Coronial

260 results for hypoxic arrest

VICcommunity2015-12-18

Finding into death of Paul Bermingham

38y · Male·Toxicity to methylamphetamine

…diac arrhythmia secondary to methylamphetamine toxicity, exacerbated by physical exertion, stress, and the arrest itself. The coroner found police conduct appropriate, with no excessive force. The clinical lesson is that…

toxicologyemergency medicinemethamphetamine
NSWhospital2011-11-11

Coroner's Finding: John Reginald Beech

64y · Male·Postoperative intra-abdominal bleeding from pancreatic artery injury and its con…

… returning the critically ill patient to theatre, causing delays of over 3 hours. The patient subsequently arrested and suffered hypoxic brain injury, leading to withdrawal of care. The coroner found the surgeon's eviden…

anaesthesiacolorectal surgerydiagnosticdelaymorphine
WAmental health2013

Inquest into the Death of Vos, Glenis June

60y · Female·Focal pneumonia in a woman with emphysema and ischaemic heart disease

…focal pneumonia at Graylands Hospital. She had been an involuntary patient with multiple prior respiratory arrests, aspiration pneumonia episodes, and recurrent chest infections requiring ICU-level care. On the evening b…

psychiatrygeneral medicinetemazepam
QLDhospital2026-03-06

Non-inquest findings into the death of Ms B

35y · Female·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest due to vertebro…

… mental disorder. She deteriorated at home and presented to a tertiary hospital where she suffered cardiac arrest from basilar/vertebral artery thrombosis due to vertebral artery dissection. The coroner found the initial…

emergency medicinegeneral practicediagnosticcommunication
TAShospital2023-11-17

Coroner's Finding: Williams, Stewart

54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…

… with arterial embolisation, the patient would likely have survived. Instead, he deteriorated into cardiac arrest requiring 97 minutes resuscitation, resulting in hypoxic-ischaemic brain injury from which he could not re…

emergency medicineoral and maxillofacial surgerydiagnosticcommunication
QLDhospital2022-07-08

R - Non-inquest findings

0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…

… palate repair surgery complicated by post-operative respiratory distress and subsequent cardiorespiratory arrest. Initial laryngospasm led to suspected post-obstructive pulmonary oedema requiring intubation. During PICU…

anaesthesiaintensive carediagnosticproceduralpropofol
VICaged care2021-06-23

Finding into death of Kathryn O'Rourke

48y · Female·Hypoxic/Ischaemic Encephalopathy; Aspiration of Food with Respiratory Arrest wit…

…ility residential care facility, aspirated a piece of toast during breakfast on 10 May 2018 and died from hypoxic-ischaemic encephalopathy on 16 May 2018. She had documented swallowing difficulties requiring modified fo…

intensive careemergency medicinecommunicationsystemclonazepam
VIChospital2021-03-19

Finding into death of BT

25y · Male·Multiple system failure and ingestion of sodium nitrite

…servation. He smuggled sodium nitrite into his room and ingested it at 10:03pm. He deteriorated to cardiac arrest at 10:26pm. The critical delay in treatment occurred because venous blood gas results showing severely ele…

emergency medicinepsychiatrydiagnosticsystemsodium nitrite
WAcommunity2025-07-02

Inquest into the Death of Donald Joseph Hemara WARD

50y · Male·Multiple injuries sustained in high-speed motorcycle crash

Donald Ward, aged 50, died from multiple injuries sustained in a high-speed motorcycle crash on 4 March 2023 in Karratha, WA. Ward left a nightclub intoxicated with alcohol (BAC 0.186%) and cannabis, obscured his number …

paramedicineemergency medicinepossibly diagnosticalcohol
VICcommunity2023-09-18

Finding into death of Refan Abdulrhman M Al Moarfeg

3y · Female·Hypoxic ischaemic brain injury due to drowning

A 3-year-old girl died from hypoxic ischaemic brain injury following drowning in a pond at Footscray Park. She exited an unsecured playground…

systemdelayfentanyl
WApolice custody_and_home

Inquest into the Death of Desmond Richard KICKETT

34y · Male·multiple organ failure following cardiorespiratory arrest in a man with focal co…

A 34-year-old man died from cardiorespiratory arrest with multiple organ failure after methylamphetamine use combined with underlying focal coronary arterioscl…

emergency medicinecardiologymethamphetamine
VIChospital2012-09-26

Finding into death of Holly Bridget Marion South

0y · Female·Hypoxic-ischaemic encephalopathy arising from thrombosis in Blalock-Taussig shun…

…ly South, an 8-month-old with complex congenital heart disease requiring a Blalock-Taussig shunt, died of hypoxic-ischaemic encephalopathy from thrombosis in her shunt after presenting to hospital with vomiting and sign…

cardiologycardiothoracic surgerycommunicationsystem
QLDcommunity2011-09-07

Grillo, Carl Antony

42y · Male·Combined effects of moderately severe physical exertion; a lateral vascular neck…

…est practice. The failure to maintain recovery position contributed to an unnecessarily increased risk of hypoxic-ischemic injury.

emergency medicineintensive careproceduraldelaymethamphetamine
SA2010-11-19

Coroner's Finding: PARKER Laura

40y · Female·hypoxic encephalopathy and epilepsy with diffuse fibrillary astrocytoma within t…

…line personality disorder, and recent seizures, died at the Royal Adelaide Hospital on 16 March 2008 from hypoxic encephalopathy caused by cardiac arrest following an epileptic seizure while in remand custody at Adelaid…

neurologypsychiatrydiagnosticcommunicationvigabatrin
ACThospital2024-09-11

Inquest Into The Death Of Baby X

0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…

…ied at age 2 days from injuries sustained during birth. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged asphyxia during difficult delivery, and massive subgaleal ha…

obstetricsneonatologydiagnosticcommunication
NSWhome2018-02-27

Inquest into the death of Jake Rhodes

1y · Male·hypoxic-ischaemic encephalopathy due to near-drowning

Jake Rhodes, a 21-month-old boy, drowned in a backyard swimming pool during construction before a Final Occupation Certificate had been issued. Contributing factors included: absence of supervision in moments before he e…

communicationsystem
WAhome2004-10-28

Inquest into the Death of Kelly

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

…ith 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 issues identified included: the deceased's long…

general practicepsychiatrysystemthioridazine
VICaged care2020-04-22

Finding into death of Dorothy May Nelson

81y · Female·Complications of choking on a food bolus in a woman with dementia

…maximum) and collapsed during lunch. Staff provided back thrusts but failed to recognise cardiorespiratory arrest and did not commence CPR. There was a 5-10 minute delay before recognising the severity, with conflicting …

geriatric medicinepsychiatrydiagnosticproceduralmorphine
WA2016-10-10

Inquest into the Death of Hayder SAYED

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

…king cessation advice was provided. Even with earlier identification, outcomes for out-of-hospital cardiac arrest are poor (8-10% survive with good neurological function). No preventable errors were identified in the med…

cardiologyemergency medicinemirtazapine
VIChospitalPodcast2026-02-20

Finding into death of James Harilaos Tsindos

17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis

…spiratory distress some 12 minutes later, adrenaline was administered but he rapidly progressed to cardiac arrest. The coroner identified two key missed opportunities: (1) recognizing the wheeze as recurrent anaphylaxis …

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline (epinephrine) intramuscular
1891013

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