Coronial

411 results for ventilation

VIChome2023-06-26

Finding into death of R M

88y · Female·Carbon monoxide toxicity

…ad installed a portable gas-powered fridge (manufactured 1993) in the rear of her van using a makeshift ventilation system through a window. During an overnight stay at a campground, the fridge was operating with the ve…

systemoxycodone
NSW2011-07-28

Dani jinesh

29y · Male·carbon monoxide poisoning

…umidity and pool chemicals, and gaps in the external wall allowing gas infiltration into the mechanical ventilation system. A resident had collapsed from suspected CO poisoning three days prior, suggesting chronic hazar…

system
NSW1980-12-19

Inquest into the deaths from the Appin Mine Disaster

Unknown·Explosion injuries and carbon monoxide poisoning from methane gas ignition in un…

… the explosion resulted from ignition of methane gas in an unventilated B heading stub during a planned ventilation system changeover. Contributing factors included: inadequate communication of changeover procedures to …

communicationsystem
VIChospital2012-12-16

Finding into death of Luke Andrew Hyatt

6y · Male·Acute on chronic respiratory failure in the setting of hypotonic quadriplegic ce…

…s admitted to Royal Children's Hospital in November 2012, requiring escalation to ICU with non-invasive ventilation, then intubation. Despite maximal ventilatory support, his condition deteriorated. A planned withdrawal…

paediatricsintensive care
SAhospital2021-06-30

Coroner's Finding: MAZMANIDIS Kiriakos Jack

83y · Male·respiratory failure due to chronic obstructive lung disease

…ondary to hypoxia and lower respiratory tract infection. He was appropriately managed with non-invasive ventilation, antibiotics, and antipsychotics under a Mental Health Act order. Despite treatment, his condition dete…

respiratory medicineintensive carehaloperidol
VIChospital2015-07-30

Finding into death of Martin Robert Beaty

52y · Male·Community acquired pneumonia in a man with myotonic dystrophy

…osis but returned two days later with respiratory acidosis and type 2 respiratory failure. Non-invasive ventilation was commenced, but his condition deteriorated. Clinical assessment determined he was in terminal phase …

emergency medicinerespiratory medicinedigoxin
VIChospital2025-09-29

Finding into death of Baby M

0y · Female·Perinatal asphyxia

…ior registrar, then successful intubation by the consultant at 15 minutes of life but without effective ventilation achievement. Clinical lessons include: escalation to senior staff could have been marginally earlier (c…

obstetricsneonatologyproceduralcommunicationadrenaline
TAShome2023-10-25

Coroner's Finding: de-identified IY

54y · Male·Acute exacerbation of chronic obstructive pulmonary disease due to inhalation of…

…ive equipment despite warnings on paint containers and advice from his spouse. The shed lacked adequate ventilation. Death resulted from hypoxaemia and respiratory failure, with cardiac dysrhythmias secondary to hypoxia…

respiratory medicinecardiologytramadol
VIChospital2025-12-01

Finding into death of Larelle Sheridan Dean

51y · Female·Multiorgan failure in the setting of WHO Class III obesity, chronic excessive al…

…y failure, acute kidney injury, and constipation. Despite appropriate management including non-invasive ventilation, antibiotics, and diuresis, she deteriorated with recurrent hypoxic episodes and apnoea. A MET call on …

general medicineemergency medicinehydromorphone
VIChospital2010-06-10

Finding into death of Dale Graham Russ

26y · Male·Upper cervical spinal cord injury

…Jetty into shallow water on New Year's Day 2008. He was transferred to ICU where he required mechanical ventilation. After being informed of his dire prognosis (permanent ventilator dependence and institutional care), a…

intensive careneurologymorphine
NSW2022-03-07

Inquest into the death of Ronald Reeves

70y · Male·The combined effects of the complications of ventilation associated pneumonia, a…

… transferred to Canberra Hospital where he died on 17 May 2019. The cause of death was complications of ventilation-associated pneumonia, acute respiratory distress syndrome, and hypoxic ischaemic encephalopathy followi…

intensive careemergency medicinequetiapine
QLDhospital2008-11-28

McVey, Oliver Steven

67y · Male·Complicated endotracheal tube insertion due to or as a consequence of recent clo…

…ys of age. Following successful surgical ligation of a patent ductus arteriosus (PDA), Oliver developed ventilation difficulties in the immediate post-operative period. A 3.0mm endotracheal tube (ETT) was selected for i…

neonatologycardiothoracic surgeryproceduralcommunication
VIChome2018-08-22

Finding into death of Sonia Sofianopoulos

62y · Female·carbon monoxide toxicity

…city on 21 July 2017. A 25-year-old Vulcan OFG (open flued gas) heater in a sealed unit with inadequate ventilation spilled high levels of carbon monoxide into her home when bathroom and kitchen exhaust fans were operat…

forensic medicinetoxicologysystemdelay
VIChome2016-04-01

Finding into death of Michelle Lorraine Griffin

48y · Female·Acute respiratory failure (cerebral hypoxia) in a woman dependent on non-invasiv…

…in, 48, with motor neurone disease, died from acute respiratory failure while dependent on non-invasive ventilation (NIV) at home. A carer, Julie Manessis, was caring for her when the humidifier tipped over, water enter…

respiratory medicineneurologycommunicationsystemmorphine
WAhospital2007-06-08

Inquest into the Death of Rasmussen

31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…

…hetist, administered the intermediate-acting muscle relaxant Atracurium without first establishing that ventilation was possible—a fundamental breach of anaesthetic protocol. Despite his pre-operative assessment noting …

anaesthesiageneral surgerydiagnosticproceduralatracurium
VIChome2013-07-30

Finding into death of Tyler Robinson

6y · Male·Carbon monoxide poisoning

…ete combustion and dangerously high CO emissions (exceeding 3000 ppm). The sealed house lacked adequate ventilation, and operation of multiple extractor fans created negative pressure that reversed the flue operation, d…

systemdelay
SAhospital2008-11-13

Coroner's Finding: WILSON Edward James

29y · Male·air embolus complicating gunshot wounds to chest

…enetration) that had created a defect allowing air entry into pulmonary vessels under positive pressure ventilation. Air embolus occurred in the coronary arteries, causing left ventricular dysfunction. The coroner found…

trauma surgeryintensive care
VIChospital2019-03-28

Finding into death of Kerri Michelle Moore

55y · Female·Aspiration pneumonia in a woman with epilepsy and intellectual disability

…aspiration pneumonia. She was admitted with status epilepticus, treated with antibiotics and mechanical ventilation in ICU, then extubated. Despite initial improvement, she developed worsening infection markers and feve…

intensive carerespiratory medicine
NSWhome2010-12-15

Al mayahiasaad1995 09

42y · Male·Accidental carbon monoxide poisoning after exposure to fumes from barbecue briqu…

…brought inside as it remained warm and glowing. The apartment was particularly well-sealed with limited ventilation—high vents near ceiling with carbon monoxide settling at floor level where the man was exposed. Post-mo…

toxicology
VIChospital2014-10-01

Finding into death of Gary Jason Cramer

44y · Male·Influenza B infection

… on 16L O2) and was transferred to ICU where he was started on intravenous antibiotics and non-invasive ventilation. A nasopharyngeal aspirate confirmed Influenza B. After discussion with family, a decision was made aga…

intensive carerespiratory medicineaugmentation
1221

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