Coronial
Filters:

2,765 results

Export CSV (2,765)
SAhospital2013-08-19

Coroner's Finding: WEEKS Ronald Geoffrey

84y · Male·respiratory failure due to hospital-acquired pneumonia

Ronald Geoffrey Weeks, aged 84, died of respiratory failure due to hospital-acquired pneumonia following a hip fracture sustained in a fall at James Nash House psychiatric facility. He was serving an 8-year sentence for …

geriatric medicineorthopaedic surgerysystemdelay
SAhospital2013-08-19

Coroner's Finding: MOXON John William

69y · Male·Advanced motor neurone disease leading to terminal respiratory failure

A 69-year-old man died in custody from advanced motor neurone disease with terminal respiratory failure. He experienced progressive arm and leg weakness from March 2009, initially attributed to angina. Neurological refer…

neurologycorrectional healthdelayriluzole
SAhospital2013-08-19

Coroner's Finding: HUNT William Edward

62y · Male·chronic congestive cardiac failure due to severe aortic valve stenosis and incom…

William Edward Hunt, aged 62, a life-sentenced prisoner, died from chronic congestive cardiac failure due to severe aortic valve stenosis and cardiomyopathy. His severe aortic stenosis was identified in 2003, but surgica…

cardiologycardiothoracic surgerydelaycommunicationfurosemide
VIC2013-08-19

Finding into death of TH

2y · Female·Blunt force injury to the abdomen

A two-year-old girl died from blunt force injury to the abdomen, sustaining internal injuries including pancreatic rupture, jejunal rupture, and liver trauma with significant intra-abdominal hemorrhage. Evidence indicate…

paediatric surgeryemergency medicinedelaysystem
SAhospital2013-08-15

Coroner's Finding: STOCK Anthony Douglas

64y · Male·hypoxic-ischaemic encephalopathy complicating cardiac arrest due to retroperiton…

A 64-year-old man died from hypovolaemic cardiac arrest caused by retroperitoneal bleeding from a pelvic fracture. The bleeding occurred six days post-injury while on high-dose enoxaparin (100mg twice daily) initiated un…

orthopaedic surgeryemergency medicinediagnosticcommunicationenoxaparin
VIChospital2013-08-13

Finding into death of Thelma Katherine Holt

79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…

Mrs Thelma Katherine Holt, a 79-year-old woman with multiple comorbidities including obesity, vascular disease, hypertension, and prior Nissen fundoplication, underwent placement of a second intragastric balloon on 11 Se…

gastroenterologygeneral surgerydiagnosticproceduralsertraline
TAShome2013-08-09

Coroner's Finding: Miss N de-identified

20y · Female·injury caused by hanging

A 20-year-old woman with a long history of eating disorder, obsessive-compulsive behaviours, and adjustment difficulties died by suicide in October 2009. She had received treatment at the Bronte Centre in Melbourne and o…

psychiatrypsychologysystemdelaymethylphenidate
SA2013-08-09

Coroner's Finding: CLARKSON Peter Stephen

50y · Male·Injuries sustained in a shark attack

Peter Clarkson died following a shark attack while abalone diving in coastal South Australian waters in February 2011. This finding does not involve direct medical care failures but provides important lessons about emerg…

communicationsystem
VIChome2013-07-30

Finding into death of Tyler Robinson

6y · Male·Carbon monoxide poisoning

Tyler Robinson, age 6, died from carbon monoxide poisoning from an open-flued gas wall furnace at a rental property. The furnace had not been serviced for at least 2 years before occupancy and contained heavy soot deposi…

systemdelay
VIChome2013-07-30

Finding into death of Chase Robinson

8y · Male·Carbon monoxide poisoning

Chase Robinson, aged 8, died from carbon monoxide poisoning from an open-flued gas wall furnace that had not been serviced for at least 2 years. The furnace emitted extremely high CO levels (>10,000 ppm) due to heavy soo…

delaysystem
SAhospital2013-07-22

Coroner's Finding: SMITH Trevor John

62y · Male·extensive small cell lung cancer

Trevor John Smith, aged 62, died from extensive small cell lung cancer at Royal Adelaide Hospital on 18 March 2011. He was under Mental Health Act detention when he developed delusions and delirium during his final illne…

oncologycardiothoracic surgerysystemdelaydexamethasone
VICprison2013-07-19

Finding into death of Andrew Timothy Davies

39y · Male·Acute myocardial infarction arising from coronary artery atherosclerosis

