Coronial

325 results for ischaemic injury

QLDaged care2019-02-12

Quayle, Betty Christine - Non-inquest findings

89y · Female·Blunt force head injury on a background of ischaemic and valvular heart disease

An 89-year-old woman with dementia and cardiac disease died from blunt force head injury sustained during an assault by another resident with alcohol-related dementia in an aged care facility. Th…

geriatric medicinegeneral practicesystemcommunication
NThospital2009-05-28

Inquest into the death of Declan McConville

0y · Male·acute hypoxic damage caused by shoulder dystocia during delivery

…He was stuck in the birth canal for approximately 15 minutes before delivery, causing severe hypoxic brain injury. He died 8 days later from acute hypoxic damage and multiple organ failure. The coroner found the vacuum e…

obstetricspaediatricsproceduralsystemoxytocin
VIC2017-08-28

Finding into death of Frederick Hylla

87y · Male·Multiple injuries in a motor vehicle incident

Mr Frederick Hylla, 87 years old, died from injuries sustained in a motor vehicle incident 18 days after discharge from hospital for acute myocardial infarction. He suffered a likely cardiac event while driving, causing …

general practicecardiologycommunicationsystem
VIChospital2017-01-24

Finding into death of Baby XY

0y · Female·Perinatal asphyxia

Baby XY, a 41-week-old newborn, died from perinatal asphyxia six hours after birth at Sunshine Hospital. The primary clinical lesson involves diagnostic failure: the mother was not diagnosed with gestational diabetes dur…

anaesthesiaforensic medicinediagnosticsystembenzyl penicillin
NThospital2026-01-09

Inquest into the death of C Guyula

49y · Female·Hypoxia due to complications following incision and drainage of a right buttock …

A 48-year-old woman with multiple comorbidities (diabetes, COPD, chronic kidney disease, ischaemic heart disease) died following complications of anaesthesia during incision and drainage of a buttock abs…

anaesthesiasurgeryproceduralmedicationfentanyl
NSWhospital2023-10-31

Inquest into the death of Adam Fitzpatrick

20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…

…orm timely finger thoracostomy significantly contributed to Adam's 46-minute cardiac arrest, hypoxic brain injury, and death. The rigid adherence to an inadequate airway plan, absence of effective team communication, fai…

intensive careanaesthesiadiagnosticproceduralrocuronium
VIChospital2020-09-28

Finding into death of Graham William Summerfield

82y · Male·Complications of multiple injuries (palliated), sustained in a quad bike inciden…

An 82-year-old man died from complications of multiple injuries sustained in a quad bike incident. He had failed a VicRoads eyesight test two years earlier, losing his driver's licence, yet continued riding an unregister…

trauma surgeryintensive care
NSWhospital2016-12-21

Inquest into the death Kyran DAY

0y · Male·Complications of hypoxic ischaemic encephalopathy secondary to recurrent episode…

…fer. Kyran sustained multiple cardiac arrests before arriving at Sydney Children's Hospital with hypoxic ischaemic encephalopathy and ultimately died from irreversible brain injury. Key lessons: early recognition that v…

paediatricsemergency medicinediagnosticcommunication
QLDhospital2016-02-29

Mr B - Non-inquest findings

84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…

An 84-year-old man with multiple comorbidities was prescribed rivaroxaban for deep vein thrombosis despite being a practicing Jehovah's Witness who refused blood transfusions. Rivaroxaban cannot be monitored or reversed,…

cardiologyhaematologymedicationcommunicationrivaroxaban
VIChospital2021-04-07

Finding into death of Anson

17y · Male·mixed drug toxicity (25C-NBOMe and 4-fluoroamphetamine)

…te aggressive treatment including intubation, CPR, and intensive care, he died from profound hypoxic brain injury. The key clinical lesson is that unregulated drug markets present significant risks due to mislabelling an…

emergency medicineintensive caresystemdelay25c-nbome
VICcommunity2024-12-18

Finding into death of Kevin John Harris

38y · Male·Pulmonary thromboembolism in the setting of deep vein thrombosis

…ft tibial plateau fracture from a workplace fall on 27 December 2022. His general practitioner managed the injury conservatively with rest, ice, and anti-inflammatory medication, then ordered an MRI after 6 days when pai…

general practiceorthopaedic surgerysystem
WAcommunity2002-12-20

Inquest into the Death of Lauren Jay Kitching

5y · Female·Head and neck injuries sustained in collision with utility vehicle while operati…

Lauren Jay Kitching, age 5, died on 5 July 2000 from head and neck injuries sustained in a go-kart collision at the Pauline Matika netball courts in Newman, Western Australia. She was participating in a holiday program f…

diagnosticsystem
VICaged care2010-08-28

Finding into death of Patricia Mary Cook

85y · Female·Complications of subdural haematoma (evacuated), secondary to fall, contributed …

…triking her head. Personal care attendants (PCAs) with minimal training assessed her as having no apparent injury and did not call a doctor or ambulance, allowing 4 hours to elapse before she collapsed. The facility's Fa…

geriatric medicineneurosurgerycommunicationsystemwarfarin
VICmental health2022-12-13

Finding into death of Jamie Andrew Kowalewsky

27y · Male·Global cerebral ischaemic injury in the setting of hanging

Jamie Kowalewsky, a 27-year-old with long-standing mental health issues including depression, substance abuse (ICE and cannabis), and previous suicide attempt, was voluntarily admitted to a low dependency psychiatric uni…

psychiatryintensive carecommunicationlorazepam
VIChospital2024-10-14

Finding into death of Bekkie-Rae Curren

28y · Female·Blunt head injury

Bekkie-Rae Curren, 28, died from blunt head injury sustained in an assault by her domestic partner on 26-27 November 2019. She had disclosed extensive family…

NSWhospital2018-12-17

Inquest into the death of Jarrod Wright

42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …

Jarrod Wright, a 42-year-old man admitted with cellulitis, developed sepsis-related acute respiratory distress syndrome (ARDS) requiring ICU care with non-invasive ventilation. Critical failures occurred in managing his …

intensive careinfectious diseasescommunicationsystemmeropenem
VICaged care2023-03-22

Finding into death of S M

91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…

…llergies before administration. The patient developed severe DRESS syndrome with anaphylaxis, acute kidney injury, liver dysfunction, and elevated inflammatory markers. He subsequently suffered a cerebrovascular event an…

geriatric medicinegeneral practicediagnosticmedicationdiltiazem
VIChospital2015-04-02

Finding into death of Linda Elizabeth Parker

39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…

Linda Parker, aged 39, died from hypoxic brain injury following catastrophic postpartum haemorrhage from placenta increta during caesarean delivery. Critical le…

obstetricsanaesthesiadiagnosticdelay
VIChospital2023-08-01

Finding into death of Michele Valentino

81y · Male·Head injury sustained in a fall

Michele Valentino, 81, died from a head injury sustained in a fall on 20 December 2019, with death occurring on 24 December 2019. A CT angiogram at 3:45p…

emergency medicineradiologydiagnosticcommunicationaspirin
VIChospital2023-05-29

Finding into death of Kaleb Baylis-Clarke

0y · Male·Head injury in the setting of chronic subdural haemorrhage

…rest. Imaging revealed new bilateral subdural haematomas, retinal haemorrhages and extensive hypoxic brain injury consistent with abusive head trauma from acceleration-deceleration forces. Kaleb died on 30 January. The c…

paediatricsneurosurgerysystem
111121317

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