Coronial

38 results for cardiorespiratory monitoring

TAShospital2021-03-19

Coroner's Finding: Master T

3y · Male·Hypoxic brain injury secondary to cardiorespiratory arrest, possibly secondary t…

Master T, aged 3 years, died from hypoxic brain injury secondary to cardiorespiratory arrest, likely due to aspiration pneumonitis. He had severe congenital abnormalities including holop…

paediatricsintensive careparacetamol
NSW2012-05-15

Grainger ,helen finding 1767 08 2012 05 31 14 40 06 300

29y · Female·Hypoxic Encephalopathy consequent upon Cardiorespiratory Arrest arising from eit…

…urgery in April 2007. She developed anaphylaxis post-procedure (likely cephalosporin-triggered) with cardiorespiratory arrest. The attending GP sedationist administered adrenaline but failed to intubate effectively, lea…

general practiceobstetricsproceduralsystemcephalosporin
VICcommunity2021-11-12

Finding into death of Michael Anderson

36y · Male·Cardiorespiratory arrest complicating propofol administration for endodontic pro…

Michael Anderson, a 36-year-old obese man (BMI 38.5), suffered cardiorespiratory arrest during a root canal procedure under conscious sedation with propofol administered by Dr S. in…

anaesthesiadentistrycommunicationdocumentationpropofol
VIC2015-03-27

Finding into death of Anthony William Dunning

40y · Male·Global ischaemic brain injury following cardiorespiratory arrest during prone re…

…proximately 4 minutes before losing consciousness. He developed global ischaemic brain injury due to cardiorespiratory arrest during this restraint and died at The Alfred Hospital. The autopsy identified cardiomegaly an…

forensic medicineemergency medicineproceduralcommunicationalcohol
WAhome2004-10-28

Inquest into the Death of Kelly

33y · Female·Combined drug toxicity, with thioridazine as the principal component, in the con…

…edications with alcohol. She collapsed at her mother's home in South Hedland on 2 April and suffered cardiorespiratory arrest. The coroner found the death accidental, not suicidal. Key issues identified included: the de…

general practicepsychiatrysystemthioridazine
QLDhospital2016-11-07

Bower, Malaki Ron - Non-inquest findings

2y · Male·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest secondary to up…

…s required 4+ hours observation post-adrenaline before safe discharge. The following day he suffered cardiorespiratory arrest from upper airway obstruction, resulting in severe hypoxic-ischaemic brain injury and death. …

emergency medicinepaediatricsdiagnosticcommunicationnebulised adrenaline
VICaged care2020-04-22

Finding into death of Dorothy May Nelson

81y · Female·Complications of choking on a food bolus in a woman with dementia

…aims of 2cm maximum) and collapsed during lunch. Staff provided back thrusts but failed to recognise cardiorespiratory arrest and did not commence CPR. There was a 5-10 minute delay before recognising the severity, with…

geriatric medicinepsychiatrydiagnosticproceduralmorphine
WAmental health2019-05-22

Inquest into the Death of Christopher John DEBNAM

40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…

…ilation and hypercapnia despite apparently normal respiratory rate on visual inspection. He suffered cardiorespiratory arrest between 6.30am and 7.10am on 21 November and could not be revived. Clinical lessons: undiagno…

psychiatryrespiratory medicinediagnosticcommunicationhaloperidol
QLDhospital2022-07-08

R - Non-inquest findings

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

…ective cleft palate repair surgery complicated by post-operative respiratory distress and subsequent cardiorespiratory arrest. Initial laryngospasm led to suspected post-obstructive pulmonary oedema requiring intubation…

anaesthesiaintensive carediagnosticproceduralpropofol
NSWcommunity2014-07-18

Inquest into the death of Pat MORENA

24y · Male·Combination of factors including methylamphetamine toxicity, physical exertion, …

