Coronial

97 results for respiratory compromise

VIChospital2016-12-15

Finding into death of Henry Francis Oakley

85y · Male·pneumonia

…brillation, dementia) died from pneumonia while in custody at Port Phillip Prison. He developed a lower respiratory tract infection in December 2015 that persisted despite oral antibiotic therapy. On 28 January 2016, he…

emergency medicineinfectious diseasesamitriptyline
QLD2026-03-31

Inquest into the death of Kyle James Gallagher

22y · Male·Airway obstruction due to laryngeal abscess and laryngeal chondronecrosis due to…

…n setting where nursing staff, reassured by ENT that the airway was stable, interpreted his progressive respiratory distress as anxiety. He deteriorated overnight and died in cardiac arrest. Had appropriate ENT assessme…

ENT surgeryradiologydiagnosticcommunicationdiazepam
TAShospital2024-10-22

Coroner's Finding: Grimsey, Doreen

91y · Female·congestive cardiac failure

…rted to hospital for assessment of a suspected pelvic fracture. She deteriorated acutely in the ED with respiratory compromise requiring oxygen therapy. A MET call occurred. Following family discussions, a palliative ap…

geriatric medicineemergency medicine
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

…9-year-old Indigenous Australian with schizo-affective disorder and significant comorbidities (obesity, respiratory infection, diabetes), presented to Logan Hospital after police noted concerning psychiatric behaviour. …

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
VIC2021-10-15

Finding into death of Raymond John Cassar

47y · Male·Pneumonia (1(a)), Motor neurone disease (1(b))

Raymond Cassar, a 47-year-old man with motor neurone disease requiring ventilatory support, died of pneumonia at a disability accommodation service. He had been diagnosed with a chest infection on 19 June 2018 and prescr…

general practicepalliative careclonazepam
VIC2024-11-01

Finding into death of Sharanjeev Singh Johal

48y · Male·Pneumonia (Klebsiella and COVID-19) complicating motor neurone disease

A 48-year-old man with motor neurone disease died from pneumonia (Klebsiella and COVID-19) while in full-time supported accommodation. He contracted COVID-19 in the week before death, and his condition rapidly declined d…

infectious diseasespalliative care
NSWhospital2015-06-24

Inquest into the death of Giovanni TRIPODI

91y · Male·The combined effects of chest injuries and old age

A 91-year-old man presented to the ED after a motor vehicle crash with chest pain. While imaging revealed abnormalities, ED staff and a junior registrar considered these to be old fractures rather than acute injuries and…

emergency medicineradiologydiagnosticsystemparacetamol
VICpolice2017-04-10

Finding into death of Michael John Darmody

51y · Male·Combined drug toxicity (methadone and benzodiazepines) in a man with coronary an…

…pply the medical checklist before calling CHAL. Death was preventable with earlier recognition of airway compromise, altered consciousness, and appropriate use of emergency services. Deficiencies included inadequate CHAL…

emergency medicineintensive carecommunicationdiagnosticmethadone
NSW2021-11-08

Inquest into the death of Walter CLOUGH

66y · Male·Complications of chronic obstructive pulmonary disease. A significant contributi…

…lough, aged 66, died from complications of COPD and cardiomegaly while incarcerated. He had significant respiratory compromise from prior chest trauma causing hemidiaphragm paralysis. Days before death, he was hospitali…

general practicerespiratory medicinesystemspriva
SAhome2017-04-19

Coroner's Finding: BOOGAR Kumana

42y · Male·sudden unexpected death in epilepsy (SUDEP)

A 42-year-old Aboriginal man with longstanding epilepsy, double-leg amputation, and alcohol abuse history died at home from sudden unexpected death in epilepsy (SUDEP). He was under Guardianship and Administration Act or…

neurologyforensic medicinecarbamazepine
VIChospital2021-09-16

Finding into death of Anthony Swaney

58y · Male·Acute renal failure in the setting of pneumonia and acute bronchitis

…isability, and swallowing difficulties with aspiration risk. He presented with abdominal distension and respiratory compromise, developing severe heart failure, renal failure with hyperkalaemia, and respiratory failure …

general medicinegeriatric medicine
VIChospital2024-03-13

Finding into death of Grethe Larsen

67y · Female·Complications of metastatic lung cancer, in a woman with chronic obstructive pul…

Grethe Larsen, a 67-year-old woman with advanced multiple sclerosis, COPD, and metastatic lung cancer, died from complications of her malignancy. She resided in specialist disability accommodation funded by the NDIS with…

palliative careemergency medicine
NSWhome2017-03-15

Inquest into the death of Meaghan Gardner

44y · Female·Acute bronchopneumonia complicating multi-drug toxicity (alprazolam, opiates, be…

Meaghan Gardner, a 44-year-old woman with a history of respiratory problems, pneumonia, schizophrenia, and substance abuse, died from acute bronchopneumonia complicated b…

respiratory medicinepsychiatrydelaycommunicationalprazolam
QLDcommunity2008-11-05

Boyd, Melanie Kate

Female·death by drug toxicity

…ervices promptly. Key lessons include: recognising signs of acute drug toxicity (altered consciousness, respiratory compromise); ensuring responsible adult supervision at youth gatherings; understanding the dangers of p…

emergency medicinetoxicologydelaycommunicationillicit drugs
WAhome2015-06-18

Inquest into the Death of MKP

15y · Female·Seizure Disorder in association with Long Standing Hypoxic Ischaemic Encephalopa…

…phalopathy who died from a seizure disorder in her foster home on 26 December 2011. She had progressive respiratory compromise with obstructive sleep apnoea and desaturations noted in the months before death. Her paedia…

neurologypaediatricsdelaydiazepam
VIChospital2016-03-15

Finding into death of George Mavraganis

50y · Male·Complications of urosepsis in the setting of T3/4 paraplegia

George Mavraganis, a 50-year-old man with T3/4 paraplegia from a childhood injury, was residing in supported accommodation. He had a chronic indwelling urinary catheter with recurrent infections. On 24 August 2015, his l…

intensive caregeneral practice
VIChospital2024-08-12

Finding into death of Heather Maree Smith

64y · Female·Complications of hospital acquired pneumonia and COVID-19 infection

…d to hospital on 7 December. Over the subsequent three weeks, she experienced recurrent admissions with respiratory compromise, COVID-19, and bacterial pneumonia. A significant clinical challenge was her non-compliance …

general practiceemergency medicineantibiotics
QLDhospital2007-11-23

Scholz, Karl David

31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…

…hout proper consultation between intensive care and surgical teams; failure to escalate two episodes of respiratory distress on 20 May to senior staff; and misdiagnosis of upper airway obstruction as lower respiratory t…

intensive careanaesthesiadiagnosticcommunicationamoxicillin
VIChome2024-10-07

Finding into death of Suzanne Norah Evans

50y · Female·Combined drug toxicity in a woman with tension pneumothorax

…l rib fractures causing a pneumothorax. The combination of baclofen overdose, alcohol intoxication, and respiratory compromise from pneumothorax led to death. Key clinical lesson: recognition of overdose risk in patient…

emergency medicinetoxicologybaclofen
VIChospital2018-02-19

Finding into death of Margaret Ann Yeomans

79y · Female·Rhabdomyolysis in a woman with multiple myeloma and renal impairment

Margaret Ann Yeomans, aged 79, died from rhabdomyolysis in the context of multiple myeloma and chronic renal impairment. A critical medication error occurred when rosuvastatin 40mg was dispensed instead of her prescribed…

haematologynephrologymedicationcommunicationrosuvastatin

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