Coronial

350 results for encephalopathy

NThospital2009-05-28

Inquest into the death of Declan McConville

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

Declan Brian McConville was born with shoulder dystocia (impacted shoulders) after vacuum-assisted delivery at Royal Darwin Hospital on 31 August 2007. He was stuck in the birth canal for approximately 15 minutes before …

obstetricspaediatricsproceduralsystemoxytocin
VIChome2023-08-29

Finding into death of Dianne Christine Hobbs

69y · Female·Metastatic ovarian adenocarcinoma

Dianne Hobbs, a 69-year-old woman with intellectual disability living in supported accommodation, died from metastatic ovarian adenocarcinoma. Advanced ovarian cancer was diagnosed in November 2022 following imaging and …

palliative careemergency medicine
VIChome2022-10-04

Finding into death of Baby R

3y · Unknown·Unascertained - natural causes; evidence of aspiration pneumonia, hypoxic-ischae…

Baby R, born at 38 weeks gestation to a mother with previous pregnancy losses, was small-for-gestational-age (SGA, 10th centile). The mother was appropriately excluded from the hospital-supported home birth program due t…

obstetricsmidwiferysystemcommunication
VIChome2020-01-14

Finding into death of H B

8y · Female·Aspiration pneumonia in a child with an epileptic encephalopathy and extreme cac…

HB, age 8 years 10 months, died from aspiration pneumonia with extreme cachexia (BMI 7). She had severe cerebral palsy, epilepsy (Lennox-Gastaut syndrome), and was entirely dependent on PEG tube feeding. Between January …

paediatricsneurologydiagnosticdelaylevetiracetam
QLDhospital2019-06-20

Lawless-Pyne, Timothy Paul

57y · Male·Bleeding oesophageal varices due to cirrhosis and metastatic hepatocellular carc…

A 57-year-old prisoner with hepatitis C, cirrhosis, and advanced hepatocellular carcinoma died from bleeding oesophageal varices. He was appropriately managed with aggressive treatment including TACE and variceal ligatio…

gastroenterologyhepatologymorphine
VIChome2025-07-28

Finding into death of Heather Ida Simone Calgaret

30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…

Heather Calgaret, a 30-year-old Aboriginal woman, died from hypoxic ischaemic encephalopathy after being administered a first dose of buprenorphine (Buvidal) injection without prior stabilisation…

general practiceaddiction medicinemedicationdiagnosticbuprenorphine
NSWhospital2023-10-31

Inquest into the death of Adam Fitzpatrick

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

Adam Fitzpatrick, a 20-year-old with complex facial and skull fractures from a motor vehicle collision, underwent emergency tracheostomy placement. On 22 August 2020, 13 days later, his tracheostomy tube became dislodged…

intensive careanaesthesiadiagnosticproceduralrocuronium
TASaged care2025-01-14

Coroner's Finding: Rickard-Simms, Adrienne Rosemary

75y · Female·postoperative delirium/exacerbation of community acquired pneumonia following le…

A 75-year-old woman with chronic kidney disease, anemia, and significant mobility impairment fell in her aged care facility despite documented high falls risk and appropriate preventive measures. She sustained a neck of …

geriatric medicineorthopaedic surgery
VIChome2013-08-23

Finding into death of Xavier Hart

4y · Male·hypoxic brain injury complicating out of hospital cardiac arrest (unknown cause)

Xavier Hart, a 4-year-old boy with obstructive sleep apnoea due to adenotonsillar hypertrophy, was found unresponsive and apnoeic at home on 21 December 2011. Despite immediate CPR and intensive resuscitation, he suffere…

paediatricsemergency medicinedelay
WAhospital2022-01-17

Inquest into the Death of Peter Johnnie YOUNG

Male·Complications of alcohol and hepatitis C-related liver disease

Peter Young, an Aboriginal man with advanced alcoholic cirrhosis and recently acquired hepatitis C infection, died of multi-organ failure while on remand in custody. He received appropriate standard medical care in priso…

hepatologygastroenterologysystemdelayquetiapine
VIChospital2024-05-09

Finding into death of Philip Sopikiotis

53y · Male·Aspiration pneumonia complicating seizures in a man with trisomy 21 and suspecte…

