Coronial

32 results for endotracheal aspiration management

VIChospital2019-09-16

Finding into death of Marco Angelo Virgona

45y · Male·Aspiration pneumonia with acquired brain injury as a contributing factor

Marco Virgona, a 45-year-old man with acquired brain injury and epilepsy, died from aspiration pneumonia at Frankston Hospital on 23 May 2017. He initially presented to Ambulance Victoria in the morn…

emergency medicineintensive carewarfarin
QLDhospital2005-10-06

Fernandez, Adam Anthony

33y · Male·Aspiration due to alcoholic intoxication; coronary atherosclerosis contributed

Adam Anthony Fernandez, aged 33, died from aspiration of food contents while acutely intoxicated (blood alcohol 0.276%) following police attendance at his hom…

emergency medicineanaesthesiasedatives
TAShome2023-11-14

Coroner's Finding: de-identified OV

1y · Male·hypoxic brain damage due to laryngeal obstruction from foreign body (metal screw…

An 11-month-old boy died from hypoxic brain damage following aspiration of a 2cm metal screw that lodged in his larynx. The child was left briefly unsupervised at home when he …

paediatricsemergency medicineadrenaline
VIChospital2010-06-21

Finding into death of Ashley William Seedsman

34y · Male·Septic shock from aspiration pneumonia; cerebral palsy was a contributing condit…

…ellectual disability, epilepsy, diabetes, and PEG tube feeding, presented to the ED on 15 July 2009 with aspiration pneumonia after vomiting and aspiration through his PEG tube. He was diagnosed with aspiration pneumonia…

emergency medicinegeneral medicine
VIChospital2019-09-17

Finding into death of Elizabeth Geiger

69y · Female·Aspiration pneumonia in a woman with intellectual disability

…th Geiger, a 69-year-old woman with intellectual disability living in a disability group home, died from aspiration pneumonia after presenting with constipation. She was seen by her GP on 24 July 2017 who examined her, r…

general practiceintensive carecoloxyl
VIChospital2024-01-11

Finding into death of Michael Manuel Luno

66y · Male·Aspiration pneumonia in the setting of a small bowel obstruction

…a 66-year-old man with intellectual disability, autism, epilepsy, and swallowing difficulties, died from aspiration pneumonia complicating small bowel obstruction. He presented with vomiting and abdominal distention on 8…

emergency medicinegastroenterologycommunicationsystem
NSWcommunityPodcast2016-03-15

Inquest into the death of Tommy NGO

19y · Male·ischaemic brain injury after cardiac arrest, brought about by blunt force injuri…

…oulders on an elevated platform. His trachea was ruptured, causing massive air leak, pneumothoraces, and aspiration pneumonitis. Bystander CPR could not have prevented death—only endotracheal intubation by paramedics add…

emergency medicineintensive caresupervisionsystem
QLDhospital2007-08-10

Tang, Shannon Sheng Wen

21y · Male·multi-organ failure due to septicaemia of mixed respiratory (bronchopneumonia) a…

…discovered until autopsy due to large liver and deep location) and bronchopneumonia; a 6-hour period of endotracheal tube cuff leak increasing aspiration risk; and unclear documentation of clinical decisions. The coroner…

bariatric surgerygeneral surgerycommunicationdiagnosticvancomycin
WAmental health2015-11-18

Inquest into the Death of Anna Maria CAMERON

65y · Female·Early bronchopneumonia and hypoxic brain injury following aspiration of food (ch…

Anna Maria Cameron, a 65-year-old woman with treatment-resistant schizophrenia, died from aspiration choking while eating on a psychiatric ward. She had been recently transferred to a rehabilitation unit f…

psychiatryintensive carelorazepam
NSWhospital2021-11-19

Inquest into the death of Emiliana OBUSAN

1y · Female·unrecognised oesophageal intubation

…able—appropriate recognition of the reversible cause would have prompted removal and reinsertion of the endotracheal tube, likely preventing death. Key lessons: verify ETT placement using capnography, recognise that misp…

anaesthesiaorthopaedic surgerydiagnosticcommunicationfentanyl
NTcommunity2005-04-01

