Coronial

125 results for airway obstruction

ACTaged care2016-08-10

AN INQUEST INTO THE DEATH OFCHARLES ROWAN McCULLOCH

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…

geriatric medicineemergency medicinediagnosticcommunicationrisperidone
VICaged care2017-05-31

Finding into death of Nerilee Elizabeth Barfoot

30y · Female·Global cerebral ischaemic injury and bronchopneumonia following PEA arrest in a …

A 30-year-old woman with Lennox-Gastaut Syndrome, a severe treatment-resistant epilepsy, died following cardiac arrest at a disability residential care facility. She was found entangled in a swing seat armrest on 7 April…

neurologyemergency medicinesystemcarbamazepine
NSW2015-10-27

Inquest into the death of Kevin Norris

38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…

…s: drug-affected patients in custody require rapid medical assessment not delayed by behavioural concerns; airway compromise from flexed neck position is rapidly fatal; paramedic cardiac arrest protocols must be executed…

emergency medicineintensive caredelaycommunicationmethamphetamine
VIChospital2023-11-24

Finding into death of Vikki Michelle Prenc

59y · Female·Asphyxial aspiration with upper airways obstruction by vomitus

Ms Prenc, a 59-year-old woman with spina bifida, died from asphyxial aspiration with upper airway obstruction by vomitus while hospitalised for urosepsis. The critical clinical issue was a Goals of Care (…

general practicegeneral medicinecommunicationsystemondansetron
VIChospital2015-09-30

Finding into death of Kirat Singh

<1y · Female·Global hypoxic-ischaemic injury of unknown cause

… approach was agreed. The precise mechanism of the hypoxic insult—whether accidental (positional asphyxia, airway obstruction) or otherwise—could not be determined despite thorough investigation. The coroner found no med…

neonatologypaediatricsphenobarbital
SAhospital2015-03-06

Coroner's Finding: SIMOS Theodoras Joannas

48y · Male·undetermined

A 48-year-old man with schizoaffective disorder, poorly controlled diabetes, sleep apnoea, obesity and cardiomegaly died unexpectedly at a rural hospital following acute psychotic agitation. He had absconded from a menta…

psychiatrygeneral practicesystemdelayhaloperidol
VIChospital2020-01-30

Finding into death of Ward Harker

93y · Male·Multisystem failure complicating sepsis secondary to perforated viscus

…arent suffering. The coroner found that Tye did place a pillow over Harker's face but found no evidence of airway obstruction causing death. The coroner identified potential criminal conduct driven by benevolent but misg…

palliative careemergency medicinecommunicationsystemmorphine
TAShospital2023-11-17

Coroner's Finding: Williams, Stewart

54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…

A 54-year-old male was assaulted in a nightclub with a single punch causing orbital and facial fractures and posterior epistaxis. He presented to the Royal Hobart Hospital ED with active bleeding. Critical deficits in hi…

emergency medicineoral and maxillofacial surgerydiagnosticcommunication
QLDhospital2017-12-04

Mr AC - Non-inquest findings

76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…

A 76-year-old man with significant comorbidities including severe obstructive sleep apnoea, obesity, aortic stenosis, and ischaemic heart disease died from acute coronary atherosclerosis 36 hours after elective sacroilia…

neurosurgeryanaesthesiadiagnosticcommunicationamiodarone
QLDPodcast2006-12-18

Boyce, Amanda Helen

13y · Female·Pneumonia, due to or as a consequence of Hypoxic Brain Damage, due to or as a co…

… point covers exceeded safe flow velocities by 469%, a diving goggle was trapped under a cover creating obstruction, and the outlet pipe was partially crushed. The coroner found the death was preventable had the facilit…

emergency medicineintensive caresystemmaintenance
TAShospital2021-07-02

Coroner's Finding: HB

8y · Male·acute exacerbation of chronic asthma

An 8-year-old boy with undertreated chronic asthma presented to North West Regional Hospital with acute exacerbation. Initial assessment underestimated severity. Despite initial improvement with salbutamol, ipratropium a…

paediatricsemergency medicinediagnosticcommunicationfluticasone/salmeterol
VIChome2025-01-28

