Coronial

10 results for maternal shock

VIChospital2020-05-21

Finding into death of Baby S

Female·Sepsis in the setting of a lotus birth

…ays of age. She had been delivered with lotus birth (cord left attached to placenta) and vaginal seeding (maternal vaginal fluid applied to baby) despite obstetric counselling against these practices. Her mother's GBS st…

obstetricspaediatricscommunicationsystembenzylpenicillin
VIChospital2012-06-22

Finding into death of Sebastian Hewitt

<1y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure

Sebastian Hewitt, born at 36 weeks gestation following maternal ante-partum haemorrhage and abnormal CTG traces, died from perinatal asphyxia leading to cerebral anoxia …

obstetricspaediatricsdiagnosticdelay
WAhospital2005-12-09

Inquest into the Death of Laura Marguerite Sinclair

31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…

…no Medical Emergency Team (MET) was called despite clear clinical triggers. The deceased deteriorated into shock and was transferred to KEMH then emergently to Sir Charles Gairdner Hospital, where she arrested and could…

obstetricsanaesthesiadiagnosticcommunicationpethidine
NSWhospital2018-02-27

Inquest into the death of Michaela Perrin

26y · Female·sepsis

Michaela Perrin, 26, died from sepsis arising from a post-caesarean wound infection caused by MRSA on 22 October 2014. She presented to the Emergency Department on 20 October with severe pain, tachycardia (125 bpm), and …

obstetricsemergency medicinediagnosticcommunicationceftriaxone
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
VIChospital2023-10-20

Finding into death of Vanessa Li

<1y · Female·subgaleal haematoma complicating an obstructed labour

Vanessa Li, a term infant born following obstructed labour, died at four days of age from subgaleal haemorrhage (SGH) with severe hypoxic-ischaemic encephalopathy. Labour was managed by private obstetrician Dr K., who wa…

obstetricsneonatologycommunicationdiagnosticoxytocin
VIChospital2009-05-20

Finding into death of Kara Lennah Compton

1y · Female·acute on chronic respiratory failure

… the need for direct communication between ambulance and ED staff; the importance of recognising disguised shock in children who compensate well; and paramedic training in paediatric IV insertion. The coroner commended …

emergency medicinepaediatricsproceduralcommunicationadrenaline
SAhospital2016-05-25

Coroner's Finding: PALTRIDGE Mellanie Joanne

25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss

…ned bleeding followed by stability is characteristic and should not provide false reassurance; (5) lack of shock, guarding, or rigidity does not exclude serious intra-abdominal bleeding; (6) a previous similar death at …

obstetricsemergency medicinediagnosticdelayparacetamol
VIChospital2015-10-20

Finding into death of THI DIEP ANH LU

36y · Female·Haemorrhage complicating elective caesarean section (placenta praevia accreta)

Ms. Thi Lu, aged 36, died from massive hemorrhage following caesarean section for placenta praevia with underlying placenta accreta. Although imaging could not definitively exclude accreta preoperatively, high-risk prepa…

obstetricsanaesthesiadelayprocedural
NThospital2011-09-09

Inquest into the death of Linda Nha Tran

34y · Female·Catastrophic post-partum haemorrhage following caesarean delivery, secondary to …

…nt arrested, requiring hysterectomy and ICU admission. She developed multi-organ failure with irreversible shock and died. Key clinical lessons: ensure clear communication between surgical and anaesthetic teams during o…

obstetricsanaesthesiamedicationcommunicationoxytocin

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