Coronial
VIChospital

Finding into death of Rosalie Anne King

Deceased

Rosalie Anne King

Demographics

29y, female

Coroner

Coroner Jacqui Hawkins

Date of death

2007-05-05

Finding date

2014-06-20

Cause of death

Bronchopneumonia in a woman with brain injury

AI-generated summary

A 29-year-old Aboriginal woman suffered a motor vehicle collision resulting in severe multi-system injuries requiring multiple surgical interventions. Eleven days after transfer to the trauma ward, she experienced sudden respiratory arrest causing hypoxic brain injury. Despite resuscitation, she suffered profound neurological injury with poor prognosis and was transferred to palliative care. She subsequently developed recurrent infections including bronchopneumonia and died seven months later. The coroner found no clear consensus on the respiratory arrest cause (pulmonary embolism, fat embolism, or aspiration all considered but not confirmed), and determined that medical management at the Royal Melbourne Hospital was of high standard. The sudden nature of the arrest meant there was nothing further medical staff could have done to prevent it.

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

Specialties

trauma surgeryintensive carevascular surgeryneurologypalliative care

Clinical conditions

traumatic brain injuryhypoxic brain injuryrespiratory arrestpulmonary embolism (differential diagnosis, unconfirmed)fat embolism (differential diagnosis, excluded)aspiration pneumonia (differential diagnosis)methicillin-resistant staphylococcus aureus septicaemiaacute renal failuresupraventricular tachycardiaretroperitoneal haemorrhagepelvic fracturerib fracturesrenal artery injuryfemur fractureencephalopathydiffuse cortical injurybronchopneumoniagastroparesis

Procedures

renal artery reattachmentpelvic fracture repairexternal fixationskin graftfemur pinningcardiopulmonary resuscitationintubationtracheotomypercutaneous endoscopic gastrostomynephrostomy tube insertion

Contributing factors

  • Motor vehicle collision with severe multi-system injuries
  • Hypoxic brain injury from respiratory arrest
  • Recurrent infections post-brain injury
  • Difficulty with nutritional support and aspiration risk
  • Kidney failure and renal complications
  • Cardiac complications including arrhythmia
Full text

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