Coronial

122 results for airway obstruction

TASmental health2016-08-16

Coroner's Finding: Pasinski, Alexander

59y · Male·asphyxia due to choking on food

…t precautions or order comprehensive assessment. At lunch, he aspirated a large meat mass causing complete airway obstruction. Although emergency response was timely, MET arrival was delayed five minutes due to distance …

psychiatryintensive caresystemcommunicationamitriptyline
VICaged care2020-04-22

Finding into death of Dorothy May Nelson

81y · Female·Complications of choking on a food bolus in a woman with dementia

Dorothy May Nelson, an 81-year-old woman with dementia, died from complications of choking on a food bolus at an aged care facility. She was served diced beef in casserole (approximately 4cm bolus found at autopsy, despi…

geriatric medicinepsychiatrydiagnosticproceduralmorphine
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
NSWmental health2019-06-04

Inquest into the death of Andrea Sewell

46y · Female·hypoxic ischaemic brain injury as a result of cardiac arrest following a choking…

Andrea Sewell, a 46-year-old woman with Osmotic Demyelination Syndrome (ODS) and acute psychiatric illness, died from hypoxic brain injury following a choking episode during a meal in a psychiatric intensive care unit (P…

psychiatryneurologyantipsychotic medications
NSWaged care2026-02-27

Inquest into the deaths of Dimosthenis Gesios and Maureen McGreevy

Unknown·Choking; Mr Gesios: large bolus of bread and scrambled eggs causing complete air…

…inexperienced AIN without adequate supervision of swallowing; a large food bolus formed and obstructed his airway. Ms McGreevy received an incorrect meal tray containing buttered bread instead of her prescribed minced di…

speech pathologygeneral practicesystemcommunication
VIChome2023-06-08

Finding into death of Mayumi Spencer

29y · Female·Cocaine toxicity

…before calling ambulances at 7:38 AM. Expert evidence indicated that even accounting for attempts to clear airway obstruction, emergency services should have been called within minutes. The death occurred in the context …

emergency medicinetoxicologydelaysystemcocaine
QLDhospital2007-12-07

Burgen, Deborah Denise

49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…

…m intra-abdominal haemorrhage complicated by septic shock following delayed emergency surgery for bowel obstruction. She attended the emergency department six times over eleven days with identical symptoms but was disch…

emergency medicinesurgerydiagnosticdelayparacetamol/codeine
WAhospital2007-06-08

Inquest into the Death of Rasmussen

31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…

…thesia and paralysis. Subsequent attempts by multiple senior anaesthetists and the surgeon to establish an airway all failed; the trachea was deviated and could not be located. Resuscitation was unsuccessful. The coroner…

anaesthesiageneral surgerydiagnosticproceduralatracurium
NSWhospital2017-06-06

Inquest into the death of Helen Ashburn

46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…

Helen Ashburn, a 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 extensiv…

emergency medicineneurosurgerycommunicationdiagnostic
VIChome2017-09-11

Finding into death of Patricia Shaw

87y · Female·combined effects of pentobarbitone, oxazepam, amlodipine and zopiclone ingestion…

Mrs Patricia Shaw, aged 87, died from combined drug ingestion (pentobarbitone, oxazepam, zopiclone, amlodipine) with evidence of smothering and plastic bag asphyxia. This was a planned end-of-life death undertaken with h…

pentobarbitone
QLDhospital2012-11-28

Hammett, Christopher

47y · Male·Aspiration pneumonia due to or as a consequence of coronary atherosclerosis

…) occurred during transfer from theatre to PACU but was inadequately investigated—the anaesthetist assumed airway obstruction rather than considering aspiration. This was not communicated during handover to the ward. Sub…

orthopaedic surgeryanaesthesiadiagnosticcommunicationmorphine
VICcommunity2019-08-12

Finding into death of Matt Robert Crampton

39y · Male·Cardiorespiratory arrest during prone restraint including pressure on the neck o…

A 39-year-old male died from cardiorespiratory arrest during a prone restraint with neck pressure while intoxicated with methylamphetamine. He was found behaving erratically and aggressively in a small town, entered a ta…

forensic medicineemergency medicinemethamphetamine
SAmental health2000-06-16

Coroner's Finding: FERN Edmund James

30y · Male·cardiac arrhythmia due to therapeutic clozapine use

…a psychiatric institution (James Nash House) on 4 September 1997, nine days after septoplasty for nasal obstruction. He was on multiple medications including clozapine 350mg nightly, chloral hydrate 1000mg, amitriptylin…

psychiatryENT surgerymedicationsystemclozapine
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
WAmental health2024-05-17

Inquest into the Death of Richard Anthony BOROS

50y · Male·upper airway obstruction (choking) from tissue paper

Richard Anthony Boros, a 50-year-old man with paranoid schizophrenia, died from upper airway obstruction (asphyxiation) after intentionally swallowing a dense ball of tissue paper while in the mental…

psychiatryemergency medicinecommunicationsystemolanzapine
QLDcommunity2014-03-25

Baby T - Non-inquest findings

0y · Unknown·Hypoxic ischaemic encephalopathy resulting from cardiorespiratory arrest due to …

A three-week-old infant died from asphyxia while positioned in an over-the-shoulder infant sling at a shopping centre. The baby had recent upper respiratory tract infection with RSV, which reduced respiratory reserve. Th…

paediatricsemergency medicinesystem
VIChospital2021-05-31

Finding into death of Ms Jane

13y · Female·hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate toxicity

Jane, aged 13, died from hypoxic ischaemic encephalopathy secondary to gamma hydroxybutyrate (GHB) toxicity following accidental overdose. She ingested an estimated 6-9mls of GHB in early June 2017, having used the drug …

emergency medicineintensive caregamma hydroxybutyrate
WAhome

Inquest into the Death of Anthony William KUSTER

44y · Male·Ligature compression of the neck and methylamphetamine effect

Anthony William Kuster, a 44-year-old man, died from ligature compression of the neck combined with methylamphetamine toxicity. He applied a tourniquet around his neck while heavily intoxicated with methylamphetamine aft…

toxicologyforensic medicinedelaymethamphetamine
ACTaged care2016-08-10

AN INQUEST INTO THE DEATH OFCHARLES ROWAN McCULLOCH

94y · Male·blunt head and neck trauma with associated haemorrhage; neck trauma included fra…

… minutes; (4) vital signs were never checked to confirm death; (5) body was found with foreign material in airways and was subsequently interfered with (pillow placed over face); (6) Police were not called for 55 minutes…

geriatric medicineemergency medicinediagnosticcommunicationrisperidone
VICaged care2017-05-31

Finding into death of Nerilee Elizabeth Barfoot

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 was found entangled in a swing seat armrest on 7 April…

neurologyemergency medicinesystemcarbamazepine

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