Finding into death of Edward Grant Harris

18y · Male·Heroin toxicity

Edward Grant Harris, an 18-year-old with autism spectrum disorder, ADHD, and borderline intellectual function, died from heroin toxicity in his supported accommodation. He had a complex history of behavioural challenges,…

paediatricspsychiatrysystemheroin
QLDhospital2010-06-11

Whiting, Edith

68y · Female·Anaphylactoid reaction to intravenous CT scan contrast medium leading to cardior…

A 68-year-old woman with asthma presented to hospital with abdominal pain suggestive of biliary obstruction. A CT scan with intravenous contrast was ordered to clarify the diagnosis before potential surgical tra…

emergency medicinesurgerycommunicationdelayintravenous contrast medium
WA2016-05-04

Inquest into the Death of TP (a child) (Subject to a Suppression Order)

15y · Female·Seizure disorder (epilepsy) with associated vomit aspiration; Sudden Unexpected …

A 15-year-old girl with refractory epilepsy and intellectual disability died from a seizure with vomit aspiration at a special needs holiday camp on the second night of attendance. She had known epilepsy managed with mul…

neurologyemergency medicinecommunicationsystemsodium valproate
QLDhome2026-02-03

Inquest into the death of Bridie Gilligan

42y · Female·Hypoxic brain injury due to choking on food, with Cornelia de Lange Syndrome con…

Bridie Gilligan, 42, with Cornelia de Lange Syndrome, intellectual disability, and dysphagia, choked on a Yumbo burger in her Supported Independent Living accommodation on 29 April 2021, suffering fatal hypoxic brain inj…

speech pathologydieteticssystemcommunication
VIChospital2022-07-28

Finding into death of H C

<1y · Male·Global cerebral ischaemia secondary to perinatal asphyxia

HC was a neonate who died at 6 days old from global cerebral ischaemia secondary to perinatal asphyxia. He was born following an emergency caesarean section for obstructed labour and fetal distress. Key clinical lessons …

obstetricsneonatologydiagnosticcommunication
WAhospital2016-06-28

Inquest into the Death of Geoffrey Mark REID

23y · Male·combined drug toxicity (methadone, clozapine, quetiapine, diazepam, chlorpromazi…

Geoffrey Reid, 23, died from combined drug toxicity while hospitalised for schizophrenia management. He was re-inducted onto methadone at 30mg with 10mg daily increments to 50mg over four days, escalated more rapidly tha…

psychiatryaddiction medicinecommunicationdiagnosticmethadone
VIChome2026-03-03

Finding into death of Nigel Raymond Willoughby

74y · Male·Complications of burns sustained in a fire

Nigel Willoughby, 74, died from complications of burns sustained in a house fire on 2 September 2020. The fire was caused by a carelessly discarded cigarette igniting an armchair in the lounge room while he was smoking a…

system
VIC2015-01-30

Finding into death of Matthew Aaron Condie

21y · Male·upper airway obstruction and plastic bag asphyxia

Matthew Aaron Condie, a 21-year-old prisoner serving a 12-year sentence at Port Phillip Prison, died by asphyxiation using a plastic bag on 27-28 September 2007. The coroner found his death was potentially preventable du…

psychiatrypsychologycommunicationsystem
VIChome2025-10-09

Finding into death of Narelle Catherine Simmons

42y · Female·Haemothorax and pneumonia in the setting of acute and chronic chest injuries and…

Narelle Simmons, 42, died from haemothorax and pneumonia secondary to rib fractures, with contributing factors of hepatic cirrhosis, chronic alcoholism, and multiple drugs (methadone, methylamphetamine, diazepam, sertral…

forensic medicinegeneral practicediagnosticcommunicationmethadone

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