Coronial

265 results for intubation and ventilation

NSWhospital2020-02-14

Inquest into the death of Tristan Naudi

23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…

…nt police transported him to hospital instead. While his transfer into the isolation room was uncoordinated and he spent approximately 54 minutes restrained in the poorly ventilated police vehicle, the prone restraint i…

emergency medicinetoxicologysystemdelayMDMA
ACT2009-10-29

Inquest Into The Death Of Kaled Kanj

2y · Male·drowning (immersion)

…r-old boy, Kaled Kanj, drowned in a leisure pool at a public aquatic centre while attending with his mother and three siblings. His mother was supervising four children while also holding a 9-month-old infant, making ef…

emergency medicineintensive care
NSW2015-10-27

Inquest into the death of Kevin Norris

38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…

…ris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment Order. …

emergency medicineintensive caredelaycommunicationmethamphetamine
NSWhospital2024-04-12

Inquest into the death of Everett Carleton

0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …

… Carleton died at birth following an emergency caesarean section complicated by unexpected placenta praevia and umbilical cord transection. The placenta was incorrectly reported as posterior on ultrasound, though this d…

obstetricsneonatologycommunicationprocedural
VIChospital2012-07-16

Finding into death of Dishita Madamshetty

0y · Female·Hypoxic brain injury in the setting of meconium aspiration syndrome and chorioam…

…ate born after induction of labour died from hypoxic brain injury secondary to meconium aspiration syndrome and chorioamnionitis. The baby presented in poor condition at delivery with thick meconium present and required…

obstetricsneonatologydiagnosticcommunication
NT2014-07-21

Inquest into the death of Ryan Smiler

39y · Male·cardiac arrest caused by alcoholic cardiomyopathy

…pathy while in custody at Darwin Correctional Centre. He had a long history of alcohol abuse, hypertension, and heart failure that he had been warned about repeatedly. While imprisoned for a traffic offence related to d…

cardiologyemergency medicinedelaywarfarin
QLD2011-11-03

Currie, Sheldon Douglas

18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…

An 18-year-old remand prisoner died from acute liver failure secondary to Hepatitis B and C infection. He presented with fever an…

general practicegastroenterologydiagnosticcommunicationflucloxacillin
NSWcustody2025-08-07

Inquest into the death of Lathan Brown

28y · Male·Cardiac arrhythmia

…Centre on 6 January 2024. He suffered sudden cardiac arrest in his cell; emergency response was appropriate and timely by correctional staff standards, with CPR commenced within 3 minutes and defibrillation deployed at …

cardiologyemergency medicinecommunicationsystem
QLDmental health2007-06-20

Eady, Graeme William Julian

25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia

…n involuntary treatment order. On 15 October, he was found with a plastic bag over his head in the bathroom and could not be resuscitated. Clinical lessons include: the observation system relied on staff noticing missed…

psychiatryemergency medicinesystemproceduralsertraline
ACThospital2025-02-26

Inquest Into The Death Of Jessica Hilary Bovill

43y · Female·Severe diffuse hypoxic brain injury caused by administration of supratherapeutic…

…he maximum recommended 660 mmol dose), causing severe hypernatremia (peak 169 mmol/L), metabolic alkalosis, and hypokalaemia. Brain swelling and death resulted. The consultant failed to adequately monitor blood gas resu…

emergency medicinetoxicologymedicationcommunicationamitriptyline
NSW2021-05-26

Inquest into the death of Liam WOLF

19y · Male·unexpected arrhythmogenic event leading to a fall from height, blunt force head …

… cardiac arrhythmia while climbing a ladder in an underground tunnel obstacle, fell approximately 4 metres, and sustained a head injury with subsequent cardiac arrest. Despite immediate CPR by fellow recruits and parame…

emergency medicinecardiologysystemdelay
SAhospital2012-06-18

Coroner's Finding: GRIPTON William John

62y · Male·multi organ failure due to atypical pneumonia

William Gripton, 62 years old with post-polio syndrome, presented to Kangaroo Island Hospital with upper respiratory tract infection that progressed to atypical pneumonia causing multi-organ f…

general medicineintensive carediagnosticcommunicationamoxicillin
WAhospital2022-08-22

Inquest into the Death of Roderick Malcolm NARRIER

38y · Male·Multiorgan failure following out of hospital cardiac arrest in a man with methyl…

…spital cardiac arrest after being restrained in prone position by police. He had injected methylamphetamine and developed excited delirium, becoming violently agitated. Police restrained him for approximately 22-27 minu…

emergency medicineintensive caremethamphetamine
VIChospital2019-08-01

Finding into death of Tyla Jade Hovenbitzer

18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…

An 18-year-old female with Down syndrome, autism spectrum disorder, and severe intellectual disability died from multiorgan failure complicating severe malnutrition, non-alcoholic…

paediatricsgeneral practicesystemdelaytemazepam
WAcommunity- 28 March 2014

Inquest into the Death of Hayley DIAMOND

14y · Female·Acute cerebral hypoxia arising out of suffocation due to inhalation of toxic vap…

…owing inhalation of volatile substances (deodorant spray) in Kununurra, WA. She suffered acute brain damage and bronchopneumonia. Clinical lessons: volatile substance abuse poses immediate life-threatening risks via CNS…

emergency medicineintensive carecommunicationsystemlynx deodorant spray
WAhome2015-06-08

Inquest into the Death of Baby B

0y · Male·severe hypoxic ischaemic encephalopathy due to apparent perinatal asphyxia

Baby B suffered severe perinatal asphyxia during a planned home birth and died from hypoxic ischaemic encephalopathy. An obstetrician recommended hospital delivery based on the moth…

obstetricsmidwiferycommunicationsystem
NThospital2003-12-03

Inquest into the death of Owen King

33y · Male·lobar pneumonia (Streptococcus pneumonia with septic shock)

…econd apprehension, Constable Hamilton correctly identified him as medically unwell rather than intoxicated and promptly conveyed him to hospital, where aggressive resuscitation was provided but ultimately unsuccessful.…

emergency medicineintensive carediagnosticsystempenicillin
VIChospital2012-03-02

Finding into death of Elsa Harrington

45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…

…condary to paracetamol toxicity in November 2002. She was admitted post-hysterectomy with bowel obstruction and underwent adhesion surgery. Following surgery, she received therapeutic doses of paracetamol and developed …

general surgerycardiologydiagnosticcommunicationparacetamol
VIChospital2011-07-11

Finding into death of Cara Grace Zambelli

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

… by a true knot in the umbilical cord. The mother presented in labour with spontaneous rupture of membranes and had a prolonged second stage. Foetal heart rate monitoring showed intermittent decelerations and bradycardi…

obstetricsneonatologycommunicationsystemadrenaline
NSWhospital2015-08-17

Inquest into the death of Manjit SINGH

33y · Male·hypoxic respiratory failure following right pneumonectomy for treatment of sever…

…ed before discharge); recognition that visa holders with uncertain immigration status may conceal symptoms; and the vulnerability of migrant workers to exploitation affecting nutrition and TB reactivation risk. His dise…

respiratory medicinecardiothoracic surgerydiagnosticcommunicationtuberculosis medications
110111214

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