Coronial

325 results for ischaemic injury

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 …

general practiceaddiction medicinemedicationdiagnosticbuprenorphine
VIChome2026-04-14

Finding into death of James Thomas Reilly

86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall

…d to failure to adequately assess his back pain. Rib fractures went undiagnosed despite being the critical injury. The chest x-ray had low sensitivity for fractures. Additionally, an ED clinician erroneously prescribed 1…

emergency medicinegeneral medicinediagnosticmedicationenoxaparin
VICaged care2013-12-18

Finding into death of Caterina Montalto

76y · Female·Immersion (with underlying cause undetermined in circumstances of a fall into a …

76-year-old woman with vascular dementia and wandering behaviour was found submerged in a courtyard water fountain at an aged care facility after a fall. She remained unattended in a hazardous area for approximately 51 m…

geriatric medicinegeneral practicecommunicationsystemdiazepam
NSWhospital2014-09-26

Inquest into the death of AA

10y · Male·Hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…

A 10-year-old boy with severe obstructive sleep apnoea and morbid obesity died from hypoxic brain injury following cardiorespiratory arrest. Despite repeated medical interventions and explicit warnings that his …

respiratory medicineendocrinologycommunicationsystemmethadone
QLD2012-12-14

Mitchell, Herbert John

50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…

…d cardiorespiratory arrest at 3:21pm while in the watchhouse and died the following day from hypoxic brain injury. Medical experts concluded hospitalisation after the initial QAS assessment would likely have prevented de…

emergency medicineintensive carediagnosticsystemalcohol
WAPodcast2019-08-14

Inquest into the Death of Anita Jade BOARD

8y · Female·complications of multiple injuries sustained in motor vehicle crash

Eight-year-old Anita Board died from catastrophic brain injury sustained in a motor vehicle crash at Perth Motorplex on her first junior drag racing licensing attempt. H…

emergency medicineintensive caresystemprocedural
NSWcommunity2024-02-19

Inquest into the death of Omar Mohammad

33y · Male·Irreversible hypoxic brain injury secondary to acute cocaine toxicity

…hilst being arrested for trespass on 10 August 2020. He died 44 days later from irreversible hypoxic brain injury secondary to acute cocaine toxicity. Police attending the scene identified he was acutely unwell and arran…

emergency medicinetoxicologycommunicationdelaycocaine
VICmental health2016

Finding into death of Rebecca Victoria Poke

29y · Female·global cerebral ischaemic injury in the setting of neck compression

Rebecca Poke, a 29-year-old woman with borderline personality disorder, died by suicide while an inpatient in Ward E of Casey Hospital on 2 September 2015. She had been admitted following a paracetamol overdose and was o…

psychiatryintensive caresystemvenlafaxine
VIChome2022-01-03

Finding into death of Patricia Jocelyn Eve Grant

83y · Female·Aspiration bronchopneumonia in a setting of cerebral infarction

…: cessation of epilepsy medication (March 2013), progressive immobility, untreated hallucinations and self-injury, and a likely stroke two weeks before death without medical intervention. Critically, her GP attendance dr…

general practicegeriatric medicinediagnosticsystem
VICcommunity2019-07-30

Finding into death of G W

69y · Male·Chest and head injuries sustained in a quad bike incident (driver)

A 69-year-old man died from chest and head injuries sustained in a quad bike rollover on his rural property. He was operating an older Honda quad bike without a safety helmet or crush protection device. Toxicological ana…

forensic medicineoccupational and environmental healthalcohol
NSWhome2019-07-05

Inquest into the death of Levai

7y · Male·Blunt force head injury with bilateral acute subdural haemorrhage, hypoxic/ischa…

Levai, a 7-year-old boy with learning difficulties, died from blunt force head trauma inflicted by his mother's boyfriend Kodi Maybir on 20 May 2013. The coroner identified systematic failures by NSW Police and FACS. Pol…

paediatricsforensic medicinediagnosticcommunication
VIChospital2019-01-24

Finding into death of Bryan Lindsay Cleeman

86y · Male·Complications post laparoscopic cholecystectomy

86-year-old man with acute gangrenous perforated cholecystitis underwent laparoscopic cholecystectomy on 2 October 2015, forty-two hours after admission. Severe bleeding from hepatic arterial branches required conversion…

general surgeryanaesthesiadelayasasantin
VIChome2024-12-12

Finding into death of L G

16y · Male·Complications of acute alcohol intoxication

A 16-year-old male died from complications of acute alcohol intoxication after consuming a dangerous quantity of alcohol (estimated blood alcohol content 0.34-0.4 g/100mL at midnight) at a family Christmas gathering. He …

emergency medicinetoxicologydelaysystemalcohol
VIChospital2015-10-19

Finding into death of Daniella Francesca Sessarego

24y · Female·Pentobarbitone toxicity

24-year-old Daniella Sessarego died from pentobarbitone toxicity following intentional ingestion. She had borderline personality disorder and depression with a history of self-harm and suicidality. On 12 August 2014, she…

psychiatrypsychologysystempentobarbitone
VIChospital2020-01-31

Finding into death of Brett Maybus

60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…

Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…

cardiothoracic surgeryoncologycommunicationsystem
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…

cardiologycardiothoracic surgerydiagnosticproceduralramipril
SAhospital2005-06-02

Coroner's Finding: HUTCHINSON Matthew

0y · Male·cardiogenic shock and neonatal encephalopathy

Matthew Hutchinson, born at 1 day of age at Flinders Medical Centre, died from cardiogenic shock and neonatal encephalopathy. While obstetric care was appropriate, neonatal care was significantly deficient. Critical fail…

neonatologyobstetricsproceduralcommunicationphenobarbital
VICmental health2022-05-02

Finding into death of Stuart Brant Garten

34y · Male·Hypoxic/ischaemic brain injury following resuscitated cardiac arrest and hanging

Stuart Brant Garten, a 34-year-old man with complex psychiatric diagnoses including borderline personality disorder, post-traumatic stress disorder, and schizophrenia, died by hanging in the courtyard of a secure extende…

psychiatryintensive carecommunicationsystemrisperidone
NSWhospital2014-09-26

Inquest into the death of AA

10y · Male·hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…

AA, a 10-year-old boy with morbid obesity and severe obstructive sleep apnoea, died from hypoxic brain injury after a cardiorespiratory arrest. He had been admitted to hospital in May 2008 with these diagnoses and wa…

respiratory medicineendocrinologycommunicationsystemmethadone
SA2025-05-20

Coroner's Finding: Pham, Duy Ngoc

35y · Male·multiple organ failure due to out-of-hospital circulatory arrest due to perforat…

35-year-old male died from multiple organ failure following out-of-hospital cardiac arrest caused by perforated duodenum. He was in police custody for drug-related charges and diagnosed with opioid withdrawal. Critical d…

emergency medicinegeneral practicedelaycommunicationmethamphetamine

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