Coronial

105 results for severe hypoxia

VICmental health2015-12-20

Finding into death of Danny Wayne Feschuk

46y · Male·Cardiomegaly in the setting of hypoventilation syndrome in an obese man with sch…

…t of care contributed to his death. Key clinical lessons include: the complexity of managing patients with severe comorbidities across psychiatric and medical settings; the challenge of safely discontinuing supplementary…

psychiatryrespiratory medicineoxycodone
SAhospital2005-04-05

Coroner's Finding: HOLLENS Christopher

44y · Male·aspiration pneumonia

…ure management, and respiratory support in ICU, though he remained hypoxic and difficult to examine due to severe neck flexion and communication difficulties. The coroner found the assessment at Glenside, transfer timing…

psychiatrygeneral medicinephenytoin
WAhospitalJuly 2023

Inquest into the Death of Lincoln Arthur CAMPBELL

52y · Male·end-stage throat cancer

…g palliative care. He had a PEG feeding tube, required regular morphine and sedatives, and was hypoxic and severely malnourished. Despite no restrictions on his movements, he left the hospital at approximately 4.00 am an…

oncologypalliative caremorphine
NSWhome2024-11-08

Inquest into the death of Chi Khanh Huynh

52y · Male·Significant blunt head trauma suffered from an assault inflicted by known person…

…-standing drug dependencies and prior head trauma from a September 2018 scooter accident, died following a severe assault by Cheng Chia involving multiple punches and elbow strikes to the face and head. The coroner found…

forensic medicinetoxicologymethamphetamine
SAhospital2016-09-01

Coroner's Finding: CORBO Antonio

90y · Male·bowel obstruction leading to acute renal failure, sepsis and respiratory failure

…spitalisation for cardiac and respiratory issues. He presented to hospital with coffee-ground vomiting and severe abdominal pain. Clinical examination revealed critical illness with haemodynamic instability, hypoxia, per…

emergency medicinegeriatric medicine
VIChospital2025-11-18

Finding into death of David William James Hearn

57y · Male·Aspiration pneumonia in a man with cerebral palsy, intellectual disability and L…

…iration pneumonia and was receiving nutrition via PEG tube. He presented with acute respiratory distress, hypoxia, and right-sided pneumonia. Despite antibiotic therapy and supportive measures, he deteriorated rapidly. …

respiratory medicineemergency medicineantibiotics
SAhospital2005-04-07

Coroner's Finding: HARRIS Margret Lillian

48y · Female·Chronic Obstructive Airway Disease

…the Mental Health Act at Royal Adelaide Hospital. She had longstanding COAD, right heart failure, chronic hypoxia and cyanosis, complicated by chronic schizophrenia and psychosis that rendered her unable to self-manage …

psychiatryrespiratory medicinediuretics
NSWhospital2022-10-26

Inquest into death of Lucas PEYRET

21y · Male·Hypoxic brain injury arising from severe anaphylactic shock due to administratio…

…gence from anaesthesia, after administration of Sugammadex (neuromuscular reversal agent), Lucas developed severe anaphylactic shock with bronchospasm, wheeze, desaturation and rapid loss of consciousness. Cardiac arrest…

surgeryanaesthesiasugammadex
VIChospital2015-09-30

Finding into death of Kirat Singh

0y · Female·Global hypoxic-ischaemic injury of unknown cause

…scitated and transferred to NICU but suffered extensive brain injury. MRI showed changes characteristic of severe acute hypoxia-ischaemia. Despite advanced medical care including therapeutic hypothermia and specialist co…

neonatologypaediatricsphenobarbital
SA2004-04-06

Coroner's Finding: HUMBERSTONE Rex Alexander John

52y · Male·salt water drowning

…owning whilst diving near Marion Bay, South Australia. Multiple medical and equipment factors contributed: severe obesity (132kg), emphysema with lung bullae, coronary atheroma, enlarged heart, tight-fitting wetsuit caus…

diving medicineforensic medicinediagnostic
QLDhospital2017-12-04

Mr AC - Non-inquest findings

76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…

A 76-year-old man with significant comorbidities including severe obstructive sleep apnoea, obesity, aortic stenosis, and ischaemic heart disease died from acute coronary a…

neurosurgeryanaesthesiadiagnosticcommunicationamiodarone
WAhospital2017-08-22

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

0y · Male·hypoxia due to intrauterine pneumonia and haemorrhage with uterine rupture in a …

A neonate died shortly after birth from hypoxia due to intrauterine pneumonia, haemorrhage and uterine rupture following prolonged rupture of membranes d…

obstetricsneonatologycommunicationdelayoxytocin
VIChospital2022-03-15

Finding into death of Ann Leah Jones

87y · Female·Pulmonary artery rupture complicating pulmonary artery catheter insertion in a w…

Mrs Jones, an 87-year-old woman with severe ischaemic heart disease, died from pulmonary artery rupture during elective off-pump coronary artery bypas…

cardiothoracic surgeryanaesthesiaproceduralsystemfentanyl
WAhospital2005-06-30

Inquest into the Death of Daniel Allan Sullivan

48y · Male·Hypoxic brain injury following cardiac arrest in a patient with sigmoid colon vo…

…revealed ischaemic sigmoid colon which was surgically resected. Despite successful surgery, the prolonged hypoxia from cardiac arrest resulted in severe hypoxic brain injury. He remained in ICU with minimal neurological…

emergency medicinegeneral surgeryclozapine
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…

…nia and sepsis. She had multiple 'red flag' indicators of severity including hypotension, tachypnoea, and hypoxia. Critical failures included: inadequate appreciation of sepsis severity; failure to escalate to ICU consu…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol
QLDhospital2005-12-22

Hansen, Anthony Kenneth

46y · Male·Diffuse Alveolar Damage (Adult Respiratory Distress Syndrome) as a consequence o…

…antibiotic therapy and supportive care, his condition rapidly deteriorated on 27 August with haemoptysis, hypoxia, and fever. He was transferred to Maryborough Base Hospital by ambulance and diagnosed with severe bilate…

respiratory medicineintensive careaugmentin duo
VIChospital2024-08-12

Finding into death of Heather Maree Smith

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

Heather Maree Smith, a 64-year-old woman with severe cerebral palsy and multiple comorbidities residing in specialist disability accommodation, died from compl…

general practiceemergency medicineantibiotics
VIChospital2024-06-04

Finding into death of Stephen John Lunson

68y · Male·Pneumonia on a background of interstitial lung disease

Stephen Lunson, a 68-year-old man with intellectual disability, epilepsy, and interstitial lung disease, died from pneumonia. He had been under medical review for progressive respiratory symptoms since 2019. In early Dec…

respiratory medicinegeneral practicedelayprednisolone
SAhospital2022-12-16

Coroner's Finding: Roocroft, Bryan

84y · Male·acute aspiration complicating periprosthetic fractured right femur (operated) on…

Bryan Roocroft, 84 years old with severe dementia, suffered a periprosthetic right femur fracture after two falls at aged care on 24 December 2020 …

geriatric medicineorthopaedic surgeryoxazepam
QLDhospital2018-07-30

Khazaei, Hamid

24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …

…n detention. His death was preventable and resulted from multiple compounding errors: failure to recognise severe sepsis despite worsening vital signs; lack of appropriate antibiotics at the Manus Island clinic; failure …

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone

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