Coronial

146 results for brain hypoxic-ischaemic injury

SAaged care2023-12-22

Coroner's Finding: LENS, Christopher

64y · Male·hypoxic-ischaemic encephalopathy and its complications following cardiac arrest …

…ristopher Lens, a 64-year-old man with schizophrenia under guardianship at a nursing home, died from hypoxic-ischaemic encephalopathy following cardiac arrest due to upper airway obstruction after choking on a peanut bu…

geriatric medicinespeech pathologysystemcommunication
NSWhome2018-02-23

Inquest into the death of Yongxing Wang

79y · Male·hypoxic brain injury due to cardio-respiratory arrest caused by opioid toxicity

Yongxing Wang, 79, died from hypoxic brain injury caused by opioid toxicity from combined morphine and oxycodone. After a minor back injury on 21 Aug…

general practiceradiologymedicationcommunicationmorphine
VIChospital2020-11-25

Finding into death of Eoghan Jerome Arnold

42y · Male·Hypoxic ischaemic brain injury secondary to cardiac arrest caused by massive pul…

A 42-year-old man died from hypoxic ischaemic brain injury following cardiac arrest due to a massive pulmonary embolism. He sustained a tibial fracture in a m…

orthopaedic surgeryanaesthesiasystemenoxaparin
QLDmental health2006-09-08

Robinson, Terence James

54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus

Terence James Robinson, 54, died from status epilepticus causing global cerebral hypoxic injury after 16 days at Belmont Private Hospital. He was admitted following a violent altercation with police and…

psychiatryneurologydiagnosticcommunicationparoxetine
VIChospitalNew2026-07-01

Finding into death of Baby H

0y · Male·traumatic head injury due to instrumental vaginal delivery of a term infant

…ersion. The coroner found Dr C. acted in good faith, but this constellation of factors led to catastrophic brain injuries, highlighting critical gaps in consent procedures, clinical communication, and obstetric decision…

obstetricsgeneral practicecommunicationprocedural
VICmental health2018-02-01

Finding into death of Joy Maree Guppy

59y · Female·Hypoxic ischaemic brain injury secondary to compression of the neck in the circu…

A 59-year-old woman with major depression died by hanging using her dressing gown tie while a voluntary inpatient at a private psychiatric clinic. She was assessed as low-risk and had no restriction on ligature access. D…

psychiatryemergency medicinesystemdiagnosticquetiapine
SAhospital2001-07-13

Coroner's Finding: TRIMBOLI Jayden Tyler

0y · Male·hypoxic-ischaemic encephalopathy due to prolonged fetal bradycardia

Jayden Tyler Trimboli, aged 6 days, died from hypoxic-ischaemic encephalopathy caused by a prolonged fetal bradycardia episode between 11:10pm and 11:50pm on 18 Sep…

obstetricsmidwiferycommunicationsystemprostaglandin gel
VIChome2022-10-04

Finding into death of Baby R

3y · Unknown·Unascertained - natural causes; evidence of aspiration pneumonia, hypoxic-ischae…

…ding difficulties, respiratory distress, and collapsed on day 3. Despite resuscitation, he sustained hypoxic-ischaemic brain injury and died. Autopsy revealed aspiration pneumonia and chronic villitis but no definitive …

obstetricsmidwiferysystemcommunication
WAmental health2013

Inquest into the Death of Vos, Glenis June

60y · Female·Focal pneumonia in a woman with emphysema and ischaemic heart disease

