Coronial

677 results for cardiac arrest

SA2003-03-28

Coroner's Finding: ROGERS Justin Malcolm

27y · Male·propoxyphene toxicity

A 27-year-old man with schizophrenia died of propoxyphene toxicity while in police custody. He ingested a fatal dose of Doloxene capsules prescribed by Dr R. on 27 June 2000. The doctor prescribed 100 capsules to a patie…

general practicepsychiatrydiagnosticmedicationpropoxyphene
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following susp…

emergency medicinegeneral practicediagnosticdelaymorphine
VIChospitalPodcast2025-05-26

Finding into death of Nancy Doreen Hay

99y · Female·Chest injuries in the setting of a tram incident (pedestrian)

A 99-year-old woman with dementia and reduced mobility was struck by a tram while crossing at a roundabout intersection in Essendon, Victoria. She sustained severe chest injuries including bilateral pneumothoraces, haemo…

emergency medicinetrauma surgerysystem
SA2009-11-26

Coroner's Finding: MANSVELDERS Mark Thomas

44y · Male·epilepsy with contributing factors of hypertensive heart disease and coronary ar…

…eep movements or alcohol withdrawal by untrained officers, and resuscitation attempts for seizure-induced cardiac arrest are rarely successful even in hospitals. The coroner found deficiencies in prisoner screening docu…

neurologyforensic medicinesystem
QLDhospital2014-08-05

Olive, Thomas (Tom) Andrew

4y · Male·Severe rhabdomyolysis due to LPIN1 gene mutation

…reviewed together. On 25 August, Tom presented in acute rhabdomyolysis crisis with severe hyperkalemia and arrested. While the resuscitation was appropriate, earlier recognition of rhabdomyolysis could have prompted meta…

general practiceemergency medicinediagnosticcommunicationsuxamethonium chloride
SAhospital2009-12-31

Coroner's Finding: LYNN Matthew John

20y · Male·hypoxic encephalopathy

… paralysis was administered based on this false premise, eliminating the patient's own breathing efforts. Cardiac arrest followed. Only at 1:25am, 65 minutes later, was the tube found to be in the oesophagus and replace…

intensive careanaesthesiadiagnosticcommunicationpropofol
VIChospital2015-02-16

Finding into death of Dianne Willma MacIntyre

18y · Female·Injuries sustained in motor vehicle collision (passenger)

An 18-year-old female died from injuries sustained as a passenger in a motor vehicle collision on a poorly maintained road. The vehicle struck a pothole in a wet road surface, causing loss of control and collision with o…

emergency medicinetrauma surgerysystem
VIChospital2003-03-18

HOGGINS Cheryl

48y · Female·Cardiorespiratory arrest due to cardiac tamponade as a result of perforation of …

Cheryl Hoggins, aged 48, died on 1 July 2000 from cardiac tamponade following perforation of the right atrium during central venous catheter exchange in ICU. She w…

intensive caregeneral medicineproceduraldiagnosticnoradrenaline
VIChospital2015-09-22

Finding into death of AJR

88y · Male·Multiple injuries sustained in a motor vehicle collision (pedestrian)

An 88-year-old man died from multiple injuries sustained when struck by a motor vehicle while crossing a poorly-lit road as a pedestrian. He suffered bilateral pelvic fractures, lumbar spine fractures, aortic transection…

trauma surgeryneurosurgery
VIChome2021-02-24

Finding into death of Jordan Malcolm Colin White

1y · Male·Hypoxic ischaemic encephalopathy due to neck compression from faulty portacot

Jordan White, a 14-month-old boy, died from hypoxic ischaemic encephalopathy caused by neck compression when trapped in a faulty portacot. The portable cot had a defective bottom rail that would not lock, leaving it in a…

intensive careneurologysystem
NSWprison2025-09-05

Inquest into the death of Dushyanthan Visvanathan

55y · Male·Complications of alcohol use disorder

…nication to correctional officers regarding monitoring requirements. While the death resulted from sudden cardiac arrest secondary to alcoholic ketoacidosis (unwitnessable), proper four-hourly vital sign monitoring with…

addiction medicineemergency medicinecommunicationdocumentationdiazepam
VIChospital2015-04-02

Finding into death of Linda Elizabeth Parker

39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…

Linda Parker, aged 39, died from hypoxic brain injury following catastrophic postpartum haemorrhage from placenta increta during caesarean delivery. Critical lessons: (1) Placenta increta risk was not detected prenatally…

obstetricsanaesthesiadiagnosticdelay
TAShospital2015-10-09

Coroner's Finding: Hay, Katrina Maree

35y · Female·Acute right heart failure (cor pulmonale) following intravenous injection of cru…

A 35-year-old woman with chronic hepatitis C and long-standing intravenous drug use died from acute right heart failure (cor pulmonale) following injection of crushed Xanax tablets. She presented to hospital with cardiog…

emergency medicineintensive carealprazolam
QLD2015-03-30

Bischoff, Noelene Gaye; Bischoff, Yvana Jean Yuri - Non-inquest findings

Female·Allergic type reaction (anaphylaxis), possibly secondary to scombroid syndrome (…

A mother and daughter died from severe allergic reactions to contaminated fish consumed at a Bali hotel restaurant on 3 January 2014. Both had underlying asthma, which increased anaphylaxis severity and treatment resista…

emergency medicineallergy and immunologyadrenaline
VICcommunity2012-09-28

Finding into death of CIE

12y · Female·Hypoxic/Ischaemic Encephalopathy and Effects of drowning

A 12-year-old girl drowned in Lake Victoria after stepping into deep water while swimming with friends and family. She attempted to help a sister who had slipped on a sand ledge into deeper water but became overwhelmed a…

SAhospital2013-08-27

Coroner's Finding: BALNAVES Craig Henri

43y · Male·ischaemic small intestine due to incarceration of bowel in a mesenteric defect

Craig Henri Balnaves, a 43-year-old man with treatment-resistant schizophrenia detained at Glenside Hospital under mental health orders, died from ischaemic small intestine due to bowel incarceration in a congenital mese…

general surgerypsychiatryantacid
NThospital2005-06-27

Inquest into the death of Bradley Abala

12y · Male·astrocytoma (brainstem, posterior fossa tumour with hydrocephalus and brainstem …

Bradley Abala, a 12-year-old Aboriginal boy, died from an aggressive brainstem astrocytoma on 23 April 2004. He presented with a three-month history of headaches, coordination difficulties, and lethargy. CT imaging on 20…

neurosurgerypaediatricscommunication
WAhospital2015-01-15

Inquest into the Death of Petra ZELE

28y · Female·hypoxic brain injury following cardiac arrest in association with pulmonary hype…

Petra Zele, a 28-year-old woman, died from hypoxic brain injury following cardiac arrest due to acute pulmonary embolism superimposed on chronic thromboembolic pulmonary hypertension. She…

emergency medicinecardiologydiagnosticcommunicationyasmin
VIChospital2022-08-19

Finding into death of Ruth Ann McKenna

62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…

…ted consideration of conversion to open surgery earlier. Had platelets been available pre-operatively and cardiac complexity been recognised, the outcome may have differed.

gynaecologyanaesthesiadiagnosticsystemmetaraminol
SAhospital2016-05-25

Coroner's Finding: PALTRIDGE Mellanie Joanne

25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss

A 25-year-old pregnant woman (23 weeks) presented to hospital with sudden left upper quadrant abdominal pain and loss of consciousness. Clinical assessment identified renal colic and gallstones as likely diagnoses. She r…

obstetricsemergency medicinediagnosticdelayparacetamol
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