Coronial
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NTcommunity2025-08-01

Inquest into the death of Grace Moulding

27y · Female·Multiple blunt force injuries in the context of a single vehicle rollover

Grace Moulding, a 27-year-old British woman, died in a single-vehicle rollover on the Sandover Highway while driving an unregistered Art Centre vehicle at an estimated 116 km/h on an unsealed road. Critical failures incl…

occupational and environmental healthemergency medicinesystemcommunication
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
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
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
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
QLDhospital2021-01-27

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
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
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
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
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
VIChospital2015-04-29

Finding into death of John Manias

63y · Male·Multisystem organ failure, pneumonitis and sepsis; complications arising from a …

A 63-year-old man died on 11 March 2008 from multisystem organ failure, sepsis and pneumonitis following a fall. He was admitted to Dandenong Hospital with rib fractures and pelvic injuries. Clinical deterioration occurr…

trauma surgeryorthopaedic surgerydiagnosticcommunicationceftriaxone
VICcommunity2013-10-21

Attachment a

Blunt force trauma sustained in level crossing collisions between heavy vehicles…

Coronial investigation into 26 deaths at 12 level crossing incidents in Victoria between 2002-2009, with focus on the Kerang incident (5 June 2007) where 11 train passengers died after a semi-trailer collided with a pass…

emergency medicineparamedicinediagnosticcommunication
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
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
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 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
QLDhome2012-09-19

Diefenbach, Isabella Wren

0y · Female·Extensive cerebral destruction as a result of fractured skull following accident…

Isabella Wren Diefenbach, a 7-week-old infant, died from head injuries sustained when she fell from her father's arms after he stepped through a severely decayed timber board on the front verandah of the family's rented …

emergency medicinetrauma surgerydiagnosticsystem
VIC2012-03-23

Finding into death of Shane Bennett

19y · Male·Closed brain injuries sustained in motor vehicle accident

A 19-year-old male died from closed brain injuries sustained in a motor vehicle accident while being pursued by police. The deceased was driving an unregistered vehicle with false number plates through a 60 kmph zone tow…

emergency medicinetrauma surgeryproceduralcommunicationcannabis
QLD2012-03-01

Law, Roslyn Amelia

20y · Female·Head injuries sustained in motor vehicle accident

Roslyn Law, a 20-year-old passenger, died from severe head injuries sustained in a motor vehicle collision when the driver struck escaped cattle on a rural road, then collided with a stationary truck. The driver had used…

trauma surgeryemergency medicinediagnosticsystemcannabis

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