Coronial

677 results for cardiac arrest

VIChospital2014-08-27

Finding into death of Robert Vivian Hawkins

55y · Male·Multi-system failure complicating intra-operative haemorrhage due to inadvertent…

Robert Vivian Hawkins, a 55-year-old man, died from multi-system failure following inadvertent ligation of the superior mesenteric artery (SMA) during laparoscopic nephrectomy for renal cell carcinoma. Dr L. misidentifie…

urologygeneral surgerydiagnosticprocedural
QLD2018-02-06

Murray, Eric James

69y · Male·Ischaemic cardiomyopathy due to or as a consequence of coronary atherosclerosis …

…gy review, close glucose monitoring, and appropriate management of his multiple comorbidities. His severe cardiac disease placed him at high risk of fatal arrhythmia and myocardial infarction. The coroner concluded his …

cardiologyendocrinology
NSWcommunity2015-03-06

Inquest into the death of Andrew HABIB

20y · Male·hypertrophic cardiomyopathy shortly after participating in a martial arts traini…

Andrew Habib, aged 20, died from hypertrophic cardiomyopathy (a genetic heart condition causing left ventricular hypertrophy) during martial arts training at a gym despite having been advised to avoid strenuous exercise.…

cardiologyforensic medicinesystemdelayverapamil
VIChospital2015-09-30

Finding into death of Kirat Singh

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

A three-day-old girl, Baby Kirat, died from global hypoxic-ischaemic brain injury sustained during co-sleeping with her mother in a hospital maternity ward on 9 July 2013. She was resuscitated and transferred to NICU but…

neonatologypaediatricsphenobarbital
VIChospital2018-11-28

Finding into death of Jason William Causon

46y · Male·COMPLICATIONS OF RUPTURED ANTERIOR COMMUNICATING CEREBRAL ARTERY ANEURYSM (OPERA…

Jason Causon, a 46-year-old man in custody, collapsed while exercising due to a ruptured anterior communicating cerebral artery aneurysm. He received prompt initial resuscitation by correctional and health staff, was rap…

neurosurgeryintensive care
NSWhospital2023-05-09

Inquest into the death of Harriet Ostler

1y · Female·sudden cardiac death on a background of rhinovirus infection

…oddler, was admitted to Port Macquarie Base Hospital with viral respiratory symptoms and died from sudden cardiac death due to underlying myocarditis/cardiomyopathy precipitated by rhinovirus infection. Clinical lessons…

paediatricsemergency medicinediagnosticcommunicationsalbutamol
VIChospital2024-12-09

Finding into death of James Van Wyk

65y · Male·Metastatic lung cancer

…mily, chemotherapy was declined on 28 July and palliative care was arranged. He deteriorated and suffered cardiac arrest on 30 July 2023. The coroner found no clinical mismanagement by either the SIL provider or hospita…

oncologypalliative care
SAmental health2016-06-09

Coroner's Finding: FALLON Peter John William

40y · Male·Unascertained; likely cardiac arrhythmia secondary to cardiomegaly and morbid ob…

…revealed morbid obesity, cardiomegaly, and cannabinoid use. The coroner found his death was likely due to cardiac arrhythmia from multiple predisposing factors rather than psychiatric detention. However, the coroner exp…

psychiatryintensive carecommunicationsystemrisperdal consta
VIChome2025-02-26

Finding into death of Jonathan Alan Uphill

84y · Male·Ischaemic heart disease and coronary artery atherosclerosis in the setting of ty…

…phill, an 84-year-old man with extensive comorbidities including type 2 diabetes, hypertension, and prior cardiac risk factors, died of ischaemic heart disease with coronary artery atherosclerosis. He underwent total de…

oral and maxillofacial surgeryanaesthesiadelaycodeine
QLDhospital2017-10-06

Parsons, Ann

59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…

…operatively, making post-operative neurological deterioration difficult to characterise. She was found in cardiac arrest 14 hours after ward admission, likely due to a seizure triggered by hyponatraemia. Key failures in…

neurosurgeryintensive carediagnosticcommunicationdexamethasone
VIChospital2021-12-13

