Coronial

349 results for encephalopathy

VIChospital2014-06-20

Finding into death of Rosalie Anne King

29y · Female·Bronchopneumonia in a woman with brain injury

A 29-year-old Aboriginal woman suffered a motor vehicle collision resulting in severe multi-system injuries requiring multiple surgical interventions. Eleven days after transfer to the trauma ward, she experienced sudden…

trauma surgeryintensive care
QLDhome2016-04-07

Corben, William Chase

4y · Male·Drowning

William Corben, a 4-year-old non-swimmer with documented chlorine reaction, drowned in neighbours' backyard pool on 28 February 2015 after approximately 20-27 minutes without oxygen. Critical factors included: pool gates…

supervisionsystem
QLDhospital2018-07-30

Khazaei, Hamid

24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …

Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone
VIChospital2022-04-28

Finding into death of Hunter Patrick Boyle

2y · Male·Consistent with drowning

Hunter Patrick Boyle, a 2-year-old boy, drowned in a farm dam while under the care of his grandfather. Hunter and his grandfather visited a neighbouring property to feed a horse; within 30 seconds to 1 minute of losing s…

emergency medicinepaediatricsmorphine
NSW2022-10-06

Inquest into the death of ZA

Male·Fentanyl toxicity, with aspiration pneumonia as a significant contributing condi…

A man (ZA) died from fentanyl toxicity in custody at Shortland Correctional Centre after his cellmate, who had brought fentanyl into the prison by concealing it in his rectum, shared it with him. Both men snorted the pow…

forensic medicineemergency medicinesystemdelayfentanyl
NSWmental health2017-07-11

Inquest into the death of CCW

68y · Female·Hypoxic Ischaemic Encephalopathy as a result of Hanging

A 68-year-old woman with longstanding psychotic illness presented to ED with acute relapse, homicidal ideation toward her husband, and vague suicidal threats. Psychiatry assessed suicide risk as low based on her denial o…

psychiatrygeriatric medicinecommunicationsystemquetiapine
VICcommunity2002-06-07

COUPER Gregory

43y · Male·Hypoxic/ischaemic encephalopathy resulting from asystolic cardiac arrest due to …

Gregory David Couper, 43, with chronic schizophrenia, experienced a psychiatric crisis at a supported residential care facility on 2 December 1998 and died the next day from restraint asphyxia. Police responded to calls …

psychiatrypathologyproceduralcommunication
VIChospitalPodcast2026-02-20

Finding into death of James Harilaos Tsindos

17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis

James Tsindos, a 17-year-old with known nut allergy and mild asthma, experienced anaphylaxis after inadvertently ingesting cashews in a vegan restaurant meal on 27 May 2021. Ambulance paramedics administered two doses of…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline (epinephrine) intramuscular
SAhospital2011-10-06

Coroner's Finding: BROWN Kunmanara

18y · Male·Hypoxic brain injury following cardiac arrest due to neck compression from hangi…

An 18-year-old Aboriginal man died from hypoxic brain injury following cardiac arrest from hanging. He had a chronic petrol-sniffing habit and was acutely intoxicated on petrol when he hanged himself after a police incid…

emergency medicineintensive carecommunicationsystempetrol
TASmental health2020-10-09

Coroner's Finding: Le Roy, Carole Ann

40y · Female·hypoxic encephalopathy due to asphyxia from hanging

A 40-year-old woman with extensive mental health history including OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after expressing suicidal intent. Despit…

psychiatryintensive carediagnosticsystem
WAhome2017-09-15

Inquest into the Death of Mary Josephine Van der WALT

28y · Female·ligature compression of the neck

Mary Van Der Walt, a 28-year-old with depression, anxiety, and borderline personality disorder, died by hanging on 21 April 2014. Two police officers responding to her initial '000' call found her unresponsive and pulsel…

emergency medicineintensive carediagnosticcommunicationdesvenlafaxine
VIChospital2022-09-07

Finding into death of Mr AB

17y · Male·Hypoxic ischaemic encephalopathy due to hanging

A 17-year-old male who transitioned from female died by hanging on 21 April 2020, seven days after discharge from psychiatric inpatient care. He had complex medical needs including chronic back pain, spinal fusion, post-…

psychiatryemergency medicinesystemcommunicationquetiapine
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
VIChospitalPodcast2021-12-10

Finding into death of Peta Hickey

43y · Female·Multisystem organ failure and hypoxic/ischaemic encephalopathy following anaphyl…

Peta Hickey, a 43-year-old company executive with no cardiac history, died from anaphylaxis to CT coronary angiogram contrast after her employer commissioned an inappropriate screening program. The referral lacked clinic…

radiologyemergency medicinediagnosticmedicationomnipaque 350 contrast dye
QLD2021-08-20

Caramin, Olivier Max - Non-inquest findings

27y · Male·multiple organ failure due to or as a consequence of heat stroke

Olivier Caramin, a 27-year-old Belgian national on a working holiday visa, died from heat stroke while picking pumpkins on 31 October 2017 in Far North Queensland. He was just three days into farm work without proper acc…

occupational and environmental healthemergency medicinesystemdiagnostic
QLDhospital2024-03-22

Ms S

Female·Hypoxic ischaemic encephalopathy due to hanging

Ms S died by suicide while experiencing severe postnatal depression eight weeks after giving birth. She presented to the ED with anxiety, insomnia, and suicidal ideation and was admitted to the Logan Hospital Mental Heal…

psychiatryobstetricssystemcommunication
QLDhospital2015-06-12

McIntosh, Robert Dennis

55y · Male·gastrointestinal haemorrhage due to oesophageal varices due to hepatocellular ca…

Robert McIntosh, a 55-year-old prisoner with undiagnosed cirrhosis of the liver, hepatitis C, and hepatocellular carcinoma, died from gastrointestinal haemorrhage and oesophageal varices. While the coroner found that med…

hepatologygastroenterologysystem
WAhospital2015-08-28

Inquest into the Death of Constantinas PAPAKOSTAS

66y · Male·carcinomatosis complicated by recurrent sepsis and multisystem failure in a man …

A 66-year-old man with renal cell carcinoma died in hospital from carcinomatosis with sepsis and multisystem failure. Critical clinical lesson: haematuria in 2005 was not adequately investigated with imaging despite recu…

urologyoncologydiagnosticdelay
VIChome2025-01-20

Finding into death of Kim Marie Bartolo

47y · Female·Mixed drug toxicity (venlafaxine, duloxetine, mirtazapine, oxycodone, tapentadol…

Kim Bartolo, a 47-year-old woman with depression, anxiety, alcohol use disorder and chronic conditions, died from mixed drug toxicity involving multiple prescription medications. She was admitted to Brunswick Private Hos…

psychiatryorthopaedic surgerycommunicationmedicationvenlafaxine
NThospital2012-08-27

Inquest into the death of Kalotina Galimitakis

0y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …

A neonate died from acute blood loss due to velamentous insertion of the umbilical cord with likely vasa previa, a rare condition causing vulnerability to catastrophic bleeding. Key clinical lessons include: (1) prenatal…

obstetricspaediatricsdiagnosticcommunication
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