Coronial

5 results for shoulder replacement

VIChospital2026-04-28

Finding into death of Ronald William Beaumont

74y · Male·Acute myocardial infarction complicated by multiple organ failure

…umont, 74, died from acute myocardial infarction complicated by multiple organ failure following a second shoulder washout procedure. Key clinical lessons: (1) Despite inadvertent withholding of dual antiplatelet therapy…

cardiologyorthopaedic surgerymedicationcommunicationaspirin
VICaged care2019-02-21

Finding into death of Kathleen Schleibs

88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…

An 88-year-old woman died from sepsis with multiple organ failure following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. …

orthopaedic surgerygeriatric medicinediagnosticcommunicationfentanyl
QLDcommunity2016-12-08

Floyd, Leah Elizabeth

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

…e disability care provider (air mattress deflation, poor repositioning documentation), delayed catheter replacement (5 days without IDC), failure to escalate wound deterioration, and loss of trust in providers due to in…

neurologypsychiatrycommunicationsystemdiazepam
NSW2025-05-02

Inquest into the death of Emmett Brown

25y · Male·acute bronchopneumonia and methadone toxicity with high body mass index and obst…

…ty and obstructive sleep apnoea as contributing factors. He had been denied entry to the Buvidal opioid replacement therapy program in August 2022 despite showing 'red flags' for opioid dependence, with no timely reasse…

correctional healthaddiction medicinediagnosticsystemmethadone
NTcommunity2001-10-19

Inquest into the death of Clive Henry Impu

25y · Male·coronary thrombosis resulting from coronary atherosclerosis

A 25-year-old Aboriginal man with undiagnosed coronary artery disease collapsed and died one hour after a consultation at an Aboriginal health clinic. The coroner found the medical examination by Dr M. was inadequate and…

general practiceemergency medicinediagnosticcommunicationanti-inflammatory medications

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