Coronial

119 results for aspiration of blood

WAhospital2020-09-23

Inquest into the Death of PT (Name Subject to Suppression Order)

5y · Female·aspiration of vomit with microscopic early pneumonia, in a child with a history …

…with cerebral palsy and epilepsy resulting from non-accidental head injuries at two months old died from aspiration of vomit with early pneumonia. Critical lessons: bruising in non-ambulant infants is a 'red flag' requir…

paediatricsgeneral practicediagnosticcommunicationtopiramate
NT2012-09-17

Inquest into the death of Terrence Daniel Briscoe

27y · Male·Airway obstruction due to a combination of positional asphyxia, aspiration and a…

…e Springs Watch House from airway obstruction due to acute alcohol intoxication, positional asphyxia and aspiration. He was detained in protective custody after being found intoxicated near Flynn Drive. Unknown to police…

forensic medicineemergency medicinediagnosticcommunicationalcohol
QLDaged care2020-12-18

Murphy, Maxwell

89y · Male·multi-organ failure with pneumonia due to ingestion of a corrosive liquid (quate…

… advised observation only. Nursing staff failed to escalate to hospital despite the patient later coughing blood. Hospital admission was delayed approximately 2.5 hours. Clinical lessons: (1) always assume worst-case in…

emergency medicineintensive carediagnosticcommunicationbacban
NSWhome2021-04-14

Inquest into the death of Adam COBLE

Male·stab wound to the chest

…est with the knife. The wound caused transection of a lung, large artery, and bronchus, resulting in fatal blood loss and aspiration. This was a homicide finding based on the factual circumstances. There were no clinica…

forensic medicine
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

0y · Female·Fetal demise due to placental abruption and sepsis secondary to chorioamnionitis…

Ashlee Reindl died hours after birth in 2019 following a prolonged induction of labour complicated by fetal distress and chorioamnionitis. A catastrophic placental abruption occurred shortly before emergency caesarean se…

obstetricsmidwiferydiagnosticcommunicationoxytocin
NSWcommunity2023-11-07

Inquest into the death of AAB

26y · Male·acute cocaine and alcohol toxicity

AAB, a 26-year-old man with a history of substance abuse and mental health issues, died from acute cocaine and alcohol toxicity while in police custody. He presented to a hotel with agitated, paranoid behaviour and was d…

emergency medicinetoxicologycocaine
QLDhospital2023-06-26

Searle, William Edward

74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …

William Searle, a 74-year-old prisoner, died from aspiration of gastric contents following a Whipple procedure for recurrent ampullary adenoma. The clinical lessons …

general surgeryintensive carediagnosticcommunicationadrenaline
ACT2018-04-11

AN INQUEST INTO THE DEATH OF STEVEN CLAUDE FREEMAN

25y · Male·Aspiration pneumonia secondary to methadone toxicity

Steven Claude Freeman, a 25-year-old Aboriginal man, died of aspiration pneumonia secondary to methadone toxicity on 27 May 2016, while incarcerated at the Alexander Maconochie…

addiction medicinegeneral practicediagnosticsystemmethadone
VICmental health2025-07-24

Finding into death of Mr SWX

32y · Male·1(a) Aspiration of gastric contents; 1(b) Combined drug toxicity

A 32-year-old Eritrean refugee died on 22 August 2017 in a mental health unit from aspiration of gastric contents and combined drug toxicity. During his six-day admission, Mr SWX received 64 doses o…

psychiatryemergency medicinemedicationcommunicationolanzapine
QLDhospital2012-10-25

Paudel, Preston

Male·Global hypoxic-ischaemic encephalopathy

… CTG interpretation (particularly at 0900 review), absent or poorly communicated care plans, lack of fetal blood sampling despite clinical indication, failure to escalate to senior staff, and communication breakdown bet…

obstetricsmidwiferydiagnosticcommunicationoxytocin
WAhome2018-10-23

Inquest into the Death of Lorraine Jane HANSEN

25y · Female·Head injuries

Lorraine Jane Hansen, 25, died from head injuries on 29 June 2016 after being found on a roadway in Willetton, Western Australia. She had been involved in a chaotic social gathering with alcohol, arguments, and physical …

systemalcohol
WAhospital2008-02

Inquest into the Death of Evans

45y · Female·Extensive retroperitoneal haemorrhage following bone marrow biopsy procedure wit…

…risk), and monitoring. Recommendations addressed imaging-guided biopsy, expedited notification of abnormal blood results, and complete recording of observations.

haematologygeneral medicinewarfarin
NSWhospital2019-12-13

Inquest into the death of Lorraine BARNES

85y · Female·sepsis, with aspiration pneumonitis being an antecedent cause. Iatrogenic injury…

…s, an 85-year-old woman admitted to Wollongong Private Hospital for convalescence, died from sepsis with aspiration pneumonitis following iatrogenic lung injury. She developed severe malnutrition and electrolyte disturba…

general medicinerespiratory medicinediagnosticsystemciprofloxacin
NSWhome2021-12-20

Inquest into the death of Harland SUTTON

5y · Male·Sudden Unexpected Death in Infancy (SUDI +0); exact cause unascertained

…xpectedly at home. Toxicological testing revealed the presence of frusemide (a diuretic medication) in his blood and other samples, which should not have been present. Despite extensive investigation, the source of the …

paediatricsemergency medicinesystemmedicationfurosemide
NSWmental health2019-10-25

Inquest into the death of T V

23y · Female·Arrhythmia of unknown aetiology

…te and medications did not contribute to death. Post-mortem excluded hypoglycaemia, pulmonary emboli and aspiration as causes. Expert toxicology review found no toxic drug levels and appropriate dosing. The coroner found…

psychiatrycardiologyhaloperidol
NSWmental health2011-09-02

Ang 2011 09 21 13 31 50 906

29y · Male·acute bronchopneumonia complicated by multi-drug toxicity

Nicholas Ang, aged 29, with schizoaffective disorder, died from acute bronchopneumonia complicated by multi-drug toxicity while in a psychiatric unit. Admitted 12 August 2005, he was on clozapine, valproic acid, and clon…

psychiatrygeneral medicinemedicationcommunicationclozapine
SAhospital2011-08-05

Coroner's Finding: LEONARD Emily Ruth and HILLMAN Glenys Anne

Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…

…entified and repaired intraoperatively, but the repair failed within 24 hours, leading to contamination, aspiration pneumonia, ARDS, necrotising fasciitis, intracranial bleeding during anticoagulation, and death. Both su…

gynaecologyintensive carediagnosticproceduralheparin
SAhospital2006-01-12

Coroner's Finding: EVANS Shaun Michael

22y · Male·Mixed Diflunisal and Buproprion (Zyban) toxicity

…onsciousness, and failure to recognise the multi-drug overdose despite positive paracetamol and salicylate blood tests. The patient's non-disclosure of diflunisal was a complicating factor, but inadequate questioning by…

emergency medicinetoxicologydiagnosticcommunicationbupropion
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
VICaged care2020-10-22

Finding into death of Phillip Harry Parker

61y · Male·Pneumonia

A 61-year-old man with significant medical complexity including acquired brain injury, bronchiectasis, pulmonary fibrosis, and dysphagia died from pneumonia 26 days after receiving another resident's slow-release opioid …

geriatric medicineemergency medicinemedicationsystemtapentadol sr

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