Coronial

97 results for respiratory compromise

VIChospital2025-03-07

Finding into death of Heather Joan Moody

77y · Female·Pneumonia with contributing factors of acquired brain injury, Parkinson's diseas…

…tion pneumonitis on 16 August 2024 and was admitted to hospital under neurology care. She had worsening respiratory function complicated by rhinovirus infection. Goals of care discussions occurred on 19 August, with flu…

neurologyrespiratory medicineprednisolone
WAhome2014-12-19

Inquest into the Death of Baby W

9y · Male·Sudden infant death in a boy with bronchitis and otitis media (cause unascertain…

…from biological parents due to maternal health issues and parental dysfunction. Post-mortem showed mild respiratory infections (bronchitis, otitis media, metapneumovirus) and evidence the baby was placed prone (face-dow…

paediatricsforensic medicinecommunicationparacetamol
VICcommunity2024-07-18

Finding into death of Frankie Skye Foulkes

0y · Female·Complications of spinal muscular atrophy

…0 minutes in a standard car seat prior to discharge. However, SMA causes progressive weakness and airway compromise risk in upright positions. The coroner identified that the rigid positioning in standard car seats poses…

neurologyoccupational therapysystemnusinersen
NSWhospital2015-10-28

Inquest into the death of Michael NELSON

62y · Male·multiple co-morbidities including dementia, Parkinson's disease, undernourishmen…

…ween Dr C. and RN Louise Copeland. Although the dose was within recommended limits, Mr Nelson developed respiratory depression and initial respiratory arrest, though he resumed breathing after CPR was ceased. He died ap…

emergency medicineneurologymedicationcommunicationmidazolam
SA2019-06-12

Coroner's Finding: WRIGHT Martin Norman

59y · Male·Chronic liver disease due to alcoholism and chronic hepatitis C infection with c…

… and chronic obstructive pulmonary disease. He had severe ascites causing fluid imbalance and potential respiratory compromise. The coroner found his death was not unexpected given his extensive comorbidities and found …

emergency medicinegeneral medicinewarfarin
VIChospital

Finding into death of WM

77y · Male·Respiratory arrest in the setting of metastatic malignancy

An elderly man with metastatic malignancy died from respiratory arrest in hospital. The coroner found the death resulted from his underlying advanced cancer rather tha…

oncologypalliative care
QLDhome2008-04-10

Bond, Jakai Ryan

0y · Male·Positional asphyxia contributed to by bronchopneumonia and head injuries

…bstance-affected adults are at significant risk; a concurrent chest infection (bronchopneumonia) further compromised respiratory function; head injuries of unclear origin may have further impaired respiration. The baby h…

paediatricsforensic medicinedelaycannabis
NSWaged care2021-09-22

Inquest into the death of Vakabauta LEONE

47y · Female·complications of rapidly progressing motor neurone disease

A 47-year-old woman with motor neurone disease died from respiratory complications while in immigration detention, residing in aged care. She collapsed at 1:00am with respi…

palliative careemergency medicinecommunicationdelay
VIChospital2023-03-10

Finding into death of Armin Andrew Schaefer

63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…

…t in recovery position; and failure to escalate for medical review despite clinical indicators of airway compromise. The combination of polypharmacy with QT-prolonging agents, airway obstruction, and respiratory depressi…

psychiatryemergency medicinediagnosticcommunicationdiazepam
TAShome2026-03-23

Coroner's Finding: de-identified ZA

51y · Female·Unintentional prescription drug poisoning due to central nervous system depressi…

A 51-year-old woman with chronic pain, depression, and longstanding medication misuse died from unintentional prescription drug poisoning. She had been prescribed high-risk combinations of opioids and benzodiazepines ove…

general practicepain medicineoxycodone
VIChospital2009-05-20

Finding into death of Kara Lennah Compton

1y · Female·acute on chronic respiratory failure

Kara Compton, aged 22 months with Down's syndrome and chronic respiratory disease requiring home oxygen, died from acute on chronic respiratory failure following a dog bite atta…

emergency medicinepaediatricsproceduralcommunicationadrenaline
QLDhospital2012-11-28

Hammett, Christopher

47y · Male·Aspiration pneumonia due to or as a consequence of coronary atherosclerosis

…o diagnose aspiration acutely, poor handover communication, inadequate nursing escalation despite clear respiratory compromise, and unprofessional record alteration. Death was preventable had staff recognised and commun…

orthopaedic surgeryanaesthesiadiagnosticcommunicationmorphine
WAhospital2003-08

Inquest into the Death of Richard Christopher Jankowski

39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…

Richard Christopher Jankowski, a 39-year-old man, died from hypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment w…

anaesthesiageneral surgeryproceduralcommunicationpropofol
VIChospital2010-12-08

Finding into death of Peter Greenhill

57y · Male·Sepsis and acute renal failure due to pneumonia

…eathing difficulty, atrial fibrillation, and hypoxia. He was diagnosed with chest sepsis, septic shock, respiratory failure, and acute renal failure. Despite ICU admission and treatment with antibiotics, inotropes, and …

intensive caregeneral medicineantibiotics
VIChome2024-03-06

Finding into death of Baby F

8y · Female·Unascertained; circumstances suggest possible mechanical asphyxia in co-sleeping…

… of infant co-sleeping, including body size discrepancy and inability of infants to self-extricate from respiratory compromise. While co-sleeping is culturally common and personally chosen, clinicians should consistentl…

neonatologypaediatricsthyroxine
NThome2003-07-31

Inquest into the death of Queenie Michaels

11y · Female·pneumonia complicating cytomegalovirus embryopathy

…al deformity, recurrent infections). By 2001, her condition deteriorated significantly with progressive respiratory compromise and spinal deformity. After determining she was too medically compromised for spinal fusion …

paediatricsneurologyanti-convulsants
SAhospital2016-02-08

Coroner's Finding: FIDGE Patricia Ann

67y · Female·choking and ischaemic heart disease

… care was appropriate and death could not have been prevented. Foreign body aspiration in patients with respiratory compromise and altered mental status requires careful observation during eating, though in this case ti…

emergency medicinepsychiatryrisperidone
NSWhospital2012-06-14

Beverly ann murphy finding & recommendations 0701 08

70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…

…ital. That evening, the tracheostomy tube became dislodged during patient turning. Recognition of airway compromise was delayed approximately 7 minutes, and calling for medical assistance was further delayed. Restoration…

gynaecologyoncologydiagnosticcommunication
VICaged care2012-09-10

Finding into death of Robert Edward Curry

38y · Male·End-stage respiratory failure secondary to kyphoscoliosis

…-year-old man with profound intellectual disability, cerebral palsy, severe kyphoscoliosis, and chronic respiratory compromise died from end-stage respiratory failure. A medication administration error occurred on the m…

general practiceforensic medicinemedicationcarbamazepine
VIChospital2016-05-12

Finding into death of Kevin Stanley Margetts

63y · Male·Bowel obstruction

… September 2015, carers noted cough and eating difficulties. A locum doctor visited, noted hypotension, respiratory distress, and hard abdomen, administered Microlax, and advised calling an ambulance if symptoms worsene…

general practiceemergency medicinedelaysodium citrate enema

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