228 results for “airway management”
49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…
…equired tracheostomy for bulbar dysfunction. On 13 June 2018, she suffered cardiorespiratory arrest due to airway occlusion from sputum plugging and/or tube dislodgment while a tracheostomy cap (not the planned speaking …
19y · Male·ischaemic brain injury after cardiac arrest, brought about by blunt force injuri…
…racheal rupture. Key clinical lessons: even optimal first aid cannot prevent deaths from severe structural airway damage; the accident occurred too rapidly for spotters to intervene. The coroner found no mandatory regula…
22y · Male·Complications of cerebral palsy
…m complications of cerebral palsy, a natural cause. The coroner found no issues with his care or medical management at the facility. This case highlights the risks of sudden death in individuals with severe cerebral pals…
9y · Female·intercurrent pneumonia/respiratory infection in a setting of chronic lung diseas…
…d appropriate clinical care throughout her hospitalisation from birth. No protective concerns or medical management issues were identified. The death occurred in the context of pre-existing serious chronic respiratory co…
37y · Male·Mixed Drug Toxicity (Oxycodone, Quetiapine, Pregabalin and Clonazepam)
A 37-year-old man died from mixed drug toxicity (oxycodone, quetiapine, pregabalin, clonazepam) after ingesting unknown quantities of his own medications in an ED. He presented with trauma symptoms four days post-motor v…
85y · Male·cerebellar haemorrhage due to hypertension
An 85-year-old man died in custody from cerebellar haemorrhage due to hypertension. He was in the palliative care unit following an advanced care directive refusing resuscitation. He reported nausea and vomited around 8p…
67y · Male·Complicated endotracheal tube insertion due to or as a consequence of recent clo…
… selection (Draeger Babylog 8000 inadequate in HFOV mode for babies >2kg), and availability of alternative airway devices such as laryngeal mask airways.
35y · Female·hypoxic brain injury, with strangulation being an antecedent cause
…ted tension), importance of early CPR initiation by bystanders and first responders, and appropriate ICU management of hypoxic-ischaemic brain injury including prognostication for withdrawal of life-sustaining treatment.
64y · Female·Haemorrhage into atheromatous plaque, due to coronary atherosclerosis
…edical ward where an equipment malfunction (fractured in-line suction system nozzle) delayed suctioning of airway secretions. The immediate clinical lesson is that clinicians should ensure proper instruction and familiar…
44y · Male·Influenza B infection
…PR, or inotropes. He received palliative care and died on 15 October 2013. The coroner found the medical management and care provided by the hospital and residential service was reasonable and appropriate in the circumst…
48y · Male·undetermined
… the hospital, he received multiple doses of benzodiazepines and antipsychotics for sedation/behavioural management. He experienced respiratory depression from midazolam which was reversed with flumazenil. Later, after h…
27y · Female·chest injuries
… proper equipment including non-functional suction apparatus and no chest decompression kits, and critical airway equipment was unavailable; (2) lack of clarity in governance rules regarding medical coverage standards (p…
95y · Female·asphyxia due to glottic obstruction by food
…ing, failed to consult the facility's choking protocol, and did not position the patient appropriately for airway clearance. Early recognition of choking, proper positioning on the side, and application of thoracic thrus…
50y · Male·Blunt force trauma to the head and aspiration of gastric content
…ation of gastric contents is a common secondary consequence of significant head trauma requiring emergency airway management consideration.
69y · Male·Complications of Downs syndrome and dementia (palliated)
…palliative care unit. He remained at his residence for end-of-life care with appropriate comfort-focused management. The coroner found the care afforded by the accommodation facility was timely and appropriate. Clinical …
81y · Female·Complications of choking on a food bolus in a woman with dementia
Dorothy May Nelson, an 81-year-old woman with dementia, died from complications of choking on a food bolus at an aged care facility. She was served diced beef in casserole (approximately 4cm bolus found at autopsy, despi…
94y · Male·blunt head and neck trauma with associated haemorrhage; neck trauma included fra…
… minutes; (4) vital signs were never checked to confirm death; (5) body was found with foreign material in airways and was subsequently interfered with (pillow placed over face); (6) Police were not called for 55 minutes…
77y · Male·aspiration pneumonia due to dysphagia on a background of dementia
…n his progressive dysphagia and aspiration risk. The coroner made no adverse findings regarding clinical management. This case illustrates the inevitable complications of advanced dementia with dysphagia and the challeng…
67y · Male·Aspiration of vomit associated with alcohol intoxication in a man with ischaemic…
…hout formal assessment of his level of consciousness, capability for self-care, or capacity to protect his airway. The family received minimal guidance on supervision despite his severely intoxicated state. He deteriorat…
67y · Male·Pneumonia in the setting of aspiration and posterior rib fractures
Neil Douglas Heaton, a 67-year-old man with intellectual disability, dementia, and aspiration risk factors, died from pneumonia complicated by posterior rib fractures of unclear origin. He was found unresponsive at his s…
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