… of factors: methylamphetamine toxicity, physical exertion, anxiety, morbid obesity, and compromised cardiorespiratory function from brief prone restraint. While restraint contributed, he was likely predisposed to sudde…

forensic medicinetoxicologysystemmethamphetamine
QLD2012-12-14

Mitchell, Herbert John

50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…

… to remain in custody after vital signs checked normal and Glasgow Coma Scale was 15/15. Despite ongoing monitoring by police, Mitchell suffered cardiorespiratory arrest at 3:21pm while in the watchhouse and died the fol…

emergency medicineintensive carediagnosticsystemalcohol
NTcommunity2004-12-14

Inquest into the death of Nikita Anderson

0y · Female·bronchopneumonia caused by hypoxic brain damage caused or contributed to by meni…

A 9-month-old Aboriginal girl died from bronchopneumonia caused by hypoxic brain damage following cardiorespiratory arrest due to meningitis and seizures. During resuscitation at a rural GP clinic, a CO₂ cylinder was…

general practicepaediatricsproceduralsystemadrenaline
QLDhospital2007-10-30

Noffke, Veronica Margaret

73y · Female·coronary atherosclerosis

…ion and extubated after 8 days. She was transferred to coronary care as stable but deteriorated with cardiorespiratory arrest. Autopsy revealed coronary atherosclerosis as primary cause with contributing anterior abdomi…

emergency medicineintensive careanticoagulants
QLDhospital2010-06-11

Whiting, Edith

68y · Female·Anaphylactoid reaction to intravenous CT scan contrast medium leading to cardior…

…was disputed. The contrast injection triggered a severe anaphylactoid reaction with bronchospasm and cardiorespiratory arrest. Resuscitation was suboptimal: adrenaline administration was delayed when it should have been…

emergency medicinesurgerycommunicationdelayintravenous contrast medium
QLD2007-09-14

Waugh, Cappur William Embling

17y · Male·Complications of head injury sustained in a single vehicle roll-over; cardioresp…

…The accident most likely resulted from driver inattention or inadvertence, possibly related to excessive monitoring of the speedometer. The deceased may have been wearing a seatbelt but was thrown from the vehicle during…

WAcommunity2025-08-22

Inquest into the Death of David Kalunda FLYNN

2y · Male·Cardiorespiratory arrest in a young child with opioid (morphine) toxicity

…l failures included: no fasting instructions despite using an opioid that causes vomiting; no continuous monitoring of oxygen levels or vital signs; and discharge from the clinic while still deeply asleep, less than 1.5 …

general practicegeneral surgerymedicationproceduralmorphine
NSWhospital2021-10-12

Inquest into the death of Bruce HODGES

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

…ently recorded, missing opportunities for escalation; (3) The critical airway narrowing warranted closer monitoring and potentially transfer to higher-level care; (4) An arterial blood gas test should have been performed…

emergency medicineENT surgerydiagnosticsystemnebulised saline
SAhospital2002-11-29

Coroner's Finding: RICHARDSON Corey Shane

21y · Male·Cardiorespiratory arrest associated with butane abuse by inhalation

A 21-year-old detained psychiatric patient died from cardiorespiratory arrest following deliberate butane inhalation in a hospital wardrobe. He was admitted to an open men…

psychiatryforensic medicinesystemcommunicationbutane
QLDcommunity2004-10-28

Cif Shoobridge Gr 20041028

25y · Male·Cardiorespiratory failure due to unpredictable additive effect of combination of…

George Shoobridge, a 25-year-old man with a long history of polydrug addiction, died from cardiorespiratory failure caused by the unpredictable additive effect of multiple drugs in combination (diazepam, morp…

general practiceaddiction medicinecommunicationsystemdiazepam
NSWhospital2014-09-26

Inquest into the death of AA

10y · Male·Hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…

…boy with severe obstructive sleep apnoea and morbid obesity died from hypoxic brain injury following cardiorespiratory arrest. Despite repeated medical interventions and explicit warnings that his condition was life-thr…

respiratory medicineendocrinologycommunicationsystemmethadone

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