Coronial

228 results for airway management

TAScommunity2022-07-29

Coroner's Finding: Chamberlain, Pamela Jacqueline

55y · Female·asphyxia due to choking on food (steak)

…proximately 6 minutes gaining access to the locked facility, during which critical early resuscitation and airway clearance could not occur. The coroner found that earlier access might have enabled survival. The delay re…

emergency medicinepsychiatrysystemcommunicationdiazepam
VIChospital2014-07-17

Finding into death of Susanne Maree Deeker

64y · Female·Aspiration pneumonia in the setting of Down Syndrome and recent seizures

…ification) in this vulnerable population; and considering whether earlier intervention or more intensive management during her second admission might have altered the outcome. The coroner found no evidence of preventable…

emergency medicinegeneral medicine
NSWcommunity2023-11-07

Inquest into the death of AAB

26y · Male·acute cocaine and alcohol toxicity

…ence confirmed the police officers' response was exemplary and appropriate throughout, including seizure management, airway positioning, and timely resuscitation. The death was not preventable—it resulted from acute toxi…

emergency medicinetoxicologycocaine
VIChome2013-08-23

Finding into death of Xavier Hart

4y · Male·hypoxic brain injury complicating out of hospital cardiac arrest (unknown cause)

…udies in children with suspected obstructive sleep apnoea to assess disease severity, expedited surgical management when airway obstruction is significant, and consideration of inherited cardiac conduction disorders in u…

paediatricsemergency medicinedelay
WA2020-11-19

Inquest into the Death of Levi Shane Clement CONGDON

27y · Male·methylamphetamine toxicity

…PR; paramedics arrived at 8:05 pm but could not revive him due to severe trismus (locked jaw) complicating airway management. The coroner found police and paramedic care exemplary but identified a critical communication …

emergency medicinetoxicologycommunicationsystemmethamphetamine
NThome2013-12-18

Inquest into the death of Miss M

15y · Female·cardiac and respiratory arrest following pulmonary aspiration

…. The coroner found the resuscitation appropriate given the acute presentation and potential for treatable airway obstruction. A key gap identified was that the ACD was not prominently placed in her medical file, making …

paediatricsemergency medicinesystem
QLDhospital2018-01-23

Fitton, Wesley Ronald John

50y · Male·Tracheal obstruction due to poorly differentiated metastatic malignant epithelio…

… Clinical review by the Queensland Health Clinical Forensic Medicine Unit found no concerns with medical management at either the correctional centre or hospital. The coroner confirmed appropriate investigations, special…

oncologypalliative carepalliative chemotherapy
TAShome2022-11-11

Coroner's Finding: KL

31y · Male·global hypoxic brain injury secondary to positional asphyxia following an epilep…

…n 26 April 2019. He fell in the toilet during a seizure, became trapped in a position that compromised his airway, and suffered prolonged asphyxia before paramedic arrival. The coroner found medical management by his GP …

neurologyemergency medicineanti-epileptic medications
SAhospital2016-08-25

Coroner's Finding: SMITH Colin Peter

51y · Male·respiratory failure and cardiac failure on a background of chronic obstructive l…

…ment, the treating team, including ICU registrar and ED consultant, appropriately determined that invasive airway management was not indicated given his poor prognosis and would offer minimal benefit. Palliative care was…

emergency medicinepsychiatryglyceryl trinitrate
SAhospital2006-11-13

Coroner's Finding: SALMON Daniel Brindley

27y · Male·Airway obstruction due to sublingual and submandibular cellulitis (Ludwig's angi…

A 27-year-old man died from airway obstruction due to Ludwig's angina (bilateral sublingual and submandibular cellulitis) following a tooth e…

emergency medicinedentistrycommunicationdiagnosticparacetamol/codeine
VIC2013-08-20

Finding into death of PETER MALLIA

47y · Male·Severe Community Acquired Pneumonia; Aspiration; Critical Care Neuropathy; Cereb…

…ike symptoms at the facility. His regular GP reviewed him on 23 May and prescribed antibiotics with home management. On 24 May, as his condition declined significantly, he was transferred to hospital by ambulance and adm…

general practicespeech pathologydiazepam
VIChospital2013-05-09

Finding into death of Argyrios Carras

38y · Male·Aspiration pneumonia in the setting of cerebral palsy

…investigations identified pneumonia/aspiration changes on chest X-ray. Despite intravenous antibiotics and airway suctioning, his condition worsened. Active management ceased on 16 March and palliative care was initiated…

respiratory medicineinfectious diseasesdiazepam
SAhospital2011-09-23

Coroner's Finding: DUBBIOSO Roberto

34y · Male·cardiomegaly with contributing aspiration

…patients with observed apnoeic episodes in acute settings require enhanced monitoring and consideration of airway support.

psychiatryemergency medicinediagnosticsystem
SAhospital2006-07-17

Coroner's Finding: HERBERT Raelene Vicki

29y · Female·respiratory depression caused by morphine intoxication on a background of upper …

… severe sore throat died from respiratory depression caused by morphine intoxication with concurrent upper airway narrowing. A GP administered 30mg intramuscular morphine twice within 12 hours (2 doses totalling 60mg) ba…

general practiceemergency medicinemedicationdiagnosticmorphine
QLDhospital2014-06-20

O - Non-inquest findings

82y · Male·hypoxic-ischaemic encephalopathy due to cardiac arrest as a result of fractured …

… nursing staff from calling for emergency assistance. The pre-operative assessment was incomplete, lacking airway assessment and risk stratification despite known cardiac issues including atrial fibrillation. Expert revi…

anaesthesiaorthopaedic surgerydiagnosticproceduralbisoprolol
WAhospital2020-11-20

Inquest into the Death of Trent Nathaniel ROBERTSON

44y · Male·head and neck injuries with terminal palliative care

…he police, and was thrown from his motorcycle. Despite rapid first aid response and sophisticated trauma management at Royal Perth Hospital including ICU care, his severe injuries were unsurvivable. The coroner found pol…

trauma surgeryintensive care
TAShospital2018-01-24

Coroner's Finding: Woolley, Paul James

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

…ulopalatopharyngoplasty (UPPP) surgery for obstructive sleep apnoea. Critical failures in post-operative management at a private hospital included: failure to ensure continued CPAP use despite surgeon and anaesthetist ex…

ENT surgeryanaesthesiacommunicationsystemmorphine
VIChospital2024-11-19

Finding into death of Daniel Surtees

36y · Male·Complications of thermal burn injuries

Daniel Surtees, aged 36, died from complications of extensive thermal burn injuries (>80% body surface area) sustained during a domestic violence incident. After consuming 14 cans of bourbon at a party, Daniel returned h…

plastic and reconstructive surgeryintensive caremorphine
SAhospital2019-12-03

Coroner's Finding: TAEGER Luke Victor

89y · Male·pneumonia on a background of advanced Parkinson's disease and dementia

…rkinson's disease and dementia died of aspiration pneumonia following hospital admission for behavioural management. He was subject to an Inpatient Treatment Order and required chemical and physical restraint due to aggr…

geriatric medicinepsychiatrythyroxine
VIChospital2025-02-12

Finding into death of Alexander Cameron

40y · Male·Aspiration pneumonia

…essary given his acute presentation and behaviour, and that aspiration risk in agitated patients requiring airway intervention requires immediate management.

intensive caregeneral surgeryclozapine
134512

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.