Coronial

52 results for bradycardia

VIChospital2013-05-10

Finding into death of Joseph Thurgood Gates

0y · Male·Global cerebral hypoxic injury and perinatal asphyxia secondary to uterine ruptu…

…sks, supported home birth plans despite clinical concerns, and delayed transfer to hospital when foetal bradycardia developed during labour. The bradycardia persisted for over 40 minutes before hospital transfer; ruptur…

obstetricsmidwiferydiagnosticcommunication
VIChospital2025-07-14

Finding into death of Baby Sidney

0y · Male·Head injury sustained in a difficult delivery including head impaction and caesa…

… to uterine hyperstimulation by ceasing syntocinon; failure to escalate multiple abnormal CTG findings (bradycardia, tachysystole, decelerations) to the consultant obstetrician throughout labour; and absence of the cons…

obstetricsneonatologydiagnosticcommunicationoxytocin
VIC2011-12-02

Finding into death of Garry John Stephens

46y · Male·Ventricular arrhythmia in a man with epilepsy and documented episodes of bradyca…

…rt Phillip Prison on 7 September 2007 from ventricular arrhythmia in a man with epilepsy and documented bradycardia episodes. The coroner accepted this as consistent with sudden unexpected death in epilepsy (SUDEP). Key…

psychiatryneurologycommunicationsystemphenytoin
SAhospital2008-05-23

Coroner's Finding: KROL Riley

0y · Male·hypoxic ischaemic encephalopathy

…. After artificial rupture of membranes during labour induction, the foetus developed severe, sustained bradycardia lasting approximately 30 minutes before delivery. The emergency caesarean section decision was made at …

obstetricsanaesthesiacommunicationsystemcervedil
VIChospital2021-11-08

Finding into death of Baby MNL

0y · Male·Hypoxic ischaemic encephalopathy complicating peri partum asphyxia

…essed slowly; cervical dilation remained at 8cm for 2.5 hours despite mild-moderate contractions. Fetal bradycardia developed at 7:30pm and emergency caesarean section was performed 22 minutes later. The baby was born s…

obstetricsneonatologysystemcommunicationterbutaline
TAShospital2023-10-11

Coroner's Finding: Jones, Emily Margaret Rose

82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…

…on of anticoagulants increased bleeding risk. Metoprolol and flecainide also contributed to symptomatic bradycardia and cognitive decline, though her cognition was improving at the time of the fall. Key clinical lessons…

cardiologyemergency medicinemedicationcommunicationmetoprolol
VIChospital2011-07-11

Finding into death of Cara Grace Zambelli

0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord

…es and had a prolonged second stage. Foetal heart rate monitoring showed intermittent decelerations and bradycardia from 0300 hours onwards. The locum obstetrician contacted the on-call registrar at 0410 hours regarding…

obstetricsneonatologycommunicationsystemadrenaline
SAhospital2001-07-13

Coroner's Finding: TRIMBOLI Jayden Tyler

0y · Male·hypoxic-ischaemic encephalopathy due to prolonged fetal bradycardia

…den Tyler Trimboli, aged 6 days, died from hypoxic-ischaemic encephalopathy caused by a prolonged fetal bradycardia episode between 11:10pm and 11:50pm on 18 September 1998. The critical failure was that the cardiotocog…

obstetricsmidwiferycommunicationsystemprostaglandin gel
VIChospital2024-02-04

Finding into death of Miranda Louise Lynch

46y · Female·Sepsis of unknown origin

…tted to Box Hill Hospital on 20 April 2023 after two episodes of altered consciousness, presenting with bradycardia, hypotension, and hypothermia. Despite extensive investigations and treatment with intravenous fluids, …

emergency medicinegeneral medicineintravenous fluids
SAhospital2002-09-18

Coroner's Finding: McPHAIL Matthew Anthony

0y · Male·Hypoxic Ischaemic Encephalopathy (no legal death of person found; coroner declin…

