105 results for “severe hypoxia”
8y · Male·hypoxic brain injury and multi-organ failure from drowning
Richard John Obrey Baird, an 8-year-old Aboriginal boy, drowned on 19 January 2014 after becoming trapped in a stormwater drain system in Palmerston, NT during heavy monsoonal rain. He entered an unsecured drain with fri…
49y · Male·acute asthma leading to hypoxic brain injury
…ry arrest before paramedics arrived 29 minutes later. He was resuscitated and admitted to ICU but suffered severe hypoxic brain injury, dying five days later. The coroner found delay in ambulance dispatch was not inordin…
77y · Male·hypoxic-ischaemic encephalopathy and cerebral infarction due to upper airway obs…
…lastic device, which compressed the handkerchief further into the airway, causing complete obstruction and severe hypoxia. The death was preventable through: proper communication of at-risk behaviours to agency staff via…
55y · Female·acute necrotising bronchopneumonia
…oncern for serious cardiopulmonary pathology. Critical clinical lesson: MQ's symptoms were consistent with severe bronchopneumonia yet she was not escalated for urgent in-person assessment; GPs should have insisted on fa…
57y · Female·Complications of muscular dystrophy
A 57-year-old woman with longstanding muscular dystrophy and newly diagnosed cardiomyopathy died from complications of her underlying condition. She became acutely unwell overnight at her residential support facility wit…
29y · Male·butane and propane toxicity from inhalation of canola oil spray propellants
…d, noting aerosol cans should have been restricted given Robert's known history of substance abuse and the severe cardiac risks of butane inhalation (sudden sniffing death from arrhythmia). The Department had not adequat…
Bearham: hypoxic brain injury from hanging; Fisher: asphyxiation from hanging by…
Four inpatient suicides occurred at The Canberra Hospital mental health units between January 2015 and November 2016: three by hanging and one by jumping. The coroner found systemic failures including inadequate ligature…
29y · Female·Hypoxic-ischaemic encephalopathy due to cardiac arrest of undetermined cause
…to work instructions requiring monitoring every 5 minutes for 20 minutes. She was found unresponsive with hypoxia at 08:00 hours, suffered cardiac arrest of undetermined cause, and died from hypoxic-ischaemic encephalop…
48y · Female·Ischaemic brain injury secondary to toxicity to tramadol and temazepam
…onship with the family compromised his clinical judgement. The patient was eventually admitted to ICU with severe brain damage and died ten days later. Earlier hospital admission might have changed the outcome, though ir…
33y · Male·Cerebral hypoxia caused by drowning
A 33-year-old man with severe intellectual disability and cerebral palsy drowned in a bath at a supported accommodation house. Carers le…
3y · Male·Streptococcus pyogenes group A pneumonia
… review. Hugo deteriorated overnight and presented to Mount Beauty Hospital with respiratory distress and hypoxia at 1.40am. He arrested shortly after arrival despite resuscitation efforts. Autopsy confirmed Streptococc…
Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …
Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…
44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)
…a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, hypotension, hypothermia, elevated lactate 12.7 mmol/L, leukopenia, acute kidney injury) but was managed…
33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity
…as increased to 10mg three times daily without in-person review. She was found unresponsive on 27 May with severe hypoxia and died from hypoxic-ischaemic encephalopathy. Critical failures included: ambiguous communicatio…
0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…
Mia Rose Iskander died at 8 hours of age from ascending uterine infection (Klebsiella pneumoniae) with chorioamnionitis following maternal premature pre-labour rupture of membranes (PPROM) at 32 weeks. Maternal managemen…
20y · Female·food-induced anaphylaxis, likely to peanut allergen
…sumed desserts at Fin's Café after dining at a nearby hotel. Approximately 15 minutes later, she developed severe respiratory distress with stridor and cyanosis. She was treated by sole-operator nurse Marion Pederson at …
0y · Male·Global cerebral hypoxic injury and perinatal asphyxia secondary to uterine ruptu…
…ng this period. Baby was born in cardiac arrest with Apgar 0 at 1 minute and cord lactate 13.7 (indicating severe hypoxia). Failed intubation during resuscitation contributed minimally. Key failures: lack of early hospit…
35y · Female·Unascertained
A 35-year-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements and was induced on Sunday evening. She e…
20y · Male·hypoxic encephalopathy
…rrest followed. Only at 1:25am, 65 minutes later, was the tube found to be in the oesophagus and replaced. Severe hypoxic brain injury resulted; he died 27 January. The coroner found the death preventable through culture…
33y · Female·Hypoxic ischaemic encephalopathy with an antecedent cause of in-hospital cardiop…
…emic encephalopathy following in-hospital cardiopulmonary arrest at Blacktown Hospital. She presented with severe malnutrition, electrolyte derangements including hyponatraemia, and alcohol-related liver disease. Expert …
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