57 results for “intubation attempt”
25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia
…y, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. Following an altercation with another patient, he was transferred to H Floor on 11 Oct…
29y · Female·multiple organ failure following persistent sepsis occurring as a complication o…
…ia present at the time of injury, not hospital failures. Organ removal on 25 May represented a last-ditch attempt to prolong life. Clinical lessons include: extreme caution with volatile fuels near ignition sources; rec…
49y · Female·Bronchopneumonia, hypoxic brain injury, and combined drug toxicity (oxycodone an…
Karen Moore, aged 49, died from bronchopneumonia following hypoxic brain injury caused by combined drug toxicity (oxycodone and diazepam). She was found unconscious at home after an overdose and did not regain consciousn…
37y · Female·Multiple injuries
…n. Poor maintenance—particularly failure to replace deteriorated timber members when earlier repairs were attempted—compounded the structural deficiency. Expert evidence identified that the beam exceeded maximum allowab…
0y · Female·Hypoxia resulting from primary idiopathic pulmonary hypertension of the newborn …
Jasmine Chiang died at 7 hours of age from primary idiopathic pulmonary hypertension of the newborn (PPHN), probably complicated by pulmonary haemorrhage. She presented with classic PPHN signs (harlequin appearance, diff…
24y · Male·Aspiration of vomit associated with combined drug effect
…es, accumulated multiple monitoring breaches (36 telephone alerts), tested positive for amphetamines, and attempted suicide on 4 January 2001 by overdosing on amitriptyline. After psychiatric clearance, he was discharge…
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 during a planned vaginal birth after caesarean (VBAC). The mother at…
4y · Female·aspiration of vomitus and its treatment due to rheumatic carditis against a back…
A 4-year-old Aboriginal girl from Doomadgee died on 23 July 2009 from aspiration of vomitus complicating rheumatic carditis with concurrent viral respiratory tract infection. She presented with fever and cough on 19, 21,…
54y · Male·quetiapine toxicity in a man with ischaemic heart disease
… experienced a recent relationship breakdown and presented to Grampians Health (GH) with multiple suicide attempts within 72 hours. The Coroner found several key deficiencies in his mental health management: the initial…
31y · Male·Hypoxic encephalopathy caused by neck compression due to hanging
David Wotherspoon, a 31-year-old Aboriginal man with schizophrenia, died from hypoxic encephalopathy following hanging in a prison mental health unit. Despite being psychotic and refusing medication, he was not transferr…
0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…
George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractions and delayed obstetric intervention. The infant was de…
11y · Male·Sepsis
…e senior staff early despite recognising sepsis in a high-risk neonate, multiple unsuccessful cannulation attempts without timely escalation to intraosseous or intramuscular administration, and communication breakdown (…
63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…
Armin Schaefer, a 63-year-old man with schizophrenia, cardiac risk factors, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 A…
41y · Male·complications in association with effects of fire, with terminal palliative care
Peter James Wilson, 41-year-old male with complex mental health history including bipolar affective disorder, anxiety, OCD, and possible schizophrenia, died by suicide on 1 November 2021 after self-immolating with boat f…
0y · Male·Complications following forceps delivery
…tion, fetal bradycardia) should be escalated to operating theatre with consultant supervision rather than attempted in birthing suite; (2) subgaleal haemorrhage risk was high (APGAR <7 at 5 min, prolonged labour, multip…
Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…
Two deaths resulted from police restraint in prone positions. David Gurralpa, a 39-year-old Aboriginal man with pre-existing coronary artery disease, died of sudden cardiac arrest following police restraint during a dome…
49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…
Andrea Lester, age 49, suffered a subarachnoid haemorrhage from a PICA aneurysm in March 2018 with delayed diagnosis. Following complex neurosurgery causing Wallenberg syndrome, she required tracheostomy for bulbar dysfu…
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