Coronial

31 results for respiratory failure requiring mechanical ventilation

NSWhospital2015-08-17

Inquest into the death of Manjit SINGH

33y · Male·hypoxic respiratory failure following right pneumonectomy for treatment of sever…

Manjit Singh, a 33-year-old Indian 457 visa worker, died from hypoxic respiratory failure following a pneumonectomy for treatment of severe pulmonary tuberculosis. He had latent TB iden…

respiratory medicinecardiothoracic surgerydiagnosticcommunicationtuberculosis medications
QLDhospital2020-08-26

Baby C - non-inquest findings

0y · Male·meconium aspiration syndrome complicated by persistent pulmonary hypertension

Baby C was born at 41 weeks and 2 days covered in thick meconium with respiratory distress. Key clinical failures included: (1) failure to respond to mother's request for induction at t…

neonatologyobstetricsdiagnosticproceduralmorphine
NSWhospital2015-03-16

Inquest into the death of John Gibson

63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…

…alcohol dependence underwent emergency hemicolectomy for caecal volvulus. Post-operatively he developed respiratory depression, hypernatremia and alcohol withdrawal requiring benzodiazepines and BiPap support. A central…

surgeryanaesthesiaproceduraldiagnosticdiazepam
WAhospital2009-09-11

Inquest into the Death of Gordon

1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)

…t Hedland, Western Australia. She presented to Halls Creek Hospital on 25 February with fever, elevated respiratory rate (60), elevated pulse (188), and audible chest crackles, but was discharged home despite vital sign…

general practiceemergency medicinediagnosticdelayparacetamol
SAhospital2007-06-29

Coroner's Finding: COCKBURN Michael Philip

40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)

…ntipsychotic medications, was admitted to Royal Adelaide Hospital from psychiatric detention for anaemia requiring blood transfusion. He became agitated during transfusion. An inexperienced intern prescribed haloperidol…

psychiatryemergency medicinemedicationcommunicationhaloperidol
QLD2012-12-14

Mitchell, Herbert John

50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…

… normal and Glasgow Coma Scale was 15/15. Despite ongoing monitoring by police, Mitchell suffered cardiorespiratory arrest at 3:21pm while in the watchhouse and died the following day from hypoxic brain injury. Medical …

emergency medicineintensive carediagnosticsystemalcohol
QLDhome2025-07-15

Inquest into the death of Daniel Thomas Wright

8y · Male·prematurity-associated lung and bowel disease

…at 24 weeks) with multiple complex medical needs including chronic lung disease, developmental delay, and failure to thrive. He died aged eight months from prematurity-associated lung and bowel disease while in parental…

neonatologypaediatricsdiagnosticcommunication
QLDhospital2017-06-09

Baby L - Non-inquest findings

0y · Female·Group B Streptococcus meningitis and sepsis

An 18-day-old baby died from late-onset Group B Streptococcus (GBS) meningitis and sepsis. She was born at a regional private hospital after labour complicated by maternal fever (37.6°C), foetal tachycardia (160-170 bpm)…

obstetricsneonatologycommunicationdiagnostic
NSWhospital2023-07-21

Inquest into the death of Ziad Hamawy

51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …

…given to concerning weekend behaviour (aggression, delusions, paranoid thinking, secreting razor blades, requiring seclusion). Critical clinical lessons include: the importance of considering the full context of a patie…

psychiatryemergency medicinediagnosticcommunicationheroin
QLDhospital2025-10-01

Non-inquest findings into the death of Mr S

26y · Male·Multi-organ failure due to pneumococcal septic shock

…ection. Critical deterioration occurred at 1:30am on 18 February when he became tachycardic and hypoxic, requiring medical review and antibiotics initiation per sepsis pathway. This review did not occur, causing approxi…

emergency medicineinfectious diseasesdiagnosticdelayantacid
WAhospital2013-11-12

Inquest into the Death of Ford, Valma May Ruth

77y · Female·Complications following a recent fracture and surgical repair of the right hip i…

A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…

orthopaedic surgeryemergency medicinediagnosticsystemwarfarin

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