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17 results for cardiac arrest

VIChospital2016-05-26

Finding into death of Delta Diawo Poke

42y · Female·Global cerebral ischaemia in a setting of anaesthesia

A 42-year-old woman died from global cerebral ischaemia following cardiac arrest during anaesthesia for a late-term termination of pregnancy. The anaesthetist, Dr McAllister, fail…

anaesthesiaobstetricsdiagnosticmedicationpropofol
SAhospital2002-02-28

Coroner's Finding: GALEA Lesley Anne

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

… 9:30 AM with amniotic fluid embolism following uterine rupture, suffering catastrophic cerebral hypoxia, cardiac arrest, coagulopathy, and eventual death from bronchopneumonia 4 months later. The coroner found inadequa…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
VIChospital2020-03-18

Finding into death of Sommer Bethany Warren

18y · Female·Generalised tonic-clonic seizure and cardiac arrest arising from severe hyperten…

…id flickering. At 1817 hours she suffered a generalised seizure caused by hypertensive encephalopathy. She arrested at 1823 hours; resuscitation commenced at 1826 hours (3-minute delay). She died at 1901 hours despite re…

obstetricsanaesthesiamedicationdiagnosticropivacaine
NSWmental health2011-06-23

Djordevic final

32y · Female·hypoxic brain injury as a result of a cardiac arrest due to positional asphyxia …

…rson in charge, failure to monitor breathing, and excessive duration. She developed cyanosis and suffered cardiac arrest from positional asphyxia. Despite resuscitation, she died from hypoxic brain injury. The coroner i…

obstetricsgeneral practicecommunicationsystemclozapine
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…

…ril 2007. She developed anaphylaxis post-procedure (likely cephalosporin-triggered) with cardiorespiratory arrest. The attending GP sedationist administered adrenaline but failed to intubate effectively, leaving her seve…

general practiceobstetricsproceduralsystemcephalosporin
VIChospital2015-09-30

Finding into death of Kirat Singh

0y · Female·Global hypoxic-ischaemic injury of unknown cause

A three-day-old girl, Baby Kirat, died from global hypoxic-ischaemic brain injury sustained during co-sleeping with her mother in a hospital maternity ward on 9 July 2013. She was resuscitated and transferred to NICU but…

neonatologypaediatricsphenobarbital
VIChospital2013-05-10

Finding into death of Joseph Thurgood Gates

0y · Male·Global cerebral hypoxic injury and perinatal asphyxia secondary to uterine ruptu…

…or over 40 minutes before hospital transfer; rupture likely occurred during this period. Baby was born in cardiac arrest with Apgar 0 at 1 minute and cord lactate 13.7 (indicating severe hypoxia). Failed intubation duri…

obstetricsmidwiferydiagnosticcommunication
NThospital2011-09-09

Inquest into the death of Linda Nha Tran

34y · Female·Catastrophic post-partum haemorrhage following caesarean delivery, secondary to …

…ee separate doses 10-15 minutes apart) to a haemodynamically unstable patient. Within minutes, the patient arrested, requiring hysterectomy and ICU admission. She developed multi-organ failure with irreversible shock and…

obstetricsanaesthesiamedicationcommunicationoxytocin
TAShospital2015-10-09

Coroner's Finding: Hay, Katrina Maree

35y · Female·Acute right heart failure (cor pulmonale) following intravenous injection of cru…

A 35-year-old woman with chronic hepatitis C and long-standing intravenous drug use died from acute right heart failure (cor pulmonale) following injection of crushed Xanax tablets. She presented to hospital with cardiog…

emergency medicineintensive carealprazolam
VIChospital2015-04-02

Finding into death of Linda Elizabeth Parker

39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…

Linda Parker, aged 39, died from hypoxic brain injury following catastrophic postpartum haemorrhage from placenta increta during caesarean delivery. Critical lessons: (1) Placenta increta risk was not detected prenatally…

obstetricsanaesthesiadiagnosticdelay
SAhospital2016-05-25

Coroner's Finding: PALTRIDGE Mellanie Joanne

25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss

A 25-year-old pregnant woman (23 weeks) presented to hospital with sudden left upper quadrant abdominal pain and loss of consciousness. Clinical assessment identified renal colic and gallstones as likely diagnoses. She r…

obstetricsemergency medicinediagnosticdelayparacetamol
VIChospital2011-07-11

Finding into death of Cara Grace Zambelli

0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord

A term infant died from hypoxic ischaemic encephalopathy caused by a true knot in the umbilical cord. The mother presented in labour with spontaneous rupture of membranes and had a prolonged second stage. Foetal heart ra…

obstetricsneonatologycommunicationsystemadrenaline
VIChospital2013-05-09

Finding into death of Tyler Reading-Adams

0y · Male·Intrapartum hypoxia due to true knot in umbilical cord with cord wrapped three t…

Tyler Reading-Adams died at 95 minutes old from intrapartum hypoxia caused by a true knot in his umbilical cord wrapped three times around his neck. The mother presented at 40 weeks 6 days gestation with spontaneous rupt…

obstetricsmidwiferynitrous oxide
VIChome2016-03-24

Finding into death of Caroline Emily Lovell

36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…

Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…

midwiferyobstetricsdiagnosticcommunicationsyntocin
ACThospital2024-09-11

Inquest Into The Death Of Baby X

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

…d critically, delayed recognition of subgaleal haemorrhage in NICU. The haemorrhage went undetected until cardiac arrest at 15+ hours post-birth, despite visible scalp bruising from 27 minutes after birth. Delayed recog…

obstetricsneonatologydiagnosticcommunication
VIChospital2018-10-26

Finding into death of Baby B

1y · Male·Hypoxic-ischaemic encephalopathy and multisystem failure in the setting of extre…

Baby B was born by emergency breech extraction in an ambulance after obstructed labour, sustaining severe hypoxic-ischaemic injury. The death was multifactorial. The mother had limited antenatal care despite known metham…

obstetricsneonatologydiagnosticsystemmethamphetamine
VIChospital2019-09-26

Finding into death of Tangimama Tavai

35y · Female·Unascertained

A 35-year-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements and was induced on Sunday evening. She e…

obstetricsanaesthesiacommunicationsystemoxytocin

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