Coronial

228 results for airway management

TAShome2022-02-18

Coroner's Finding: Gardiner, Timmothy Matthew

29y · Male·Gunshot wound to the chest

Timothy Matthew Gardiner, aged 29, died from a gunshot wound to the chest sustained when he accidentally dropped a homemade firearm he was carrying while bending to collect belongings at a friend's unit. The firearm, con…

forensic medicineemergency medicinemethamphetamine
VICaged care2026-04-30

Finding into death of Sandra Susan Black

54y · Female·Aspiration pneumonia secondary to Alzheimer's dementia complicating Down's Syndr…

…tic courses over two weeks, her condition deteriorated with increased respiratory distress and secretion management issues. Palliative care was appropriately initiated on 13 November with an Advanced Care Directive estab…

general practiceemergency medicineantibiotics
SAhospital2013-09-04

Coroner's Finding: THALBOURNE-MAITREYA Michael Anthony

55y · Male·toxic effects of quetiapine and clonazepam

…He was found unconscious at home and admitted to ICU at Royal Adelaide Hospital where he was intubated for airway protection, treated with inotropes for shock, and given activated charcoal. He developed aspiration pneumo…

emergency medicineintensive carequetiapine
WAhome2021-06-22

Inquest into the Death of Child AM (Name Subject to Suppression Order)

3y · Female·bronchopneumonia in an infant with obstructive sleep apnoea

…of severe paediatric obesity as a life-threatening condition; ensuring carers receive adequate training on airway support devices before discharge; and adequate communication of complex medical needs to foster carers. Th…

paediatricsrespiratory medicinecommunicationsystem
VIChospital2017-08-28

Finding into death of Linda Christine Stanton

66y · Female·Complications of pulmonary fibrosis and bronchiectasis in a woman with cerebral …

…rate and she was deemed unsuitable for non-invasive ventilation. The coroner found that medical care and management were reasonable and appropriate, with no preventability issues identified. The case highlights the natur…

general medicinerespiratory medicinesalbutamol
QLDhospital2018-01-23

Collins, Francis Ronald Llewelyn

85y · Male·respiratory failure due to chronic obstructive pulmonary disease

…, diabetes, and peripheral vascular disease died from type 1 respiratory failure due to mucous plugging of airways. He presented with a foot ulcer and acute respiratory exacerbation, was admitted to hospital and managed …

general medicinerespiratory medicinesalbutamol
VIChospital2024-01-03

Finding into death of John Anderson Mccormack

60y · Male·Pulmonary Thromboembolism

… was admitted to Austin Hospital on 21 February 2023 after a witnessed tonic-clonic seizure, intubated for airway protection, then transferred to Royal Melbourne Hospital ICU on 22 February 2023. He remained intubated fo…

intensive careneurology
WA2019-02-06

Inquest into the Death of William John DAVIS

37y · Male·Subarachnoid haemorrhage due to ruptured berry aneurysm of the right middle cere…

… surgery carries significant risk. The prison provided reasonable supervision, appropriate mental health management (the deceased had a history of self-harm and depression), and regular medical review including specialis…

psychiatryneurology
NSWhospital2017-06-06

Inquest into the death of Helen Ashburn

46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…

Helen Ashburn, a 46-year-old woman with history of alcohol use, coagulopathy and seizures, died from prolonged effects of a severe head injury sustained on 25 October 2011. She presented to Kempsey Hospital with extensiv…

emergency medicineneurosurgerycommunicationdiagnostic
NTcommunity2012-04-20

Inquest into the death of Lado Stephen Lazorous

4y · Male·drowning

A 4-year-old boy of Sudanese descent drowned at Lake Leanyer Recreation Park on 1 May 2011 despite lifeguard presence. While the facility had been extensively improved following earlier drowning deaths and met RLSSA stan…

systemdelay
NThome2011-09-09

Inquest into the death of Baby M

4y · Male·chronic degenerative damage (complications) from neonatal cerebral palsy

Baby M was a 4.5-year-old Aboriginal boy with severe neonatal cerebral palsy causing quadriplegia, intellectual disability, seizures, blindness, and severe gastro-oesophageal reflux. He died unexpectedly at home from chr…

paediatricsneonatology
SAhospital2007-06-29

Coroner's Finding: COCKBURN Michael Philip

40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)

… coroner found sedation from multiple CNS depressants combined with his comorbidities (chronic obstructive airways disease, morbid obesity, undiagnosed coronary artery disease) likely triggered collapse. Critical lessons…

psychiatryemergency medicinemedicationcommunicationhaloperidol
NThospital2026-01-09

Inquest into the death of C Guyula

49y · Female·Hypoxia due to complications following incision and drainage of a right buttock …

A 48-year-old woman with multiple comorbidities (diabetes, COPD, chronic kidney disease, ischaemic heart disease) died following complications of anaesthesia during incision and drainage of a buttock abscess. Critical fa…

anaesthesiasurgeryproceduralmedicationfentanyl
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
QLDhospital2005-08-24

Sabadina, Kathryn Marnie

28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…

…ring routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe respiratory distress immediately after induction, subsequently progressin…

anaesthesiadentistrydiagnosticproceduralpropofol
QLDhospital2007-10-30

Noffke, Veronica Margaret

73y · Female·coronary atherosclerosis

…rtem analysis confirmed bleeding occurred after transfer from ICU. The coroner found no fault in medical management and concluded risks of anticoagulation were outweighed by benefits in her clinical context.

emergency medicineintensive careanticoagulants
VIChospital2019-09-16

Finding into death of Marco Angelo Virgona

45y · Male·Aspiration pneumonia with acquired brain injury as a contributing factor

…during the procedure, with initial misplacement of the endotracheal tube. The coroner found all clinical management by paramedics, Yooralla staff, and hospital to be reasonable and appropriate, noting that key clinical d…

emergency medicineintensive carewarfarin
QLD2007-11-28

Tanner, Marjorie Joyce

Female·Coronary atherosclerosis with ischaemic small bowel and Alzheimer's disease

Marjorie Joyce Tanner, an elderly woman with Alzheimer's disease, presented to Maryborough Hospital with a three-day history of abdominal pain, distension, and vomiting. Initially diagnosed with simple constipation and t…

general medicinesurgerydiagnosticsystemmetoclopramide
ACThospital2023-05-19

Inquest into the death of NICOLE LOUISE ABBOTT

43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…

…eated efforts to encourage physical health improvements (diet, exercise, smoking cessation, sleep apnoea management) but these were largely unsuccessful due to her delusions and inability to accept illness. No deficient …

psychiatrycardiologyzuclopenthixol
QLDhospital2012-11-28

Hammett, Christopher

47y · Male·Aspiration pneumonia due to or as a consequence of coronary atherosclerosis

…) occurred during transfer from theatre to PACU but was inadequately investigated—the anaesthetist assumed airway obstruction rather than considering aspiration. This was not communicated during handover to the ward. Sub…

orthopaedic surgeryanaesthesiadiagnosticcommunicationmorphine
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