Coronial

19 results for oxygen therapy administration

QLDhospital2024-06-21

Non-inquest findings into the death of Mr K

81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…

…ement errors. Key clinical lessons: (1) patients with CO2 retention require explicit identification on all oxygen prescriptions and careful titration to target saturations 88-92%, not higher; (2) respiratory depressant m…

respiratory medicineemergency medicinemedicationcommunicationdiazepam
WAhospital2022-08-01

Inquest into the Death of Ronald Joseph BUCKLAND

70y · Male·bronchopneumonia in a man with intra-abdominal carcinoma and multiple co-morbidi…

…luding cardiac disease, liver cirrhosis, and COPD. Key clinical issues included: (1) unauthorised self-administration of oxygen from Oxiboots without medical supervision, which masked deterioration and delayed recognitio…

cardiologygastroenterologysystemcommunication
SAhospital2017-04-19

Coroner's Finding: ANNS William James

69y · Male·end-stage interstitial lung disease and chronic congestive cardiac failure

…is final admission, he developed delirium, agitation and aggressive behaviour with repeated removal of his oxygen mask despite respiratory distress. A Level 1 Inpatient Treatment Order was appropriately placed to enable …

cardiologyrespiratory medicine
TAShospital2017-03-16

Coroner's Finding: HE

19y · Female·echovirus type 9 infection (myocarditis and pneumonitis)

…vulsion, consulted a paediatrician, and arranged urgent transfer. Despite appropriate management including oxygen, antibiotic therapy, intraosseous access, and cardiopulmonary resuscitation, the child arrested during tra…

emergency medicinepaediatricsceftriaxone
QLDhospital2009-06-01

Woo, June

82y · Female·Hyperkalaemia due to acute renal failure on a background of end stage pulmonary …

…as issued. She was admitted to the respiratory ward where her condition was managed for comfort, including oxygen therapy and subcutaneous morphine and sedatives. She died from hyperkalaemia and acute renal failure. Expe…

emergency medicinerespiratory medicineaspirin
VIChospital2021-06-01

Finding into death of Beryl Maloney

76y · Female·Aspiration pneumonia and cholangitis; obstructive jaundice from intraduct tumour…

…e and sepsis, underwent ERCP procedures for bile duct obstruction and stent insertion. Despite antibiotic therapy and supportive care including transfusion and oxygen therapy, she developed progressive aspiration pneumo…

gastroenterologygeneral medicineantibiotics
VIC2011-04-03

Finding into death of Gary Witcombe

60y · Male·Neck injury, specifically fracture of the odontoid peg of the second cervical ve…

Gary Witcombe, a 60-year-old man, died from a fractured odontoid peg of the second cervical vertebra with associated spinal cord damage sustained during a physical altercation at a family birthday party. The injury cause…

emergency medicineparamedicinealcohol
SA2006-11-16

Coroner's Finding: HARKIN Leonard Norman

51y · Male·ischaemic heart disease

A 51-year-old prisoner died from ischaemic heart disease after suffering a cardiac event while being transferred between prison units. He had complained of chest pain to correctional officers, was directed to walk to the…

cardiologyemergency medicineproceduraldelaymirtazapine
SAhospital2005-04-05

Coroner's Finding: HOLLENS Christopher

44y · Male·aspiration pneumonia

Christopher Hollens, a 44-year-old man with chronic schizophrenia, traumatic brain injury, spastic paraparesis, and epilepsy, died of aspiration pneumonia after a 15-day admission to Royal Adelaide Hospital. He was trans…

psychiatrygeneral medicinephenytoin
QLDhospital2014-03-31

Platt, Christopher Robert Edmund - Non-inquest findings

69y · Male·Perforated bowel/septicaemia as a result of diverticulitis

…athology (elevated WCC, x-ray findings suggestive of small bowel obstruction, low albumin, tachypnoea, low oxygen saturations); inappropriate enema administration which may have been harmful; delayed x-ray reporting; poo…

emergency medicinegeneral surgerydiagnosticcommunicationsodium citrate enema
SAhospital2006-10-30

Coroner's Finding: GORDON Sally Anne

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

…th 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 intubation became ne…

emergency medicineanaesthesiamedicationproceduralsalbutamol
VIChospital2012-02-06

Finding into death of David Crisfield

43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…

David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 …

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
SAhospital2017-04-07

Coroner's Finding: MAYELL Edward John

83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…

An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…

emergency medicinegeneral practicediagnosticmedicationceftriaxone
WAcommunity2010-04-15

Inquest into the Death of Lynch

20y · Female·food-induced anaphylaxis, likely to peanut allergen

…hone guidance from Dr D. at Exmouth Hospital 150km away. Despite appropriate emergency treatment including oxygen, nebulised and intramuscular adrenaline, intravenous hydrocortisone, and an attempted cricothyroidotomy, K…

emergency medicinegeneral practicedelaydiagnosticadrenaline
WA

Inquest into the Death of Jarrod Arthur HAMPTON

22y · Male·drowning secondary to incapacitation from air embolism

A 22-year-old skilled and experienced pearl shell drift diver with over 600 logged dives died from drowning secondary to air embolism and cerebral arterial gas embolism while diving for Paspaley Pearling Company off Broo…

diving medicineoccupational and environmental healthsystemdelay
SAhospital2013-02-08

Coroner's Finding: FENSOM Angela Catherine and TAANKINK Johaanes Andrew

Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …

…failed to recognise the seriousness of persistently low blood pressure despite it not responding to fluid therapy. Mr Taankink (26), an asthmatic, was prescribed Tamiflu on 6 August but did not fill it; if filled within…

emergency medicinegeneral practicediagnosticcommunicationoseltamivir
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

…, where blood gas analysis revealed critical hypoxemia (pO2 48mmHg, PaCO2 100mmHg) following midazolam administration. Despite these serious findings suggesting respiratory compromise, he was transferred to the mental he…

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
WAhospital2005-09

Inquest into the Death of Maria Donatelli

72y · Female·Peritonitis due to perforated diverticulum in transverse colon

Maria Donatelli, a 72-year-old woman with cardiac and renal disease, presented to Peel Health Campus with abdominal pain and vomiting. She was initially managed conservatively with a provisional diagnosis of pancreatitis…

general surgeryemergency medicinediagnosticcommunicationtramadol
SAaged care2018-09-28

Coroner's Finding: ROLLBUSCH Graham

70y · Male·combined effects of severe pulmonary emphysema, ischaemic heart disease and rece…

A 70-year-old man with severe COPD, dementia and a history of sexually inappropriate behaviour died following an assault by another resident with dementia. The coroner found institutional failures in care standards inclu…

geriatric medicinepsychiatrydiagnosticcommunicationolanzapine

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