Coronial
QLD2026-03-31

Inquest into the death of Kyle James Gallagher

22y · Male·Airway obstruction due to laryngeal abscess and laryngeal chondronecrosis due to…

…l review. The junior ENT doctor did not escalate concerns when the rehabilitation team reported worsening stridor. Kyle was not transferred for urgent airway intervention and remained in a rehabilitation setting where n…

ENT surgeryradiologydiagnosticcommunicationdiazepam
VIChospital2017

Finding into death of Nghi Trieu Gla Pham

4y · Male·Complications of T-cell lymphoma

Nghi Pham was a 4-year-old admitted to Sunshine Hospital with facial swelling, stridor, and upper respiratory symptoms. He was examined by emergency and ENT teams, diagnosed with adenoiditis a…

emergency medicineENT surgerycefalexin
VIC2018-03-09

Finding into death of Damien Nobile

37y · Male·Acute epiglottitis

… epiglottitis can progress rapidly and requires high clinical suspicion in a patient with sore throat and stridor/breathing difficulty; custodial settings should not compromise medical care standards.

emergency medicinegeneral practicediagnosticcommunicationcelecoxib
VIChospital2021-07-26

Finding into death of G H

61y · Female·Pneumonia in a woman with multiple co-morbidities

…equiring substantial care. In her final week, she developed reduced oral intake, drowsiness, apnoeas, and stridor. On admission, she had type 2 respiratory failure and consolidation on chest imaging. Despite antibiotics…

respiratory medicineemergency medicineolanzapine
WAcommunity2010-04-15

Inquest into the Death of Lynch

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

… dining at a nearby hotel. Approximately 15 minutes later, she developed severe respiratory distress with stridor and cyanosis. She was treated by sole-operator nurse Marion Pederson at the Coral Bay Nursing Post under …

emergency medicinegeneral practicedelaydiagnosticadrenaline
VIC2020-12-09

Finding into death of Alma Lynette Honeychurch

76y · Female·Ludwig's angina

…injury. Key lessons: Ludwig's angina requires recognition of airway compromise risk (may not present with stridor), urgent escalation protocols, and appropriate retrieval coordination for critically unwell patients from…

emergency medicinedentistrydiagnosticcommunicationantibiotics
QLDhospital2016-11-07

Bower, Malaki Ron - Non-inquest findings

2y · Male·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest secondary to up…

…y ambulance and dexamethasone at hospital, then discharged after only 3 hours observation despite ongoing stridor. Queensland Health guidelines required 4+ hours observation post-adrenaline before safe discharge. The fo…

emergency medicinepaediatricsdiagnosticcommunicationnebulised adrenaline

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