Coronial

265 results for intubation and ventilation

VIChospital2012-04-05

Finding into death of Abdullah Kocoglu

4y · Male·Complications of cutaneous thermal burn injuries

…d from complications of severe thermal burn injuries sustained in a house fire on 14 February 2011 at his grandparents' home in Hampton Park, Victoria. The fire was ignited when Abdullah played with matches found in the…

plastic and reconstructive surgeryintensive caresystemdelay
SAhospital2005-06-02

Coroner's Finding: HUTCHINSON Matthew

0y · Male·cardiogenic shock and neonatal encephalopathy

Matthew Hutchinson, born at 1 day of age at Flinders Medical Centre, died from cardiogenic shock and neonatal encephalopathy. While obstetric care was appropriate, neonatal care was significantly deficient. C…

neonatologyobstetricsproceduralcommunicationphenobarbital
VIChospital2021-04-08

Finding into death of Ian Lindsay Gould

64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall

…-old man with a non-MRI compatible pacemaker, presented with vision loss in June 2019. Initial neurological and ophthalmological evaluation was normal; functional visual loss was suspected. He developed major depression…

neurologyophthalmologysystemrivaroxaban
TASmental health2020-10-09

Coroner's Finding: Le Roy, Carole Ann

40y · Female·hypoxic encephalopathy due to asphyxia from hanging

A 40-year-old woman with extensive mental health history including OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after expressing suicidal intent. Desp…

psychiatryintensive carediagnosticsystem
SA2018-01-30

Coroner's Finding: JONES Heath Ryan

35y · Male·hypoxic-ischaemic encephalopathy (post cardiac arrest) on a background of acute …

A 35-year-old man died by hanging in a medium-security prison while on remand. He was found unresponsive in his cell with a ligature around his neck. Despite immediate CPR, transfer to …

emergency medicineintensive caresystemmethamphetamine
QLD2025-09-05

Findings into the death of Faysal Ishak AHMED

30y · Male·Acute pneumonia and multi-organ failure, due to or as a consequence of traumatic…

… 30-year-old Sudanese refugee, died from traumatic brain injury sustained in a fall down stairs at Manus Island Regional Processing Centre on 22 December 2016. He collapsed and fell while alone, likely due to either acu…

emergency medicineintensive caredelaymannitol
WAhome2012-09-07

Inquest into the Death of Mulvaney

54y · Female·Multi-organ failure following a decreased level of consciousness caused by compl…

… multi-organ failure following a prolonged period of unconsciousness caused by a combination of obstructive and central sleep apnoea complicated by sedating substances. On 2 June 2008, while suffering migraine, she self…

respiratory medicineintensive caredelaydiazepam
VIChospital2017-01-24

Finding into death of Baby XY

0y · Female·Perinatal asphyxia

…different antenatal care including diabetes management, glucose monitoring, possible additional ultrasound, and continuous CTG monitoring during labour, likely changing labour management decisions. However, an expert ob…

anaesthesiaforensic medicinediagnosticsystembenzyl penicillin
WAhospital2022-06-08

Inquest into the Death of Salvatore Giovanni OTRANTO

68y · Male·Complications following myocardial infarction and its treatment in a man with mu…

… 68-year-old prisoner with multiple severe comorbidities including ischaemic heart disease, diabetes, COPD, and chronic kidney disease, died from complications of myocardial infarction and its treatment. Admitted to hos…

cardiologyintensive careproceduralenoxaparin
TAScommunity2024-01-30

Coroner's Finding: Ryan, Robert John

35y · Male·Multiple organ failure—cause not determined to requisite standard

…work utility during a normal workday. He presented with severe vomiting, profuse sweating, hypersalivation, and confusion. Despite aggressive medical treatment including atropine for suspected chemical poisoning, he dev…

toxicologyintensive carediagnosticdelayparoxetine
VIChospital2021-11-18

Finding into death of Pippa May Griffiths

0y · Female·Neonatal death in the setting of meconium aspiration

…taneous labour onset. The mother had presented to hospital the previous day with decreased foetal movements and was discharged without comprehensive assessment (no amniotic fluid index measurement). Critically, the admi…

obstetricsmidwiferycommunicationdiagnosticbenzyl penicillin
VICcommunityPodcast2018-11-09

Finding into death of Apollo George Papadopoulos

35y · Male·Acute asthma

…d from acute asthma during the Melbourne thunderstorm asthma event on 21 November 2016. He had known asthma and hay fever triggered by seasonal environmental factors, was highly sensitised to rye grass pollen, and had n…

respiratory medicineallergy and immunologysystemdelaysalbutamol
VIChospital2025-07-14

Finding into death of Baby Sidney

0y · Male·Head injury sustained in a difficult delivery including head impaction and caesa…

…evere hypoxic-ischaemic encephalopathy caused by head impaction during a difficult vaginal delivery attempt and subsequent caesarean section at 6 days old. The coroner found that medical care fell short of acceptable st…

obstetricsneonatologydiagnosticcommunicationoxytocin
VIChomePodcast2018-11-09

Finding into death of Minh Thao La

48y · Male·hypoxic ischaemic encephalopathy, complicating cardiac arrest in the setting of …

A 48-year-old man with known asthma and high sensitivity to rye grass pollen died from hypoxic ischaemic encephalopathy following cardiac arrest du…

emergency medicineparamedicinesystemsalbutamol
VIC2025-10-28

Finding into death of Christopher Gerard McIntosh

54y · Male·Respiratory failure secondary to prolonged ventilation for the management of sep…

…while incarcerated at Hopkins Correctional Centre. The coroner found that while overall care was reasonable and appropriate, significant missed opportunities existed in wound management. McIntosh was never formally trai…

correctional healthgeneral medicinecommunicationsystem
SAhospital2002-02-28

Coroner's Finding: GALEA Lesley Anne

30y · Female·respiratory failure related to bronchopneumonia following cerebral anoxia due to…

…rial of vaginal delivery. She received Syntocinon augmentation at 6:45 AM without prior cervical assessment and epidural analgesia at 7:35 AM. No vaginal examinations were performed between 1:00 AM and 9:30 AM despite t…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
NThome2018-04-06

Inquest into the death of Asera aka Ezra Young

70y · Male·blunt force head injury (operated)

A 70-year-old Torres Strait Islander man died from blunt force head injury sustained when police forcibly woke and directed him to leave a pri…

neurosurgeryemergency medicineproceduralcommunicationalcohol
WAhospital- 27 May 2014

Inquest into the Death of Brian John DAVIES

57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy

…roscopic cholecystectomy at a regional hospital. The procedure was converted to open due to dense adhesions and obesity. Post-operatively, he developed progressive hypoxia and signs of acute renal failure within hours. …

surgeryanaesthesiasystemdelaymorphine
WAhospital2023-11-17

Inquest into the Death of Child MD (Name Subject to a Suppression Order)

2y · Male·multiorgan failure in a boy with clinically suspected sepsis and Cockayne syndro…

…lure due to clinically suspected sepsis following hospitalisation for acute illness with vomiting, lethargy and poor oral intake. He was admitted to Perth Children's Hospital paediatric ICU after initial presentation to…

intensive carepaediatricsmedicationceftriaxone
VIChome2016-02-29

Finding into death of Yamini Bhadrayu Patel

48y · Female·Ischaemic brain injury secondary to toxicity to tramadol and temazepam

A 48-year-old woman died from ischaemic brain injury caused by overdose of tramadol and temazepam. She was found unresponsive at home on 10 October 2009 after consuming these medications. Her fam…

general practiceintensive carediagnosticdelaytramadol
1891014

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