Coronial

228 results for airway management

NSW2019-10-04

Inquest into the death of Caitlyn FISCHER

22y · Female·blunt force head injuries

…gners, improved medical response times and capabilities (minimum skills-based approach with laryngeal mask airway capability), full-time National Safety Manager, robust incident review processes with family engagement, s…

emergency medicineparamedicinesystemdelay
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
TAScommunity2019-10-14

Coroner's Finding: Fillisch, Eric

49y · Male·drowning combined with head trauma

… the gag strap may not have been worn correctly, the primary sequence was traumatic injury causing loss of airway seal rather than equipment failure. All equipment was thoroughly examined and found to be functioning corr…

diving medicinehyperbaric medicineproceduralcommunication
WAhospital2018-03-15

Inquest into the Death of Roderick Leslie CARTER

63y · Male·Atherosclerotic Heart Disease

A 63-year-old farmer presented to a small rural hospital with atypical chest pain symptoms (also reporting indigestion, shivering, and numbness). Although a registered nurse appropriately triaged him as ATS 2 (high prior…

cardiologyemergency medicinecommunicationsystemaspirin
QLD2005-10-07

Creegan, Thomas

47y · Male·Myocardial ischaemia as a result of undiagnosed coronary artery disease; cerebra…

Thomas Creegan, a 47-year-old UK tourist, died during a second introductory resort dive at the Great Barrier Reef after becoming separated from his instructor and ascending rapidly to the surface. He lost consciousness s…

diving medicineemergency medicinecommunicationprocedural
SAhospital2001-09-04

Coroner's Finding: CHESTER George Spencer

18y · Male·multiple injuries

… accidents, particularly ejection from vehicles; the importance of Glasgow Coma Scale assessment and early airway management; recognition that massive transfusion protocols and aggressive resuscitation were required. The…

emergency medicinetrauma surgery
SAmental health2000-04-28

Coroner's Finding: SCOTT Laurie Joseph

53y · Male·asphyxia due to upper airway occlusion by a foreign body (blanket)

A 53-year-old man with complex psychiatric disorder (schizophrenia, depression, intellectual disability) died by asphyxiation after stuffing a blanket into his mouth while in a High Dependency Unit of a psychiatric hospi…

psychiatryemergency medicinethioridazine
ACThome2022-05-19

Inquest into the Death of PAMELA VANCE

83y · Female·pneumonia with generalised atherosclerosis as a significant contributor

Pamela Vance, 83, died from pneumonia with generalised atherosclerosis as a significant contributor. She had multiple comorbidities including COPD, asthma, sleep apnoea and heart disease, complicated by recent falls and …

respiratory medicinegeneral practice
VIChospital2014-10-01

Finding into death of Raymond John O_Brien

71y · Male·acute myocardial infarction due to coronary artery disease

…confirmed acute myocardial infarction from underlying coronary artery disease. The coroner found medical management reasonable and appropriate given the clinical complexities involving mental health and cardiac disease.

cardiologypsychiatryaspirin
SAhospital2006-01-12

Coroner's Finding: EVANS Shaun Michael

22y · Male·Mixed Diflunisal and Buproprion (Zyban) toxicity

…gardless, optimal supportive care with early intubation and consideration of charcoal decontamination with airway protection were not provided.

emergency medicinetoxicologydiagnosticcommunicationbupropion
VIChospital2015-09-30

Finding into death of Kirat Singh

0y · 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
TAShome2017-12-07

Coroner's Finding: Simpson, Peter Lawrence

61y · Male·mixed prescription drug toxicity (methadone, diazepam, promethazine) with aspira…

…gistic respiratory depression from the drug combination, combined with CNS depression from alcohol, led to airway compromise and aspiration pneumonia. The case illustrates risks of prescribing sedating medications to pat…

general practicepain medicinesystemmethadone
NThospital2005-08-31

Inquest into the death of Marcellus Tipiloura

26y · Male·Suicidal cut throat

A 26-year-old Aboriginal male, Marcellus Tipiloura, died from a self-inflicted cut throat while police and emergency services were attending. He had made threats to kill himself and his wife after consuming alcohol and c…

emergency medicineforensic medicinemidazolam
NT2017-10-13

Inquest into the death of John Roberts

37y · Male·water intoxication and olanzapine toxicity in association with schizophrenia

A 37-year-old Aboriginal male prisoner with a long history of treatment-resistant schizophrenia died at the Darwin Correctional Precinct. He was on high-dose olanzapine (15mg twice daily) and zuclopenthixol when he devel…

psychiatryemergency medicineolanzapine
QLD2015-03-30

Bischoff, Noelene Gaye; Bischoff, Yvana Jean Yuri - Non-inquest findings

Female·Allergic type reaction (anaphylaxis), possibly secondary to scombroid syndrome (…

…safety frameworks. Early recognition and aggressive treatment of anaphylaxis, including potential advanced airway management, may have altered outcomes.

emergency medicineallergy and immunologyadrenaline
TAShospital2021-06-07

Coroner's Finding: RA

17y · Male·massive head injury sustained in a fall from height (approximately 3.5 metres th…

A 17-year-old male died from massive head injury sustained in a fall from approximately 3.5 metres through a shade sail at a primary school. He landed on concrete at 10:30 pm after the sail tore under his weight while ju…

emergency medicineneurosurgerysystem
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
VIChospital2024-03-13

Finding into death of K M

18y · Male·Drug toxicity (3,4-methylenedioxy-N-methylamphetamine (MDMA), methylone)

…hospital transfer. Despite appropriate emergency care including CPR, defibrillation, intubation, and ICU management, he developed severe metabolic derangement and brain death by day 5. The coroner found medical care at t…

emergency medicineintensive careMDMA
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
VIC2021-02-24

Finding into death of Mark Capovilla

39y · Male·Choking on a food bolus

…ements including better inter-agency communication, swallowing checklists, and staff training on choking management.

general practiceforensic medicinecommunicationsystem
178912

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