Coronial

677 results for cardiac arrest

VIChospital2023-11-08

Finding into death of K S

4y · Female·Drowning

A 4-year-old girl from an Afghan refugee family drowned in Lysterfield Lake after entering the water during a brief lapse of supervision. She was unable to swim and had not received water safety education. Despite immedi…

emergency medicineintensive caresystem
SAhospital2020-01-10

Coroner's Finding: FIORETTI Louisa Jill Josephine

19y · Female·2,4-dinitrophenol toxicity

…ministration, and dantrolene use, she deteriorated rapidly with uncontrollable hyperthermia and went into cardiac arrest. The coroner found treatment was expert and appropriate, but the dose was lethal and unsurvivable.…

toxicologyemergency medicine2,4-dinitrophenol
TAShospital2020-04-07

Coroner's Finding: Pettersson, Jan Axel

71y · Male·disseminated fungal (Cryptococcus) infection of the lungs, brain and meninges

…ugh to investigate CNS involvement. The patient was discharged then readmitted, deteriorated further with cardiac arrest, and died. Autopsy revealed disseminated cryptococcal infection of lungs, brain and meninges—not l…

general medicinerespiratory medicinediagnosticdelay
NT2017-01-13

Inquest into the death of Ronnie Beasley

40y · Male·ischaemic heart disease due to left ventricular hypertrophy and coronary artery …

…ted chest pain at 11:04 PM and received oxygen, aspirin, and GTN by paramedics who arrived at 11:40 PM. He arrested during transport and could not be resuscitated. The coroner found care appropriate but identified proced…

cardiologyemergency medicineproceduralaspirin
VIChospital2024-01-23

Finding into death of Baby T S

20y · Male·Group A streptococcus pneumonia (invasive Group A Streptococcus infection of the…

…afety-netting advice and next-day review arranged. He deteriorated overnight and presented to hospital in cardiac arrest, dying from invasive Group A Streptococcus pneumonia. The coroner and independent medical review f…

general practiceemergency medicineamoxicillin
VIC2015-05-29

Finding into death of Jack Irving

17y · Male·Head injury in a train incident

A 17-year-old boy died from a severe head injury sustained when he leaned out of a moving train's driver cab door and struck a trackside ladder. He and four friends had unauthorised access to the rear driver cab of a Fra…

trauma surgeryemergency medicine
QLDmental health2024-09-17

Inquest into the death of Chloe Jane Campbell

32y · Female·Hypoxic-ischaemic encephalopathy due to hanging

…e hanged herself using bedsheet over ensuite door on 29 April evening, suffering hypoxic brain injury and cardiac arrest; died 30 April. Coroner found treatment appropriate but noted systemic issues: ensuite doors repre…

psychiatryintensive caresystemlorazepam
SAmental health2020-09-22

Coroner's Finding: NOONAN Ricky Dale

54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking

A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised provision of food to…

psychiatryemergency medicinecommunicationsystemhaloperidol
VIChospital2020-07-31

Finding into death of Julie-Ann Margaret Johnston

61y · Female·Injuries sustained in a motor vehicle collision (pedestrian)

…n Railway Station while crossing a pedestrian zebra crossing. She sustained severe injuries and went into cardiac arrest upon arrival at Royal Melbourne Hospital, where she was pronounced dead. The bus driver, travellin…

emergency medicinetrauma surgerysystem
WAcommunity2025-11-05

Inquest into the Death of Child WK (Name Subject to Suppression Order)

8y · Male·Streptococcus pyogenes and parechovirus infection

…ized; he was discharged with safety-net advice. He deteriorated rapidly at home that evening, arriving in cardiac arrest; resuscitation failed. This case exemplifies the diagnostic challenge of early sepsis in young inf…

general practiceemergency medicineamoxicillin
QLDcommunity2007-02-12

Eddy, Michael John

26y · Male·Restraint asphyxia compounded by the effects of amphetamine abuse and extreme ex…

…history, died from restraint asphyxia compounded by amphetamine effects and extreme exertion during police arrest. Police pursued him for dangerous driving, located him at a unit in Highgate Hill, and encountered violent…

forensic medicinetoxicologyproceduralcommunicationamphetamine
NSW2016-09-12

Inquest into the death of M

15y · Female·hypoxic brain damage due to multiple drug toxicity

…lier medical intervention when she was first observed in altered consciousness (approximately 6am, before cardiac arrest at 11am) might have saved her life with respiratory support. Contributing factors included unautho…

emergency medicinetoxicologydelaysystemheroin
NTcommunity2008-09-01

Inquest into the death of Robert Daly

38y · Male·coronary atherosclerosis

…y non-physician health workers. The coroner recommended procedural changes ensuring detained persons with cardiac symptoms receive immediate physician evaluation.

emergency medicinecardiologydiagnosticcommunicationcough mixture
VIChospital2022-07-26

Finding into death of Susan Mary Royals

74y · Female·Complications of carotid artery injury from central line insertion in the settin…

Susan Royals, a 74-year-old woman with metastatic colon cancer, died from complications of carotid artery injury sustained during central venous catheter (CVC) insertion as part of a Whipple procedure and hemicolectomy. …

anaesthesiasurgeryprocedural
NSWhospital2017-12-01

Inquest into the death of Carey Alexander

13y · Male·borderline myocarditis, most likely due to influenza A virus infection

A 13-year-old previously healthy boy with borderline myocarditis presented to an adult ED with flu-like symptoms, lethargy, dizziness, syncope and inability to walk unaided. Despite these concerning features, he was disc…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
VIC2021-12-17

Finding into death of K W

4y · Male·Drowning

A 4-year-old boy drowned in a resort pool during a birthday party. He had been wearing a buoyancy vest initially but removed it to use water slides more freely. While approximately 20 people attended (8 adults), supervis…

systemdelay
QLDhospital2009-07-10

Coleman, Randall John

39y · Male·Strychnine toxicity

…ison while in custody at Kingaroy watchhouse on 18 January 2007. He had secreted the vial on his person at arrest on 16 January, despite police searches. The coroner found that Coleman was suffering from depression, rela…

emergency medicinepsychiatrycommunicationdelaystrychnine
VIChospital2023-11-02

Finding into death of Renato Ettore Poletti

72y · Male·Upper cervical spine injury sustained in a fall from a ladder

A 72-year-old man suffered a fall from a 3-metre ladder during home garden maintenance, sustaining a severe upper cervical spine injury (C2 fracture with high spinal cord haemorrhage) that was deemed non-survivable. He d…

trauma surgeryneurosurgerymidazolam
TAScommunity2016-06-20

Coroner's Finding: Gordon, Mark Alexander

51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…

… considered by the medical team, including a consultant physician. No CT imaging was obtained. The patient arrested on 22 March and died. Autopsy revealed Type I aortic dissection with pericardial tamponade. The coroner …

emergency medicinegeneral medicinediagnosticdelay
VIChospital2026-03-25

Finding into death of JNL (Jeremy)

14y · Male·Retroperitoneal haemorrhage secondary to abdominal injuries sustained in a motor…

A 14-year-old boy riding an illegally high-powered e-scooter (capable of 40-50 km/h) collided with a utility vehicle at a residential intersection. The e-scooter exceeded legal speed limits and age restrictions under Vic…

emergency medicinetrauma surgery
127282934

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