Coronial

302 results for hypoxia

NSWaged care2009-09-25

Finding&recommendation donaldianfairbairn

Unknown·Severe hypoxia due to bilateral pneumonia and severe ischaemic heart disease

…airbairn, a resident of Yagoona Nursing Home, died at Bankstown Hospital on 23 September 2006 from severe hypoxia due to bilateral pneumonia and severe ischaemic heart disease. The coroner's inquest identified critical …

communicationsystem
TASaged care2015-11-12

Coroner's Finding: Henri, Paul Lucien

78y · Male·Cerebral infarction and hypoxic brain damage due to the combined effects of isch…

…morphine with quetiapine likely exacerbated respiratory depression. The patient rapidly deteriorated with hypoxia, hypotension, and altered consciousness. While opioid toxicity was clinically suspected, no blood toxicol…

general practiceneurologymedicationdiagnosticmorphine
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
TAShospital2018-01-24

Coroner's Finding: Woolley, Paul James

50y · Male·Multiple pulmonary thromboemboli due to deep vein thrombosis following pharyngea…

…ist expectations, and absence of continuous oxygen saturation monitoring. The patient suffered undetected hypoxia overnight, leading to respiratory arrest and subsequent thromboembolism. Autopsy revealed heparin-induced…

ENT surgeryanaesthesiacommunicationsystemmorphine
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
WAcommunity2025-07-02

Inquest into the Death of Donald Joseph Hemara WARD

50y · Male·Multiple injuries sustained in high-speed motorcycle crash

… paramedic's decision to cease resuscitation without attempting to address potentially reversible causes (hypoxia, hypovolaemia) was noted, though evidence suggests death was inevitable given his injuries and prolonged …

paramedicineemergency medicinepossibly diagnosticalcohol
VIChospital2025-11-28

Finding into death of Virginia Catherine Harris

60y · Female·Non-operative management of ruptured oesophagus (palliated)

…ness that improved. She deteriorated acutely on 20 March with pain, distress, tachycardia, tachypnoea and hypoxia, and was found to have a ruptured oesophagus. After discussion with parents, non-operative palliative man…

general practiceemergency medicine
WAhospital2015-02-26

Inquest into the Death of Peta Susan DOIG

58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury

…she suffered sudden cardiac arrest later that evening. Resuscitation was attempted but resulted in severe hypoxia and hypoxic brain injury. Key clinical challenges included severe non-compliance with medical examination…

psychiatryintensive carediagnosticdelayazithromycin
SAhospital2023-06-30

Coroner's Finding: Vanin, Levi Shane

29y · Male·severe neonatal encephalopathy, post palliative care; possible underlying cause:…

…imary cause was fetal inflammatory response syndrome secondary to intrauterine infection, not intrapartum hypoxia or resuscitation failure. The infection was likely present for several days before birth and undetectable…

obstetricsneonatologydinoprostone
SAhospital2020-07-14

Coroner's Finding: DUSZYNSKI Steve Stan Peter

66y · Male·Bronchopneumonia and influenza A complicating cardiac and renal failure associat…

…pine and opioid analgesia for behavioural management and pain. Clinical lessons include: recognising that hypoxia and CNS vasculitis can cause delirium in complex medical patients; considering respiratory depression ris…

nephrologyhaematologydelayolanzapine
TAShospital2020-05-18

Coroner's Finding: Griffin, James Geoffrey

69y · Male·mixed drug toxicity; oxycodone overdose with doxylamine, temazepam, and naloxone

James Geoffrey Griffin, a 69-year-old man facing multiple charges for historic child sexual abuse, died from mixed drug toxicity involving oxycodone, doxylamine, temazepam, and naloxone. He was admitted to Launceston Gen…

emergency medicineintensive careoxycodone
VIChospital2016-06-21

Finding into death of Summer Jamsek

0y · Female·Persistent pulmonary hypertension in the newborn (PPHN)

Summer Jamsek was born at 4pm on 4 April 2010 with persistent pulmonary hypertension of the newborn (PPHN) and died 5 April 2010 at Royal Children's Hospital. The coroner found Baby Summer died from PPHN but was not sati…

obstetricspaediatricsdelayescitalopram
NSWhome2023-08-15

Inquest into the death of LA

5y · Female·Hypoxic-ischaemic Encephalopathy due to methadone toxicity

… periods despite hot weather and her recent minor illness; once opioid-induced respiratory depression and hypoxia developed, naloxone proved ineffective as significant brain damage had already occurred. Early recognitio…

paediatricsintensive caredelaycommunicationmethadone
NThospital2009-04-09

Inquest into the death of Georgia Rae Tilmouth

0y · Female·Organ failure caused by not receiving enough oxygen during labour (intrapartum h…

… born at 35 weeks gestation after premature labour and died 13 hours later from perinatal asphyxia due to hypoxia during labour. The coroner found multiple deficiencies in obstetric care contributed to her death. Key fa…

obstetricsmidwiferydiagnosticcommunicationoxytocin
WAcommunity- 28 March 2014

Inquest into the Death of Hayley DIAMOND

14y · Female·Acute cerebral hypoxia arising out of suffocation due to inhalation of toxic vap…

Haley Diamond, 14, died from acute cerebral hypoxia following inhalation of volatile substances (deodorant spray) in Kununurra, WA. She suffered acute brain …

emergency medicineintensive carecommunicationsystemlynx deodorant spray
VIChospital2025-07-31

Finding into death of Katherina Bitzios

54y · Female·Respiratory failure secondary to pneumonia, due to multiple sclerosis

…eathing difficulty and vomiting on 10 January 2024, was admitted to hospital, and received a MET call for hypoxia. She was transferred to ICU for high-flow oxygen support. Over two days her condition showed minimal impr…

intensive carerespiratory medicine
VIChome2026-05-29

Finding into death of Baby R

0y · Male·Perinatal hypoxia

Baby R, born at 39 weeks 6 days via planned homebirth with private midwives, died from perinatal hypoxia on day 6 of life. The mother had significant obstetric risk factors: previous emergency caesarean section…

obstetricsmidwiferydiagnosticcommunication
SAhospital2016-09-01

Coroner's Finding: CORBO Antonio

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

… and severe abdominal pain. Clinical examination revealed critical illness with haemodynamic instability, hypoxia, peritonism, and imaging confirmed closed-loop bowel obstruction with free abdominal fluid. The coroner f…

emergency medicinegeriatric medicine
VIChospital2024-01-09

Finding into death of Cheryl Balassopoulos

53y · Female·Complications of Motor Neurone Disease

Cheryl Balassopoulos, a 53-year-old woman with Motor Neurone Disease (MND) since 2002, died from complications of MND at Austin Hospital on 28 May 2023. She had been living in Specialist Disability Accommodation (Yoorall…

neurologypalliative care
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

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