…te Health Service with no signs of life (Apgar 0). CTG monitoring during labour showed concerning fetal bradycardia episodes around 6.55 pm with recovery, followed by total loss of fetal heartbeat between 9.30-9.40 pm. …

obstetricsgeneral practicedelayoxytocin
VIChospital2022-09-15

Finding into death of Jennifer Anne Jones

62y · Female·Sepsis secondary to lower respiratory tract infection

…ility, died from sepsis secondary to lower respiratory tract infection. She presented with hypothermia, bradycardia, and decreased consciousness on 19 July 2020 and was admitted to hospital where palliative care was imp…

general practiceemergency medicinebetamethasone
VIChospital2014-09-30

Finding into death of Iman Kassis

46y · Female·hemopericardium secondary to dissection of the thoracic aorta

…th dilated ascending aorta, presented to the ED on 8 October 2008 with sudden-onset severe throat pain, bradycardia, and right arm weakness. She was discharged after 4 hours observation with a diagnosis of gastro-oesoph…

emergency medicinecardiologydiagnosticdocumentationflecainide
VICcommunity2023-08-25

Finding into death of Mr P

26y · Male·Brain death post mixed drug toxicity including MDMA and cocaine

…ed cocaine and high-dose MDMA (Blue Punisher pill). He experienced seizures, hyperthermia (42.2°C), and bradycardia, and was treated at the festival's medical tent before transfer to Royal Melbourne Hospital ICU. He dev…

emergency medicineintensive careMDMA
NSWhospital2018-10-04

Inquest into the death of D H

56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…

…nt. During surgery, the patient experienced prolonged hypoxia with severe oxygen desaturation (53–78%), bradycardia (heart rate 26–40/min), and hypertension, none adequately recognised or managed. Cardiac arrest occurre…

anaesthesiageneral surgerydiagnosticproceduralpropofol
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

…essive anticoagulation; (3) no medical review overnight despite deteriorating vital signs (hypotension, bradycardia, desaturation); and (4) misdiagnosis of dehydration/possible MI on morning review, without considering …

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
VIChospital2012-04-12

Finding into death of Gayle Maree Johnson

51y · Female·Complications of anorexia nervosa

…woman with severe anorexia nervosa, BMI 12.1, was admitted to hospital acutely unwell with hypothermia, bradycardia, heart block, and extreme malnutrition. She was discharged after only 2 days with minimal medical follo…

psychiatryemergency medicinediagnosticcommunication
VIChospital2014-07-28

Finding into death of Glen David Kingsun

42y · Male·Cardiac arrhythmia secondary to electrolyte imbalance (hyperkalaemia) and verapa…

… 420mg daily attempting to fulfill what he misunderstood. (2) ED response – on second presentation with bradycardia, hyperkalaemia, and ECG changes suggesting life-threatening electrolyte disturbance, staff failed to re…

general practiceemergency medicinemedicationcommunicationverapamil
VIChospital2014-01-22

Finding into death of Hannah McNeil

0y · Female·Pulmonary hypoplasia in the setting of ascending maternal genital tract infectio…

Hannah McNeil, a term neonate, died from pulmonary hypoplasia secondary to ascending maternal genital tract infection. She was born via emergency caesarean section after induction of labour for brow presentation. Despite…

obstetricsneonatologydelaycommunicationoxytocin
VIChospital2023-10-06

Finding into death of G A

86y · Female·Bradycardic arrest secondary to relative hypoperfusion while undergoing surgery …

…esia with intravenous sedation. She suffered an unexpected cardiac arrest intraoperatively secondary to bradycardia and hypotension. Despite appropriate resuscitation, she sustained a hypoxic brain injury and died three…

dermatologyplastic and reconstructive surgerymedicationpropofol
NSWhospital2021-02-08

Inquest into the death of Simone O'Donnell

24y · Female·Cardiac conducting system disease leading to asystole against a background of a …

…al palsy, and hydrocephalus was admitted to a secondary hospital with a respiratory tract infection and bradycardia with left bundle branch block. She deteriorated into asystole during overnight monitoring. Cardiac tele…

cardiologyemergency medicinesystemcommunicationoxycodone

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