Coronial

228 results for airway management

WAhome

Inquest into the death of Nicole Emily BICKNELL

18y · Female·Acute Alcohol Toxicity with Early Pneumonia and Aspiration

…s from alcohol intoxication is a medical emergency requiring immediate hospital admission and professional airway management. Those present lacked understanding of alcohol toxicity, respiratory depression, and aspiration…

toxicologyemergency medicinedelaysystemalcohol
VIC2019-08-07

Finding into death of Bartosz Zgadzaj

39y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …

… cerebral palsy and intellectual disability, died from hypoxic ischaemic encephalopathy secondary to acute airway obstruction from a food bolus. He choked while eating unsupervised at a group home on 24 November 2017. Mu…

emergency medicineintensive carediagnosticcommunicationmidazolam
SAaged care2019-06-12

Coroner's Finding: SINCLAIR Colin George

68y · Male·Obstruction of airways by foodstuffs with contributing alcohol-related dementia

Colin George Sinclair, aged 68, died from airway obstruction by food while in high-level aged care under guardianship. He had alcohol-related dementia and …

geriatric medicinespeech pathology
VIC2014-10-02

Finding into death of Jayson Peter Hawkins

37y · Male·hypoxic brain injury secondary to airway obstruction

Jayson Peter Hawkins, 37 years old, died from hypoxic brain injury secondary to airway obstruction while on remand at Melbourne Assessment Prison in December 2009. He died by asphyxiation using…

emergency medicineintensive caresystemprocedural
VICaged care2010-05-19

Finding into death of Beatrice Ivy Brown

80y · Female·Acute upper airway obstruction secondary to aspiration of food bolus

Beatrice Ivy Brown, aged 80, died at an aged care facility from acute upper airway obstruction and aspiration of a food bolus following a choking episode. Clinical lessons include: (1) docu…

geriatric medicineemergency medicinecommunicationsystem
VIChospital2026-02-05

Finding into death of Max Peter McKenzie

15y · Male·Cardiorespiratory arrest of unknown aetiology complicating hypoxic ischaemic enc…

… delayed intubation for 15 minutes despite critical hypoxia, attempting to stabilise him first. A surgical airway was eventually established via cricothyroidotomy. The coroner found that while early adrenaline dosing and…

emergency medicineparamedicinedelaycommunicationadrenaline
WAhospital2007-06-08

Inquest into the Death of Rasmussen

31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…

…thesia and paralysis. Subsequent attempts by multiple senior anaesthetists and the surgeon to establish an airway all failed; the trachea was deviated and could not be located. Resuscitation was unsuccessful. The coroner…

anaesthesiageneral surgerydiagnosticproceduralatracurium
NSWhospital2025-11-17

Inquest into the death of Brooke Tiddy

32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…

…re genetic bone disorder) died during elective bariatric surgery. She had undiagnosed subglottic stenosis (airway narrowing) and tracheobronchomalacia. Critical clinical lessons: (1) Rare or unfamiliar diagnoses require …

bariatric surgeryanaesthesiadiagnosticcommunicationsevoflurane
WAhospital2021-09-10

Inquest into the Death of James David HECTOR

47y · Male·bronchopneumonia and upper airway obstruction in a man with end-stage oral cance…

James David Hector, a 47-year-old Aboriginal man, died of bronchopneumonia and upper airway obstruction related to end-stage oral cancer. He had a 13-year history of squamous cell carcinoma of the m…

palliative careoncologyoxycodone
NSWaged care2026-02-27

Inquest into the deaths of Dimosthenis Gesios and Maureen McGreevy

Unknown·Choking; Mr Gesios: large bolus of bread and scrambled eggs causing complete air…

…inexperienced AIN without adequate supervision of swallowing; a large food bolus formed and obstructed his airway. Ms McGreevy received an incorrect meal tray containing buttered bread instead of her prescribed minced di…

speech pathologygeneral practicesystemcommunication
NSWcommunity2020-10-30

COOK Grant Findings

28y · Male·Hypoxic brain injury as a result of a respiratory arrest, after inadequate respi…

