Coronial

17 results for intracranial pressure monitoring

QLDhospital2014-04-02

Zessin, Ralph Frederick

67y · Male·Raised intracranial pressure due to head injuries from a fall

…path and struck his head, suffering subdural and subarachnoid haemorrhage, brain contusions, and raised intracranial pressure. Despite maximal ICU support including intracranial pressure monitoring and medications, he di…

neurosurgeryintensive care
VIChospital2023-04-18

Finding into death of Abdullahi Osman Bashir

27y · Male·Head injury

… five days later from traumatic brain injury with subdural haematoma. Medical review identified that an intracranial pressure (ICP) monitor migrated during treatment, potentially providing falsely reassuring readings and…

neurosurgeryintensive carediagnosticdelaymethamphetamine
NThospital2024

Inquest into the death of Road Death 27 of 2024

39y · Male·Multiple blunt force injuries due to motor vehicle collision (pedestrian), with …

…dural haematomas, and comminuted pelvic and hip fractures. Despite neurosurgical intervention including intracranial pressure monitoring, he was deemed to have poor neurological prognosis and died three days post-injury …

neurosurgerytrauma surgeryalcohol
QLDhospital2018-02-21

Barichello, Daniele Antony - Non-inquest findings

43y · Male·Multi-organ failure with coagulopathy secondary to acute exacerbation of chronic…

…Over Saturday, he deteriorated with worsening headache, vomiting, and nausea—classic signs of increased intracranial pressure. The neurosurgeon rescheduled surgery for Sunday morning but the patient suffered cardiac arre…

neurosurgeryintensive carediagnosticdelaytramadol
WAhospital2015-08-12

Inquest into the Death of Helen Christine MacFARLAINE

52y · Female·intracerebral haemorrhage in a lady with underlying cerebrovascular disease and …

…ent right carotid endarterectomy for high-grade stenosis. Post-operatively she developed escalating blood pressure readings (160–220 mmHg), headaches, nausea, agitation, and abnormal behaviour over 6–7 April. Despite a c…

neurosurgeryintensive carecommunicationsystemaspirin
QLDhospital2010-10-29

Spence, Samantha Rose

12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…

… her as cleared for surgery. Post-operatively, she developed acute-on-chronic hydrocephalus with raised intracranial pressure, causing sudden respiratory arrest and death. Clinical lessons include: pre-operative brain im…

orthopaedic surgeryneurologydiagnosticcommunicationmorphine
VIChospital2014-03-13

Finding into death of Kerry Anne Golley

35y · Female·Global cerebral ischaemic injury in the setting of post caecal resection for col…

…e the importance of urgent investigation of recurrent vomiting in young patients, careful post-operative monitoring in patients with epilepsy, and rapid recognition and management of altered consciousness post-operativel…

general practiceemergency medicinediagnosticdelay
SAhospital2004-07-20

Coroner's Finding: QUINN Latoya Shelley

12y · Female·raised intracranial pressure due to ventriculo-peritoneal shunt blockage

… and died from blocked VP shunt. Expert evidence confirmed she should have been referred for imaging and monitoring at a tertiary centre, where blocked shunt could have been diagnosed and surgically treated.

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
SAhospital2006-08-18

Coroner's Finding: CAMPANELLA Cosmo Joseph

20y · Male·anoxic brain injury following cardio-respiratory arrest caused by hypoxia result…

… Key learning: patients with impaired consciousness and tracheostomies require continuous pulse oximetry monitoring rather than intermittent suctioning alone. Poor nursing documentation and unclear nursing care standards…

intensive careneurosurgerysystemcommunicationmannitol
NSW2016-09-14

Inquest into the death of Rodney James BATES

55y · Male·Traumatic brain injury caused by blunt force to the head sustained in a fall

Rodney Bates, a 55-year-old in custody at Cessnock Correctional Centre, died from traumatic brain injury sustained in a fall on 2 April 2015. He had experienced recurrent unexplained loss of consciousness episodes from N…

neurosurgeryneurologymethadone
NThospital2024

Inquest into the death of Road Death 19 of 2024

22y · Female·Traumatic brain injury (diffuse axonal injury with skull fractures) secondary to…

A 22-year-old female died from traumatic brain injury sustained in a single-vehicle rollover on a rural road in the Northern Territory. She had consumed 15-20 cans of beer over approximately 10 hours, achieving a blood a…

trauma surgeryneurosurgeryalcohol
VIChospital2014-01-30

Finding into death of Kerri Louise Gunn

41y · Female·Intracerebral haemorrhage secondary to Posterior Reversible Encephalopathy Syndr…

…old woman five days post-caesarean delivery, presented to emergency with frontal headache, elevated blood pressure, proteinuria, abnormal liver function and lower limb oedema. She was admitted under general physician Dr …

emergency medicinegeneral medicinediagnosticdelayparacetamol
VIChospital2021-04-08

Finding into death of Ian Lindsay Gould

64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall

Ian Gould, a 64-year-old man with a non-MRI compatible pacemaker, presented with vision loss in June 2019. Initial neurological and ophthalmological evaluation was normal; functional visual loss was suspected. He develop…

neurologyophthalmologysystemrivaroxaban
NTschoolPodcast2008-05-02

Inquest into the death of Aidan Bott

9y · Male·head injury

Nine-year-old Aidan Bott was fatally struck by a falling branch from an African Mahogany tree in the school courtyard on 22 August 2006, sustaining fatal head injuries. The death was preventable through regular tree main…

emergency medicineneurosurgerysystemdelay
QLDhospital2017-06-28

Tonkin, Nixon Martin

0y · Male·Head injuries (birth trauma) secondary to obstructed labour and fetal macrosomia…

…rolonged second-stage labour. During emergency disimpaction attempts, a midwife applied excessive focused pressure using two fingers (rather than a cupped hand) to the fetal head vaginally, causing skull fractures and in…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
VIChospital2026-01-08

Finding into death of Malakai Cross-De Jesus

0y · Male·Complications following forceps delivery

…of instrumental forceps delivery, specifically subgaleal haemorrhage with associated skull fracture and intracranial bleeding. Critical clinical lessons include: (1) complex forceps deliveries with red flags (malposition…

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
QLDhospital2023-06-30

Booth, Yvette and Sandy, Adele and George, Shakaya (“RHD Doomadgee Cluster”)

Female·Betty: cardiac arrhythmia complicating heart failure due to consequences of past…

This inquest examined three deaths of young Aboriginal women from Doomadgee (ages 18, 37, and 17) from rheumatic heart disease (RHD) complications between September 2019 and September 2020. All three deaths were preventa…

cardiologyemergency medicinecommunicationsystempenicillin

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