57 results for “intubation attempt”
36y · Male·Cardiorespiratory arrest complicating propofol administration for endodontic pro…
Michael Anderson, a 36-year-old obese man (BMI 38.5), suffered cardiorespiratory arrest during a root canal procedure under conscious sedation with propofol administered by Dr S. in a dental office setting. He had undiag…
7y · Female·respiratory failure from severe scoliosis due to Murray Valley encephalitis
…ty. The coroner found that the care, supervision and treatment provided to Ruby was appropriate. A Do Not Attempt Resuscitation order had been established after discussion with family in October 2015, restricting interv…
18y · Female·Generalised tonic-clonic seizure and cardiac arrest arising from severe hyperten…
An 18-year-old pregnant woman presented in labour at 41 weeks and 2 days gestation. From 23 September onwards, she experienced intermittent headaches, epigastric pain, proteinuria and peripheral oedema. At 1755 hours on …
16y · Male·Internal haemorrhage due to closed chest and abdominal injuries sustained in mot…
…hile evading custody. He had been arrested for property damage, placed in the front seat of a police car, attempted to escape while the vehicle was moving, and was subsequently struck by the police vehicle during a purs…
21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…
A 21-year-old man died from massive internal bleeding into the pelvis and retroperitoneum following a motor vehicle collision with a stobie pole in rural South Australia. He was trapped for over 2 hours before extricatio…
50y · Male·bronchitis (pandemic influenza A/H1N1 2009) in a man with chronic obstructive pu…
…urly vital sign monitoring given clozapine's potential for serious adverse effects. However, when a nurse attempted vital sign checks at 1.00am on 31 August, the deceased refused cooperation. Hourly visual checks and au…
0y · Male·Myocarditis
Baby C, a 5-month-old infant, died from myocarditis (viral heart inflammation) after presenting to Sunshine Hospital Emergency Department with fever, breathing difficulty, and cyanosis. He waited 1 hour 52 minutes before…
36y · Male·Gunshot wounds to the chest and abdomen
…aimed to have a shotgun, emerged armed with three knives, and threw one at officers. After a failed Taser attempt, a police officer shot him. The coroner found the shooting lawful and justified. While systemic issues we…
32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…
A 32-year-old woman with Sponastrime Dysplasia (a rare genetic bone disorder) died during elective bariatric surgery. She had undiagnosed subglottic stenosis (airway narrowing) and tracheobronchomalacia. Critical clinica…
15y · Female·cardiac and respiratory arrest following pulmonary aspiration
Miss M, a 15-year-old Aboriginal girl with severe cerebral palsy and multiple medical complications, died from cardiac and respiratory arrest due to pulmonary aspiration. She had an Advance Care Directive (ACD) in place …
47y · Female·complications of rapidly progressing motor neurone disease
…etention, residing in aged care. She collapsed at 1:00am with respiratory distress. Nursing staff did not attempt CPR, apparently believing an undocumented 'not for resuscitation' directive existed. No such directive wa…
18y · Female·Colchicine toxicity
An 18-year-old female died from colchicine toxicity after intentional overdose of her father's medications during a mental health crisis. She ingested approximately 10-15g of colchicine (dose 0.25mg/kg), below the guidel…
Female·bilateral acute bronchopneumonia
…opneumonia at a nursing home in September 2001, following a hypoxic brain injury sustained from a hanging attempt in March 2000. The coroner found the death resulted inevitably from her severe irreversible brain injury.…
14y · Male·severe heatstroke complicating a recent viral illness with focal myocarditis
A 14-year-old boy from Scotland died of severe heatstroke with myocarditis while hiking in extreme heat (40°C+) at Cape Range National Park. He had recently recovered from a viral illness. His father made navigation erro…
53y · Female·hanging
…ndover; (3) items capable of self-harm were not removed despite her involuntary status and recent suicide attempt; (4) an inexperienced enrolled nurse used non-standard observation techniques; (5) a confusing sleep char…
0y · Female·brain death complicating head and neck injury
…scalate concerns despite multiple red flags: previous domestic violence allegations, a failed termination attempt, parental abandonment of the baby in hospital, appalling living conditions (no running water, non-functio…
0y · Male·complications of intrauterine hypoxia
Baby Jacob Hill died from intrauterine hypoxia following an obstructed labour managed at Sunshine Hospital. A 39-week primiparous labour was complicated by deep transverse arrest. After initial assessment suggesting caes…
35y · Male·acute vomit aspiration in a man with acute large intestine obstruction (severe m…
Stephen Michael Kell, a 35-year-old man with treatment-resistant schizophrenia, died at Graylands Hospital from acute vomit aspiration in the setting of acute large bowel obstruction and clozapine-induced gastrointestina…
59y · Female·acute cardiogenic shock, with acute mechanical obstruction of a remote mechanica…
…rictive pericarditis, but not to the subsequent pressure wire insertion across her valve. The decision to attempt this procedure was made after initial test results were inconclusive and Ida was already sedated. Critica…
75y · Female·cardiac arrest in the context of aortic stenosis (moderate to severe), coronary …
A 75-year-old woman with significant cardiac history (aortic stenosis, coronary artery disease, left ventricular hypertrophy) underwent elective ankle ulcer debridement surgery. She developed refractory hypotension post-…
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