Inquest into the death of Desmond Mamarika

24y · Male·heart failure resulting from severe coronary artery disease with prior myocardia…

…ients from remote communities with non-obvious severe cardiac disease present challenging diagnostic and management scenarios in public settings. The coroner emphasised that police response was appropriate throughout.

emergency medicinecardiologyalcohol
ACThome2022-05-19

Inquest into the Death of PAMELA VANCE

83y · Female·pneumonia with generalised atherosclerosis as a significant contributor

Pamela Vance, 83, died from pneumonia with generalised atherosclerosis as a significant contributor. She had multiple comorbidities including COPD, asthma, sleep apnoea and heart disease, complicated by recent falls and …

respiratory medicinegeneral practice
VIChospital2021-11-18

Finding into death of Pippa May Griffiths

0y · Female·Neonatal death in the setting of meconium aspiration

A term neonate died from meconium aspiration three hours after spontaneous labour onset. The mother had presented to hospital the previous day with d…

obstetricsmidwiferycommunicationdiagnosticbenzyl penicillin
QLDhospital2011-09-20

Long, Kerry-Ann

42y · Female·Subarachnoid haemorrhage as a consequence of rupture of saccular aneurysm of the…

…th timely Code Blue response and resuscitation by nursing staff, followed by paramedic transport and ICU management. An independent medical review confirmed adequate health assessment on reception to custody, appropriate…

emergency medicineneurosurgerymethadone
TAShospital2014-03-14

Coroner's Finding: Little, Neita Jean

79y · Female·aspiration pneumonia caused by aspiration of emesis secondary to small bowel obs…

Mrs Little, 79, died from aspiration pneumonia caused by small bowel obstruction post-hysterectomy surgery. The obstruction resulted from bot…

gynaecologyanaesthesiadiagnosticcommunicationrivaroxaban
NSWcommunity2023-11-07

Inquest into the death of AAB

26y · Male·acute cocaine and alcohol toxicity

…ence confirmed the police officers' response was exemplary and appropriate throughout, including seizure management, airway positioning, and timely resuscitation. The death was not preventable—it resulted from acute toxi…

emergency medicinetoxicologycocaine
VICaged care2021-06-23

Finding into death of Kathryn O'Rourke

48y · Female·Hypoxic/Ischaemic Encephalopathy; Aspiration of Food with Respiratory Arrest wit…

…mmediately; maintaining one-to-one support during meals for high-risk residents; and regular training on aspiration risks in intellectually disabled populations.

intensive careemergency medicinecommunicationsystemclonazepam
VICmental health2015-12-07

Finding into death of Jeffrey John Hartwig

43y · Male·Pneumonia

…h combined toxic drug effects and psychiatric illness as contributing factors. The coroner found medical management reasonable and appropriate, but commended subsequent improvements in sedation monitoring policies and tr…

psychiatryintensive caremonitoringcommunicationmethadone
VIChospital2021-11-08

Finding into death of Baby MNL

0y · Male·Hypoxic ischaemic encephalopathy complicating peri partum asphyxia

…raph documentation is essential for assessing labour progress and preventing investigative delays. While management was ultimately deemed reasonable, anaesthetic availability for emergency procedures was addressed throug…

obstetricsneonatologysystemcommunicationterbutaline
SAhospital2006-10-30

Coroner's Finding: GORDON Sally Anne

20y · Female·Cerebral anoxia consequent upon a severe acute asthmatic event

…26 November 2000 with acute severe asthma unresponsive to initial treatment. After appropriate emergency management including oxygen, adrenaline and hydrocortisone, she was transferred to the High Dependency Unit where i…

emergency medicineanaesthesiamedicationproceduralsalbutamol

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