97 results for “respiratory compromise”
38y · Female·Complications of decompensated liver failure due to cirrhosis secondary to Hepat…
…gainst medical advice on 28 June 2016 and returned to the prison. She died four days later, likely from respiratory arrest due to prone positioning combined with altered consciousness from hepatic encephalopathy, opioid…
43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…
…from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compromise and low oxygen saturation (83%). Dr Y. assessed him from across the room without examination…
64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…
A 64-year-old woman with bipolar disorder, severe obstructive sleep apnoea, obesity and diabetes presented with acute psychotic relapse following stress and sleep deprivation. Initially admitted to ED where she was sedat…
41y · Female·mixed drug and alcohol toxicity
Karen Louise Richards, 41 years old, died from mixed drug and alcohol toxicity on 11 January 2014. She had consumed heroin (evidenced by 6-MAM metabolite), alcohol, benzodiazepines, and other prescription medications. He…
18y · Female·asphyxiation and respiratory failure on a background of severe dystonic quadripl…
…deline Duffy, 18 years old with severe dystonic quadriplegic cerebral palsy, died from asphyxiation and respiratory failure while in respite care. She was positioned on her side in bed with pillows, contrary to her usua…
64y · Male·aspiration pneumonia following insertion of a jejunostomy tube
…in the terminal ileum rather than the jejunum. This positioning error, undetected until late April 2005, compromised nutrient absorption (primarily occurring in the jejunum) and likely contributed to his severe malnutrit…
25y · Female·Airway obstruction complicating laryngeal dilation for the treatment of subglott…
… airway obstruction following laryngeal dilation. She was admitted to ICU with asthma exacerbation from respiratory infection, then transferred to a general ward on 20 May 2015. Critical failures included: inadequate IC…
0y · Male·neonatal encephalopathy due to perinatal compromise
Jaxon McGrorey-Smith, a full-term neonate, was delivered by caesarean section after prolonged labour. He developed seizures and signs of hypoxic-ischaemic encephalopathy (HIE) within hours of birth, with MRI imaging conf…
44y · Male·Heroin toxicity in the setting of ischaemic heart disease
Laurie Cartledge, a 44-year-old man with intellectual disability and acquired brain injury, died from heroin toxicity complicated by severe coronary artery atherosclerosis just one day after release from prison. He had b…
57y · Female·small bowel ischaemia; distal gastrectomy
57-year-old woman underwent distal gastrectomy and vagotomy for gastric outlet obstruction in August 2008. Coroner found she suffered an aberrant surgical reconstruction during the procedure, with abnormal bowel anatomy …
45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…
Mark Andrew Burnside, a 45-year-old man with intellectual disability and chronic mental illness, died of natural causes on 7 November 2001 at Royal Perth Hospital. He had been prescribed thioridazine (Mellaril) for appro…
39y · Male·Hypoxic-ischaemic encephalopathy (aetiology not determined); cardiorespiratory a…
… where he punched a security officer. The restraint lasted approximately 12 minutes, resulting in cardiorespiratory arrest due to hypoxic-ischaemic encephalopathy. Three forensic pathologists concluded the cause of deat…
55y · Male·positional asphyxia, with sedation as an underlying risk factor
…st trigger medical review and vital signs assessment; prone positioning in sedated patients risks airway compromise; observation records must be completed contemporaneously, not retrospectively.
23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…
Tristan Naudi, 23, died from acute cardiac arrhythmia during MDMA intoxication while being restrained prone at hospital. Police appropriately placed him in a police vehicle after finding him violently agitated at home. A…
43y · Female·Hypoxic ischaemic brain injury resulting from alcohol and sodium valproate toxic…
43-year-old woman with epilepsy and depression died from hypoxic ischaemic brain injury after ingesting 15g sodium valproate and 750ml vodka. Critical failures occurred across multiple settings: VPIC provided incomplete …
29y · Male·Hypoxic ischaemic encephalopathy and multi-organ failure due to out of hospital …
Wayne Fella Morrison, a 29-year-old Aboriginal man with undiagnosed coronary artery disease (70% stenosis of right coronary artery), died following cardiac arrest during his detention at Yatala Labour Prison. After attac…
32y · Male·Asphyxia in a man with Friedreich's Ataxia due to positional asphyxia; unable to…
Leslie Troy Ovens, a 32-year-old man with progressive Friedreich's Ataxia, died from positional asphyxia after falling from his wheelchair. He had deteriorated significantly after hospitalisation in June 2013 and was wea…
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