Coronial

47 results for hypoxic organ failure

QLDhome2013-05-31

Garrett-Pratt, Jake Michael

12y · Male·Head injuries resulting from ride-on mower collision

Jake Garrett-Pratt, a 12-year-old boy, died from fatal head injuries sustained when he lost control of a poorly maintained ride-on lawn mower on a steep driveway. The rear axle drive chain broke due to inadequate mainten…

emergency medicinetrauma surgerysystemdelay
WAhospital2022-08-22

Inquest into the Death of Roderick Malcolm NARRIER

38y · Male·Multiorgan failure following out of hospital cardiac arrest in a man with methyl…

A 38-year-old Noongar man died from multiorgan failure following out-of-hospital cardiac arrest after being restrained in prone position by police. He ha…

emergency medicineintensive caremethamphetamine
QLDhospital2018-07-30

Khazaei, Hamid

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

… while in immigration detention. His death was preventable and resulted from multiple compounding errors: failure to recognise severe sepsis despite worsening vital signs; lack of appropriate antibiotics at the Manus Is…

emergency medicineinfectious diseasesdiagnosticcommunicationceftriaxone
VIC2016-04-29

Finding into death of Jack Glen Irvine

15y · Male·Global ischaemic brain injury post cardiac arrest secondary to anaphylaxis

…ting Association camp. The cookie was provided despite prior notification of his allergy. Multiple system failures contributed: the VKA had no policies for managing children with food allergies; collated allergy informa…

emergency medicineintensive caresystemcommunicationadrenaline
VIChospital2026-01-08

Finding into death of Malakai Cross-De Jesus

0y · Male·Complications following forceps delivery

A 3-day-old neonate died from complications of instrumental forceps delivery, specifically subgaleal haemorrhage with associated skull fracture and intracranial bleeding. Critical clinical lessons include: (1) complex fo…

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
VIChome2016-03-24

Finding into death of Caroline Emily Lovell

36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…

Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…

midwiferyobstetricsdiagnosticcommunicationsyntocin
WAhospital2013-01-17

Inquest into the Death of Mckay-Hall, Julienne Maria

46y · Female·Complications following cardiorespiratory arrest in association with an air embo…

…al cardiac arrest. The coroner found the quality of care 'grossly inadequate', particularly the surgeon's failure to respond to signs of sepsis and nursing failures to escalate and communicate.

general surgerybariatric surgerydiagnosticcommunicationmorphine

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