Coronial
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QLDhospital2025-10-24

Non-Inquest findings into the death of Ms G

76y · Female·Head injury comprised of subdural haematoma, subarachnoid haemorrhage with brain…

A 76-year-old woman died from complications of a severe head injury sustained in a motor vehicle collision. She was initially managed conservatively at a regional hospital, but her condition deteriorated markedly at 9pm …

neurosurgeryemergency medicinecommunicationdelay
VIChospital2025-07-22

Finding into death of Helena Zoe Broadbent

32y · Female·Head injuries in a motor vehicle incident

Helena Zoe Broadbent, a 32-year-old pregnant Aboriginal woman, died from severe head injuries sustained when her partner William Wilson drove off in a vehicle while she was partially inside it, causing her to be ejected …

emergency medicinetrauma surgerycommunicationsystemcannabis
VIChome2025-03-14

Finding into death of Jonathan Mark Townsend

59y · Male·Unascertained

Jonathan Townsend, a 59-year-old Navy veteran with PTSD, alcohol use disorder, and multiple psychiatric comorbidities, died at home on 5 November 2021. The cause of death was unascertained despite autopsy and toxicology.…

trauma surgerypsychiatrycommunicationsystemdiazepam
VIChospital2024-12-02

Finding into death of S K

25y · Male·Gunshot injury to the head

SK, a 25-year-old man with ADHD, borderline personality disorder, PTSD, depression and anxiety, died from a self-inflicted gunshot wound while handling an unregistered revolver under the influence of amphetamines, cannab…

emergency medicinepsychiatrysystemdelaymethamphetamine
NSWcommunity2023-11-30

Inquest into the death of Jacob Carr

53y · Male·Gunshot wound to the left thigh with transection of femoral artery and vein; exs…

Jacob Carr died from a gunshot wound to his left thigh sustained during a police operation at his home. He had assaulted his elderly mother, and police responded to a domestic violence call. During confrontation, Mr Carr…

emergency medicineparamedicinesystemdelayalcohol
NSWhospital2023-10-31

Inquest into the death of Adam Fitzpatrick

20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…

Adam Fitzpatrick, a 20-year-old with complex facial and skull fractures from a motor vehicle collision, underwent emergency tracheostomy placement. On 22 August 2020, 13 days later, his tracheostomy tube became dislodged…

intensive careanaesthesiadiagnosticproceduralrocuronium
WAaged care2023-10-11

Inquest into the Death of Kathryn PAPANASTASIOU

74y · Female·Fractures of the legs, with terminal palliative care, in an elderly lady with mu…

Ms Papanastasiou, a 74-year-old aged care resident confined to a wheelchair, died from bilateral femoral fractures sustained when she fell from her wheelchair during sudden bus braking. The wheelchair was secured using o…

geriatric medicineorthopaedic surgerysystemprocedural
QLD2023-05-02

Watts, Billy-Joh

36y · Male·Multiple injuries due to struck by falling pipe

Billy-Joh Watts, a 36-year-old truck driver, was fatally struck by a falling steel pipe while acting as a spotter during unloading operations. Multiple contributing factors were identified: he had worked 26 days consecut…

occupational and environmental healthpsychologysystemcommunication
VIChospital2023-04-18

Finding into death of Abdullahi Osman Bashir

27y · Male·Head injury

Abdullahi Bashir, 27, died from a severe head injury sustained during an alleged altercation on 7 June 2017. Following a punch to the face, he fell backwards and struck his head on the road. He was taken to a private res…

neurosurgeryintensive carediagnosticdelaymethamphetamine
ACTcommunityPodcast2023-03-17

AN INQUEST INTO THE DEATH OF CHRISTIAAN ADRIAAN ROODT

17y · Male·Circulatory failure caused by traumatic brain injury from being struck by a log

