Coronial

66 results for intubation for respiratory support

NSW2016-09-12

Inquest into the death of M

15y · Female·hypoxic brain damage due to multiple drug toxicity

…ult. Gordon House youth workers provided residential care but lacked capacity to manage her high needs or enforce house rules effectively. Earlier medical intervention when she was first observed in altered consciousnes…

emergency medicinetoxicologydelaysystemheroin
VICcommunityPodcast2018-11-09

Finding into death of Omar Jamil Moujalled

18y · Male·acute asthma

…evere hay fever with exceptionally high sensitivity to ryegrass pollen (>100 kUA/L). He developed acute respiratory distress around 6:00 PM, attended Greenvale Medical Clinic where CPR was commenced by attending physici…

emergency medicinerespiratory medicinesystemdelaysalbutamol
NSWhospital2018-11-23

BURTON-HO Anqelique File 2015-235464 Findings given by Mag Grahame DSC on 23-11-2018

12y · Female·Cardio-respiratory failure due to aspiration pneumonia

…e 12, with VACTERL syndrome and difficult airway, presented to Bowral Hospital ED on 9 August 2015 with respiratory symptoms. She was inadequately triaged initially, then readmitted that evening with oxygen saturation o…

anaesthesiaemergency medicinediagnosticdelay
NSWaged care2021-09-22

Inquest into the death of Vakabauta LEONE

47y · Female·complications of rapidly progressing motor neurone disease

A 47-year-old woman with motor neurone disease died from respiratory complications while in immigration detention, residing in aged care. She collapsed at 1:00am with respi…

palliative careemergency medicinecommunicationdelay
NSWhospital2025-02-21

Inquest into the death of David Freeman

46y · Male·Respiratory arrest secondary to acute exacerbation of bronchial asthma caused by…

…dge of the allergy or availability of patient records. Aspirin triggered severe asthma exacerbation and respiratory arrest. Adrenaline, available but not administered by untrained nurses, would have been lifesaving. Mul…

emergency medicinegeneral practicediagnosticmedicationaspirin
WAhome2012-09-07

Inquest into the Death of Mulvaney

54y · Female·Multi-organ failure following a decreased level of consciousness caused by compl…

…d her husband's sedating medications (diazepam, benzodiazepines). She fell deeply asleep and was not roused for approximately 30 hours. Her husband, familiar with her 2-3 day migraine-induced sleep patterns, did not ini…

respiratory medicineintensive caredelaydiazepam
VIChospital2025-08-29

Finding into death of John Mark Robinson

61y · Male·Aspiration pneumonia in a man with cerebral palsy

…en improved and was being discharged home. He suffered a fatal aspiration event on 9 April 2024 and was not for intubation. The family raised concerns that excessive day program attendance contributed to his decline, bu…

general medicinerespiratory medicine
WAmental health2018-07-16

Inquest into the Death of Stanley KING

45y · Male·Cardiorespiratory arrest due to coronary artery disease, severe psychosis requir…

…ey King, a 45-year-old man with severe psychosis, coronary artery disease, and obesity, died from cardiorespiratory arrest triggered by antipsychotic-induced laryngeal dystonia. Admitted involuntarily for acute psychoti…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
SAhospital2020-06-25

Coroner's Finding: KARTINYERI Laura Rose

44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…

…ance abuse, non-compliance with treatment, and hospital presentations with refusal of care. In the months before death, her COPD was worsening despite repeated admissions. She presented drowsy on 4 July 2017 after inges…

respiratory medicineintensive carepregabalin
QLDhospital2016-06-03

James, Kesler Lee

5y · Male·Acute bronchopneumonia and diffuse alveolar damage due to acute rheumatic cardit…

