265 results for “intubation and ventilation”
10y · Male·complications of anaphylaxis
Ronak Satyajit Warty, a 10-year-old boy with known milk and nut allergies, died from anaphylaxis after ingesting a coconut drink that was mislabelled and contained und…
52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…
Lisa Murphy, a 52-year-old woman with mental illness and substance use history, died following a physical altercation at a convenience store. She became involved in…
64y · Male·hypoxic encephalopathy, secondary to cardiac arrest, secondary to myocardial inf…
…osis, poorly controlled diabetes, ischaemic heart disease, atrial fibrillation, congestive cardiac failure, and chronic obstructive airways disease died from hypoxic encephalopathy following myocardial infarction and ca…
0y · Female·Global hypoxic-ischaemic injury of unknown cause
…tained during co-sleeping with her mother in a hospital maternity ward on 9 July 2013. She was resuscitated and transferred to NICU but suffered extensive brain injury. MRI showed changes characteristic of severe acute …
32y · Female·Hypoxic-ischaemic encephalopathy due to hanging
…aged 32, died by suicide while an involuntary inpatient with borderline personality disorder, complex PTSD, and chronic suicidal ideation. She was admitted 18-30 April 2019 after ceasing medications and experiencing sui…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
An 86-year-old man with atrial fibrillation, ischaemic heart disease and hypertension underwent left inguinal hernia repair under general anaesthesia at a regional hospital. He exp…
3y · Male·respiratory failure, with spinal muscular atrophy an antecedent cause
Tory Ganderton, a 3-year-old boy with spinal muscular atrophy (SMA) Type 1, died of respiratory failure during inter-…
36y · Female·myocardial infarction as a consequence of severe focal coronary artery atheroscl…
…ession; stress testing was ordered but not documented as completed. She arrested while vomiting, aspirated, and despite prompt CPR and resuscitation efforts including adrenaline and defibrillation, developed refractory …
30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…
Karl Steinhauser, a 30-year-old man with schizoaffective disorder and polysubstance misuse, died from pulmonary thromboembolism on 12 March 2023 while under Mental Health Act ca…
49y · Female·hypoxic ischaemic encephalopathy complicating cardiac arrest due to pulmonary th…
A 49-year-old woman with morbid obesity, obstructive sleep apnoea, and psychiatric history was admitted following deliberate medication overdose. She was intubated, managed in IC…
72y · Male·Upper cervical spine injury sustained in a fall from a ladder
…rvivable. He died 2 days later in ICU after palliative care. The coroner noted this was an unwitnessed fall and emphasised that ladder-related injuries remain a significant preventable cause of death, particularly in ol…
0y · Female·ischaemic hypoxic encephalopathy secondary to factors associated with the sudden…
… from pethidine toxicity as initially suspected. At 145 minutes of life, she developed gasping respirations and failed to respond to resuscitation. Key clinical lessons: (1) pethidine administration at 9:25pm, approxima…
44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…
Laura Rose Kartinyeri, aged 44, died from multi-organ failure and polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse, non-…
34y · Male·Air embolism and severe haemorrhage due to perforation of the right subclavian v…
…subclavian vein, causing massive haemorrhage. Despite aggressive resuscitation including blood products, intubation, and CPR, the patient deteriorated and an air embolism was eventually diagnosed post-mortem. The coroner…
32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…
…isorder) died during elective bariatric surgery. She had undiagnosed subglottic stenosis (airway narrowing) and tracheobronchomalacia. Critical clinical lessons: (1) Rare or unfamiliar diagnoses require active investiga…
0y · Female·Hypoxic ischaemic encephalopathy caused by multiple factors including lung abnor…
…ding an underlying lung abnormality from antenatal distress, an undetected apnoeic episode during transfer, and undiagnosed bilateral tension pneumothoraces. The mother attempted VBAC (vaginal birth after caesarean) aft…
54y · Male·Unascertained
A 54-year-old man with HIV, hepatitis C, cirrhosis, and significant immunocompromise presented with acute sepsis on 23 December 2016. Despite rapid ambulance respo…
61y · Female·multi organ failure due to abdominal sepsis
…ior antibiotic exposure—Tazocin reuse may have been suboptimal given prior prolonged exposure; (3) medical handover between surgical and ICU teams must explicitly communicate critical medication history; (4) rapid clini…
0y · Female·hypoxic brain injury following respiratory arrest due to accidental suffocation …
…rotection services (CPS) due to intellectual disabilities, severe parental alcohol abuse, poor supervision, and neglect. Fifteen notifications had been made before the infant's birth, but CPS failed to conduct proper ri…
54y · Male·multi-organ failure and sepsis complicating fulminant pneumonia with empyema (op…
A 54-year-old man died from sepsis and multi-organ failure secondary to fulminant pneumonia with empyema. He presented to his GP on 1 April 2021 w…
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