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VIChospital2020-02-28

Finding into death of Keith Walter Sharp

63y · Male·Cerebral infarction complicating vertebral artery dissection following motor veh…

Keith Walter Sharp, 63, sustained a motor vehicle collision causing vertebral artery dissection and subsequent cerebral infarction. At Albury Base Hospital, initial CT imaging at 10:44am identified significant cervical s…

emergency medicineradiologydelaydiagnosticaspirin
NSWcommunity2020-01-24

Into the death of Thomas Redman

18y · Male·Incised wound to right axilla with complete transection of basilic vein, brachia…

Thomas Redman, aged 18, sustained a catastrophic laceration to his right axilla involving complete transection of major arteries and veins after putting his arm through a glass window at a rural property near Gloucester,…

emergency medicinetrauma surgerycommunicationsystemoxygen
TAScommunity2020-01-03

Coroner's Finding: Quad bike related deaths of Heather Dawn Richardson, Jan Severin Jensen, Kendall Russell Bonney, Vicki Mavis Percy, Jay Randall Forsyth, Jabob Graham Green and Roger Maxwell Larner

Multiple causes across seven deaths: severe blunt trauma, crush injuries, trauma…

This coronial inquest examined seven quad bike fatalities in Tasmania between 2012-2015. The deceased included farmers, workers, and recreational riders aged 21-75 years. Key findings: inadequate training was a significa…

emergency medicinepathologysystemprocedural
NSWcommunity2019-10-04

Inquest into the death of Olivia INGLIS

27y · Female·chest injuries

Olivia Inglis, 27, died from chest injuries sustained in a fall whilst competing in the cross country phase of eventing at the 2016 Scone Horse Trials. She successfully negotiated fence 8A but fell at fence 8B. The coron…

emergency medicineparamedicinesystemcommunication
QLDhome2019-10-02

Banjo, Neil Richard

53y · Male·Traumatic brain injury sustained from police use of force on 25 February 2016, t…

Neil Banjo, a 53-year-old Aboriginal man, died from traumatic brain injury sustained during a police confrontation on 25 February 2016 in Normanton, Queensland. Officers attended a family birthday party to arrest his int…

trauma surgeryemergency medicinesystemdelay
WAcommunity2019-09-23

Inquest into the Death of Sean MORGAN-SMITH

45y · Male·Abdominal injuries from being struck by reversing front-end loader

Sean Morgan-Smith, a 45-year-old Australia Post delivery worker, was struck by a reversing front-end loader while delivering mail on a residential footpath in Huntingdale, Western Australia on 24 June 2015. He sustained …

emergency medicinetrauma surgerysystemdelay
NT2019-08-09

Inquest into the death of Robin Riley, Thomas Turpin, Fabian Andrews, Cassandra Martin

Blunt force trauma from motor vehicle accident (four deceased: head injuries in …

Four people died in a single vehicle rollover on Kakadu Highway, NT. The driver (Robin Riley, 46) and three unrestrained passengers (Thomas Turpin, 39; Cassandra Martin, 32; Fabian Andrews, 45) were killed when their veh…

emergency medicineretrieval medicinesystemdelayalcohol
SAhospital2019-05-31

Coroner's Finding: CHAPLIN Gray Clyde

81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…

An 81-year-old man sustained multiple rib fractures from a 1.5m ladder fall. Initial assessment at a rural hospital on day one was appropriate. However, when chest X-rays on day two revealed 9 rib fractures, the treating…

general practiceemergency medicinediagnosticdelaymorphine sulphate
WAhospital2019-05-13

Inquest into the Death of Daniel Josef ADWENT

44y · Male·gunshot wound to abdomen

A 44-year-old male died from a gunshot wound to the abdomen sustained during a police response to a domestic violence incident. He became aggressive, wielded a knife, and lunged at police after Taser and pepper spray fai…

emergency medicinegeneral surgerycommunicationdelay
VICcommunity2019-01-31

Finding into death of Pauline Mary Riordan

61y · Female·injuries sustained in a motor vehicle collision as a passenger

A 61-year-old woman died from hypovolaemic shock and cardiac arrest following a motor vehicle collision in rural Victoria. She was trapped in her vehicle for approximately 90 minutes with severe crush injuries and lower …

emergency medicinetrauma surgerydelaymorphine
WAcommunity2019-01-29

Inquest into the Death of Glenn William STRICKLAND

43y · Male·Complications of neck injury; specifically extensive brainstem infarction second…

