Coronial

325 results for ischaemic injury

VIChospital2023-03-10

Finding into death of Armin Andrew Schaefer

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

…n Schaefer, a 63-year-old man with schizophrenia, cardiac risk factors, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 Augu…

psychiatryemergency medicinediagnosticcommunicationdiazepam
VIChospital2025-07-14

Finding into death of Baby Sidney

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

Baby Sidney died from severe hypoxic-ischaemic encephalopathy caused by head impaction during a difficult vaginal delivery attempt and subsequent caesa…

obstetricsneonatologydiagnosticcommunicationoxytocin
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

…ncentrations. The child deteriorated overnight with respiratory depression, seizures, and severe hypoxic-ischaemic brain injury, leading to death despite intensive care. Key clinical failures included: the prescribing d…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
VIC2026-01-28

Finding into death of L N

28y · Male·Traumatic intracranial haemorrhage sustained in an unwitnessed fall

…ent and fell down stairs in the communal area around 11:15pm. He was found conscious but with severe brain injury, intubated on arrival at hospital, and declared brain dead within 48 hours. The coroner found the death ac…

intensive careneurosurgeryalcohol
VICmental health2019-09-19

Finding into death of Vanna Vassallo

68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall

…esulting in massive intracranial bleeding. Clinical assessment after earlier falls may have underestimated injury risk. The coroner found the level of care appropriate and fell prevention strategies adequate, though note…

psychiatrygeriatric medicinepossibly_preventablefluphenazine decanoate
VIChospital2019-07-30

Finding into death of Allison Judith Allan

43y · Female·Hypoxic ischaemic brain injury resulting from alcohol and sodium valproate toxic…

43-year-old woman with epilepsy and depression died from hypoxic ischaemic brain injury after ingesting 15g sodium valproate and 750ml vodka. Critical failures occurred across mul…

emergency medicineintensive carediagnosticcommunicationsodium valproate
TAScommunity2014-05-23

Coroner's Finding: Wagg, Christopher

52y · Male·Hypoxic/ischaemic brain damage due to mechanical asphyxia and neck compression f…

Christopher Wagg, a 52-year-old diesel fitter, died from hypoxic-ischaemic brain damage caused by crush injuries when trapped between an elevated work platform (EWP) basket and ov…

diagnosticprocedural
VICcommunity2016-08-18

Finding into death of Paul Daniel Rayudu

22y · Male·hypoxic ischaemic encephalopathy in the setting of immersion (drowning)

…and both became submerged. Although patrons and staff performed prompt CPR, Paul suffered severe hypoxic-ischaemic brain injury and died 6 days later. The coroner found the death preventable. Key preventable factors inc…

communicationsystem
QLD2017-02-10

Sloan, Dane Benjamin

24y · Male·Hypoxic ischaemic encephalopathy due to or as a consequence of being hanged

…based on risk assessment. Resuscitation attempts were appropriate but unsuccessful; he died from hypoxic ischaemic encephalopathy. Key lessons include: improved CCTV systems with multiple angle visibility are essential;…

psychiatryemergency medicinesystemdelayamitriptyline
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

74y · Male·small intestinal ischaemia caused by aortic atherosclerosis

…d tests indicating infection and organ dysfunction, a MET call was not made for 18 hours. The underlying ischaemic bowel was not diagnosed until 9pm when he was critically ill with septic shock and multiple organ failur…

emergency medicineorthopaedic surgerydiagnosticcommunication
QLDhospital2024-03-07

KLUMPER Joshua William

17y · Male·Hanging

17-year-old Joshua Klumper died by hanging following cannabis withdrawal and workplace stress. He had a complex mental health history with ASD diagnosis (lacking robust diagnostic support), multiple suicide attempts, and…

psychiatryemergency medicinecommunicationsystemcannabis
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

Shane Pappas, a 54-year-old man with ischaemic heart disease, died from quetiapine toxicity after deliberately overdosing on multiple medications on 29…

psychiatryemergency medicinediagnosticcommunicationquetiapine
SAhospital2000-05-31

Coroner's Finding: DELLATORRE Natale

54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…

…bility died from respiratory failure and acute renal failure secondary to rhabdomyolysis following a crush injury to his left thigh sustained while attempting to escape from a psychiatric hospital. He became trapped hang…

emergency medicinepsychiatrydiagnosticadrenaline
VIChospital2016-10-24

Finding into death of Child A

3y · Male·thrombotic microangiopathy

A 3-year-old child died from thrombotic microangiopathy (haemolytic uraemic syndrome) secondary to Shiga toxin-producing E. coli infection, likely acquired from consumption of unpasteurised milk. Early presentation to GP…

paediatricsemergency medicineondansetron
SAmental health2020-09-22

Coroner's Finding: NOONAN Ricky Dale

54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking

A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures…

psychiatryemergency medicinecommunicationsystemhaloperidol
SAaged care2018-05-17

Coroner's Finding: BAUM Dorothy Mavis

93y · Female·blunt trauma with head injury on a background of ischaemic heart disease

Dorothy Mavis Baum, 93, died at Flinders Medical Centre from blunt trauma with head injury following an unprovoked assault by another nursing home resident with a plastic chain. Critical clinical f…

geriatric medicineemergency medicinediagnosticcommunicationoxycodone
TAShome2020-12-17

Coroner's Finding: Mitsakis, Stavros

79y · Male·Displaced cervical vertebral fracture with secondary carotid artery dissection r…

A 79-year-old man suffered a catastrophic fall from a 3.5-metre ladder while performing home maintenance work on his property. He had recovered from a stroke three months prior, which may have affected his cognitive func…

neurosurgeryneurologyproceduralsystem
TAShospital2015-09-07

Coroner's Finding: Weir, Mary

80y · Female·subdural haematoma due to closed head injury sustained in a fall from bed in hos…

…ed to hospital fell from bed and hit her head. Although nursing staff were concerned about a possible head injury, the House Medical Officer incorrectly concluded no injury had occurred and no CT scan was performed. Two …

emergency medicinegeneral medicinediagnosticmedicationaspirin
VIC2022-03-08

Finding into death of Dylan James Charlton-Smith

25y · Male·Hypoxic ischaemic brain injury due to hanging

Dylan Charlton-Smith, aged 25, died by hanging while in custody at Fulham Correctional Facility. A stressful visit from his partner preceded his death by approximately 50 minutes. A correctional officer identified distre…

psychiatryemergency medicinediagnosticcommunication
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…

George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractions and delayed obs…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
19101117

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.