Grant Cook, aged 28, collapsed during a rugby league game after a tackle caused him to fall and hit his head. He suffered a grand mal seizure with snoring/obstructed breathing, leading to respiratory arrest, cardiac arre…

paramedicineintensive carecommunicationdiagnosticadrenaline
QLDhospital2016-11-07

Bower, Malaki Ron - Non-inquest findings

2y · Male·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest secondary to up…

…n post-adrenaline before safe discharge. The following day he suffered cardiorespiratory arrest from upper airway obstruction, resulting in severe hypoxic-ischaemic brain injury and death. Key issues: inadequate observat…

emergency medicinepaediatricsdiagnosticcommunicationnebulised adrenaline
QLD2018-08-10

Harmer, Jay Maree

38y · Female·Complications of decompensated liver failure due to cirrhosis secondary to Hepat…

… circumstances parole application was made too late; prisoner carers lack adequate training in recognizing airway compromise risks in high-risk positions; and 24-hour nursing care was unavailable at the prison facility. …

gastroenterologypalliative carecommunicationdelaybuprenorphine
NThospital2000-09-06

Inquest into the death of Francis Kamaranga

28y · Male·asphyxiation following severe swelling to the larynx due to anaphylactoid reacti…

…ma volume expander administered pre-hospital following a severe laceration to the radial artery. Initial management was appropriate, but anaphylaxis was not recognized until 2:05am despite clear symptoms from 1:47am (swo…

emergency medicineintensive carediagnosticdelayhaemaccel
VIChospital2012-06-25

Finding into death of Angela Murray

52y · Female·Aspiration pneumonia in a female who had undergone a laparoscopic cholecystectom…

…the importance of recognising haematemesis as a significant warning sign requiring careful perioperative management and airway protection strategies.

surgerygeneral practice
TAShospital2017-03-16

Coroner's Finding: HE

19y · Female·echovirus type 9 infection (myocarditis and pneumonitis)

…led out febrile convulsion, consulted a paediatrician, and arranged urgent transfer. Despite appropriate management including oxygen, antibiotic therapy, intraosseous access, and cardiopulmonary resuscitation, the child …

emergency medicinepaediatricsceftriaxone
TASmental health2016-08-16

Coroner's Finding: Pasinski, Alexander

59y · Male·asphyxia due to choking on food

…t precautions or order comprehensive assessment. At lunch, he aspirated a large meat mass causing complete airway obstruction. Although emergency response was timely, MET arrival was delayed five minutes due to distance …

psychiatryintensive caresystemcommunicationamitriptyline
QLD2010-08-27

Clumpoint, Thomas Andrew

40y · Male·Laryngeal stenosis caused by laryngeal oedema due to squamous cell carcinoma of …

…, autopsy revealed residual carcinoma infiltrating throat structures with severe laryngeal oedema reducing airway lumen from normal 20mm to 2mm. Clinical management was appropriate; the malignancy was not detected clinic…

ENT surgeryradiation oncologycommunicationsystemmorphine
WAhome2021-05-10

Inquest into the Death of Andre Walter BOND

42y · Male·Upper airway obstruction (choking) in an obese man with atherosclerotic heart di…

…man with schizophrenia, schizoaffective disorder, Asperger's syndrome, and severe obesity, died from upper airway obstruction (choking) on food while dining at home. He had been recently discharged from psychiatric inpat…

psychiatryemergency medicinequetiapine
WAmental health2015-11-18

Inquest into the Death of Anna Maria CAMERON

65y · Female·Early bronchopneumonia and hypoxic brain injury following aspiration of food (ch…

…sessment of her complex medication regimen. While eating a sandwich, she choked on food, suffered complete airway obstruction, and despite immediate resuscitation efforts including manual clearance and CPR, sustained sev…

psychiatryintensive carelorazepam

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