45 results for “cord compression”
54y · Male·Neck injuries sustained in a fall - fracture of the fifth cervical vertebra (car…
…ing or motion-sensor alarms. A fall to the bathroom floor resulted in a 'carrot stick' fracture with spinal cord compression causing respiratory failure. The Disability Services Commissioner found that appropriate risk m…
22y · Male·aspiration pneumonia complicating resuscitation for cardiac arrest due to neck c…
…ward under a Level 1 treatment order. Despite half-hourly observations, he hung himself using an electrical cord in his wardrobe. The ward layout had critical safety deficiencies: wardrobes created blind spots obscuring …
65y · Male·Traumatic high cervical spine injury in the setting of frontal head impact in a …
…erable to severe injury from minimal force. The fall caused C2 and C5/6 vertebral fractures with spinal compression and subarachnoid haemorrhage, resulting in respiratory arrest. The coroner found the arrest decision ju…
59y · Female·Hypoxic ischaemic brain injury secondary to compression of the neck in the circu…
…m door at 1:50am. The coroner emphasised that restricting access to obvious ligatures (belts, dressing gown cords, shoelaces) is evidence-based suicide prevention applicable to all psychiatric inpatients regardless of ri…
0y · Female·Intra-uterine hypoxia
Baby Paula O'Shea was born at Sandringham Hospital at term following spontaneous labour. Labour was augmented with IV Syntocinon after ARM. Cardiotocography (CTG) monitoring was difficult to interpret due to poor detecti…
69y · Male·neck compression due to hanging
GL, a 69-year-old Chinese national, died by hanging in Long Bay Correctional Centre's Medical Services Unit on 12 April 2022. He was incarcerated following the murder of his wife in September 2020 and had become a parapl…
95y · Male·bronchopneumonia in a man who has sustained extensive head injury
A 95-year-old man with multiple comorbidities including ischaemic heart disease, atrial fibrillation, chronic airways disease, aspiration pneumonia history, and dementia was struck unprovoked by a cognitively impaired co…
0y · Male·Amniotic fluid aspiration (severe); with contribution from thin umbilical cord a…
…causal link between delays and the rare aspiration event. The placental pathology revealed a thin umbilical cord predisposing to compression injury. Core failures included communication breakdowns, inadequate consultant …
60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression
… 60-year-old involuntary psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Dependency Unit bathroom. Key clinical lessons include: communication difficulties (voice loss) sh…
0y · Male·Perinatal hypoxia
Baby R, born at 39 weeks 6 days via planned homebirth with private midwives, died from perinatal hypoxia on day 6 of life. The mother had significant obstetric risk factors: previous emergency caesarean section, macrosom…
75y · Male·neck compression due to hanging
… included lack of documented assessment of suicide risk and failure to remove ligature risks such as pyjama cords. The coroner emphasised that clinicians managing detained patients must document risk assessments thorough…
58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury
A 58-year-old woman with autism and severe intellectual disability died from pneumonia and cardiac failure complicated by hypoxic brain injury following cardiac arrest. She had been institutionalised at Graylands Hospita…
19y · Male·neck compression due to hanging
…s heard him threaten to hang himself; one person removed electrical wire he was carrying. He later obtained cord from the playground and hanged himself. Forensic autopsy confirmed hanging as cause of death with petrol de…
0y · Male·hypoxic-ischaemic encephalopathy due to prolonged fetal bradycardia
…50pm on 18 September 1998. The critical failure was that the cardiotocograph (CTG) monitor, which clearly recorded the dangerous deceleration, was not being actively observed by staff. Registered Midwife Scobie, as Shift…
0y · Female·Intrapartum asphyxia refractory to postpartum resuscitation due to amniotic flui…
A term neonate died one hour after emergency caesarean section for fetal distress, caused by intrapartum asphyxia due to meconium aspiration. While labour induction, oxytocin dosing, and emergency surgery were appropriat…
52y · Female·Spinal injuries sustained in falls in a woman with multiple medical comorbiditie…
Caroline Monique Hall, a 52-year-old woman with intellectual disability, epilepsy, schizophrenia, and multiple comorbidities living in supported disability accommodation, died from spinal injuries sustained in falls. She…
41y · Male·injuries sustained when he fell from height into a pit full of water
Roger Bruce Browne, a 41-year-old contract holder at Dawson Mine, died after falling from height into a pit at disused pit 8C. He suffered fatal injuries including cervical spine dislocation and internal injuries; death …
0y · Male·Head injury sustained in a difficult delivery including head impaction and caesa…
Baby Sidney died from severe hypoxic-ischaemic encephalopathy caused by head impaction during a difficult vaginal delivery attempt and subsequent caesarean section at 6 days old. The coroner found that medical care fell …
41y · Female·Neck compression and hanging
…ED but left before being seen, approximately 3 hours after arrival. She subsequently obtained an electrical cord and died by hanging. Expert review found care at the Geelong Clinic, Windana, and Ballarat Hospital to be g…
64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging
…h unit (Kurrajong Unit) under involuntary care following a suicide attempt. Within 24 hours, she accessed a cord/drawstring and died by hanging. The death occurred in the context of inadequate search procedures for ligat…
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