Coronial

33 results for acute airway distress

QLD2026-03-31

Inquest into the death of Kyle James Gallagher

22y · Male·Airway obstruction due to laryngeal abscess and laryngeal chondronecrosis due to…

Kyle Gallagher, age 22, died from airway obstruction due to laryngeal abscess and chondronecrosis following a motorcycle accident. A CT scan on 13 …

ENT surgeryradiologydiagnosticcommunicationdiazepam
VIChospital2024-08-30

Finding into death of Betty Eileen Cliffe

85y · Female·Asphyxia due to upper airways obstruction by mucoid plugging of the upper airway…

…ffe, 85-year-old with intellectual disability and oropharyngeal dysphagia, died from asphyxia due to upper airway mucoid plugging on a background of cardiomegaly and heart failure. She was admitted to hospital on 9 April…

respiratory medicinespeech pathology
NSWhospital2021-10-12

Inquest into the death of Bruce HODGES

78y · Male·cardiorespiratory failure due to complications of tracheal stenosis

…rs of admission, his respiratory rate fluctuated between normal and elevated levels despite a critical 4mm airway narrowing. Key clinical lessons: (1) Altered vital sign calling criteria were inappropriately implemented …

emergency medicineENT surgerydiagnosticsystemnebulised saline
QLDhospital2022-07-08

R - Non-inquest findings

0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…

…nth-old boy died following elective cleft palate repair surgery complicated by post-operative respiratory distress and subsequent cardiorespiratory arrest. Initial laryngospasm led to suspected post-obstructive pulmonary…

anaesthesiaintensive carediagnosticproceduralpropofol
WAmental health2018-07-16

Inquest into the Death of Stanley KING

45y · Male·Cardiorespiratory arrest due to coronary artery disease, severe psychosis requir…

…cardiorespiratory arrest triggered by antipsychotic-induced laryngeal dystonia. Admitted involuntarily for acute psychotic relapse, he experienced respiratory distress from laryngeal-lingual dystonia caused by antipsych…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…

…ces; insufficient IV fluid resuscitation (patient encouraged to refuse); misinterpretation of respiratory distress as anxiety/alcohol withdrawal; sparse overnight vital sign monitoring despite clinical deterioration; and…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol
VIC2020-12-09

Finding into death of Alma Lynette Honeychurch

76y · Female·Ludwig's angina

… arrangements made for transfer to a tertiary centre. However, staff failed to recognise the risk of rapid airway compromise despite documented clinical deterioration (increased noise in breathing, worsening swelling, di…

emergency medicinedentistrydiagnosticcommunicationantibiotics
QLDmental health2020-06-29

Rangi, Taare Tamakehu

44y · Male·Cardiac arrhythmia during physical restraint

…ical restraint in a mental health unit. Critical failures occurred at multiple levels: (1) the decision to acutely sedate him with intramuscular lorazepam was not clinically warranted—he was calm and not aggressive; (2)…

psychiatryemergency medicinediagnosticprocedurallorazepam
VICmental health2025-05-19

Finding into death of Anna Lee

70y · Female·Asphyxia due to airway obstruction

Anna Lee, a 70-year-old retired psychiatric nurse, died from asphyxia due to airway obstruction while an inpatient in a mental health unit. She was admitted with first-episode mania with psy…

psychiatrygeriatric medicinesystemolanzapine
SAcommunity2023-05-26

Coroner's Finding: Latouche Mazzei, Lucas

5y · Male·acute upper airway obstruction from nectarine stone

Lucas Mazzei, aged 5 years, died on 27 March 2017 from acute upper airway obstruction caused by an uncut nectarine stone. While attending school, he was separated from…

emergency medicinepaediatricscommunicationsystemlamotrigine
NT2012-09-17

Inquest into the death of Terrence Daniel Briscoe

27y · Male·Airway obstruction due to a combination of positional asphyxia, aspiration and a…

27-year-old Aboriginal man died in Alice Springs Watch House from airway obstruction due to acute alcohol intoxication, positional asphyxia and aspiration. He was detained in prot…

forensic medicineemergency medicinediagnosticcommunicationalcohol
WAmental health2015-11-18

Inquest into the Death of Anna Maria CAMERON

65y · Female·Early bronchopneumonia and hypoxic brain injury following aspiration of food (ch…

…sessment of her complex medication regimen. While eating a sandwich, she choked on food, suffered complete airway obstruction, and despite immediate resuscitation efforts including manual clearance and CPR, sustained sev…

psychiatryintensive carelorazepam
VIChospital2026-03-25

Finding into death of Neville Stanley Andrews

69y · Male·Pericarditis

…me presented to the Emergency Department with dyspnea following an unwitnessed fall. He was diagnosed with acute pulmonary edema and congestive heart failure, rapidly deteriorated, and was placed on BIPAP support. Despi…

emergency medicinecardiology
VIC2018-03-09

Finding into death of Damien Nobile

37y · Male·Acute epiglottitis

…uring him with follow-up planned. Within an hour, the patient deteriorated significantly with respiratory distress. Despite eventual ambulance transport and treatment, he died from acute epiglottitis. Key clinical lesson…

emergency medicinegeneral practicediagnosticcommunicationcelecoxib
SAhospital2006-07-17

Coroner's Finding: HERBERT Raelene Vicki

29y · Female·respiratory depression caused by morphine intoxication on a background of upper …

… severe sore throat died from respiratory depression caused by morphine intoxication with concurrent upper airway narrowing. A GP administered 30mg intramuscular morphine twice within 12 hours (2 doses totalling 60mg) ba…

general practiceemergency medicinemedicationdiagnosticmorphine
VIChome2023-06-08

Finding into death of Mayumi Spencer

29y · Female·Cocaine toxicity

…before calling ambulances at 7:38 AM. Expert evidence indicated that even accounting for attempts to clear airway obstruction, emergency services should have been called within minutes. The death occurred in the context …

emergency medicinetoxicologydelaysystemcocaine
TAShospital2021-07-02

Coroner's Finding: HB

8y · Male·acute exacerbation of chronic asthma

An 8-year-old boy with undertreated chronic asthma presented to North West Regional Hospital with acute exacerbation. Initial assessment underestimated severity. Despite initial improvement with salbutamol, ipr…

paediatricsemergency medicinediagnosticcommunicationfluticasone/salmeterol
QLDhospital2007-10-30

Noffke, Veronica Margaret

73y · Female·coronary atherosclerosis

A 73-year-old woman admitted with severe respiratory distress was appropriately managed in ICU with intubation and extubated after 8 days. She was transferred to coron…

emergency medicineintensive careanticoagulants
SAhospital2006-11-13

Coroner's Finding: SALMON Daniel Brindley

27y · Male·Airway obstruction due to sublingual and submandibular cellulitis (Ludwig's angi…

A 27-year-old man died from airway obstruction due to Ludwig's angina (bilateral sublingual and submandibular cellulitis) following a tooth e…

emergency medicinedentistrycommunicationdiagnosticparacetamol/codeine
VICcommunity2019-08-12

Finding into death of Matt Robert Crampton

39y · Male·Cardiorespiratory arrest during prone restraint including pressure on the neck o…

… shopkeeper and an off-duty police officer. During restraint, the deceased displayed signs of respiratory distress and lost consciousness. CPR was initiated but was unsuccessful. The death was multifactorial—methylamphet…

forensic medicineemergency medicinemethamphetamine

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