Christiaan Adriaan Roodt, a 17-year-old Year 10 student, died from traumatic brain injury when struck by a 6-metre log during a 'Capture The Flag' game at Mount Ainslie, near his school. Key clinical lessons: (1) The ina…

emergency medicinetrauma surgerysystemcommunication
TASaged care2023

Coroner's Finding: Tweedie, Valma Ann

72y · Female·Pneumonia following cervical spine injuries sustained in an unwitnessed mechanic…

Valma Ann Tweedie, aged 72, died from pneumonia following cervical spine injuries sustained in an unwitnessed fall at a disability support facility. She had a known history of falls, mobility problems, and probable demen…

emergency medicinetrauma surgerydiagnosticcommunication
VICcommunity2022-12-01

Finding into death of Gabriel Messo

30y · Male·Gunshot wounds to the chest

Gabriel Messo, a 30-year-old man with bipolar affective disorder, died from gunshot wounds inflicted by Victoria Police on 16 July 2020 after violently assaulting his mother at John Coutts Reserve. Clinical lessons inclu…

psychiatryemergency medicinecommunicationsystem
TAScommunity2022-07-04

Coroner's Finding: Leighton, Garth Mcdonald

58y · Male·chest and abdominal injuries sustained in motor vehicle collision

A 58-year-old experienced motorcycle rider died from massive chest and abdominal injuries after losing control on a rural curve and colliding with an oncoming vehicle. He was initially conscious with three doctors presen…

emergency medicinesurgerysystemdelay
TAShospital2022-01-21

Coroner's Finding: de Wit, Pauline Catherine Marie

53y · Female·acutely decompensated congestive cardiac failure due to blunt traumatic injuries…

A 53-year-old woman with severe intellectual disability and scoliosis died from acute decompensated congestive cardiac failure following blunt traumatic injuries sustained in a five-vehicle motor vehicle crash. She was a…

emergency medicineintensive caresystemdelay
TAS2021-08-09

Coroner's Finding: Negga, Retbe Chide

50y · Male·blunt trauma of the abdomen, pelvis and legs

Retbe Chide Negga, an Ethiopian-born seasonal farm worker, died from crush injuries after his leg became trapped beneath a trailer wheel while attempting to board a moving tractor-trailer at a cherry orchard. Key clinica…

trauma surgeryemergency medicinesystemcommunicationketamine
NSW2021-05-26

Inquest into the death of Liam WOLF

19y · Male·unexpected arrhythmogenic event leading to a fall from height, blunt force head …

PTE Liam Wolf, a 19-year-old Australian Army recruit, died after collapsing on an obstacle course at Kapooka during the final training exercise. He experienced a sudden unexpected cardiac arrhythmia while climbing a ladd…

emergency medicinecardiologysystemdelay
VICcommunity2021-05-25

Finding into death of Kylie Jane Cay

44y · Female·haemoperitoneum due to ruptured splenic subcapsular haematoma in the setting of …

Kylie Cay, a 44-year-old woman, was brutally assaulted by her partner Justin Turner on 18 June 2016, sustaining rib fractures and other injuries. She was discharged from hospital on 20 June after imaging did not reveal a…

paramedicineemergency medicinediagnosticcommunication
QLDhospital2021-03-09

Horne, Ashley Thomas

49y · Male·Stab wound to the chest

A 49-year-old man with anxiety and depression died from a self-inflicted stab wound to the chest sustained during police response to a domestic violence call. He had brought tools and weapons to his ex-partner's home. Wh…

emergency medicineparamedicinecommunicationdelaysertraline
VIChospital2021-02-26

Finding into death of MrJ

22y · Male·Drowning

A 22-year-old university student with recent substance use presented to ED following violent behaviour. He had facial trauma with mild head injury and abnormal metabolic parameters. Initial management appropriately prior…

emergency medicinepsychiatrysystemdelayMDMA
QLDhospital2021-01-27

Brown, Tara Matekino - Non-inquest findings

24y · Female·Head injury from repeated blunt force trauma

A 24-year-old woman was fatally assaulted by her intimate partner after a period of escalating domestic and family violence. The perpetrator had a documented history of violent DFV across multiple relationships, with pri…

emergency medicineintensive carediagnosticcommunication

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