Philip Sopikiotis, a 53-year-old man with Trisomy 21 and suspected Alzheimer's dementia, died from aspiration pneumonia complicating seizures. He suffered an unwitnessed fall with suspected seizure at his residential car…

emergency medicineneurologysodium valproate
VIChospital2018-06-22

Finding into death of Liaqat Ali Hamid Kayani

44y · Male·Hypoxic brain injury secondary to heroin and alcohol toxicity

A 44-year-old male died from hypoxic brain injury caused by heroin and alcohol toxicity following an overdose. He had a history of depression, financial difficulties, and prior heroin use. After collapsing at a friend's …

emergency medicineintensive careheroin
VIChospital2022-08-31

Finding into death of N J

0y · Female·Drowning

An 11-month-old girl drowned in a backyard koi fishpond after gaining access to the pond's edge, likely attempting to view the fish. Despite immediate CPR and rapid hospital transfer, she suffered hypoxic-ischaemic brain…

paediatricsemergency medicine
NThospital2025-03-25

Inquest into the death of Judith Smart

66y · Female·Hypoxic-ischaemic encephalopathy

A 66-year-old woman with COPD, obstructive sleep apnoea, and obesity underwent routine knee surgery at Royal Darwin Hospital. Post-operative care was inadequate. Despite dropping oxygen saturations to 88% when sedated an…

anaesthesiaorthopaedic surgerydiagnosticsystemmorphine
VIChospital2019-07-04

Finding into death of Israel Bodean Brenssell-Rimene

0y · Male·unascertained

An 11-month-old boy died at Hamilton Hospital after presenting in cardiac arrest with multiple injuries sustained over weeks. Despite exhaustive post-mortem investigation, the medical cause of death remains unascertained…

paediatricsemergency medicinesystemmethamphetamine
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 multiple settings: VPIC provided incomplete …

emergency medicineintensive carediagnosticcommunicationsodium valproate
VICcommunity2015-12-18

Finding into death of Paul Bermingham

38y · Male·Toxicity to methylamphetamine

Paul Bermingham, a 38-year-old man with a history of recreational drug use, experienced acute behavioural changes consistent with methamphetamine intoxication on 15 December 2013. He displayed paranoid delusions, hyperac…

toxicologyemergency medicinemethamphetamine
QLDPodcast2020-01-24

Willersdorf, Maria

87y · Female·Hypoxic-ischaemic encephalopathy secondary to cardiac arrest, with valvular hear…

An 87-year-old woman died following a CT-guided epidural injection at a private radiology clinic. Although she had undergone the procedure for spinal pain, the radiologist performed an epidural injection at the T12 level…

radiologypain medicinediagnosticproceduralbupivacaine
SA2023-05-12

Coroner's Finding: Morrison, Wayne Fella

29y · Male·Hypoxic ischaemic encephalopathy and multi-organ failure due to out of hospital …

Wayne Fella Morrison, a 29-year-old Aboriginal man with undiagnosed coronary artery disease (70% stenosis of right coronary artery), died following cardiac arrest during his detention at Yatala Labour Prison. After attac…

emergency medicineintensive caresystemdelay
SAcommunity2000-03-13

Coroner's Finding: STRANGWAYS Kenneth Charles

34y · Male·aspiration pneumonia following seizure with concomitant global severe anoxic enc…

Kenneth Strangways, a 34-year-old Aboriginal man with post-traumatic epilepsy, organic brain damage from head injuries, alcoholism and psychiatric illness, died from aspiration pneumonia following a seizure. The death wa…

psychiatryneurosurgerycommunicationsystemanticonvulsant medications
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