…f his illness were underestimated. Early recognition of the critical acuity could have prompted earlier respiratory support and different retrieval arrangements. The case demonstrates how cognitive biases (diagnostic mo…

paediatricsintensive carediagnosticcommunicationfurosemide
VIChome2024-12-12

Finding into death of L G

16y · Male·Complications of acute alcohol intoxication

…le unconscious on an outdoor couch. Clinical lessons: acute alcohol intoxication in young people causes respiratory depression and airway compromise risk; loud snoring during unconsciousness indicates severe CNS depress…

emergency medicinetoxicologydelaysystemalcohol
NTcommunityPodcast2016-04-21

Inquest into the death of William Brown

62y · Male·respiratory failure secondary to high cervical cord injury (C3/4 and C7/T1 fract…

William Bernard Brown, a healthy 62-year-old, died from respiratory failure secondary to cervical spinal cord injury after being struck by a falling branch from an African…

emergency medicinespinal surgerysystemcommunication
NSWmental health2014-05-08

Inquest into the death of Hugh David LISLE

24y · Male·cardio-respiratory arrest due to multi-drug toxicity

…sion, polysubstance addiction and gambling disorder, died in a private psychiatric facility after admission for substance withdrawal management. Death resulted from cardio-respiratory arrest due to multi-drug toxicity i…

psychiatryemergency medicinecommunicationsystemdiazepam
VIChospital2024-11-29

Finding into death of Michael King

59y · Male·Aspiration pneumonia secondary to recurrent anal squamous cell carcinoma with su…

…struction. After initial ICU admission and improvement, he was transferred to Peter MacCallum Cancer Centre for ongoing management. He deteriorated with respiratory distress, pulmonary embolism and ureteric obstruction,…

oncologyintensive care
QLDhospital2007-10-01

Fogarty, Kevin Edward

37y · Male·Community acquired pneumonia as a result of melioidosis infection

…2%) with urgent intervention rather than expectant management; (4) establishing clear escalation guidelines for nursing staff to contact doctors; (5) ensuring rural practitioners have access to specialist advice and kno…

general practiceemergency medicinediagnosticcommunicationdiazepam
QLDhospital2018-05-04

LM - Non-inquest findings

1y · Female·Sepsis (Group A Streptococcus)

…y department. She had been seen multiple times by different GPs in the preceding weeks with viral upper respiratory tract infection symptoms and chronic impetigo. Although GP management was deemed appropriate by indepen…

general practiceemergency medicinediagnosticdelaymupirocin
WAhome2021-08-26

Inquest into the Death of Baby E (Name Subject to Suppression Order)

0y · Male·Complications of VATER syndrome and sacrococcygeal teratoma

…teratoma who died from complications of these conditions. He was born prematurely at 30 weeks, requiring intubation and ventilation, and remained in Perth Children's Hospital for over 5 months with multiple complex medic…

neonatologynephrology
VICcommunity2019-06-18

Finding into death of Yara Sturak Mignon

35y · Male·Hypoxic brain injury complicating cardiac arrest in the setting of combined hero…

…eet Richmond in November 2018. He had combined heroin, alcohol, and doxylamine (antihistamine), causing respiratory depression and cardiac arrest. Despite 22 minutes of paramedic CPR and hospital admission, he suffered …

emergency medicineintensive caresystemheroin
VIChospital2024-12-02

Finding into death of Baby Patel

0y · Unknown·unascertained

…ns of a seriously unwell neonate were documented but not recognised as such. This led to a one-hour delay before paediatric assessment. The infant was subsequently managed appropriately with antibiotics, fluids, and ret…

neonatologypaediatricsdiagnosticcommunicationcefotaxime
QLDhospital2010-10-18

Little Gungallida Girl

4y · Female·aspiration of vomitus and its treatment due to rheumatic carditis against a back…

…e died on 23 July 2009 from aspiration of vomitus complicating rheumatic carditis with concurrent viral respiratory tract infection. She presented with fever and cough on 19, 21, and 22 July; nursing reviews were adequa…

emergency medicinepaediatricsparacetamol

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