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WAhome- 12 September 2014

Inquest into the Death of Shionah Violet Teneille CARTER

26y · Female·Unlawful Homicide - positional asphyxia during violent assault and sexual attack

A 26-year-old Aboriginal woman died from positional asphyxia during a violent assault and sexual attack by her intimate partner. She sustained traumatic brain injuries causing concussion/unconsciousness, rendering her vu…

pathologyneurologysystemcommunicationmethamphetamine
VIC2013-10-21

Finding into death of Stephanie Louise Meredith

46y · Female·Multiple injuries sustained in collision between semi-trailer and train; tension…

On 5 June 2007, a semi-trailer collided with a V/Line passenger train at Kerang level crossing in Victoria, killing 11 train passengers immediately and one more (Harold Long) during transfer. The driver (Mr Scholl) faile…

emergency medicinetrauma surgerysystemdelaymorphine
VIC2013-10-21

Finding into death of Jaesok Lee

26y · Male·Multiple injuries from collision between semi-trailer and train at level crossin…

On 5 June 2007, a semi-trailer collided with a V/Line passenger train at the Kerang level crossing, killing 11 passengers. The driver had crossed this crossing hundreds of times without seeing a train, was familiar with …

emergency medicinetrauma surgerysystemdelay
VICcommunity2013-10-21

Finding into death of Matthew John Stubbs

13y · Male·chest and abdominal injuries sustained in collision between semi-trailer and tra…

A 13-year-old boy, Matthew Stubbs, died when a semi-trailer collided with a V/Line passenger train at the Kerang level crossing on 5 June 2007, killing 11 train passengers total. The driver failed to see the train despit…

emergency medicinetrauma surgerysystemdelay
VIC2013-10-21

Finding into death of Chantal Rose Meredith

5y · Female·Multiple injuries sustained in a collision between a semi-trailer and a V/Line p…

A semi-trailer collided with a V/Line passenger train at a level crossing near Kerang on 5 June 2007, killing 11 passengers instantly or within hours. The collision was caused by a heavy vehicle driver unfamiliar with th…

emergency medicinetrauma surgerysystemdelay
VIClevel crossing collision between vehicle and train2013-10-21

Finding into death of Nicholas William Parker

32y · Male·Multiple injuries sustained when struck by semi-trailer at level crossing

In 2007, a semi-trailer collided with a V/Line train at the Kerang level crossing in regional Victoria, killing 11 train passengers. The driver, Christian Scholl, did not see the flashing red-filtered incandescent lights…

emergency medicinetrauma surgerydiagnosticsystem
VICcommunity2013-10-21

Finding into death of Rosanne Eve McMonnies

17y · Female·Multiple injuries sustained in collision between semi-trailer and train

On 5 June 2007, a semi-trailer collided with a V/Line passenger train at Kerang level crossing in Victoria, killing 11 passengers. The driver was familiar with the crossing but failed to see flashing red warning lights a…

emergency medicinetrauma surgerysystemdelay
VIC2013-10-21

Finding into death of Geoffrey Ian McMonnies

50y · Male·Multiple injuries sustained in collision between semi-trailer and train

A comprehensive coronial investigation into 26 deaths from 12 level crossing collisions in Victoria (2002-2009), with particular focus on the Kerang incident (5 June 2007) in which 11 train passengers died when a semi-tr…

emergency medicinetrauma surgerysystemdiagnostic
VIC2013-10-21

Finding into death of Danielle Louise Meredith

8y · Female·Multiple injuries sustained in collision between semi-trailer and train at level…

On 5 June 2007, a semi-trailer driven by Christian Scholl collided with a V/Line passenger train at the Kerang level crossing in regional Victoria, killing 11 train passengers and causing severe injuries. This comprehens…

emergency medicinetrauma surgerysystemdelay
VIC2013-10-21

Finding into death of Ercil Jean Webb

79y · Female·multiple injuries sustained in collision between semi-trailer and train