Andrew Timothy Davies, a 39-year-old prisoner, presented with chest pain in August 2007. A 12-lead ECG was performed by Nurse Skrabl, a Division 2 registered nurse, showing abnormalities consistent with inferior myocardi…

cardiologyemergency medicinediagnosticcommunication
VIChospital2013-07-11

Finding into death of Stuart Alan Ronning

41y · Male·Hanging

Stuart Alan Ronning, a 41-year-old man with recurrent depressive disorder, alcohol dependency, and previous suicide attempts, presented to Royal Melbourne Hospital emergency department after being found with a noose at a…

psychiatryemergency medicinecommunicationsystemalcohol
QLDhospital2013-07-05

Brennan, Phil John Richard

13y · Male·Staphylococcus aureus bronchopneumonia due to perinatal hypoxic-ischaemic brain …

Phil Brennan was a 13-year-old boy with severe cerebral palsy and epilepsy who died from Staphylococcus aureus bronchopneumonia. He presented with breathing difficulties one week before death; his GP examined him on 25 J…

general practicepaediatricsdiagnosticdelay
QLDhome; home; home2013-07-04

Fuller, Matthew James; Barnes, Rueben Kelly; Sweeney, Mitchell Scott

25; 16; 22y · Male; male; male·Electrocution; Electrocution; Electrocution

Three young men died from electrocution while installing insulation under Australia's Home Insulation Program (HIP) between October 2009 and February 2010. Matthew Fuller (25) was killed when foil insulation he was layin…

communicationsystem
QLDmental health2013-07-02

Justin

35y · Male·Choking due to impaction of soap in airway

A 35-year-old man with treatment-resistant depression and complex psychiatric presentation died from choking on a bar of soap while in involuntary psychiatric care. He had attempted multiple suicides previously. Clinical…

psychiatryintensive caresystemcommunicationrisperidone
VIChospital2013-07-02

Finding into death of Bradley Piper

4y · Male·perinatal asphyxia

Bradley Piper was born prematurely (34 weeks) at Kilmore Hospital on 22 January 2007 and died from perinatal asphyxia. Expert evidence established that the hypoxic-ischaemic insult occurred before the last hour of labour…

obstetricsneonatologycommunicationdelaypethidine
QLDcommunity2013-06-28

Evans, Wendy Joy; Wilson, Lorraine Ruth

Female·Head wounds intentionally inflicted by or in the presence of Wayne Robert Hilton…

In October 1974, two young nurses, Wendy Evans (18) and Lorraine Wilson (20), disappeared while hitchhiking from Brisbane to Dubbo. Their remains were found two years later with evidence of fatal head injuries. This reop…

systemdelay
VIC2013-06-26

Finding into death of Russell John Robert McLarty

38y · Male·head injury sustained when he fell heavily and hit his head on a parked car and …

A 38-year-old man died from head injury sustained during an assault at a hotel car park on 5 November 2006. Following a verbal altercation in the bar with another patron about cannabis, he was invited outside where he wa…

emergency medicineneurosurgerydelaycannabis
VIChospital2013-06-20

Finding into death of Thomas James Brigham

38y · Male·metastatic lung carcinoma

Thomas Brigham, a 38-year-old prison inmate, died from metastatic lung carcinoma after a delayed diagnosis. Over three months, he presented repeatedly with back pain, weight loss, poor appetite, and a persistent cough. D…

general practiceemergency medicinediagnosticcommunication

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