Coronial

144 results for resuscitation attempts

SA2009-11-26

Coroner's Finding: MANSVELDERS Mark Thomas

44y · Male·epilepsy with contributing factors of hypertensive heart disease and coronary ar…

… were subtle and easily confused with sleep movements or alcohol withdrawal by untrained officers, and resuscitation attempts for seizure-induced cardiac arrest are rarely successful even in hospitals. The coroner found…

neurologyforensic medicinesystem
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

…n occurred. Key clinical lessons: (1) recognition of hypovolaemic shock required more aggressive fluid resuscitation earlier; (2) senior clinician review warranted overnight given complexity and high-risk comorbidities;…

cardiologycardiothoracic surgerydiagnosticproceduralramipril
WAprison10July 2014

Inquest into the Death of Michael John KING

48y · Male·Ischaemic Heart Disease in association with Coronary Arteriosclerosis

…ions and lifestyle modifications throughout his 27+ years of incarceration. Medical staff made reasonable attempts to counsel and encourage compliance with medications, care plans, and hospital appointments. While the de…

cardiologypsychiatrycardiac medications
WAhome2002-07-05

Inquest into the Death of Bradley William Rapley

22y · Male·Hypoxic Ischaemic Encephalopathy due to suffocation

…n cell on 25 August 1999. Rapley was a prisoner with a history of depression, anxiety, and past self-harm attempts, though he was inconsistent in reporting these to authorities. He was returned to Casuarina Prison after …

psychiatrygeneral practicesystemcommunicationdosulepin
WA2020-08-18

Inquest into the Death of Hayden Paul STACEY

22y · Male·gunshot injury to the chest

Hayden Paul Stacey, 22, died from a gunshot wound to the chest inflicted by police constable Lucinda Boon during a mental health crisis incident on 27 May 2018 at Peel Health Campus, Western Australia. Stacey had called …

emergency medicineparamedicinesystemcannabis
SAmental health2000-04-28

Coroner's Finding: SCOTT Laurie Joseph

53y · Male·asphyxia due to upper airway occlusion by a foreign body (blanket)

…f his suicidal ideation and self-harm history, with multiple documented head injuries from recent suicide attempts. The coroner found treatment was appropriate, staffing levels adequate, and observations adequate. The de…

psychiatryemergency medicinethioridazine
QLD2007-05-16

Davis, Jodie Maree

24y · Female·hypoxic brain damage due to cardiac arrest due to hanging

…al Centre in May 2002. She had a long history of self-harm dating from age 15, including multiple suicide attempts, and was assessed as high suicide risk. At the time of death, prison psychology staff were very junior (4…

psychiatrypsychologysystemcommunication
ACT2019-06-26

Inquest into the death of Mark Anthony O’Connor

40y · Male·Multiple drug toxicity, being either an overdose due to methylamphetamine alone,…

Mark Anthony O'Connor, a 40-year-old detainee with longstanding polysubstance use disorder, died in custody from multiple drug toxicity (methylamphetamine and possibly buprenorphine) on 13 May 2017. He self-administered …

emergency medicinetoxicologymethamphetamine
SAhospital2025-06-11

Coroner's Finding: OHalloran, Emma Louise

48y · Female·multiple drug toxicity consisting of flecainide, lorazepam and diazepam

A 48-year-old woman died from multiple drug toxicity (flecainide, lorazepam, diazepam) following a deliberate overdose. She was located by police after a search and detained under the Mental Health Act. Critical delays o…

cardiologygeneral practicesystemcommunicationflecainide
VIChospital2015-10-14

Finding into death of Marc Phillip Vella

39y · Male·Infective endocarditis, with intravenous drug use as a contributing factor

