Coronial

67 results for acute hypoxic-ischaemic encephalopathy

VIChospital2026-05-04

Finding into death of Baby E

3y · Female·COMPLICATIONS FROM SEVERE CEREBRAL PALSY

…f care by the hospital or child protection department. Clinicians appropriately identified and treated the acute infection, discussed palliative care options, and provided compassionate end-of-life support. The death wa…

intensive carepaediatrics
NSWhome2018-02-27

Inquest into the death of Jake Rhodes

1y · Male·hypoxic-ischaemic encephalopathy due to near-drowning

… educators: this inquest highlights systems failures in communicating pool safety requirements rather than acute clinical care. However, it demonstrates critical importance of prevention through proper supervision, barr…

communicationsystem
QLDhospital2016-02-22

Robertson, Elsie - Non-inquest findings

0y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…

…eated with laser photocoagulation at 23 weeks. She died 9 hours 43 minutes after birth from combined hypoxic-ischaemic encephalopathy and E. coli sepsis secondary to chorioamnionitis. Critical clinical lessons include: …

obstetricsneonatologycommunicationsystemmagnesium sulphate
NSW2012-09-27

Inquest into the deaths of James UNICOMBE, Michael POOLE, Grace YATES

Three deaths with different primary causes: James Unicomb - acute toxicity due t…

…oole (48, 2008) from ruptured aneurysm post-Rapid Opioid Detoxification; Grace Yates (24, 2010) from hypoxic-ischaemic encephalopathy after ROD. All were unsuitable for offered treatments due to contraindications inadeq…

addiction medicinegeneral practicediagnosticmedicationnaltrexone
VIChomePodcast2018-11-09

Finding into death of Le Hue Huynh

46y · Female·hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest in the se…

Mrs Le Hue Huynh, 46, died from hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest during the November 21, 2016 Thunderstorm Asthma event in Melbou…

emergency medicineintensive caresystemdelaysalbutamol
WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

Peter Martin Carroll, age 21, died on 8 June 2007 in the ICU at Royal Perth Hospital from acute hypoxic ischaemic encephalopathy and pneumonia following oxycodone overdose. He had been discharged that d…

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
QLDhospital2014-12-09

Baby A - Non-inquest findings

Male·Hypoxic-ischaemic encephalopathy due to meconium aspiration syndrome

A full-term baby born at 39 weeks died from hypoxic-ischaemic encephalopathy due to meconium aspiration. Critical failures in fetal monitoring were identified: th…

obstetricsmidwiferydiagnosticprocedurallabetalol
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…

A 43-year-old man with methamphetamine toxicity was restrained by police and given two doses of droperidol by paramedics who failed to recognize he was critically unwell. The first dose was clinically indicated, but the …

emergency medicinetoxicologydiagnosticmedicationmethamphetamine
VICcommunity2022-03-16

Finding into death of John Anthony Kamps

62y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …

…ear-old man with intellectual disability, autism, epilepsy, and dysphagia, died from hypoxic ischaemic encephalopathy following airway obstruction by food bolus. He choked on toast at breakfast despite direct supervision…

speech pathologyemergency medicinesystemcommunication
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 o…

intensive careinfectious diseasescommunicationsystemmeropenem
NThospital2009-05-28

Inquest into the death of Declan McConville

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

…r 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 extraction should have been perfor…

obstetricspaediatricsproceduralsystemoxytocin
SAhospital2014-02-14

Coroner's Finding: RYAN John William and WALTON Patricia Dawn

Hypoxic-ischaemic encephalopathy following ventilatory failure/cardiac arrest (R…

Two obese patients died from hypoxic-ischaemic encephalopathy following cardio-respiratory deterioration post-operatively at a private hospital wit…

anaesthesiaorthopaedic surgerydiagnosticcommunicationmorphine
NSWhospital2016-12-21

Inquest into the death Kyran DAY

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

…roached him the next morning. Delays in ambulance booking, inadequate handover communication regarding the acute nature of bowel obstruction, and the paramedic crew receiving an R3 (not R1) response code contributed to …

paediatricsemergency medicinediagnosticcommunication
QLD2011-11-03

Currie, Sheldon Douglas

18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…

An 18-year-old remand prisoner died from acute liver failure secondary to Hepatitis B and C infection. He presented with fever and malaise on 15 February…

general practicegastroenterologydiagnosticcommunicationflucloxacillin
NSW2022-10-12

Inquest into the death of Brenden Montgomery

36y · Male·Hypoxic Ischaemic Encephalopathy

Brenden Montgomery, aged 36, died from hypoxic ischaemic encephalopathy after hanging himself on 30 December 2019 while police were present outside his home. He had a long-st…

communicationsystemescitalopram
QLDhospital2012-06-22

Paton, Daniel William

45y · Male·Hypoxic-ischaemic encephalopathy due to prolonged hypoxia

A 45-year-old man died from hypoxic-ischaemic encephalopathy following cardiopulmonary arrest 11 hours after elective wrist plate removal surgery.…

anaesthesiapain medicinediagnosticmedicationmorphine
VIChospitalNew2026-07-01

Finding into death of Baby H

0y · Male·traumatic head injury due to instrumental vaginal delivery of a term infant

Baby H died on 24 March 2019, one day after birth, from traumatic head injuries sustained during an instrumental vaginal delivery using Neville Barnes forceps on a baby in occipito-posterior position. Critical clinical l…

obstetricsgeneral practicecommunicationprocedural
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 paranoi…

toxicologyemergency medicinemethamphetamine
VIChospital2022-07-28

Finding into death of H C

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

HC was a neonate who died at 6 days old from global cerebral ischaemia secondary to perinatal asphyxia. He was born following an emergency caesarean section for obstructed labour and fetal distress. Key clinical lessons …

obstetricsneonatologydiagnosticcommunication
VIChospital2021-02-23

Finding into death of Christopher Douglas Ritson

22y · Male·Hypoxic ischaemic encephalopathy complicating hanging

…could not definitively link them to his death. Key lessons: telephone assessment alone is insufficient for acute mental health crises; timely face-to-face review within 24 hours is essential; premature telephone call te…

psychiatryemergency medicinecommunicationdelaydiazepam

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