Finding into death of Mark Fava
46y · Male·Coronary artery disease
… appropriate emergency response protocols in custodial settings and the importance of recognizing when resuscitation attempts are futile to protect staff wellbeing.
226 results for “cardiopulmonary resuscitation (cpr)”
46y · Male·Coronary artery disease
… appropriate emergency response protocols in custodial settings and the importance of recognizing when resuscitation attempts are futile to protect staff wellbeing.
Male·ruptured spleen
…ncy services responded as quickly as feasible from a remote location, arriving within 2 hours. Despite resuscitation efforts, he could not be revived. The coroner found no safety deficiencies in the event organisation, …
0y · Female·meconium aspiration
… an inappropriate surface; and promptly contact emergency services. The midwife had no formal neonatal resuscitation training. AHPRA investigation found care significantly below professional standards. The coroner noted…
47y · Female·complications of rapidly progressing motor neurone disease
…respiratory distress. Nursing staff did not attempt CPR, apparently believing an undocumented 'not for resuscitation' directive existed. No such directive was found. Ambulance paramedics commenced CPR after significant …
28y · Female·ligature compression of the neck
…raining emphasised pulse-checking to confirm death before attempting CPR. Key clinical lessons: modern resuscitation guidelines recommend CPR for all unresponsive, non-breathing patients regardless of pulse; pulse palpa…
44y · Female·Mixed drug toxicity (methylamphetamine, amphetamine, tramadol)
…nability to detect subtle signs of life during cell checks, inadequate airway management due to absent resuscitation masks, and potential benefit of clearer communication about health questionnaires. The coroner found p…
41y · Male·Unable to be ascertained
41-year-old male with schizophrenia/drug-induced psychosis and methamphetamine use died following police restraint on M5 motorway. Admitted to Shellharbour Hospital 10-30 May 2022 for psychotic behaviours and assault all…
61y · Male·Complications of multiple system atrophy
…ound him unresponsive with cyanosis at 9:50 am; CPR was initiated immediately and paramedics continued resuscitation before pronouncing death. The coroner found no evidence of clinical mismanagement or inadequate care b…
52y · Male·hypoxic-ischaemic encephalopathy due to cardiac arrest due to unknown aetiology
…iropractic treatment and suffered cardiac arrest of unknown aetiology. He remained unconscious despite resuscitation and died from hypoxic-ischaemic encephalopathy. Initially suspected to be caused by vertebral artery d…
59y · Female·Hypoxic-ischaemic encephalopathy due to acute upper airway obstruction
… attended; the doctor removed additional food from the oesophagus and intubated. Despite 36 minutes of resuscitation, she suffered severe hypoxic brain injury and was declared brain dead. The coroner found no inappropri…
60y · Male·Acute myocardial infarction with thrombosis of the left anterior descending coro…
Constantinos Retsas, a 60-year-old man with intellectual disability and autism in residential care, died from acute myocardial infarction due to thrombosis of the left anterior descending coronary artery. He had attended…
44y · Male·Ligature compression of the neck and methylamphetamine effect
Anthony William Kuster, a 44-year-old man, died from ligature compression of the neck combined with methylamphetamine toxicity. He applied a tourniquet around his neck while heavily intoxicated with methylamphetamine aft…
1y · Female·Chest injuries
Angela Bannister, aged 22 months, died from extensive chest injuries sustained overnight in her mother's care. On 18 July 2008, she had a minor head injury and alleged dog bite at a shopping centre. When examined at hosp…
41y · Female·Metastatic oesophageal carcinoma
…n vomiting blood. Her support worker called emergency services and initiated CPR. Paramedics continued resuscitation but were unable to revive her. The coroner found the death resulted from natural disease progression a…
49y · Female·drowning
…hter kept her head above water until surf lifeguards arrived within minutes and commenced CPR. Despite resuscitation efforts continuing at hospital, she could not be revived. The coroner found this was a tragic accident…
60y · Male·Neck injury, specifically fracture of the odontoid peg of the second cervical ve…
…sed immediate loss of consciousness and respiratory arrest. Despite prompt bystander CPR and paramedic resuscitation, he could not be revived. The coroner found insufficient evidence to determine the specific mechanism …
35y · Male·multiple injuries
…porting they went into 'shock' or 'froze'. However, two other officers arrived shortly after and began resuscitation efforts. The coroner found Mr Brady's injuries were non-survivable regardless of timing of CPR. The pr…
35y · Female·hypoxic brain injury, with strangulation being an antecedent cause
Blair Dalton died from hypoxic brain injury following strangulation by her partner LP on 26 September 2017. She was resuscitated at the scene and admitted to Gosford Hospital ICU but suffered irreversible brain injury. L…
78y · Male·Ischemic heart disease
Geoffrey Ashton, a 78-year-old with significant ischemic heart disease, died in the foyer of Croydon Police Station on 17 December 2011. Stress from an altercation over disabled parking at a nearby church likely triggere…
80y · Female·Acute upper airway obstruction secondary to aspiration of food bolus
…and require comprehensive training in emergency response, including CPR technique and when to continue resuscitation; (4) communication failures during emergencies—including failure to inform ambulance personnel of inte…
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