Deceased
Pamela Jacqueline Chamberlain
Demographics
55y, female
Date of death
2018-06-18
Finding date
2022-07-29
Cause of death
asphyxia due to choking on food (steak)
AI-generated summary
A 55-year-old woman with multiple comorbidities including morbid obesity, schizophrenia, depression, and substance use disorder died from asphyxia caused by choking on food while at a friend's home in supported accommodation. She was on multiple central nervous system depressants and atropine, all of which depressed pharyngeal reflexes and increased aspiration risk. Paramedics arrived within minutes but were delayed approximately 6 minutes gaining access to the locked facility, during which critical early resuscitation and airway clearance could not occur. The coroner found that earlier access might have enabled survival. The delay resulted from poor communication between the facility and ambulance services regarding access codes, and system limitations in the ambulance dispatch software that made storing and retrieving access information impractical.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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73y · Male·Gregory Frank Burkhalter: carbon monoxide toxicity due to inhalation of carbon m…
Two elderly US-born residents died in a house fire caused by a 120-volt electric blanket operating on Australia's 230-volt grid, resulting in insulation failure and combustion. Mr Burkhalter (73) died from carbon monoxid…
87y · Female·right thigh haematoma as a consequence of a periprosthetic fracture of the right…
An 87-year-old woman with multiple comorbidities (diabetes, atrial fibrillation, peripheral vascular disease) sustained a periprosthetic fracture requiring distal femur replacement. She deteriorated significantly during …
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