Coronial

147 results for defibrillation

ACThospital2018-11-29

AN INQUEST INTO THE DEATH OFSIAUTO ELIUTA TUNUMAFONO

43y · Female·cardiac arrhythmia (unascertained), probably fatal cardiac dysrhythmia

…ndicating it was indicated at 9 minutes post-arrest. Errors in treatment resulted from lack of written defibrillation protocols, incompatible defibrillators between fire and ambulance services, and confusing device promp…

emergency medicinecardiologyproceduralsystem
SA2011-09-19

Coroner's Finding: RIGNEY Vincent Norman

35y · Male·ischaemic heart disease due to coronary atherosclerosis

…ase presenting at younger ages, requiring enhanced screening including ECG and lipid assessment; early defibrillation may have prevented death; 24-hour medical staffing or automated external defibrillators are essential …

cardiologyemergency medicinediagnosticdelayparacetamol
SAcommunity2025-10-20

Coroner's Finding: Kennedy, John Douglas

65y · Male·Ischaemic heart disease on a background of hypertension

…inutes away) were then dispatched instead. Kennedy arrested at ~00:44; paramedics arrived at 00:43 but defibrillation occurred after the critical 5-minute window when survival chances are highest. Expert cardiologist tes…

emergency medicinecardiologycommunicationsystematenolol
VIC2023-07-12

Finding into death of Carl Anthony Van Der Kaay

50y · Male·Cardiomegaly and ischaemic coronary artery disease

… had been assessed, implementation remained pending resolution of funding and logistical issues. Early defibrillation could have improved survival chances in this cardiac arrest.

cardiologyemergency medicinesystembisoprolol
ACThospital2019-11-06

Inquest into death of THEADORA ZAAL

75y · Female·cardiac arrest in the context of aortic stenosis (moderate to severe), coronary …

…red cardiac arrest approximately 15 hours post-operatively. Investigation revealed potential delays in defibrillation and inadequate familiarity of nursing staff with resuscitation equipment. Key clinical lessons: pre-op…

anaesthesiasurgerydiagnosticsystem
NT2007-03-09

Inquest into the death of Patrick Heenan

50y · Male·Coronary atherosclerosis

…diate medical attention by prison staff, including rapid transport to the medical centre where CPR and defibrillation were administered. Autopsy revealed previously undiagnosed severe coronary atherosclerosis (80% stenos…

general practiceemergency medicinemetformin
NSW2016-03-06

Inquest into the death of Laurence Bede O Connor

73y · Male·Combined effects of ischaemic heart disease and chronic obstructive pulmonary di…

…eling better. He was found unresponsive the following morning and could not be revived despite CPR and defibrillation. The coroner made no adverse findings regarding clinical care. This case illustrates the challenges of…

cardiothoracic surgeryrespiratory medicinewarfarin
QLDcommunity2019-06-12

Brown, Holly Winta

17y · Female·Arrhythmia due to myocardial scarring secondary to past myocarditis, possibly fr…

…dination. The coroner emphasised that Holly may have survived with immediate Chain of Survival access (defibrillation within 3-4 minutes, advanced care within 8 minutes). Critical systemic failures included TCHHS not con…

emergency medicinegeneral practicesystemcommunicationadrenaline
NSWcommunity2016-03-04

Inquest into the death of Matthew Thomas Richell

41y · Male·drowning

Matthew Richell, a 41-year-old experienced recreational surfer, died by drowning at Tamarama Beach in July 2014 after being swept against rocks during challenging surf conditions. He suffered head injuries when waves cra…

emergency medicineparamedicinesystem
VIChospital2024-03-13

Finding into death of K M

18y · Male·Drug toxicity (3,4-methylenedioxy-N-methylamphetamine (MDMA), methylone)

