329 results for “delivery”
0y · Female·Persistent pulmonary hypertension in the newborn (PPHN)
Summer Jamsek was born at 4pm on 4 April 2010 with persistent pulmonary hypertension of the newborn (PPHN) and died 5 April 2010 at Royal Children's Hospital. The coroner found Baby Summer died from PPHN but was not sati…
64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…
Marlene Kenny, 64, presented to Orbost Hospital on 8 January 2007 with chest tightness, breathing difficulties and low oxygen saturation (83-86%). A doctor diagnosed panic attack and discharged her without investigation.…
36y · Male·neck compression in the circumstances of hanging
Edward Espino, a 36-year-old man with bipolar affective disorder, died by hanging on 1 February 2016. In the hours preceding his death, he learned of a police 'whereabouts' alert placed six months after a minor assault a…
38y · Male·Mixed drug toxicity including metonitazene
A 38-year-old man with a long history of substance use, depression, anxiety and ADHD died from mixed drug toxicity involving metonitazene. He believed he was injecting heroin but had unknowingly obtained metonitazene (a …
32y · Male·Ligature Compression of Neck (Hanging)
Leslie William Wesley, a 32-year-old Indigenous man, died by hanging on 7 May 2000 in Cell A10 of Unit 5, Casuarina Prison Complex, Western Australia. He was on remand awaiting trial for sexual assault charges. Wesley ha…
45y · Male·Combined effects of plastic bag asphyxia and helium gas inhalation
…restricting helium sales, adding aversive agents to helium cylinders, modifying valve design to delay gas delivery, and diluting helium with oxygen mixtures. The case highlights that while helium inhalation suicide infor…
37y · Male·Cardiomegaly giving rise to lethal cardiac arrhythmia in the setting of drug tox…
…isfactory professional conduct. The death was not preventable medically, but preventable failures in care delivery were identified.
53y · Male·Complications of hypoxic brain injury secondary to mixed drug toxicity (methylam…
BT, a 53-year-old man with substance use disorder and mental health conditions, died from complications of hypoxic brain injury secondary to mixed drug toxicity (methylamphetamine, benzodiazepines, metonitazene). He inje…
90y · Female·incompatible blood transfusion resulting in haemolysis and multi-organ failure c…
A 90-year-old woman with acute myocardial infarction and cardiogenic shock died after receiving an incompatible blood transfusion (A- instead of O+), which caused haemolysis and multi-organ failure. The registered nurse …
0y · Female·Methylamphetamine toxicity
A newborn baby died 8 hours after birth from methylamphetamine toxicity acquired in utero. The mother unknowingly consumed methylamphetamine in the days before labour, likely by drinking from a contaminated bottle at a r…
19y · Male·neck compression due to hanging
Kunmanara Ward, aged 19 years, died on 22 May 2003 by hanging from playground equipment at Indulkana Community while intoxicated by petrol sniffing. He had been sniffing petrol since early adolescence and was angry and u…
16y · Male·multiple injuries
A 16-year-old child in state care under a Protection Order (Until 18) was a passenger in a stolen vehicle being driven by his friend. Police attempted multiple vehicle intercepts during a series of evade police driving i…
68y · Male·Gunshot injuries to the abdomen
A 68-year-old man with bipolar disorder and alcohol excess died by self-inflicted gunshot wound. He held a current firearms licence despite a documented history of psychiatric illness and problematic alcohol use. In his …
46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis
Jason Mallett, a 46-year-old man with bipolar affective disorder and schizo-affective disorder, died from cardiac arrhythmia secondary to coronary arteriosclerosis and myocarditis while an involuntary psychiatric patient…
66y · Male·unascertained
…ributed; multiple Medtronic safety advisories before his death included risks of unintended insulin bolus delivery. The commencement of quick-acting insulin infusion via pump was a significant change from his prior slow-…
84y · Female·pneumonia and fracture of the neck of right femur following a fall
Mrs Bell, aged 84, died from pneumonia and a fractured right femoral neck sustained in a fall at a residential aged care facility. She had advanced Alzheimer's disease, cognitive impairment, impulsive behaviour, and was …
58y · Male·drowning
…ncy compensator, heavy weight vest, and diving in thick bull kelp. The coroner noted the compressor's air delivery was compromised, forcing him to struggle for adequate breath. He panicked, ascended rapidly, removed his …
46y · Male·Myocardial fibrosis in a man with epilepsy
Nikos Vourdoulidis, a 46-year-old man with intellectual disability and epilepsy, died from myocardial fibrosis in the setting of epilepsy. He collapsed in a shower in November 2008 and was found several hours later. Crit…
0y · Female·meconium aspiration
…estational diabetes and a history of macrosomic babies—risk factors for meconium aspiration and difficult delivery. The midwife failed to: conduct adequate risk assessment; obtain informed consent for water birth acknowl…
Unknown·Michael Anthony Hardy: acute asphyxiation sustained during dog pack attack. Robe…
Two deaths occurred at Hidden Valley Camp in Alice Springs within weeks of each other. Michael Hardy, aged 27, died from asphyxiation during a dog pack attack while severely intoxicated. Robert Roe, aged 47, died from co…
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