Coronial

33 results for acute airway distress

VICmental health2018-09-17

Finding into death of Paquita Goldberg

87y · Female·intentional inhalation of tissue paper leading to upper airway obstruction and h…

… aged psychiatry unit under a Mental Health Act order. Over 7-8 February 2013, she experienced escalating distress, disclosed prior sexual trauma, became aggressive requiring intramuscular antipsychotics, and reported fe…

psychiatrygeriatric medicinecommunicationsystemdesvenlafaxine
VIChospital2022-07-28

Finding into death of H C

6y · Male·Global cerebral ischaemia secondary to perinatal asphyxia

… perinatal asphyxia. He was born following an emergency caesarean section for obstructed labour and fetal distress. Key clinical lessons include: (1) continuous CTG monitoring should have been initiated immediately on ar…

obstetricsneonatologydiagnosticcommunication
VICmental health2024-09-30

Finding into death of Erol Elmas

31y · Male·undetermined

…eath remains undetermined despite thorough pathological investigation. Mr Elmas was in seclusion following acute psychotic relapse and violent behaviour. Critical clinical lessons include: (1) vital signs monitoring dur…

psychiatryemergency medicinesystemdelayzuclopenthixol acetate
VIC2019-12-05

Finding into death of Serafina Pirrottina

57y · Female·Complications of muscular dystrophy

…strophy and newly diagnosed cardiomyopathy died from complications of her underlying condition. She became acutely unwell overnight at her residential support facility with respiratory distress and required emergency tr…

respiratory medicineemergency medicinerosuvastatin
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

…ese serious findings suggesting respiratory compromise, he was transferred to the mental health ward where acute medical support was unavailable. During admission processes there, he was placed in seclusion after approa…

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
QLDhospital2025-03-31

Inquest into the death of Jamie Brian Campbell

43y · Male·Hypoxic ischaemic encephalopathy, due to or as consequence of, cardiac arrest of…

…ine toxicity with sympathomimetic crisis, the paramedics' failure to provide high-flow oxygen, appropriate airway support, and proper monitoring contributed to cardiac arrest and subsequent brain death. A senior paramedi…

emergency medicinetoxicologydiagnosticmedicationmethamphetamine
QLDcommunity2026-02-13

Inquest into the passing of Steven Lee Nixon-McKellar

27y · Male·Sudden cardiac arrest in the context of physical and psychological exertion duri…

Steven Nixon-McKellar, a 27-year-old First Nations man, died following a physical altercation with Queensland Police officers attempting to arrest him on 7 October 2021. He suffered cardiac arrest during restraint, with …

emergency medicineforensic medicinemethamphetamine
QLDcommunity2019-06-10

Coolwell, Shaun Charles

33y · Male·cardiorespiratory arrest during restraint, involving a predisposition to cardiac…

…ar-old Indigenous man died following police restraint and inappropriate midazolam administration during an acute drug-induced behavioural disturbance. Mr Coolwell sustained injuries while in acute methamphetamine-induce…

emergency medicinepharmacologydiagnosticcommunicationmethamphetamine
QLDhospital2005-08-24

Sabadina, Kathryn Marnie

28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…

…ring routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe respiratory distress immediately after induction, subsequently progressin…

anaesthesiadentistrydiagnosticproceduralpropofol
WAcommunity2010-04-15

Inquest into the Death of Lynch

20y · Female·food-induced anaphylaxis, likely to peanut allergen

…n's Café after dining at a nearby hotel. Approximately 15 minutes later, she developed severe respiratory distress with stridor and cyanosis. She was treated by sole-operator nurse Marion Pederson at the Coral Bay Nursin…

emergency medicinegeneral practicedelaydiagnosticadrenaline
VIChospitalPodcast2026-02-20

Finding into death of James Harilaos Tsindos

17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis

…n Category 2; whether he was informed of the wheeze is disputed. When James deteriorated with respiratory distress some 12 minutes later, adrenaline was administered but he rapidly progressed to cardiac arrest. The coron…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline (epinephrine) intramuscular
WA2013

Inquest into the Death of Ms D

39y · Female·Septic shock and nosocomial pneumonia secondary to pentobarbital (Nembutal) over…

A 39-year-old woman with major depression and Cluster B personality traits died by suicide in Mexico following a pentobarbital overdose on 28 April 2008, resulting in septic shock and nosocomial pneumonia. She had been a…

psychiatryintensive caresystemdelaypentobarbital
QLDhospital2018-07-30

Khazaei, Hamid

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

…ng hospital in Port Moresby. If Mr Khazaei had been transferred to Australia on 25 August 2014 with proper airway management, he likely would have survived. The case highlights systemic failures in offshore detention hea…

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone

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