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 nego…

emergency medicinetrauma surgerysystemdelay
NTPodcast2019-01-16

Inquest into the death of Jason Challis

25y · Male·Gunshot wound to the head

Jason Walter Challis, a 25-year-old rifleman with only 10 months of Defence Force training, was fatally shot in the head during an urban operations live fire exercise at Mount Bundey on 10 May 2017. He was positioned beh…

paramedicineoccupational and environmental healthsystemcommunication
VIChospital2018-10-11

Finding into death of John Richard Connelly

78y · Male·Complications of blood loss from femoral fracture sustained in harness riding in…

A 78-year-old man with ischaemic heart disease on warfarin sustained a compound femoral fracture with massive bleeding after a harness racing accident in a rural location. Despite exemplary prehospital care and timely he…

emergency medicinetrauma surgerydelaysystemwarfarin
ACThospital2018-06-28

AN INQUEST INTO THE DEATH OFJOSEPH YATRAS

52y · Male·Left chest cavity and abdominal cavity haemorrhage due to multiple rib fractures…

A 52-year-old man died from massive internal bleeding (left chest and abdominal cavity haemorrhage) following a motorcycle accident with multiple rib fractures and splenic laceration. He initially appeared to recover wit…

trauma surgeryintensive carediagnosticdelaycannabis
VIChospital2017-12-05

Finding into death of Eric George Fiesley

68y · Male·COMPLICATIONS OF MULTIPLE INJURIES SUSTAINED IN A MOTOR VEHICLE INCIDENT

A 68-year-old experienced motorcyclist died from complications of multiple injuries sustained in a motor vehicle collision on 8 May 2017 when a vehicle driven by an 82-year-old man turned right directly into his path. Th…

emergency medicinetrauma surgerysystemdelay
WAhospital2017-07-11

Inquest into the Death of Beasley (also known as Graeme Leslie Syme)

49y · Male·Complications of penetrating sharp force injuries through the chest and abdomen …

Graeme Leslie Syme (Beasley), a 49-year-old male on parole with methamphetamine use history, died from penetrating chest and abdominal stab wounds he self-inflicted. Key clinical lessons: his case involved self-harm foll…

emergency medicinetrauma surgerysystemdelaymethamphetamine
SAhospital2017-06-22

Coroner's Finding: BAARTSE Leila Marijke

9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma

Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforation was never diagnosed. At a r…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
NSW2016-11-04

Inquest into the death of Phillip Hughes

25y · Male·traumatic basal subarachnoid haemorrhage due to vertebral artery dissection

Phillip Hughes, a 25-year-old professional cricketer, died from traumatic basal subarachnoid haemorrhage caused by vertebral artery dissection after being struck on the neck by a cricket ball during a Sheffield Shield ma…

emergency medicineneurosurgerycommunicationsystem
TAScommunity2015-12-23

Coroner's Finding: Field, Jayden Craig

19y · Male·Severe traumatic head injury sustained from impact with roadway surface after ex…

Jayden Craig Field, a 19-year-old intoxicated male, died from severe traumatic head injury sustained when he exited a moving taxi at approximately 41-48 km/h after a planned fare evasion. The coroner found that all four …

emergency medicinetrauma surgerydelaysystemalcohol
NSW2015-07-10

Inquest into the death of Tyrone Marley Gilks

19y · Male·chest injuries caused by blunt force trauma suffered in a high speed motorcycle …

Tyrone Gilks, 19, a professional freestyle motocross rider, died from chest injuries after a motorcycle long-distance jump attempt at Maitland Showground. His motorcycle had insufficient speed (111 km/h vs required 114.5…

trauma surgeryintensive caresystemcommunication

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