Coronial

12 results for cardiac arrest at birth

NSWhospital2016-03-11

Inquest into the death of Christopher Luke O'SULLIVAN

0y · Male·head injury of undetermined aetiology

… He presented on 15 September 1993 with fixed pupils, cyanosis, and seizure-like activity, progressing to cardiac arrest. Autopsy revealed subdural, subarachnoid, and retinal haemorrhages. Expert pathologists reviewed t…

forensic medicinepaediatricsdiagnosticdelay
VIChospital2013-05-10

Finding into death of Joseph Thurgood Gates

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

… continuous CTG monitoring. Private midwife Ms Hallinan failed to clearly articulate risks, supported home birth plans despite clinical concerns, and delayed transfer to hospital when foetal bradycardia developed during…

obstetricsmidwiferydiagnosticcommunication
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…

midwiferyobstetricsdiagnosticcommunicationsyntocin
ACThospital2024-09-11

Inquest Into The Death Of Baby X

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

…y X, born at Canberra Hospital after a prolonged labour, died at age 2 days from injuries sustained during birth. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged as…

obstetricsneonatologydiagnosticcommunication
QLDhome2019-04-17

Davis, John

50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus

…00 and commenced CPR, but communication difficulties with the emergency dispatcher delayed recognition of cardiac arrest. Paramedics initially failed to visualise and remove the airway obstruction due to inexperience wi…

emergency medicineparamedicinediagnosticcommunicationmidazolam
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
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
WAhospital2013-11-08

Inquest into the Death of Nielson, Melissa Ann

24y · Female·hypoxic brain injury following unexplained cardiorespiratory arrest

…ry markers. The patient was placed in an unmonitored minor theatre without vital signs being recorded. She arrested unwitnessed 42 minutes after arrival, suffering catastrophic hypoxic brain injury from which she did not…

emergency medicinedermatologycommunicationdiagnosticcefalexin
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
VIChospital2019-09-26

Finding into death of Tangimama Tavai

35y · Female·Unascertained

…s per Royal Women's Hospital policy), the consultant obstetrician would likely have been present to manage birth canal injuries earlier. The exact cause of death was unascertained, though postpartum haemorrhage and poss…

obstetricsanaesthesiacommunicationsystemoxytocin
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
VIChome2025-07-28

Finding into death of Heather Ida Simone Calgaret

30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…

Heather Calgaret, a 30-year-old Aboriginal woman, died from hypoxic ischaemic encephalopathy after being administered a first dose of buprenorphine (Buvidal) injection without prior stabilisation on sublingual Suboxone. …

general practiceaddiction medicinemedicationdiagnosticbuprenorphine

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