Coronial

15 results for adrenaline infusion

VIChospital2015-12-02

Finding into death of Khodr El Mustapha

77y · Male·Complications of reaction to an iron infusion in a man with ischaemic heart dise…

…eficiency anaemia and underlying ischaemic heart disease died from anaphylaxis following iron polymaltose infusion. Critical clinical lessons: (1) IV iron should only be administered after oral iron has been tried or is …

emergency medicinehaematologydiagnosticproceduraliron polymaltose
SAhospital2020-11-03

Coroner's Finding: WHISKEY Louise Kitty

51y · Female·community acquired pneumonia

…ion deteriorated rapidly with sepsis, requiring ICU admission and intubation. During treatment, an Acomed infusion pump failed silently, temporarily compromising noradrenaline delivery when her blood pressure was critica…

intensive carepsychiatrysystemnoradrenaline
VIChospitalPodcast2026-02-20

Finding into death of James Harilaos Tsindos

17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis

… in a vegan restaurant meal on 27 May 2021. Ambulance paramedics administered two doses of intramuscular adrenaline and transported him to Holmesglen Private Hospital. On arrival at the ED, James developed wheeze and cou…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline (epinephrine) intramuscular
VIChospital2026-02-05

Finding into death of Max Peter McKenzie

15y · Male·Cardiorespiratory arrest of unknown aetiology complicating hypoxic ischaemic enc…

… eating apple crumble containing nuts, he self-administered an EpiPen. Ambulance paramedics administered adrenaline but Max deteriorated rapidly. At hospital, emergency physicians delayed intubation for 15 minutes despit…

emergency medicineparamedicinedelaycommunicationadrenaline
NThospital2026-01-09

Inquest into the death of C Guyula

49y · Female·Hypoxia due to complications following incision and drainage of a right buttock …

…f an impedance monitor as capnography; delayed detection allowing hypoxia; medication errors (Metaraminol infusion continued, Propofol not commenced); and subsequent tracheostomy dislodgement causing further hypoxic even…

anaesthesiasurgeryproceduralmedicationfentanyl
SAhospital2016-04-11

Coroner's Finding: OSANG Roswitha Maria

66y · Female·Cardiac failure due to atherosclerotic and hypertensive heart disease

A 66-year-old woman died from cardiac failure due to atherosclerotic and hypertensive heart disease. She presented to a rural GP with ankle oedema, cough, and palpitations during interstate travel. The GP diagnosed mild …

general practicecardiologydiagnosticmedicationsotalol
NSWhospital2022-09-26

Inquest into the death of Faithe Baxter

22y · Female·cardiac arrest of uncertain cause noting the existence of drug toxicity; the dru…

Faithe Baxter, aged 22, died from cardiac arrest due to methamphetamine toxicity after using multiple drugs including methamphetamine, benzodiazepines, opioids and nitrous oxide. She became unconscious in a car overnight…

emergency medicineintensive caredelaymethamphetamine
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

<1y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…

…ion. The infant was delivered at term after induction for post-dates pregnancy. During labour, syntocinon infusion was increased to 120 ml/hour without adequate clinical oversight by Dr A., who remained off-site despite …

obstetricsanaesthesiadiagnosticcommunicationoxytocin
VIChospital2012-01-31

Finding into death of Summer Elizabeth Rose Niehoff

<1y · Female·Perinatal asphyxia

Summer Elizabeth Rose Niehoff died from perinatal asphyxia hours after vaginal birth following a prolonged labour in hospital. The coroner found multiple clinically preventable failures: escalation of oxytocin augmentati…

anaesthesiamidwiferycommunicationdiagnosticoxytocin
VIChospital2008-08-15

Finding into death of William Grant Keays

Male·Hypoxic brain injury arising from intra-uterine asphyxia (causative factors unas…

William Keays was a neonate born at 37 weeks via emergency caesarean section for fetal distress during labour induction with Syntocinon. He was stillborn with Apgar scores of 0/0/1, requiring 12 minutes of resuscitation …

obstetricsneonatologycommunicationdelayoxytocin
QLDhospital2011-11-04

Smith, Darryl Robert

34y · Male·Air embolism and severe haemorrhage due to perforation of the right subclavian v…

Darryl Smith, aged 34, died following emergency surgery for a fractured clavicle at Sunnybank Private Hospital. During the final drilling of the sixth screw hole, the surgeon's drill penetrated the underlying right subcl…

orthopaedic surgeryanaesthesiaproceduraldelayadrenaline
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

<1y · Female·Fetal demise due to placental abruption and sepsis secondary to chorioamnionitis…

Ashlee Reindl died hours after birth in 2019 following a prolonged induction of labour complicated by fetal distress and chorioamnionitis. A catastrophic placental abruption occurred shortly before emergency caesarean se…

obstetricsmidwiferydiagnosticcommunicationoxytocin
VIChospital2023-10-20

Finding into death of Vanessa Li

<1y · Female·subgaleal haematoma complicating an obstructed labour

Vanessa Li, a term infant born following obstructed labour, died at four days of age from subgaleal haemorrhage (SGH) with severe hypoxic-ischaemic encephalopathy. Labour was managed by private obstetrician Dr K., who wa…

obstetricsneonatologycommunicationdiagnosticoxytocin
QLDhospital2018-08-20

RD - Non-inquest findings

64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…

RD, a 64-year-old man with diabetes, amputation, and COPD, presented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaem…

emergency medicineintensive carediagnosticmedicationintravenous normal saline
QLDhospital2014-12-09

Baby A - Non-inquest findings

Male·Hypoxic-ischaemic encephalopathy due to meconium aspiration syndrome

A full-term baby born at 39 weeks died from hypoxic-ischaemic encephalopathy due to meconium aspiration. Critical failures in fetal monitoring were identified: the admission CTG was abnormal but not recognised as such by…

obstetricsmidwiferydiagnosticprocedurallabetalol

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