Marc Vella, a 39-year-old man with schizophrenia and intravenous drug use, presented to St Vincent's Hospital with respiratory symptoms and chest pain. Clinical assessment identified pneumonia, septicaemia, and possible …

emergency medicinegeneral medicinemethamphetamine
NT2016-03-18

Inquest into the death of Styles Isaac King

30y · Male·traumatic asphyxiation

…ed out he could not breathe, but restraint continued. King was unresponsive when released, and despite resuscitation attempts, was pronounced dead at hospital. The coroner found inadequate training on positional asphyxi…

emergency medicineparamedicineproceduralsystemalcohol
QLD2007-11-23

Walker, Nola Jean

66y · Female·Blood loss due to tearing of the spleen and fractured ribs occasioned by a motor…

…an recognising concealed internal injuries and progressive shock. She was found pulseless at 10:40 AM. Resuscitation attempts failed. Key clinical lessons: (1) Intoxication can mask signs of serious traumatic injury; (2…

emergency medicineparamedicinediagnosticcommunicationalcohol
NThome

Inquest into the death of Sudden unexpected death of an infant

0y · Female·Sudden unexpected death of an infant (SUDI) from viral pneumonitis (Rhinovirus a…

…as found unresponsive at a remote family outstation after co-sleeping with her mother and died despite resuscitation attempts at Alice Springs Hospital. Although the co-sleeping environment had risk factors—soft mattres…

obstetricspaediatrics
WA2019-08-20

Inquest into the Death of Judy Sonia BOLTON

44y · Female·acute myocardial infarction due to coronary thrombosis

…d. Her hyperlipidaemia was not detected until November 2016 due to missed appointments and failed testing attempts. Nurse Owen's initial assessment was reasonable given the deceased presented with subtle symptoms typical…

cardiologyemergency medicinediagnosticsystemmetoprolol
VIChospital2018

Finding into death of Anthony Sean Jenkins

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

…s found unconscious on 27 August 2017 and died three days later at University Hospital Geelong despite resuscitation attempts. Research demonstrates that suspects become acutely at risk of suicide after learning of sexu…

intensive carepalliative caresystemalcohol
WAhospital2005-05

Inquest into the Death of Olivia ("Peta") Dawson

26y · Female·Asphyxiation due to Ligature Compression of Neck

…d nurse went on break; at 7.54pm, the deceased was found hanging from a curtain rail using a shoelace. Resuscitation attempts were unsuccessful and she was pronounced dead at 8.10pm. The coroner found death by suicide. …

emergency medicinepsychiatrysystemdelaykalma
QLDcommunity2009-02-10

Lee-Chue, Allan Duncan

45y · Male·acute myocardial infarction due to coronary atherosclerosis

… police station. He collapsed suddenly in the police vehicle and despite prompt ambulance response and resuscitation attempts by paramedics, could not be revived. The coroner found police actions lawful and appropriate,…

cardiologyemergency medicine
VIChospital2017-12-11

Finding into death of Karen Ann Moore

49y · Female·Bronchopneumonia, hypoxic brain injury, and combined drug toxicity (oxycodone an…

…iazepam). She was found unconscious at home after an overdose and did not regain consciousness despite resuscitation. Over 15 months prior to death, she had seven hospital admissions for overdoses of prescribed medicati…

general practiceemergency medicinemedicationcommunicationoxycodone
SAaged care2019-06-12

Coroner's Finding: SINCLAIR Colin George

68y · Male·Obstruction of airways by foodstuffs with contributing alcohol-related dementia

Colin George Sinclair, aged 68, died from airway obstruction by food while in high-level aged care under guardianship. He had alcohol-related dementia and Korsakoff's syndrome with significant cognitive decline affecting…

geriatric medicinespeech pathology
NSWmental health2019-11-22

Inquest into the death of David Dungay

29y · Male·cardiac arrhythmia

…sks; nursing staff failed to monitor David's breathing when he complained of difficulty breathing; and resuscitation attempts were poorly coordinated and ineffective. The coroner concluded David died from cardiac arrhyt…

psychiatryemergency medicineproceduralcommunicationmidazolam
14568

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