Coronial
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QLD2010-06-17

Challis, George Edgar

40y · Male·Head injury from assault

George Edgar Challis, a 40-year-old remand prisoner, died on 12 July 2006, eleven days after being assaulted by another inmate at Woodford Correctional Centre. He sustained a severe head injury from stomping to the head,…

trauma surgeryneurosurgerycommunicationdelay
QLDpolice station2010-05-14

Mulrunji - aka Cameron Doomadgee

36y · Male·Intra-abdominal haemorrhage due to rupture of liver and portal vein; also sustai…

Cameron Doomadgee (Mulrunji), a 36-year-old Aboriginal man from Palm Island, died in police custody on 19 November 2004 from intra-abdominal haemorrhage due to rupture of his liver and portal vein. This inquest, re-opene…

forensic medicinetrauma surgerysystemdelayalcohol
VIChospital2010-04-16

Finding into death of Kum Yeo Bae

60y · Female·Penetrating injury of the descending thoracic aorta complicating spinal stabiliz…

A 60-year-old woman died from a penetrating injury to the descending thoracic aorta sustained during spinal stabilisation surgery for a T12 burst fracture. During pedicle cannulation, the surgical awl fractured the left …

neurosurgeryanaesthesiacommunicationdelay
QLD2009-09-10

Blee, Jason George Elliott

33y · Male·Pelvic crush injury sustained while working at an underground coal mine

Jason Blee, a 33-year-old experienced miner and trainer at Moranbah North Mine in Queensland, was fatally crushed on 9 April 2007 when a shuttle car pinned him against a rib (wall) in a narrow underground heading. Follow…

occupational and environmental healthemergency medicinesystemdelay
NThospital2008-10-29

Inquest into the death of Sandra McRae

57y · Female·acute pulmonary embolism

Sandra McRae, age 57, died from pulmonary embolism on day 13 of hospitalisation following pelvic fractures sustained in a motor vehicle accident. The coroner found the death was potentially preventable due to failure to …

orthopaedic surgeryintensive carediagnosticsystem
QLDhospital2008-10-14

Mathers, John William

26y · Male·Air embolism due to ruptured spleen (surgery) due to motorcycle accident

John Mathers, 26, died from air embolism during emergency surgery following severe motorcycle trauma. A sedan turned across his path; despite heavy braking, he collided and suffered extensive injuries including ruptured …

emergency medicinetrauma surgerycommunicationsystem
SAhospital2007-02-07

Coroner's Finding: ROBBINS Amy Louise

16y · Female·intra-abdominal haemorrhage due to ruptured spleen

A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital,…

trauma surgeryemergency medicinesystemdelay
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

A 36-year-old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was t…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
QLDhospital2006-07-28

Zimitat, Vivian Bexley

68y · Male·pulmonary embolism secondary to immobilisation as a result of subdural haemorrha…

A 68-year-old man with cardiac history presented to Rockhampton Hospital after a fall with head trauma, found unconscious with alcohol intoxication. CT scanning revealed a right subdural haematoma and skull fracture. Con…

neurosurgeryneurologycommunicationsystem
NTcommunity2006-06-29

Inquest into the death of Clifford Brown

58y · Male·Multiple injuries occasioned in a motor vehicle accident (broken neck, ruptured …

Clifford Brown, an Aboriginal man aged 58, died from multiple injuries sustained in a motor vehicle accident on 18 December 2004 at Barrow Creek, NT. The central clinical issue was the inadequate emergency assessment and…

emergency medicineparamedicinediagnosticcommunication
SAcommunity2006-02-22

Coroner's Finding: SINCLAIR-SPAAN Christopher James

21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…

A 21-year-old man died from massive internal bleeding into the pelvis and retroperitoneum following a motor vehicle collision with a stobie pole in rural South Australia. He was trapped for over 2 hours before extricatio…

intensive caretrauma surgerycommunicationsystem
NThospital2005-04-06

Inquest into the death of Peter Wiryal

48y · Male·Cerebrovascular Accident (stroke) caused by subdural haemorrhage, which resulted…

Peter Wiryal, 48, was struck by a white van driven by an intoxicated Daniel Johnson along George Crescent, Fannie Bay at approximately 12:30am on 4 April 2003. He was discharged from Royal Darwin Hospital on 4 April afte…

emergency medicineneurosurgerydiagnosticcommunicationalcohol
SA2003-11-07

Coroner's Finding: GOLDSMITH Brenton Maurice

19y · Male·Head injury: depressed stellate (star-shaped) fracture of skull with diffuse sub…

A 19-year-old male died from severe head injury (depressed stellate skull fracture with subarachnoid haemorrhage) sustained when a stolen motorcycle he was riding struck a kerb while evading police on Port Road, Adelaide…

emergency medicinetrauma surgerycommunicationsystemalcohol
VICcommunity2002-02-08

BEVERIDGE Graham

52y · Male·multiple injuries including right ventricular rupture

A 52-year-old volunteer race marshal was fatally struck by a detached Formula One race car wheel that passed through a gap in the debris fence at the 2001 Australian Grand Prix at Albert Park. The wheel was travelling at…

emergency medicineintensive caresystemdelay
SAcommunity2001-10-05

Coroner's Finding: BEDNAREK Shantel Lisa

7y · Female·Multiple abdominal injuries including traumatic rupture of the liver and stomach…

A 7-year-old girl died from massive abdominal injuries sustained when a car, driven by an insulin-dependent diabetic man, collided with a group of pedestrians. The driver had undiagnosed and unaware hypoglycemia at the t…

endocrinologyemergency medicinediagnosticcommunicationinsulin

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