A 60-year-old woman with long-standing schizophrenia/bipolar disorder, emphysema, and ischaemic heart disease died of focal pneumonia at Graylands Hospital. She had been an involuntary patient with multiple prior respira…

psychiatrygeneral medicinetemazepam
NSWcommunity2024-02-19

Inquest into the death of Omar Mohammad

33y · Male·Irreversible hypoxic brain injury secondary to acute cocaine toxicity

…aine whilst being arrested for trespass on 10 August 2020. He died 44 days later from irreversible hypoxic brain injury secondary to acute cocaine toxicity. Police attending the scene identified he was acutely unwell an…

emergency medicinetoxicologycommunicationdelaycocaine
VIChospital2023-03-10

Finding into death of Armin Andrew Schaefer

63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…

Armin Schaefer, a 63-year-old man with schizophrenia, cardiac risk factors, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 …

psychiatryemergency medicinediagnosticcommunicationdiazepam
NSWhospital2023-10-31

Inquest into the death of Adam Fitzpatrick

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

…o perform timely finger thoracostomy significantly contributed to Adam's 46-minute cardiac arrest, hypoxic brain injury, and death. The rigid adherence to an inadequate airway plan, absence of effective team communicati…

intensive careanaesthesiadiagnosticproceduralrocuronium
QLD2012-12-14

Mitchell, Herbert John

50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…

…uffered cardiorespiratory arrest at 3:21pm while in the watchhouse and died the following day from hypoxic brain injury. Medical experts concluded hospitalisation after the initial QAS assessment would likely have preve…

emergency medicineintensive carediagnosticsystemalcohol
VIChospital2008-08-15

Finding into death of William Grant Keays

Male·Hypoxic brain injury arising from intra-uterine asphyxia (causative factors unas…

…0/0/1, requiring 12 minutes of resuscitation to achieve cardiac output. He died 7 hours later from hypoxic brain injury due to intra-uterine asphyxia. Clinical issues included: inadequate informed consent regarding indu…

obstetricsneonatologycommunicationdelayoxytocin
NSW2011-07-01

Coroner's Finding: Michael Peter Magro

40y · Male·Hypoxic brain injury consequent upon cardiac disease, possible viral infection o…

…l Peter Magro, a 40-year-old male inmate at a correctional facility, died on 27 December 2008 from hypoxic brain injury following cardiac disease and severe pneumonia. Critical failures in prison healthcare were identif…

correctional healthgeneral practicediagnosticcommunicationmethadone
VICcommunity2016-08-18

Finding into death of Paul Daniel Rayudu

22y · Male·hypoxic ischaemic encephalopathy in the setting of immersion (drowning)

…one and both became submerged. Although patrons and staff performed prompt CPR, Paul suffered severe hypoxic-ischaemic brain injury and died 6 days later. The coroner found the death preventable. Key preventable factors…

communicationsystem
QLD2017-02-10

Sloan, Dane Benjamin

24y · Male·Hypoxic ischaemic encephalopathy due to or as a consequence of being hanged

Dane Benjamin Sloan, a 24-year-old remand prisoner with mental health history including suicidal ideation, hanged himself in the Maximum Security Unit exercise yard at Brisbane Correctional Centre. Although CCTV monitore…

psychiatryemergency medicinesystemdelayamitriptyline
QLDhospital2016-11-07

Bower, Malaki Ron - Non-inquest findings

2y · Male·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest secondary to up…

…ollowing day he suffered cardiorespiratory arrest from upper airway obstruction, resulting in severe hypoxic-ischaemic brain injury and death. Key issues: inadequate observation period; poor documentation of senior revi…

emergency medicinepaediatricsdiagnosticcommunicationnebulised adrenaline
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

…c concentrations. The child deteriorated overnight with respiratory depression, seizures, and severe hypoxic-ischaemic brain injury, leading to death despite intensive care. Key clinical failures included: the prescribi…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
VIChospital2018

Finding into death of Anthony Sean Jenkins

49y · Male·Hypoxic ischaemic brain injury complicating neck compression in the circumstance…

Anthony Sean Jenkins, a 49-year-old man with significant alcohol consumption, died by hanging on 30 August 2017 after police notified him of child sexual abuse allegations made by his daughter on 23 August 2017. He was f…

intensive carepalliative caresystemalcohol
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