105 results for “severe hypoxia”
39y · Male·coronary atherosclerosis
… and OC spray twice before subduing him. He collapsed and died at hospital shortly after. Autopsy revealed severe underlying coronary atherosclerosis (70% stenosis in worst vessel). The coroner found use of force prematu…
94y · Female·Complications of a fractured neck of femur sustained in an unwitnessed in-hospit…
A 94-year-old woman with significant cardiopulmonary comorbidities died from complications of a fractured femur sustained in an unwitnessed hospital fall. Despite identification as high falls risk and implementation of f…
51y · Male·complications of myocardial infarction in association with ischaemic heart disea…
…t, but the clinical trajectory cannot be known. He re-presented on 1 February with worsening symptoms and hypoxia, and was appropriately admitted. Severe coronary artery disease required urgent stent insertion. Despite …
38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…
Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…
33y · Male·accidental drowning
…on itself is life-threatening and impairs cognition and judgment, and the risk of loss of consciousness in severely intoxicated individuals. The coroner identified no preventable medical errors but highlighted the danger…
0y · Male·hypoxic ischaemic encephalopathy
…ivery on 1 March 2005. After artificial rupture of membranes during labour induction, the foetus developed severe, sustained bradycardia lasting approximately 30 minutes before delivery. The emergency caesarean section d…
38y · Male·Urosepsis
John Miklosowa, a 38-year-old man with Down syndrome and severe intellectual disability, died from urosepsis after rapid deterioration at his residential facility on 28 M…
56y · Female·hypoxic ischaemic encephalopathy due to inadvertent oesophageal intubation and f…
… was inadvertently placed in the oesophagus rather than trachea, resulting in approximately 18 minutes of hypoxia until recognised and corrected by Dr D. Multiple contributing factors included: difficult airway anatomy,…
37y · Male·hypoxic brain injury secondary to cardiac arrest as a result of bowel volvulus
… dilated abdomen via colonoscopy at hospital temporarily restored ventilation, but he had already suffered severe neurological injury from hypoxia. The coroner found no evidence linking his prescribed Caltrate supplement…
85y · Male·ischaemic heart disease
…gen therapy. A Level 1 Inpatient Treatment Order was authorised to facilitate treatment. Communication was severely hampered by his deafness and the lack of immediate interpreter availability. Staff used arm restraints, …
18y · Male·acute asthma
…e unprecedented thunderstorm asthma event in Melbourne on 21 November 2016. He had pre-existing asthma and severe hay fever with exceptionally high sensitivity to ryegrass pollen (>100 kUA/L). He developed acute respirat…
58y · Male·Multiple injuries occasioned in a motor vehicle accident (broken neck, ruptured …
Clifford Brown, an Aboriginal man aged 58, died from multiple injuries sustained in a motor vehicle accident on 18 December 2004 at Barrow Creek, NT. The central clinical issue was the inadequate emergency assessment and…
30y · Female·Global cerebral ischaemic injury and bronchopneumonia following PEA arrest in a …
A 30-year-old woman with Lennox-Gastaut Syndrome, a severe treatment-resistant epilepsy, died following cardiac arrest at a disability residential care facility. She…
41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…
David Orton, a 41-year-old man with cerebral palsy, intellectual disability, and severe kyphoscoliosis, died from cerebral hypoxia and bronchopneumonia complicated by toxic megacolon and Salmone…
36y · Female·myocardial infarction as a consequence of severe focal coronary artery atheroscl…
…espite prompt CPR and resuscitation efforts including adrenaline and defibrillation, developed refractory hypoxia and died 6 hours after hospital admission. The clinical lesson involves recognising anginal symptoms in y…
32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…
…rway caused dynamic hyperinflation, leading to cardiac arrest. The autopsy revealed previously undiagnosed severe subglottic stenosis. Earlier recognition would have allowed joint surgical-anaesthetic planning or procedu…
57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …
A 57-year-old woman with COAD, hypertension, and unrecognized severe coronary atherosclerosis presented with appendicitis. Surgery was performed by an unsupervised surgeon ope…
46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…
…46-year-old woman with history of alcohol use, coagulopathy and seizures, died from prolonged effects of a severe head injury sustained on 25 October 2011. She presented to Kempsey Hospital with extensive intracranial bl…
26y · Male·Multi-organ failure due to pneumococcal septic shock
…nce. Expert opinion concluded that while earlier antibiotics and transfer would have been appropriate, the severe progressive pneumococcal sepsis with multi-organ failure was unlikely to have been prevented by these dela…
40y · Male·Hypoxic brain injury consequent upon cardiac disease, possible viral infection o…
… a correctional facility, died on 27 December 2008 from hypoxic brain injury following cardiac disease and severe pneumonia. Critical failures in prison healthcare were identified. On 17 December, Mr. Magro submitted urg…
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