73 results for “pulmonary aspiration risk”
37y · Male·water intoxication and olanzapine toxicity in association with schizophrenia
…nking), not yet well-recognised in custodial settings. Resuscitation attempts were hampered by excessive pulmonary fluid. The coroner found no causative failures in medical care but noted the Top End Health Service appr…
69y · Male·bronchopneumonia and hypoxic brain injury following aspiration of food (choking)
…e coroner found the death was accidental and supervision was reasonable, as choking was not identified as a risk despite a previous episode of dysphagia documented four months earlier that had apparently resolved. The ke…
22y · Male·drowning secondary to incapacitation from air embolism
A 22-year-old skilled and experienced pearl shell drift diver with over 600 logged dives died from drowning secondary to air embolism and cerebral arterial gas embolism while diving for Paspaley Pearling Company off Broo…
44y · Male·bronchopneumonia in the setting of combined drug effect
…ive medications combined with opioids and pregabalin (which lowers fatal opioid toxicity threshold) created risk for loss of consciousness and aspiration pneumonia. The coroner found no preventability issues and praised …
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
…otension. Post-operatively, he developed acute respiratory distress attributed to bronchospasm and later aspiration, treated initially with bronchodilators and only intubated after oxygen saturations dropped sharply. He …
45y · Female·Extensive retroperitoneal haemorrhage following bone marrow biopsy procedure wit…
…nt with warfarin reversal and fluid resuscitation, the patient deteriorated suddenly on 24 November from pulmonary thromboembolism and died. The coroner found the death arose from natural causes. Key issues examined inc…
61y · Male·Pneumonia
A 61-year-old man with significant medical complexity including acquired brain injury, bronchiectasis, pulmonary fibrosis, and dysphagia died from pneumonia 26 days after receiving another resident's slow-release opio…
31y · Male·Pulmonary thromboembolism
…ated clinic treatment and one hospital readmission. He experienced fainting episodes suggesting possible pulmonary embolism but these were treated as hypovolaemia/sepsis. He was discharged and returned to Australia, col…
24y · Male·drowning by misadventure following accidental fall overboard from fishing vessel…
…p reflex, reduced breath-holding), cardiovascular (sudden heart rate and blood pressure changes, arrhythmia risk), and psychological (panic). These responses, combined with his lack of sea experience, the vessel's motion…
80y · Male·asphyxia due to choking on food
…istension (3750 ml urine), urinary obstruction from enlarged prostate causing paralytic ileus increasing aspiration risk. The coroner found medical care at hospital appropriate. Key lessons: mental health teams did excel…
60y · Female·Respiratory arrest in the setting of aspiration pneumonia; seizures associated w…
…ear-old woman with Down syndrome, Alzheimer's dementia, and epilepsy died from respiratory arrest due to aspiration pneumonia after a seizure. A multi-day delay in anticonvulsant medication (phenytoin) occurred due to mi…
62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …
…oman with chronic schizophrenia died from hyponatremia (sodium level 114mmol/L) resulting in seizure and aspiration during involuntary psychiatric admission. She had been on escitalopram (SSRI) for depression and was adm…
44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…
…y Wellington, a 44-year-old man with longstanding opioid and polysubstance use disorder, died from acute pulmonary hypertension caused by intravenous injection of foreign debris (crushed tablets). He had been prescribed…
88y · Female·pulmonary thromboembolism due to fractured right femur due to a fall
…ultidisciplinary care including prophylactic anticoagulation, but the patient deteriorated and died from pulmonary embolism. Clinical lessons: family carers require oversight through mandatory annual medical reviews; el…
74y · Female·Infective exacerbation of chronic obstructive airways disease in the setting of …
…ed in an error-prone environment with complex medication management. While pregabalin may have increased aspiration risk, causation to death could not be definitively established. The coroner recommended hospital dischar…
30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…
Karl Steinhauser, a 30-year-old man with schizoaffective disorder and polysubstance misuse, died from pulmonary thromboembolism on 12 March 2023 while under Mental Health Act care. After two weeks of increasingly cha…
47y · Female·Large intestinal infarction due to volvulus
…ue death from lack of blood supply) in a patient with complex medical needs. Better recognition of volvulus risk in megacolon patients and potentially earlier imaging or surgical intervention might have prevented this ou…
Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…
…entified and repaired intraoperatively, but the repair failed within 24 hours, leading to contamination, aspiration pneumonia, ARDS, necrotising fasciitis, intracranial bleeding during anticoagulation, and death. Both su…
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 presen…
74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …
William Searle, a 74-year-old prisoner, died from aspiration of gastric contents following a Whipple procedure for recurrent ampullary adenoma. The clinical lessons …
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