Coronial

30 results for cerebral ischaemia

VIChospital2024-12-09

Finding into death of Robert Easter

63y · Male·Aspiration pneumonitis with contributing conditions of ischaemic gut, dysphagia …

Robert Easter, 63, a man with cerebral palsy, intellectual disability, blindness and hearing impairment, died of aspiration pneumonitis followin…

palliative caregeneral medicine
VIChospital2014-03-13

Finding into death of Kerry Anne Golley

35y · Female·Global cerebral ischaemic injury in the setting of post caecal resection for col…

…erred to St Vincent's Hospital where imaging revealed brain swelling and herniation. She died from global cerebral ischaemic injury. The cause of cerebral ischaemia was not definitively identified but may have been relat…

general practiceemergency medicinediagnosticdelay
VIChospital2014-11-24

Finding into death of David Liam Goold

22y · Male·ischaemic bowel

David Goold, aged 22 years with spastic quadriplegia and cerebral palsy, was a Department of Human Services client in supported accommodation. On 28 September 2013, care f…

surgeryintensive care
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 anaes…

anaesthesiaobstetricsdiagnosticmedicationpropofol
VIChospital2022-07-26

Finding into death of Susan Mary Royals

74y · Female·Complications of carotid artery injury from central line insertion in the settin…

…ocedure and hemicolectomy. The CVC was inadvertently placed in the right carotid artery, leading to right cerebral hemisphere watershed ischaemia despite surgical repair. She subsequently developed multi-organ failure an…

anaesthesiasurgeryprocedural
WAhospital2012-10-05

Inquest into the Death of Rasmussen vaughn

15y · Male·Cerebral ischaemia in a young man with a blocked ventricular peritoneal shunt an…

…ussen, a 15-year-old boy with congenital abnormalities and a ventricular-peritoneal (VP) shunt, died from cerebral ischaemia caused by acute blockage of his VP shunt on 17 November 2009. Between 12-16 November, he presen…

general practicegeneral medicinediagnosticcommunicationlamotrigine
SAhospital2019-06-12

Coroner's Finding: NGUYEN An Hoang Le

4y · Male·acute lymphoblastic leukaemia

…complications including disseminated intravascular coagulation, respiratory failure requiring intubation, cerebral ischaemia, and intraocular haemorrhage. Despite appropriate management including chemotherapy, leukaphere…

haematologyintensive carechemotherapy
VIChospital2025-11-28

Finding into death of Carol Denise Jackson

75y · Female·Pneumonia

Carol Denise Jackson, a 75-year-old woman with cerebral palsy, intellectual disability, and dysphagia residing in specialist disability accommodation, died of pn…

emergency medicinegeneral medicine
VIChospital2016-05-19

Finding into death of Josip Dobrovoljski

62y · Male·Global cerebral ischaemia secondary to intra-operative hypotension following the…

A 62-year-old man died from global cerebral ischaemia following intra-operative hypotension after protamine administration during a cardiac ablation …

anaesthesiacardiologydocumentationcommunicationprotamine
QLD2005-10-07

Creegan, Thomas

47y · Male·Myocardial ischaemia as a result of undiagnosed coronary artery disease; cerebra…

…ndiagnosed coronary artery disease (70% stenosis of the left anterior descending artery) with myocardial ischaemia as the primary cause, though cerebral arterial gas embolism from uncontrolled ascent could not be exclud…

diving medicineemergency medicinecommunicationprocedural
VICcommunity2023-06-25

Finding into death of Brian Roy Gallagher

72y · Male·Coronary artery atherosclerosis

Brian Roy Gallagher, a 72-year-old man with cerebral palsy and intellectual disability living in disability support accommodation, died from coronary artery a…

general practicepathologysertraline
VIChospital2025-10-10

Finding into death of Jeffrey George Nirens

70y · Male·intracranial haemorrhage secondary to haemorrhagic transformation of ischaemic s…

A 70-year-old man with chronic small vessel cerebral ischaemia died from intracranial haemorrhage following haemorrhagic transformation of an ischaemic stroke…

neurologyemergency medicinemedicationsystemenoxaparin
SAhospital2020-10-12

Coroner's Finding: MANSVELDERS Henri Martinus Bernardus

79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…

…Inpatient Treatment Order following suicidal ideation. While detained, he suffered a massive right middle cerebral artery territory ischaemic stroke caused by atherosclerotic internal carotid artery occlusion. He was app…

psychiatryneurologymorphine
VIChospital2017-02-20

Finding into death of Ms A

34y · Female·Global cerebral ischaemia secondary to mixed drug toxicity including a substance…

A 34-year-old woman with a 10-year history of heroin dependence died from mixed drug toxicity including heroin after injecting in a public toilet. She had engaged intermittently with methadone programs and expressed a re…

emergency medicineintensive caresystemheroin
VICmental health2017-05-18

Finding into death of Derek Hamilton

46y · Male·Cerebral ischaemia secondary to compression of the neck in circumstances of hang…

…d involuntary psychiatric patient with cluster B personality disorder and recurrent depression, died from cerebral ischaemia secondary to hanging while an inpatient at Northern Hospital Psychiatry Unit Two. Despite expre…

psychiatryintensive caresystemcommunicationmirtazapine
VIChospital2022-07-28

Finding into death of H C

6y · Male·Global cerebral ischaemia secondary to perinatal asphyxia

HC was a neonate who died at 6 days old from global cerebral ischaemia secondary to perinatal asphyxia. He was born following an emergency caesarean section for obstr…

obstetricsneonatologydiagnosticcommunication
VICmental health2016-12-08

Finding into death of Joseph Pezzimenti

60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression

Joseph Pezzimenti, a 60-year-old involuntary psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Dependency Unit bathroom. Key clinical lessons i…

psychiatryintensive carediagnosticcommunication
VIChospital2025-02-13

Finding into death of Jack Brownlee

21y · Male·Complications of injuries sustained when a trench wall collapsed

Jack Brownlee, 21, died from crush injuries sustained in a workplace trench collapse at a construction site. Despite family concerns that excavator use during rescue exacerbated his injuries, expert geotechnical and resc…

emergency medicinetrauma surgerysystemmidazolam
QLDhospital2017-10-06

Parsons, Ann

59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…

59-year-old woman admitted with newly diagnosed grade 4 glioblastoma underwent surgery 16 days later after delays during consultant's planned leave. Post-operative complications included ischaemic stroke confirmed on ima…

neurosurgeryintensive carediagnosticcommunicationdexamethasone
VIChospital2022-05-05

Finding into death of PX O

49y · Male·Complications of a right superficial femoral artery injury (operated) following …

A 49-year-old man died from complications of a right superficial femoral artery injury sustained when he was struck by a circular saw at a landscaping worksite. Despite receiving immediate first aid, emergency transport …

trauma surgeryvascular surgerysystemcommunication

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