Coronial

265 results for intubation and ventilation

NThospital2014-02-13

Inquest into the death of Peter Clarke

55y · Male·bronchopneumonia complicating metastatic carcinoma of the right lung, with emphy…

Peter Alexander Clarke, a 55-year-old Aboriginal man and serving prisoner, died of bronchopneumonia complicating metastat…

emergency medicineintensive carediagnostic
NSWaged care2021-09-22

Inquest into the death of Vakabauta LEONE

47y · Female·complications of rapidly progressing motor neurone disease

…after significant delay. She was intubated but life support was withdrawn following neurological assessment and family discussion. The coroner found nursing staff acted in good faith given the terminal nature of her con…

palliative careemergency medicinecommunicationdelay
VIChospital2020-12-03

Finding into death of INFANT A

4y · Female·Hypoxic ischaemic encephalopathy in the setting strangulation by a roller blind …

…owing accidental strangulation by a roller blind cord. She climbed onto bedside drawers near a window blind and became entangled in the control cord, slipping with the cord around her neck. Her mother found her unrespon…

emergency medicineintensive care
VIChospital2019-02-05

Finding into death of Eliza Gill

18y · Female·Colchicine toxicity

…ly consulted poisons information but received advice based on outdated guidelines. While activated charcoal and early toxicology referral might have improved outcomes, the clinicians' management was reasonable given ava…

emergency medicineintensive carediagnosticsystemcolchicine
NSWhospital2022-10-26

Inquest into death of Lucas PEYRET

21y · Male·Hypoxic brain injury arising from severe anaphylactic shock due to administratio…

…as Peyret, a 21-year-old with no significant medical history, presented to hospital with acute appendicitis and underwent emergency laparoscopic appendicectomy. Surgery was routine and uneventful. Upon emergence from an…

surgeryanaesthesiasugammadex
NTPodcast2020-01-03

Inquest into the death of Harry Evans

23y · Male·sea snake bite with neurotoxic venom causing neuromuscular paralysis and respira…

Harry Evans, a 23-year-old deckhand from England, died from neurotoxic sea snake envenomation while working on a prawn trawler in the Gulf of C…

emergency medicinetoxicologysystemcommunication
NThospital2020-07-17

Inquest into the death of Ishmael Nawirridj

51y · Male·Multiple organ failure due to Influenza A pneumonia, in the context of chronic k…

…-old Aboriginal man with complex medical history including myasthenia gravis, chronic kidney disease, COPD, and ischaemic heart disease, died from multiple organ failure due to Influenza A pneumonia while in ICU custody…

intensive carerespiratory medicinemedicationmeropenem
WAhospital2013-11-11

Inquest into the Death of Kerr

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

… District Hospital. He had significant cardiac history including valvular disease, ischaemic heart disease, and atrial fibrillation. After his first hernia repair in June 2011, he experienced chest pain on multiple occa…

general surgeryanaesthesiacommunicationsystemglyceryl trinitrate
VIChospital2016-04-19

Finding into death of Noah Cheron-Duncan

0y · Male·Perinatal asphyxia

Noah Cheron-Duncan, a full-term neonate born at Sandringham Hospital on 19 November 2014, died from perinatal asphyxia. Labour was uncomplicated and FHR monitor…

obstetricsmidwiferycommunicationdelaynitrous oxide
VIChospital2021-11-08

Finding into death of Baby MNL

0y · Male·Hypoxic ischaemic encephalopathy complicating peri partum asphyxia

…ion remained at 8cm for 2.5 hours despite mild-moderate contractions. Fetal bradycardia developed at 7:30pm and emergency caesarean section was performed 22 minutes later. The baby was born severely compromised (Apgar 0…

obstetricsneonatologysystemcommunicationterbutaline
VICcommunity2019-06-18

Finding into death of Yara Sturak Mignon

35y · Male·Hypoxic brain injury complicating cardiac arrest in the setting of combined hero…

…ous in a restaurant bathroom on Victoria Street Richmond in November 2018. He had combined heroin, alcohol, and doxylamine (antihistamine), causing respiratory depression and cardiac arrest. Despite 22 minutes of parame…

emergency medicineintensive caresystemheroin
QLDhospital2017-06-22

PS - Non-inquest findings

68y · Female·Coronary heart disease

A 68-year-old woman with diabetes, hypertension, hypercholesterolaemia, COPD and chronic renal failure presented with chest pain and dyspnoea. She was admitted with suspected congestive ca…

cardiologyemergency medicinediagnosticcommunicationfurosemide
VICaged care2022-07-06

Finding into death of Catherine Ann Collier

51y · Female·Aspiration in the setting of end stage down syndrome

Catherine Ann Collier, a 51-year-old woman with Down syndrome, end-stage hydrocephalus, and severe dysphagia, died from aspiration pneumonia following a choking episode while eating. The Disability S…

neurologyspeech pathologysystemcommunicationsodium valproate
WAhome2004-10-28

Inquest into the Death of Kelly

33y · Female·Combined drug toxicity, with thioridazine as the principal component, in the con…

… large quantities of prescription medications with alcohol. She collapsed at her mother's home in South Hedland on 2 April and suffered cardiorespiratory arrest. The coroner found the death accidental, not suicidal. Key…

general practicepsychiatrysystemthioridazine
WA2016-10-10

Inquest into the Death of Hayder SAYED

30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…

…etween 4-18 August 2010, likely precipitated by heavy smoking (60 cigarettes/day). He remained asymptomatic and collapsed on 21 August from ventricular fibrillation. Expert evidence found medical care was exemplary with…

cardiologyemergency medicinemirtazapine
VIChospital2017-12-14

Finding into death of Craig Michael Akerblom

31y · Male·Hypoxic ischaemic brain injury secondary to hanging

Craig Akerblom, a 31-year-old man with depression, anxiety, substance abuse, and selective eating disorder, died by hanging resulting in hypoxic-ischaemic brain injury. He had been under c…

general practicepsychiatrycommunicationsystemvenlafaxine
QLDhospital2018-09-21

Baby M

0y · Female·Intracranial and intrapulmonary haemorrhage due to traumatic head injury from fa…

Baby M died shortly after birth on 11 February 2016 at Gladstone Base Hospital from intracranial and intrapulmonary haemorrhage due to traumatic head injury from a fall, complicated by Group B Streptococcal s…

obstetricsmidwiferydiagnosticmedicationantibiotics
NThospital2018-06-19

Inquest into the death of Naomi Smith

26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis

…rombosis while in ICU at Royal Darwin Hospital. She had complex mental health needs (BPD, PTSD, depression) and morbid obesity. The critical clinical lessons centre on system failure rather than individual error. Alice …

psychiatryintensive caresystemdelay
VIChospital2018-10-11

Finding into death of John Richard Connelly

78y · Male·Complications of blood loss from femoral fracture sustained in harness riding in…

…th massive bleeding after a harness racing accident in a rural location. Despite exemplary prehospital care and timely helicopter retrieval, he died from haemorrhagic shock. Key clinical lessons: warfarin significantly …

emergency medicinetrauma surgerydelaysystemwarfarin
VIChospital2017-11-09

Finding into death of Emma Kate McGrath

19y · Female·Meningococcal septicaemia

…ed by the W strain after presenting to the ED with a 12-hour history of vomiting, diarrhoea, abdominal pain and fever. The atypical presentation of gastrointestinal symptoms rather than classic meningeal signs is charac…

emergency medicineintensive careparacetamol
178914

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