Coronial

671 results for cardiac resuscitation

VIChospital2019-04-04

Finding into death of Isabella Estelle Rees

1y · Female·Gastrointestinal haemorrhage due to aorto-oesophageal fistula caused by lodged b…

Isabella Rees, aged 14 months, presented to Sunshine Hospital ED four times over 19 days with fever, vomiting and later haematochezia. A button battery lodged in her oesophagus caused progressive caustic injury leading t…

emergency medicinepaediatricsdiagnosticcommunicationondansetron
QLDhospital2026-03-06

Non-inquest findings into the death of Ms B

35y · Female·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest due to vertebro…

…osis of mental disorder. She deteriorated at home and presented to a tertiary hospital where she suffered cardiac arrest from basilar/vertebral artery thrombosis due to vertebral artery dissection. The coroner found the…

emergency medicinegeneral practicediagnosticcommunication
VICcommunity2023-12-08

Finding into death of Ricky James Broughton

47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…

Ricky Broughton, a 47-year-old man with chronic treatment-resistant schizophrenia, died during police restraint while being transferred for involuntary psychiatric assessment. After moving from Geelong to Ballarat in Feb…

psychiatrygeneral practicecommunicationsystemquetiapine
NThospital2009-05-28

Inquest into the death of Declan McConville

<1y · Male·acute hypoxic damage caused by shoulder dystocia during delivery

Declan Brian McConville was born with shoulder dystocia (impacted shoulders) after vacuum-assisted delivery at Royal Darwin Hospital on 31 August 2007. He was stuck in the birth canal for approximately 15 minutes before …

obstetricspaediatricsproceduralsystemoxytocin
QLDmental health2006-02-03

Muckan, David Jones

49y · Male·Obstructive sleep apnoea, contributed to by the sedating effects of therapeutic …

David Muckan, a 49-year-old man with schizophrenia, was admitted to a psychiatric unit in April 1998 with suspected obstructive sleep apnoea (OSA). He was sedated with benzodiazepines (Midazolam, Diazepam) and other psyc…

psychiatryrespiratory medicinemedicationmonitoringthioridazine
VIChospital2020-04-16

Finding into death of Jessica Higgins

33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity

Jessica Higgins, a 33-year-old woman with chronic pain on high-dose opioids, underwent ketamine infusion with planned opioid rotation to methadone in May 2017. She was discharged on 23 May on methadone 5mg twice daily pl…

pain medicineemergency medicinecommunicationdiagnosticmethadone
WAhome2014-09-12

Inquest into the Death of Shionah Violet Teneille CARTER

26y · Female·Unlawful Homicide - positional asphyxia during violent assault and sexual attack

A 26-year-old Aboriginal woman died from positional asphyxia during a violent assault and sexual attack by her intimate partner. She sustained traumatic brain injuries causing concussion/unconsciousness, rendering her vu…

pathologyneurologysystemcommunicationmethamphetamine
WAmental health2019-05-22

Inquest into the Death of Christopher John DEBNAM

40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…

…y arrest between 6.30am and 7.10am on 21 November and could not be revived. Clinical lessons: undiagnosed cardiac disease and untreated sleep apnoea in patients requiring sedation pose serious risks; visual respiratory …

psychiatryrespiratory medicinediagnosticcommunicationhaloperidol
NSWaged care2025-01-24

Inquest into the deaths at Newmarch House

Unknown·COVID-19 infection with various comorbidities as contributing factors

This inquest examined 19 COVID-19 deaths at Newmarch House residential aged care facility in April-May 2020. Deaths occurred during inadequate infection control, severe staffing shortages, and suboptimal clinical managem…

geriatric medicineinfectious diseasessystemdiagnosticmorphine
VIChospital2012-02-06

Finding into death of David Crisfield

43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…

David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compr…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
QLDhospital2009-07-10

