144 results for “resuscitation attempts”
18y · Female·Generalised tonic-clonic seizure and cardiac arrest arising from severe hyperten…
… she suffered a generalised seizure caused by hypertensive encephalopathy. She arrested at 1823 hours; resuscitation commenced at 1826 hours (3-minute delay). She died at 1901 hours despite resuscitation. The coroner fo…
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
… sepsis severity; failure to escalate to ICU consultation or retrieval services; insufficient IV fluid resuscitation (patient encouraged to refuse); misinterpretation of respiratory distress as anxiety/alcohol withdrawa…
24y · Male·cardio-respiratory arrest due to multi-drug toxicity
…ing for all staff in high-risk psychiatric facilities. While psychiatrist-led care was appropriate and resuscitation attempts were made immediately, there were deficiencies in documenting and escalating concerning behav…
31y · Male·Chest injuries (principal cause) with autism and epilepsy as underlying causes
…o definitively establish whether injuries resulted from a fall onto a pot plant, previous injuries, or resuscitation attempts. Key clinical lessons include: respite carers require appropriate training in emergency manag…
49y · Female·Unascertained (natural)
…ntolin inhaler. Four staff members provided first aid, called an ambulance, and commenced CPR. Despite resuscitation attempts by paramedics, she died. The cause was determined as unascertained natural causes. Key clinic…
Male·Gunshot wound to chest (Aleksander Stefanovic); gunshot wound to head (AD)
…for opioid use) in the chest, causing a fatal injury. Aleksander died following emergency response and resuscitation attempts. AD then shot himself in the head. Despite emergency neurosurgery and ICU care including exte…
47y · Male·Drug toxicity in the setting of restraint
…. Paramedics provided appropriate emergency care including rapid transport, vital sign monitoring, and resuscitation attempts lasting 36 minutes. The coroner found police restraint was necessary and reasonable given the…
72y · Male·Choking on a food bolus
…ing and inability to swallow; suction equipment must be functional and staff competent in its use; and resuscitation attempts should commence promptly without delay.
69y · Female·Respiratory obstruction by aspirated food (Brussels sprout, chicken and carrots)…
…nd back slaps, but should have immediately called a registered nurse and emergency services after initial attempts failed. The coroner identified several deficiencies: inadequate staffing (one carer supervising meals alo…
34y · Male·Hypoxic-ischaemic brain injury caused by hanging
… Despite police intervention, critical delays in cutting the ligature around his neck prevented timely resuscitation and resulted in irreversible brain damage from prolonged hypoxia. Stevens had depression, schizophreni…
46y · Male·Acute hypoxic brain damage resulting from intentional self-inflicted hanging
A 46-year-old male prisoner died from acute hypoxic brain damage following self-inflicted hanging in custody. He had a history of physical health issues including HIV and mental health concerns including anger management…
0y · Male·Burns from fire
… portable gas cooker with a cigarette lighter. The cooker was accessible in the room despite the mother's attempts to secure it. The child had 80% full-thickness burns and died during retrieval to hospital. A Royal Flyin…
85y · Male·metastatic prostate cancer
…iate care was provided for his pre-existing conditions whilst in custody, with no issues identified in resuscitation attempts. The case illustrates challenges in managing elderly, infirm prisoners with multiple comorbid…
25y · Male·Hypoxic ischaemic brain injury due to hanging
…l health assessment did not occur despite his S4 (self-harm history) rating. While staff made vigorous resuscitation efforts, the coroner found the decision to address escape concerns rather than arrange mental health a…
54y · Female·choking on a food bolus in a woman with an intellectual disability and other med…
…e post-meal positioning. Staff at the centre appropriately responded with back thrusts, manual extraction attempts, and CPR when choking occurred. The coroner found no preventability issues and commended staff response. …
13y · Female·Pneumonia, due to or as a consequence of Hypoxic Brain Damage, due to or as a co…
…system. She was submerged for an estimated 10-20 minutes before being freed. Despite immediate CPR and resuscitation efforts by bystanders and paramedics, she suffered hypoxic brain damage and died four days later. The …
39y · Male·Coronary thrombosis caused by coronary atherosclerosis
…ort him on safety grounds, and he was returned to hospital. He subsequently collapsed and died despite resuscitation attempts. Autopsy revealed multiple coronary artery thromboses with severe atherosclerosis. The corone…
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 severe refractory anaphylaxis. After eating apple crumble containing nuts…
56y · Male·urosepsis
…as critically unwell with respiratory distress, slurred speech, and shallow breathing. He died despite resuscitation attempts. The coroner found medical care was appropriate throughout imprisonment and no concerns arose…
18y · Male·Multiple injuries sustained in motor vehicle collision
…ry cause. The deceased was ejected from the vehicle on impact and died at Royal Perth Hospital despite resuscitation attempts.
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