y · Female·Pneumonia

… aspiration events and recurrent critical deterioration with Medical Emergency Team calls for hypoxia and reduced consciousness. Her clinical condition progressively worsened and was transitioned to end-of-life care on …

emergency medicinegeneral medicine
VICcommunity2017-03-22

Finding into death of Peter Van Danh

36y · Male·Head injuries from motor vehicle strike

Peter Van Danh, a 36-year-old man, died on 11 September 2014 from head injuries consistent with being struck by a motor vehicle. He had consumed approximately 40 diazepam tablets and tested positive for methamphetamine, …

forensic medicinediazepam
VIChome2021-12-17

Finding into death of KF Z

25y · Male·Combined flualprazolam and alcohol toxicity

A 25-year-old man died from combined flualprazolam and alcohol toxicity after ingesting illicit drugs. He consumed alcohol heavily with housemates on 8 May 2021, then took a counterfeit 'Xanax' tablet containing flualpra…

forensic medicinetoxicologysystemflualprazolam
VIChospital2025-10-09

Finding into death of Graham Keith Moore

57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia

Graham Keith Moore, a 57-year-old man with Down syndrome and early Alzheimer's dementia, died of pneumonia at Bendigo Hospital on 11 February 2025. He resided in specialist disability accommodation and received NDIS-fund…

general medicinegeriatric medicineintravenous fluids
VIChome2026-05-25

Finding into death of Robyn Julia Richards

69y · Female·Hydrocephalus and subarachnoid haemorrhage in the setting of a fall in a woman w…

A 69-year-old woman with cerebral palsy, intellectual disability, and B cell acute lymphoblastic leukaemia, residing in Specialist Disability Accommodation funded through the National Disability Insurance Scheme, sustain…

general practiceparamedicine
TAScommunity2015-07-03

Coroner's Finding: Pedersen, Jonas Havskov

26y · Male·morphine intoxication due to ingestion of poppy tea

A 26-year-old Danish student died from morphine intoxication following ingestion of poppy tea made from illegally harvested opium poppy heads in Tasmania. He had researched poppy tea preparation online and harvested popp…

toxicologyforensic medicinemorphine
VICcommunity2021-01-28

Finding into death of MrR

36y · Male·Multiple injuries (motor vehicle impact - driver)

…peed signage. Autopsy revealed possible cardiac disease but active evasive manoeuvres suggested normal consciousness. The death was preventable through proper load securement, reduced speed, and road safety infrastructu…

procedural

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