Coleman, Randall John

39y · Male·Strychnine toxicity

Randall Coleman, 39, died from strychnine toxicity after deliberately ingesting poison while in custody at Kingaroy watchhouse on 18 January 2007. He had secreted the vial on his person at arrest on 16 January, despite p…

emergency medicinepsychiatrycommunicationdelaystrychnine
QLDhospital2016-02-29

Mr B - Non-inquest findings

84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…

An 84-year-old man with multiple comorbidities was prescribed rivaroxaban for deep vein thrombosis despite being a practicing Jehovah's Witness who refused blood transfusions. Rivaroxaban cannot be monitored or reversed,…

cardiologyhaematologymedicationcommunicationrivaroxaban
VIChospital2018-09-27

Finding into death of Elizabeth Mary Gorman

35y · Female·Pulmonary thromboembolus and pulmonary infarction

…er as musculoskeletal pain and discharged her without ECG or imaging. She returned 17 hours later in near-cardiac collapse with massive bilateral pulmonary emboli and died despite thrombectomy. The coroner found Dr M.'s…

emergency medicineobstetricsdiagnosticcommunicationoxycodone
SAhospital2005-06-02

Coroner's Finding: GREEN Marie

64y · Female·Respiratory arrest secondary to morphine overdosage on a background of mild to m…

A 64-year-old woman died from respiratory arrest secondary to morphine overdose after ingesting 17 tablets of slow-release morphine (Kapanol) and diazepam. Initial emergency assessment by an intern was appropriate, but c…

emergency medicinegeneral medicinecommunicationdiagnosticmorphine
WAhospital2016-05-18

Inquest into the Death of Janice May SAULYS

69y · Female·multi-organ failure due to sepsis of unknown origin

A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presen…

emergency medicinegeneral practicesystemdelay
QLD2012-12-14

Mitchell, Herbert John

50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…

Herbert Mitchell, a 50-year-old man with alcohol dependence, was arrested for public drunkenness after being found extremely intoxicated at a shopping centre. Initially taken to an alcohol diversion centre but removed du…

emergency medicineintensive carediagnosticsystemalcohol
VIChospital2015-10-22

Finding into death of Emilie Suzanne Le Coz

31y · Female·raised intracranial pressure due to ventriculoperitoneal shunt dysfunction (disc…

Emilie Le Coz, aged 31, died from raised intracranial pressure secondary to ventriculoperitoneal shunt disconnection. She presented to hospital in March 2010 with progressive headaches, cognitive changes and behaviour de…

neurologyneurosurgerydiagnosticcommunicationpropranolol
NSW2025-05-02

Inquest into the death of Emmett Brown

25y · Male·acute bronchopneumonia and methadone toxicity with high body mass index and obst…

Emmett Brown, a 25-year-old First Nations man, died in custody from acute bronchopneumonia and methadone toxicity, with obesity and obstructive sleep apnoea as contributing factors. He had been denied entry to the Buvida…

correctional healthaddiction medicinediagnosticsystemmethadone
NSW2019-11-08

Redacted findings in the joint inquest into deaths arising at music festivals including annexures - 8 November 2019

Unknown·MDMA toxicity (one case mixed MDMA and cocaine toxicity)

This inquest examined six deaths from MDMA toxicity after electronic dance music festivals in NSW between December 2017 and January 2019: Hoang Nathan Tran (18), Diana Nguyen (21), Joseph Pham (23), Callum Brosnan (19), …

emergency medicineintensive carecommunicationproceduralMDMA
VIChospitalPodcast2021-12-10

Finding into death of Peta Hickey

43y · Female·Multisystem organ failure and hypoxic/ischaemic encephalopathy following anaphyl…

Peta Hickey, a 43-year-old company executive with no cardiac history, died from anaphylaxis to CT coronary angiogram contrast after her employer commissioned an inapp…

radiologyemergency medicinediagnosticmedicationomnipaque 350 contrast dye

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