144 results for “resuscitation attempts”
0y · Male·subgaleal haematoma and subarachnoid haemorrhage complicating a prolonged labour
Baby W died within 40 minutes of birth from subgaleal haematoma and subarachnoid haemorrhage following a failed instrumental delivery for prolonged labour. The coroner identified critical missed opportunities in decision…
33y · Female·Combined drug toxicity, with thioridazine as the principal component, in the con…
… Key issues identified included: the deceased's long-standing prescription drug and alcohol abuse despite attempts by two local doctors to monitor her access through shared notification procedures; the difficulty in cont…
51y · Female·Ischaemic heart disease
Pauline Margaret Dodd, 51, died of ischaemic heart disease at Sir Charles Gairdner Hospital on 4 March 2014. She was an involuntary psychiatric patient with long-standing bipolar affective disorder, complicated by childh…
13y · Male·Drowning
…e became entangled in thick duck weed approximately 10 metres from shore. Despite immediate rescue and resuscitation attempts, he suffered fatal hypoxic brain injury. Clinical lessons include the critical importance of …
0y · Male·Complications in association with fulminant sepsis in an infant (Streptococcus p…
…, septic shock was recognised and antibiotics given, but delayed senior consultation, inadequate fluid resuscitation, and communication gaps occurred. By PMH admission, Malakai had irreversible multi-organ failure despi…
78y · Male·Complications of blood loss from femoral fracture sustained in harness riding in…
A 78-year-old man with ischaemic heart disease on warfarin sustained a compound femoral fracture with massive bleeding after a harness racing accident in a rural location. Despite exemplary prehospital care and timely he…
44y · Female·Mixed alcohol and drug toxicity (tapentadol, diazepam, mirtazapine, amitriptylin…
…l consumption. She had a history of depression, alcohol use disorder, chronic pain, and two prior suicide attempts. On 12 September 2023, she called ACIS (Acute Crisis Intervention Team) expressing suicidal thoughts afte…
52y · Male·Polypharmacy overdose of amitriptyline and doxylamine in the context of underlyi…
…nd hypoxic after extubation, he became acutely agitated and refused treatment. After failed de-escalation attempts, he was restrained in prone position to enable sedation with ketamine and midazolam. He deteriorated acut…
62y · Male·Acute Gastrointestinal Haemorrhage in association with Acute on Chronic Peptic U…
…r fainting. He was diagnosed with a massive bleed causing hypovolaemic shock and stabilized with fluid resuscitation. However, due to difficulty determining whether the bleed was upper or lower GI, and the assumption am…
73y · Male·Effects of fire
…ctoria. He was found unresponsive in his bedroom and declared deceased after fire rescue and paramedic resuscitation attempts. Autopsy confirmed death from smoke inhalation (carboxyhaemoglobin 65%, hydrogen cyanide 0.9 …
24y · Male·Hypoxic ischaemic encephalopathy due to or as a consequence of being hanged
…ile hanging. Sloan had been removed from formal observations five days prior based on risk assessment. Resuscitation attempts were appropriate but unsuccessful; he died from hypoxic ischaemic encephalopathy. Key lessons…
36y · Male·Ischaemic Heart Disease and Severe Multifocal Coronary Atherosclerosis in a man …
Kevin Gregory Quartermaine, a 36-year-old Aboriginal man and sentenced prisoner at Casuarina Prison, died from ischaemic heart disease with severe multifocal coronary atherosclerosis on 17 May 2002. He had extensive coro…
35y · Male·acute vomit aspiration in a man with acute large intestine obstruction (severe m…
Stephen Michael Kell, a 35-year-old man with treatment-resistant schizophrenia, died at Graylands Hospital from acute vomit aspiration in the setting of acute large bowel obstruction and clozapine-induced gastrointestina…
45y · Male·Coronary Atherosclerosis
David Grieve, a 45-year-old man with chronic schizophrenia and multiple cardiac risk factors (hypertension, diabetes, obesity, smoking), died of coronary atherosclerosis while an involuntary psychiatric patient at Grayla…
33y · Male·methylamphetamine toxicity; antecedent causes being the physiological effects of…
A 33-year-old man with methamphetamine addiction and possible schizophrenia attended the ED seeking help while acutely intoxicated, psychotic and sleep-deprived. After initially agreeing to medication, he attempted to le…
35y · Male·Sudden death during restraint in an agitated obese man with coronary artery athe…
…staff applying pressure to his torso and body. He lost consciousness during restraint and died despite resuscitation attempts. The pathologist concluded death resulted from sudden death during restraint in an agitated o…
33y · Male·Longstanding atheromatous coronary artery disease with severe stenosis and cardi…
A 33-year-old Aboriginal man died in custody from longstanding atheromatous coronary artery disease with cardiac hypertrophy. On presentation to the prison clinic with non-specific symptoms (headache, throat pain, arm an…
38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…
Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…
31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…
…nt noting potential difficult intubation, he proceeded with general anaesthesia and paralysis. Subsequent attempts by multiple senior anaesthetists and the surgeon to establish an airway all failed; the trachea was devia…
33y · Male·Self-inflicted hanging
…March 2004. He had an extensive documented history of depression, suicidal ideation, and previous suicide attempts. In the days before his death, fellow prisoners observed concerning changes: loss of appetite, depressed …
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