Coronial
WAcommunity

Inquest into the Death of Glenn William STRICKLAND

Deceased

Glenn William STRICKLAND

Demographics

43y, male

Coroner

Coroner Linton

Date of death

2014-01-21

Finding date

2019-01-29

Cause of death

Complications of neck injury; specifically extensive brainstem infarction secondary to bilateral vertebral artery occlusion caused by severe cervical spinal fracture-dislocation at C5/C6

AI-generated summary

Glenn William Strickland, an experienced Harley Davidson rider, died from brainstem infarction following severe cervical spinal injury sustained in a motorcycle crash on Julimar Road, Western Australia. He failed to negotiate a tightening right-hand curve while travelling at 110 km/hr (the speed limit) on an unfamiliar road, entered a stormwater drain, and struck an object. The injuries sustained were non-survivable. Expert medical review found the pre-hospital and hospital care met appropriate standards. Key clinical lessons: the injuries were inevitably fatal from impact; hyperthermia (not measured pre-hospital) would not have changed outcomes; rapid hospital imaging and interventions were appropriate. Contributing factors included the substandard road geometry, an inappropriately high speed limit for the curves (despite 80 km/hr advisory signs), poor vegetation clearing obscuring curve severity, and Mr Strickland wearing a non-compliant helmet lacking energy-absorbing foam (though spinal injury prevention unclear). Systemic failures included delayed road safety responses to prior fatalities and inadequate regulation of non-compliant helmet sales.

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

Specialties

emergency medicinetrauma surgeryintensive careneurosurgeryspinal surgerypathologyparamedicine

Error types

systemdelay

Clinical conditions

Cervical spinal fracture-dislocation (C5/C6)Spinal cord injuryBrainstem infarctionBilateral vertebral artery occlusionHyperthermiaTraumatic brain injuryVocal cord oedema

Procedures

intubationCT scanCT angiographyMRImechanical ventilationspinal traction

Contributing factors

  • Inappropriate speed for the road geometry and motorcycle type
  • Unfamiliar with the road; taken unaware by tightening curve
  • Substandard road curve geometry (150m radius unsuitable for 110 km/hr)
  • Inadequate warning of curve severity due to vegetation obscuring sightlines
  • Inadequately high speed limit of 110 km/hr for the road characteristics
  • Non-compliant motorcycle helmet lacking energy-absorbing liner
  • Harley Davidson cruiser style motorcycle with limited lean capability
  • Delayed road safety improvements despite prior fatal crashes
  • Failure to implement speed zoning despite repeated Shire requests
  • Failure to clear vegetation to improve sightlines prior to crash
  • Delayed and inefficient Black Spot funding application process

Coroner's recommendations

  1. The Minister for Road Safety should implement regulations to require motorcycle helmet retailers in Western Australia to provide written information to purchasers about whether the helmet complies with relevant approved standards for road use.
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