Coronial

33 results for difficult airway

VIChospital2024-12-02

Finding into death of Baby Patel

0y · Unknown·unascertained

A 10-day-old neonate born at 36 weeks gestation presented to hospital with signs of sepsis including hypothermia, lethargy, poor feeding, and jaundice. Critical failures in recognition and triage occurred: the infant was…

neonatologypaediatricsdiagnosticcommunicationcefotaxime
QLDhospital2008-11-28

McVey, Oliver Steven

67y · Male·Complicated endotracheal tube insertion due to or as a consequence of recent clo…

…Following successful surgical ligation of a patent ductus arteriosus (PDA), Oliver developed ventilation difficulties in the immediate post-operative period. A 3.0mm endotracheal tube (ETT) was selected for intubation; …

neonatologycardiothoracic surgeryproceduralcommunication
WAcommunity2019-06-26

Inquest into the Death of Frederick John COLLARD

35y · Male·atherosclerotic heart disease with methylamphetamine effect in a man under physi…

A 35-year-old male with severe pre-existing ischaemic heart disease and recent cardiac arrest (April 2016) presented with increasingly erratic and paranoid behaviour after methylamphetamine use and alcohol consumption. H…

cardiologyemergency medicinemethamphetamine
NThospital2026-01-09

Inquest into the death of C Guyula

49y · Female·Hypoxia due to complications following incision and drainage of a right buttock …

A 48-year-old woman with multiple comorbidities (diabetes, COPD, chronic kidney disease, ischaemic heart disease) died following complications of anaesthesia during incision and drainage of a buttock abscess. Critical fa…

anaesthesiasurgeryproceduralmedicationfentanyl
VIChospital2012-04-05

Finding into death of Abdullah Kocoglu

4y · Male·Complications of cutaneous thermal burn injuries

Abdullah Kocoglu, age 4, died from complications of severe thermal burn injuries sustained in a house fire on 14 February 2011 at his grandparents' home in Hampton Park, Victoria. The fire was ignited when Abdullah playe…

plastic and reconstructive surgeryintensive caresystemdelay
SAhospital2000-02-25

Coroner's Finding: STONEHOUSE Jarrod William (aka Scott)

23y · Male·aspiration of blood due to stab wound to trachea

… as superficial without further investigation. Patient was intoxicated, uncooperative, making assessment difficult. Discharged after brief examination. Patient represented hours later with back pain; intern examined him…

emergency medicinesurgerydiagnosticcommunicationalcohol
QLDhospital2016-06-20

Bradshaw, Scott Anthony - Non-inquest findings

38y · Male·Pulmonary thromboembolism due to bilateral deep calf vein thrombi

…come. The hospital implemented recommendations including PE education, diagnostic algorithms, and improved airway equipment.

emergency medicineintensive carediagnosticcommunicationhypnodorm
VIChospital2022-02-22

Finding into death of Matthew Lee Dongelmans

30y · Male·Complications of methylamphetamine toxicity

…prevent death, as the acute methylamphetamine toxicity and resulting multi-organ failure would have been difficult to reverse regardless. Police response was timely and appropriate. Hospital implemented recommendations …

emergency medicineintensive caredelaysystemmethamphetamine
SAcommunity2026-03-26

Coroner's Finding: Shepley, Adam Troy

30y · Male·Unascertained; likely cardiac arrhythmia

…ailure to conduct any proper assessment of the unconscious patient upon arrival at scene. He did not check airway, breathing, circulation or consciousness, did not attach a cardiac monitor despite the patient being uncon…

emergency medicineparamedicinediagnosticcommunicationmethamphetamine
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
SAhospital2008-06-06

Coroner's Finding: AUSTIN Grant Aaron

29y · Male·aspiration pneumonia complicating acute and chronic Wernicke's encephalopathy an…

…ncomplete information transfer between clinicians. While the coroner found the diagnosis retrospectively difficult given the atypical presentation, systemic failures in communication and nursing oversight contributed to…

general medicinepsychiatrycommunicationdiagnostictrimethoprim
ACThome2018-06-25

INQUEST INTO THE DEATH OF SUELLEN EDITH DAVIS

57y · Female·Positional asphyxia caused by the combined effect of consumption of several opia…

57-year-old woman with chronic pain died from positional asphyxia caused by consumption of multiple sedative medications. She was prescribed opioids (Fentanyl, Oxycodone) and Pregabalin, but also obtained Dolased and Pro…

general practicepain medicinecommunicationsystemoxycodone
QLD2007-05-16

Davis, Jodie Maree

24y · Female·hypoxic brain damage due to cardiac arrest due to hanging

Jodie Maree Davis, aged 24, died by suicide in Townsville Correctional Centre in May 2002. She had a long history of self-harm dating from age 15, including multiple suicide attempts, and was assessed as high suicide ris…

psychiatrypsychologysystemcommunication

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