Coronial

9 results for subcutaneous infusion

QLDhospital2006-06-15

Hedges, John Walter

76y · Male·morphine toxicity and carcinomatosis

…en. Hedges had two pain management routes: an intrathecal catheter (delivering 2.2mg over 48 hours) and subcutaneous access (as-needed breakthrough pain relief). Empen, working her first shift in the ward with minimal or…

palliative carepain medicinemedicationproceduralmorphine
SAhospital2020-05-08

Coroner's Finding: FORT Merilyn Jane

62y · Female·general inanition on a background of end-stage dementia

Merilyn Jane Fort, aged 62, died from general inanition on a background of end-stage Alzheimer's dementia whilst subject to a Mental Health Act Inpatient Treatment Order. She presented with severe behavioural disturbance…

geriatric medicinepsychiatryclonazepam
VIChospital2024-10-24

Finding into death of Tamara Kudeviita

59y · Female·Pneumonia

…d-of-life care in December 2022 when unable to swallow. She received appropriate comfort care including subcutaneous midazolam for seizure management and morphine for breathlessness. The coroner found no preventable fact…

palliative caregeneral practicemidazolam
VIC2021-03-29

Finding into death of Brian Troy

64y · Male·Complications of a cerebral tumour in the setting of multiple medical comorbidit…

…dmitted to the palliative care unit where he received appropriate end-of-life care including continuous subcutaneous infusions of phenobarbitone, midazolam and morphine, and glycopyrrolate for airway secretions. The coro…

palliative careneurologyphenobarbital
VIChome2026-03-03

Finding into death of Jacqueline Stott

60y · Female·Aspiration pneumonia in the setting of advanced Huntington's disease

A 60-year-old woman with advanced Huntington's disease died from aspiration pneumonia while in specialist disability accommodation. She had been admitted to hospital in March 2025 and was discharged to palliative care at…

palliative careneurologybuprenorphine
VIC2024-05-15

Finding into death of Robert Leonard Morris

76y · Male·Terminal pancreatic cancer

…r 2020. By December 2021, active treatment was ceased in favour of palliative care. He was commenced on subcutaneous morphine, maxolon and midazolam via syringe driver on 12 January 2022. He was found unresponsive on 27 …

oncologypalliative caremorphine
TAShospital2016-08-08

Coroner's Finding: Teressa Beswick

45y · Female·Combined effects of widely metastatic (end-stage) carcinoma of the cervix and br…

Teressa Maree Beswick, a 45-year-old woman with end-stage metastatic cervical cancer, died from the combined effects of her cancer and bronchopneumonia accelerated by a critical medication error. On 23 October 2014, she …

emergency medicinegeneral practicemedicationproceduralmorphine
VIChospital2015-07-29

Finding into death of Beatrix Dammers

56y · Female·Intracranial haemorrhage whilst undergoing intravenous heparin therapy

A 56-year-old woman presented to Knox Private Hospital with severe headache and eye symptoms on 16 June 2007. An ED physician diagnosed ischaemic stroke based on a subtle CT finding in the absence of focal neurological s…

emergency medicineneurologydiagnosticmedicationenoxaparin
QLDhospital2017-07-18

Stimpson, Reginald - Non-inquest findings

73y · Male·Acute intracranial haemorrhage, due to or as a consequence of coagulopathy, due …

Mr Stimpson, a 73-year-old man, died from massive intracerebral haemorrhage secondary to coagulopathy caused by inadvertent double administration of anticoagulants (Clexane and Xarelto). He developed bilateral pulmonary …

orthopaedic surgerygeneral medicinemedicationcommunicationenoxaparin

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