On 5 June 2007, a semi-trailer collided with a V/Line passenger train at the Kerang level crossing, killing 11 train passengers. The driver had traversed this crossing many times in seven years without seeing a train, an…

emergency medicinetrauma surgerysystemdelay
WA2013-03-08

Inquest into the Death of Thoms, Gemma Geraldine

17y · Female·Acute Methylenedioxymethylamphetamine (MDMA) toxicity

Gemma Thoms, a 17-year-old girl, died from acute MDMA toxicity after consuming three ecstasy tablets at the Big Day Out music festival on 1 February 2009. She collapsed and died on 2 February 2009. Key clinical lessons: …

emergency medicineintensive carediagnosticsystemMDMA
QLDhome2012-12-06

Bramble, Julie Anne

50y · Female·septicaemia

Julie Anne Bramble, a 50-year-old woman with alcohol dependence and recent drug use, died from septicaemia on 1 April 2011 at her home in Bundaberg. Over 4-5 days prior to death, she developed progressive symptoms includ…

emergency medicineparamedicinedelaycommunicationmethamphetamine
QLDhome2012-11-14

Galeano, Antonio Carmelo

39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…

Antonio Carmelo Galeano died in police custody on 12 June 2009 after a protracted struggle and multiple taser activations. He had acute amphetamine toxicity and was displaying excited delirium—a high-risk medical emergen…

emergency medicinepsychiatryproceduralcommunicationamphetamine
VIChospital2012-09-26

Finding into death of Holly Bridget Marion South

0y · Female·Hypoxic-ischaemic encephalopathy arising from thrombosis in Blalock-Taussig shun…

Holly South, an 8-month-old with complex congenital heart disease requiring a Blalock-Taussig shunt, died of hypoxic-ischaemic encephalopathy from thrombosis in her shunt after presenting to hospital with vomiting and si…

cardiologycardiothoracic surgerycommunicationsystem
VICcommunity2012-08-17

Finding into death of Jesse Ross Sangster

28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)

Jesse Sangster, 28, died from injuries sustained in a high-speed motor vehicle collision while intoxicated. He had a 12-year history of bipolar affective disorder with comorbid substance abuse disorder, personality disor…

psychiatryparamedicinesystemdelayalcohol
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following susp…

emergency medicinegeneral practicediagnosticdelaymorphine
QLDhome2012-06-29

Baby M

2y · Male·Hypoxic-ischaemic encephalopathy

Baby M was born at term (35-38 weeks gestation) into a toilet bowl at home on 27 November 2008 after an unrecognised pregnancy. The mother reported no awareness of pregnancy despite a positive pregnancy test earlier in t…

neonatologyparamedicinediagnosticdelay
WAcommunity2011-02-28

Inquest into the Death of Collins

0y · Male·cardiac arrhythmia associated with surgically corrected congenital heart disease

Edward Thomas Collins was a 3-month-old neonate with surgically corrected congenital heart disease (Total Anomalous Pulmonary Venous Drainage) who died on 14 January 2007 from cardiac arrhythmia. On 13 January 2007, he p…

emergency medicinegeneral practicediagnosticcommunication
SAhome2010-06-04

Coroner's Finding: SPENCER-KOCH Tate - Ruling

Female·intra-partum hypoxic event secondary to shoulder dystocia with prolonged foetal …

Tate Spencer-Koch was delivered via homebirth at 5:40am after her head crowned at 5:20am with shoulder dystocia causing entrapment in the birth canal for approximately 20 minutes. During this period, the foetus remained …

obstetricsmidwiferydelayadrenaline
WAcommunity2010-04-15

Inquest into the Death of Lynch

20y · Female·food-induced anaphylaxis, likely to peanut allergen

Kylie Lynch, a 20-year-old woman with chronic asthma and a known peanut allergy, died from anaphylaxis on 2 September 2007 in Coral Bay, Western Australia. She consumed desserts at Fin's Café after dining at a nearby hot…

emergency medicinegeneral practicedelaydiagnosticadrenaline

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