…esuscitated for 17 minutes before hospital transfer. Despite appropriate emergency care including CPR, defibrillation, intubation, and ICU management, he developed severe metabolic derangement and brain death by day 5. T…

emergency medicineintensive careMDMA
NThome2016-10-17

Inquest into the death of Krista Lloyd

36y · Female·myocardial infarction as a consequence of severe focal coronary artery atheroscl…

…d while vomiting, aspirated, and despite prompt CPR and resuscitation efforts including adrenaline and defibrillation, developed refractory hypoxia and died 6 hours after hospital admission. The clinical lesson involves …

cardiologyemergency medicinediagnosticdelaymorphine
TAScommunity2022-12-07

Coroner's Finding: Triffett, Brendan

40y · Male·cardiac arrhythmia caused by atherosclerotic and hypertensive cardiovascular dis…

…tered promptly and competently by trained staff, survival chances were less than 10% even with optimal defibrillation due to likely asystole and significant comorbidities. The therapist appropriately assessed suitability…

general practicecardiologyamitriptyline
SA2020-12-18

Coroner's Finding: SCHACHE Leon John

47y · Male·acute subarachnoid haemorrhage with contributing ruptured saccular aneurysm of t…

A 47-year-old male remand prisoner died from acute subarachnoid haemorrhage due to a ruptured basilar artery aneurysm while in custody at Adelaide Remand Centre. He presented with headache and dizziness on 6 November 201…

emergency medicineforensic medicineparacetamol
NSWcustody2025-08-07

Inquest into the death of Lathan Brown

28y · Male·Cardiac arrhythmia

…se was appropriate and timely by correctional staff standards, with CPR commenced within 3 minutes and defibrillation deployed at 20 seconds after cell entry. However, the coroner identified systemic failures in family c…

cardiologyemergency medicinecommunicationsystem
NSW2021-05-26

Inquest into the death of Liam WOLF

19y · Male·unexpected arrhythmogenic event leading to a fall from height, blunt force head …

… preventable factors included lack of proper risk assessment of the tunnel obstacle, absence of timely defibrillation (delayed by water hazard), and difficulties extracting Wolf from the confined wet space.

emergency medicinecardiologysystemdelay
VIC2018-10-11

Finding into death of Joseph Vitale

31y · Male·Unascertained

Joseph Vitale, a 31-year-old man in custody at Port Phillip Prison, was found unresponsive in his cell and died despite full resuscitation efforts. The precise cause of death could not be determined despite exhaustive au…

forensic medicinepsychiatry
SAmental health2020-04-30

Coroner's Finding: BENN John Harold

70y · Male·ischaemic heart disease

A 70-year-old man with ischaemic heart disease, dementia, diabetes, hypertension and aortic stenosis died suddenly of acute myocardial infarction while in compulsory mental health detention. He had fallen the previous mo…

psychiatrygeriatric medicine
TAS2019-10-17

Coroner's Finding: McKenzie, Heather Patricia Dale

67y · Female·mixed alcohol and drug toxicity

Heather Patricia Dale McKenzie, a 67-year-old woman with a documented history of heavy alcohol consumption and hypertension, died aboard a cruise ship from mixed alcohol and drug toxicity. She had consumed considerable a…

alcohol
QLDcommunity2015-06-12

Wilson, Brad Maxwell

49y · Male·Coronary artery thrombosis due to coronary atherosclerosis

Brad Wilson, 49, collapsed and died from acute coronary thrombosis approximately 40 minutes after police arrest at a polling booth on 7 September 2013. He had severe pre-existing triple-vessel coronary atherosclerosis, s…

cardiologyemergency medicinecannabis
TAScommunity2022-12-07

Coroner's Finding: Triffett, Brendan

40y · Male·cardiac arrhythmia due to cardiovascular disease

Mr Brendan Triffett, aged 40, died suddenly from cardiac arrhythmia whilst participating in supervised hydrotherapy at Kingston Pool, Tasmania on 13 March 2018. He had significant medical history including an acquired br…

cardiologyemergency medicineamitriptyline
128

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