Coronial

146 results for brain hypoxic-ischaemic injury

VIChospital2021-04-07

Finding into death of Anson

17y · Male·mixed drug toxicity (25C-NBOMe and 4-fluoroamphetamine)

… Despite aggressive treatment including intubation, CPR, and intensive care, he died from profound hypoxic brain injury. The key clinical lesson is that unregulated drug markets present significant risks due to mislabel…

emergency medicineintensive caresystemdelay25c-nbome
TAScommunity2014-05-23

Coroner's Finding: Wagg, Christopher

52y · Male·Hypoxic/ischaemic brain damage due to mechanical asphyxia and neck compression f…

Christopher Wagg, a 52-year-old diesel fitter, died from hypoxic-ischaemic brain damage caused by crush injuries when trapped between an elevated work platform (EWP) basket an…

diagnosticprocedural
SAmental health2020-09-22

Coroner's Finding: NOONAN Ricky Dale

54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking

A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key fail…

psychiatryemergency medicinecommunicationsystemhaloperidol
VIC2020-12-09

Finding into death of Alma Lynette Honeychurch

76y · Female·Ludwig's angina

… case. The patient developed acute airway obstruction during transfer, suffered cardiac arrest and hypoxic brain injury. Key lessons: Ludwig's angina requires recognition of airway compromise risk (may not present with …

emergency medicinedentistrydiagnosticcommunicationantibiotics
VIChospital2023-05-29

Finding into death of Kaleb Baylis-Clarke

0y · Male·Head injury in the setting of chronic subdural haemorrhage

…ory arrest. Imaging revealed new bilateral subdural haematomas, retinal haemorrhages and extensive hypoxic brain injury consistent with abusive head trauma from acceleration-deceleration forces. Kaleb died on 30 January…

paediatricsneurosurgerysystem
VIC2022-03-08

Finding into death of Dylan James Charlton-Smith

25y · Male·Hypoxic ischaemic brain injury due to hanging

Dylan Charlton-Smith, aged 25, died by hanging while in custody at Fulham Correctional Facility. A stressful visit from his partner preceded his death by approximately 50 minutes. A correctional officer identified distre…

psychiatryemergency medicinediagnosticcommunication
VIChospital2015-12-09

Finding into death of Benjamin David Johnston

36y · Male·Global hypoxic brain injury due to hanging

Benjamin Johnston, a 36-year-old male, died by hanging after six weeks of varenicline (Champix) treatment for smoking cessation. Two weeks before death, his partner noted significant behavioral changes: withdrawal, irrit…

general practicepsychiatryvarenicline
SAhospital2023-07-28

Coroner's Finding: Searle, Bodhi Leo

0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia

…rar (Dr L.) recognised the severely abnormal foetal heart rate, the baby had suffered irreversible hypoxic brain injury. The coroner found the death was preventable if foetal heart rate abnormalities had been recognised…

obstetricsmidwiferydiagnosticcommunication
QLDcommunity2011-09-07

Grillo, Carl Antony

42y · Male·Combined effects of moderately severe physical exertion; a lateral vascular neck…

…e failure to maintain recovery position contributed to an unnecessarily increased risk of hypoxic-ischemic injury.

emergency medicineintensive careproceduraldelaymethamphetamine
QLDmental health2007-06-20

Eady, Graeme William Julian

25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia

Graeme Eady, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. Following an altercation with another patient, he was transferred to H Floor …

psychiatryemergency medicinesystemproceduralsertraline
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…

George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractions and delayed obstetric intervention. The infant was de…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
VIChospital2014-05-29

Finding into death of Lilian Olive Blanche McClurkin

61y · Female·Peritonitis due to anastomotic leak at gastrectomy site; pathological obesity as…

… three days post-operatively before bursting on day three, causing sudden cardiac arrest and fatal hypoxic brain injury. Clinical lessons include: difficulty detecting post-operative deterioration in obese patients (abd…

bariatric surgerygeneral surgerycommunicationsystemtramadol
QLDhome2015-05-27

A, a six year old child

6y · Male·Hypoxic ischaemic encephalopathy due to drowning

A 6-year-old boy in foster care drowned in a backyard pool after removing his flotation device while his carer was distracted by a visitor. The carer, sitting on a veranda rather than in the pool enclosure as usual, was …

systemcommunication
VIChospital2020-10-21

Finding into death of Baby ABA

0y · Female·Head injury

Baby ABA, born in Lebanon and arrived in Australia at 2 months old, died from head injury at 6.5 months of age on 10 June 2008. She had fallen from a couch on 7 June 2008 with no apparent serious …

paediatricsintensive caredelay
VICcommunity2025-09-05

Finding into death of Lisa Nicole Murphy

52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…

…ffered cardiac arrest and was resuscitated but subsequently developed a massive stroke and diffuse hypoxic brain injury. The medical cause of death remains unascertained, though underlying cardiac disease (myocardial in…

emergency medicineintensive carecommunicationrisperidone
NSW2025-12-08

Inquest into the death of Benjamin Cullen

41y · Male·acute, severe hydrocephalus contributed to by longstanding chronic hydrocephalus…

Benjamin Cullen, aged 41, died on 25 February 2021 from acute severe hydrocephalus secondary to a brain tumour abutting the cerebral aqueduct. He suffered three seizures on 23 February 2021, two days after rele…

neurologyemergency medicinemedicationsystemlevetiracetam
VIChospital2013-05-10

Finding into death of Joseph Thurgood Gates

0y · Male·Global cerebral hypoxic injury and perinatal asphyxia secondary to uterine ruptu…

Joseph Thurgood-Gates died at 5 days old from global cerebral hypoxic injury due to uterine rupture during labour. The death was preventable. His mother, Ms Thurgood, had two prior ca…

obstetricsmidwiferydiagnosticcommunication
NSWhospital2018-10-04

Inquest into the death of D H

56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…

…ised or managed. Cardiac arrest occurred; despite resuscitation, the patient suffered irreversible hypoxic brain injury and died. The coroner found the death preventable due to failures in pre-operative assessment, choi…

anaesthesiageneral surgerydiagnosticproceduralpropofol
NSWhospital2016-12-21

Inquest into the death Kyran DAY

0y · Male·Complications of hypoxic ischaemic encephalopathy secondary to recurrent episode…

… at Sydney Children's Hospital with hypoxic ischaemic encephalopathy and ultimately died from irreversible brain injury. Key lessons: early recognition that vomiting despite nasogastric rehydration warrants escalation a…

paediatricsemergency medicinediagnosticcommunication
VIChospital2021-12-13

Finding into death of Baby A

1y · Male·Global cerebral ischaemic injury following cardiorespiratory arrest of unknown c…

A 22-month-old boy died from global cerebral ischaemic injury following cardiorespiratory arrest of unknown cause in the setting of detected methylamphetamine exposure.…

paediatricsemergency medicinesystemcommunicationmethamphetamine

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