Coronial

265 results for intubation and ventilation

VIChospital2026-02-05

Finding into death of Max Peter McKenzie

15y · Male·Cardiorespiratory arrest of unknown aetiology complicating hypoxic ischaemic enc…

Max McKenzie, a 15-year-old with asthma and food allergies, died from cardiorespiratory arrest complicating hypoxic ischaemic encephalopathy after seve…

emergency medicineparamedicinedelaycommunicationadrenaline
NSWhospital2023-08-22

Inquest into the death of AN

0y · Female·Methylamphetamine toxicity

…gement was appropriate—the baby showed mild respiratory distress managed with CPAP, had normal vital signs, and was transferred to special care nursery for monitoring. The acute deterioration at 5 a.m. with respiratory …

neonatologypaediatricsmethamphetamine
QLDhospital2026-03-31

Inquest into the death of Robyn Ann Beale

78y · Female·Hypoxic ischaemic encephalopathy as a result of obstruction of airway caused by …

…r taking oral pain medication (Endone) on the ward in the early morning hours. Critical delays in diagnosis and management followed: the overnight medical officer lacked endotracheal intubation skills and did not escala…

general surgeryanaesthesiadiagnosticcommunicationoxycodone
VIChospital2014-09-11

Finding into death of Daniel Raymond Cowan

15y · Male·global hypoxic cerebral injury following medical intervention for high velocity …

… penetrating head injury from a homemade air gun while with friends. Despite appropriate emergency response and comprehensive multidisciplinary medical management at Royal Children's Hospital including neurosurgery, the…

neurosurgeryintensive caremidazolam
QLDhospital2008-08-25

Benson, Leim Matthew

33y · Male·cerebral hypoxia due to compression of the neck (suspension)

…dential balcony on 1 April 2007 following an argument with his partner. He had consumed significant alcohol and likely ecstasy that evening. The coroner found this was most likely an impulsive act, possibly of attention…

emergency medicineintensive carevenlafaxine
SAhospital2025-11-14

Coroner's Finding: Menzies, Jason Douglas

33y · Male·Marburg variant of multiple sclerosis

…al symptoms emerged on 3 December, he received comprehensive investigations including MRI, lumbar puncture, and broad-spectrum antibiotics. A neurologist appropriately recommended plasma exchange and corticosteroids. Th…

emergency medicinegeneral medicineamitriptyline
SAhospital2015-03-06

Coroner's Finding: SIMOS Theodoras Joannas

48y · Male·undetermined

A 48-year-old man with schizoaffective disorder, poorly controlled diabetes, sleep apnoea, obesity and cardiomegaly died unexpectedly at a rural hospital following acute psychotic agitation. He had absconded fr…

psychiatrygeneral practicesystemdelayhaloperidol
NSWhome2018-11-14

Inquest into the death of Jaxon McGrorey-Smith

0y · Male·neonatal encephalopathy due to perinatal compromise

…mith, a full-term neonate, was delivered by caesarean section after prolonged labour. He developed seizures and signs of hypoxic-ischaemic encephalopathy (HIE) within hours of birth, with MRI imaging confirming severe b…

neonatologyneurologyoxytocin
WA2016-09-29

Inquest into the Death of Troy Allan ROGINSON

35y · Male·head injury in a man with chronic liver disease

A 35-year-old male prisoner with chronic hepatitis C cirrhosis and thrombocytopenia died from traumatic brain injury sustained during an unprovoked assault by another prisone…

neurosurgeryemergency medicinemethadone
VIChospital2011-12-01

Finding into death of Tyler Di Blasi

1y · Male·Parainfluenza, pneumonitis and asthma; haemorrhagic mucositis of the bowel and g…

… He developed parainfluenza pneumonitis, severe asthma, chemotherapy-induced neutropenia, thrombocytopenia, and gastrointestinal bleeding with haemorrhagic mucositis. Despite appropriate intensive management including b…

intensive careoncologychemotherapy
SAhospital2007-07-02

Coroner's Finding: VINER Robert John

58y · Male·Hypoxic encephalopathy secondary to cardiac arrest due to cardiomegaly

Robert John Viner, a 58-year-old man with long-standing schizoaffective disorder, was detained under the Mental Health Act on 28 July 2006 following erratic beh…

psychiatryemergency medicineolanzapine
QLDhospital2014-11-04

Chettiar, Dharam Raj

82y · Male·Ischaemic cardiomyopathy resulting from coronary atherosclerosis (with previous …

An 82-year-old man with longstanding cardiac disease and renal failure died in custody from acute heart failure. He had been imprisoned for 3…

cardiologyemergency medicinenicorandil
QLDhome2012-06-29

MacNicol, Jack Wallace

15y · Male·head injury from motorcycle accident resulting in extensive brain injury and bas…

…a helmet. He suffered a severe head injury with base of skull fracture, extensive subarachnoid haemorrhage, and brain contusions. Despite immediate first aid, emergency response, and transfer to a tertiary hospital with…

emergency medicineneurosurgerysystem
NSWhospital2018-06-22

Inquest into the death of Jasmine Chiang

0y · Female·Hypoxia resulting from primary idiopathic pulmonary hypertension of the newborn …

…ifferential oxygen saturations) approximately 30 minutes post-delivery following an uncomplicated pregnancy and delivery. Clinical care was appropriate and expert evidence confirmed the presentation was rare, unpredicta…

neonatologypaediatricsdelaypethidine
SAhospital2020-10-12

Coroner's Finding: MANSVELDERS Henri Martinus Bernardus

79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…

…erotic internal carotid artery occlusion. He was appropriately transferred to a tertiary centre, intubated, and provided neuroprotective care in ICU. Given extensive brain necrosis and poor prognosis, palliative care wa…

psychiatryneurologymorphine
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

…er police found him malnourished following 30 days of intentional food refusal. Despite appropriate medical and psychiatric interventions including nasogastric feeding, electroconvulsive therapy, and intensive supportiv…

psychiatrygeneral medicine
SAhospital2004-02-13

Coroner's Finding: WHITE Kevin Charles

57y · Male·aspiration pneumonia secondary to small bowel obstruction

A 57-year-old man with chronic schizophrenia, intellectual disability, and history of bowel obstruction presented with faecal vomiting and signs of shock. He was appropriately transf…

emergency medicinesurgeryquetiapine
NSWhospital2023-10-31

Inquest into the death of Adam Fitzpatrick

20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…

Adam Fitzpatrick, a 20-year-old with complex facial and skull fractures from a motor vehicle collision, underwent emergency tracheostomy placement. On 22 August 20…

intensive careanaesthesiadiagnosticproceduralrocuronium
NSWhome2022-06-07

Findings - AD & Aleksander Stefanovic

Male·Gunshot wound to chest (Aleksander Stefanovic); gunshot wound to head (AD)

… males at their shared Lewisham home on 4 September 2020. AD (aged 55), with documented depression, anxiety and recent suicidal ideation, shot his flatmate Aleksander Stefanovic (aged 36, recently commenced methadone fo…

emergency medicineparamedicine
VIChospital2025-08-13

Finding into death of Jordan Thomas Alexander McDonald

0y · Male·complications of extreme prematurity in the setting of precipitant premature bre…

…nce concluded the morphine was unlikely to have contributed to death, as Jordan was mechanically ventilated and his deterioration preceded the morphine administration. Jordan's death resulted from complications of extre…

neonatologyobstetricsmedicationdiagnosticmorphine
134514

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