Finding into death of Baby A

1y · Male·Global cerebral ischaemic injury following cardiorespiratory arrest of unknown c…

A 22-month-old boy died from global cerebral ischaemic injury following cardiorespiratory arrest of unknown cause in the setting of detected methylamphetamine exposure. He had multiple healing traumatic …

paediatricsemergency medicinesystemcommunicationmethamphetamine
VIChospital2021-09-21

Finding into death of AH

37y · Male·Mixed Drug Toxicity (Oxycodone, Quetiapine, Pregabalin and Clonazepam)

…ored resuscitation cubicle, he deteriorated with worsening conscious state (GCS 15→11→9) and was found in cardiac arrest at 2:22pm. Critical failures included: inadequate knowledge of Targin's prolonged action and nalox…

emergency medicinetoxicologydiagnosticcommunicationoxycodone
VICaged care2010-08-19

Finding into death of Raymond Giles

53y · Male·Pneumonia in a man with Down syndrome and dementia; epilepsy

…ileptic seizure and breathing difficulties, appropriately contacted his doctor and called an ambulance. He arrested during ambulance assessment. The coroner found his in-care management was within reasonable health care …

general practicerespiratory medicineparacetamol
WAhospital2005-04

Inquest into the Death of Kevin Gregory Quartermaine

36y · Male·Ischaemic Heart Disease and Severe Multifocal Coronary Atherosclerosis in a man …

…re. Prison medical staff attempted to optimize his medical management with appropriate medication for his cardiac and diabetic conditions, though he demonstrated periods of non-compliance. On the morning of his death, h…

cardiologyintensive careinsulin
VIChome2020-08-24

Finding into death of Wayne Laurence Marshall

54y · Male·Methadone use in a man with asthma and sarcoidosis of the lungs

Wayne Marshall, a 54-year-old registered nurse, died from respiratory depression caused by methadone use in the context of underlying asthma and pulmonary sarcoidosis. He was found gasping for air at home and could not b…

emergency medicineintensive caremethadone
VIChospital2023-11-24

Finding into death of Vikki Michelle Prenc

59y · Female·Asphyxial aspiration with upper airways obstruction by vomitus

…nsent (she had delirium), without family consultation, and contrary to institutional policy. When Ms Prenc arrested on 21 September from a reversible cause (choking), resuscitation was not attempted per the GOC. The coro…

general practicegeneral medicinecommunicationsystemondansetron
SAhospital2016-08-03

Coroner's Finding: LAMBROPOULOS Andrea

34y · Male·hypoxic-ischaemic encephalopathy following laparoscopic bariatric surgery with i…

Andrea Lambropoulos, a 34-year-old man with morbid obesity, sleep apnoea, and ischaemic heart disease, died following sleeve gastrectomy. He was admitted to HDU rather than ICU post-operatively. In HDU, he experienced re…

bariatric surgeryanaesthesiacommunicationdelaymorphine
SA2018-11-01

Coroner's Finding: CASTILLO-RIFFO Jorge Alberto

54y · Male·hypoxic-ischaemic encephalopathy resulting from neck compression due to entrapme…

…ety fence, making rescue difficult; (4) lack of supervision/spotters. The coroner found entrapment caused cardiac arrest, not the reverse. The work should have used a boom lift or alternative method with proper SWMS. Ke…

occupational and environmental healthforensic medicinesystemprocedural
QLDhospital2018-07-30

Khazaei, Hamid

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

Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone
SAhospital2003-03-07

Coroner's Finding: GRAHAM Steven Barry

35y · Male·Cardiac arrest due to incessant ventricular fibrillation/ventricular tachycardia…

…y injury or stress-related plaque rupture), resulting in severe heart damage. He died 8 months later from cardiac failure. Key clinical failures: ECG results were not shown to the treating doctor; the doctor was not inf…

emergency medicinecardiologycommunicationsystemparacetamol/codeine
121222334

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