Coronial

325 results for ischaemic injury

NSWhome2024-11-04

Inquest into the death of MR

4y · Female·hypoxic brain injuries

A 4-month-old girl died from hypoxic brain injury following an unexplained, unnatural restriction of oxygen on 13 May 2017. She was found unresponsive at ho…

paediatricspathologydiagnosticdelay
NSW2016-03-30

Inquest into the death of James Leslie STOCKS

46y · Male·chest injuries (multiple rib fractures, flail segment, haemopneumothorax); also …

James Leslie Stocks, a 46-year-old man living on an opal mining field in Lightning Ridge NSW, died from chest injuries sustained in a fall into a mine shaft on 7 March 2013. He had consumed significant alcohol, cannabis,…

alcohol
SAhospital2011-08-05

Coroner's Finding: LEONARD Emily Ruth and HILLMAN Glenys Anne

Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…

…Leonard (77) underwent laparoscopic surgery on 30 October 2008; a colon perforation from diathermy-induced injury was not recognized intraoperatively and only became apparent 6 days post-discharge, resulting in multi-org…

gynaecologyintensive carediagnosticproceduralheparin
TAShospital2022-03-09

Coroner's Finding: Salter, Lyndsay Kenneth

83y · Male·pulmonary fat embolism complicating interstitial lung disease

An 83-year-old experienced motorcyclist died from pulmonary fat embolism complicating interstitial lung disease following a compound fracture of the right tibia sustained in a motorcycle crash. Mr Salter lost concentrati…

emergency medicineorthopaedic surgery
QLDhospital2018-08-20

RD - Non-inquest findings

64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…

…rivate hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaemia, metabolic acidosis). The locum doctor and nurses failed to recognize se…

emergency medicineintensive carediagnosticmedicationintravenous normal saline
NSWhospital2018-10-04

Inquest into the death of D H

56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…

A 56-year-old man with diabetes, ischaemic heart disease, morbid obesity, and an implanted defibrillator underwent minor toe debridement surgery. T…

anaesthesiageneral surgerydiagnosticproceduralpropofol
SAhospital2023-07-28

Coroner's Finding: Searle, Bodhi Leo

0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia

Bodhi Leo Searle, aged 36 hours, died from hypoxic ischaemic encephalopathy due to intrapartum asphyxia. He was born to a woman in low-risk labour managed initially …

obstetricsmidwiferydiagnosticcommunication
WAhospital2016-05-18

Inquest into the Death of Janice May SAULYS

69y · Female·multi-organ failure due to sepsis of unknown origin

A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydration, and …

emergency medicinegeneral practicesystemdelay
SAhospital2014-07-08

Coroner's Finding: SLEEP Aurora Doreen Maureen

4y · Female·hypoxic-ischaemic encephalopathy attributed to intrapartum asphyxia secondary to…

Aurora Sleep died from hypoxic-ischaemic encephalopathy caused by uterine rupture during labour induction with prostaglandin gel. Her mother had …

obstetricsmidwiferycommunicationdiagnosticprostaglandin gel
VIChospital2025-09-30

Finding into death of Robert Thoai Dao

73y · Male·Complications of cervical fractures and spinal injury (operated), sustained in a…

…ipped on wet tiles outside McDonald's and sustained cervical and thoracic spine fractures with spinal cord injury. Attending paramedics failed to follow Ambulance Victoria spinal injury guidelines, treating it as a simpl…

paramedicineemergency medicinediagnosticprocedural
QLDhome2015-05-27

A, a six year old child

6y · Male·Hypoxic ischaemic encephalopathy due to drowning

A 6-year-old boy in foster care drowned in a backyard pool after removing his flotation device while his carer was distracted by a visitor. The carer, sitting on a veranda rather than in the pool enclosure as usual, was …

systemcommunication
VIChospital2016-08-31

Finding into death of Nathan Dimech

17y · Male·Global cerebral ischaemic injury and aspiration pneumonia post cardiac arrest du…

Nathan Dimech, a 17-year-old with intellectual disability and substance abuse issues, died from methadone toxicity after consuming his father's opioid replacement therapy (ORT) dose from a refrigerator. Nathan's father, …

general practicepharmacycommunicationsystemmethadone
QLDmental health2007-06-20

Eady, Graeme William Julian

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

Graeme Eady, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. Following an altercation with another patient, he was transferred to H Floor …

psychiatryemergency medicinesystemproceduralsertraline
VIChospital2018-03-29

Finding into death of Roy Irvin Dorner

64y · Male·Complications of redo thoracotomy/aortic valve replacement in a man with ischaem…

A 64-year-old physician with significant cardiac history (prior CABG, pacemaker, congestive failure, and newly severe aortic stenosis) underwent redo thoracotomy for aortic valve replacement. During sternal re-entry, the…

cardiothoracic surgerycardiology
VIChospital2025-02-18

Finding into death of Tasman Murray Tribe

0y · Male·Complications of birth-related traumatic head injury

…onate born at 36 weeks gestation, died at 7 days of age from complications of birth-related traumatic head injury. Labour was prolonged in the second stage; instrumental delivery was attempted but abandoned due to a deep…

obstetricsneonatologyoxytocin
NSWhospital2022-08-17

Inquest into the death of Robert Bischard

75y · Male·multifactorial causes on a background of ischaemic heart disease, generalised va…

Robert Bischard, a 75-year-old man with multiple complex comorbidities including coronary artery disease, chronic kidney disease, and diabetes, died five days after elective right total knee replacement surgery. The coro…

orthopaedic surgerycardiologydiagnosticsystemfurosemide
VIC2013-11-25

Finding into death of Rahul Prasad

28y · Male·Global cerebral ischaemic injury due to hanging

…m on 6, 7, and 12 May, he was not upgraded to higher risk status or readmitted. He died from hypoxic brain injury following a hanging attempt on 18 May 2010 in a non-retrofitted cell with accessible hanging points. The c…

psychiatryintensive carediagnosticcommunication
VIChome2016-09-13

Finding into death of Sally Brooks

48y · Female·Head injuries

Ms Brooks, a 48-year-old woman, sustained fatal head injuries at home on 1 July 2011, dying on 11 July after neurosurgical intervention. Her estranged husband was later convicted of her murder. The coroner examined famil…

forensic medicineneurosurgerycommunicationsystem
NSWcommunity2020-10-30

COOK Grant Findings

28y · Male·Hypoxic brain injury as a result of a respiratory arrest, after inadequate respi…

…noring/obstructed breathing, leading to respiratory arrest, cardiac arrest, and irreversible hypoxic brain injury. The coroner found that NSW Ambulance call taker Linda Griffiths failed to ask all entry and key questions…

paramedicineintensive carecommunicationdiagnosticadrenaline
SAhospital2020-07-16

Coroner's Finding: HARVEY Lawrence George

85y · Male·end stage dementia

Lawrence George Harvey, aged 85, died from end-stage dementia while lawfully detained under the Mental Health Act at Noarlunga Hospital. He had experienced progressive dementia since 2013 with increasing aggression, requ…

geriatric medicinepsychiatryrisperidone
110111217

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