Coronial

80 results for airway support

VICcommunity2022-02-18

Finding into death of Roger David Batchelor

57y · Male·Hypoxic ischaemic encephalopathy secondary to prolonged downtime due to upper ai…

…ectual disability and a documented history of choking died from hypoxic ischaemic encephalopathy following airway obstruction by food at a day activities program. Despite having a choking management plan in place since 2…

general practicespeech pathologycommunicationsystempantoprazole
WAhospital2003-08

Inquest into the Death of Richard Christopher Jankowski

39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…

…ppeared to recover well in the recovery room. However, approximately 2 hours post-operatively, progressive airway swelling developed rapidly, causing complete obstruction. The initial re-intubation attempt was oesophagea…

anaesthesiageneral surgeryproceduralcommunicationpropofol
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…

…rnight vital sign monitoring despite clinical deterioration; and inadequate resuscitation with no advanced airway management available. The patient deteriorated overnight with progressive hypoxia, received only basic air…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol
VIC2014-10-07

Finding into death of Darren Carr Hannah

41y · Male·Upper airway obstruction from ingestion of dirt in an intellectually impaired ma…

… severe intellectual disability, autism, partial blindness and longstanding pica disorder, died from upper airway obstruction after ingesting large quantities of dirt in the backyard of his residential care facility. He …

general practicepsychiatrysystemsupervisiondiazepam
WAhospital2019-12-20

Inquest into the Death of Child TJW

7y · Female·aspiration pneumonia leading to multi-organ failure in a female child with compl…

…i-organ failure. Born with severe perinatal brain injury, she had complex lifelong medical needs including airway management with nasopharyngeal airway, supplementary oxygen, and seizure control. Initially cared for at h…

paediatricsneurologymorphine
VICcommunity2025-07-17

Finding into death of John Michael Jurdeczka

62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…

…, and dysphagia, died from hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolus. During a community outing, despite having a detailed Mealtime Management Pl…

speech pathologygeneral practicecommunicationsystemmorphine
VIChospital2026-05-04

Finding into death of Baby E

3y · Female·COMPLICATIONS FROM SEVERE CEREBRAL PALSY

Baby E, a 3-year-old with severe cerebral palsy, spastic quadriplegia, bulbar dysfunction and upper airway obstruction, died from complications of her severe cerebral palsy. She presented with seizures, dark green…

intensive carepaediatrics
WAmental health2018-07-16

Inquest into the Death of Stanley KING

45y · Male·Cardiorespiratory arrest due to coronary artery disease, severe psychosis requir…

…rpromazine). Despite treatment with benztropine and cessation of antipsychotics, he suffered ongoing upper airway obstruction. Critical lessons include: (1) the distinction between inspiratory and expiratory breathing di…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
VIC2016-05-23

Finding into death of Katrina Mary West

56y · Female·Hypoxic ischaemic brain injury due to upper airway obstruction by food bolus

…intellectual disability and acquired brain injury died from hypoxic ischaemic brain injury following upper airway obstruction by a food bolus while eating dinner in supported accommodation. She was eating unsupervised in…

intensive careneurologycommunicationsystemlevetiracepam
WAhome2021-05-10

Inquest into the Death of Andre Walter BOND

42y · Male·Upper airway obstruction (choking) in an obese man with atherosclerotic heart di…

…man with schizophrenia, schizoaffective disorder, Asperger's syndrome, and severe obesity, died from upper airway obstruction (choking) on food while dining at home. He had been recently discharged from psychiatric inpat…

psychiatryemergency medicinequetiapine
SAcommunity2023-05-26

Coroner's Finding: Latouche Mazzei, Lucas

5y · Male·acute upper airway obstruction from nectarine stone

Lucas Mazzei, aged 5 years, died on 27 March 2017 from acute upper airway obstruction caused by an uncut nectarine stone. While attending school, he was separated from his class du…

emergency medicinepaediatricscommunicationsystemlamotrigine
VIChospital2021-05-21

Finding into death of Robin Frank Henry Wisseling

59y · Male·Pneumonia in a man with Lennox-Gastaut syndrome

…condition deteriorated and he died on palliative care. The coroner found care provided by his residential support service reasonable and appropriate. This case highlights the importance of early recognition of aspiratio…

respiratory medicinegeneral medicineclobazam
VIChospital2023-03-10

Finding into death of Armin Andrew Schaefer

63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…

… placement in recovery position; and failure to escalate for medical review despite clinical indicators of airway compromise. The combination of polypharmacy with QT-prolonging agents, airway obstruction, and respiratory…

psychiatryemergency medicinediagnosticcommunicationdiazepam
NSWhospital2018-12-04

Inquest into the death of June Nutter

58y · Female·lymphangitic carcinomatosis leading to hypoxaemic respiratory failure and cardia…

…015, and during resuscitation following cardiac arrest, adrenaline was not administered per guidelines and airway management issues occurred. She died of lymphangitic carcinomatosis, a rare gastric cancer undiagnosed ant…

anaesthesiagastroenterologymedicationproceduralfentanyl
NSWhospital2018-11-23

BURTON-HO Anqelique File 2015-235464 Findings given by Mag Grahame DSC on 23-11-2018

12y · Female·Cardio-respiratory failure due to aspiration pneumonia

Angelique Burton-Ho, age 12, with VACTERL syndrome and difficult airway, presented to Bowral Hospital ED on 9 August 2015 with respiratory symptoms. She was inadequately triaged …

anaesthesiaemergency medicinediagnosticdelay
NSW2012-05-15

Grainger ,helen finding 1767 08 2012 05 31 14 40 06 300

29y · Female·Hypoxic Encephalopathy consequent upon Cardiorespiratory Arrest arising from eit…

Helen Grainger, 29, with polycystic kidney disease and asthma, underwent pregnancy termination at Lambton Road Day Surgery in April 2007. She developed anaphylaxis post-procedure (likely cephalosporin-triggered) with car…

general practiceobstetricsproceduralsystemcephalosporin
ACThospital2020-02-20

Inquest into death of JULIE ANN HERMANS

54y · Female·Multiple organ failure, due to pneumonia in a patient with Guillain-Barré syndro…

…ation, parenteral feed composition, and adequacy of specialist response. The coroner found no evidence to support these contentions. The pathologist noted Mrs Hermans received high-level investigation and treatment with…

intensive caregeneral medicine
WAhospital2019-11-21

Inquest into the Death of Child SH

5y · Male·aspiration pneumonia with terminal palliative care, in a male child with complex…

…eeds including unsafe swallowing, recurrent respiratory infections, and required non-invasive ventilation support. During his final admission, a Do Not Resuscitate order was appropriately established after discussions w…

paediatricsrespiratory medicinesystemmorphine
VICmental health2025-05-19

Finding into death of Anna Lee

70y · Female·Asphyxia due to airway obstruction

Anna Lee, a 70-year-old retired psychiatric nurse, died from asphyxia due to airway obstruction while an inpatient in a mental health unit. She was admitted with first-episode mania with psy…

psychiatrygeriatric medicinesystemolanzapine
VIChome2016-04-01

Finding into death of Michelle Lorraine Griffin

48y · Female·Acute respiratory failure (cerebral hypoxia) in a woman dependent on non-invasiv…

…V) at home. A carer, Julie Manessis, was caring for her when the humidifier tipped over, water entered the airway tubing, and the NIVs malfunctioned. Manessis was unable to troubleshoot the equipment failure. Key clinica…

respiratory medicineneurologycommunicationsystemmorphine

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.