Coronial

79 results for CT head imaging

TAShospital2021-05-24

Coroner's Finding: Lumley, Barry Alyn

81y · Male·acute subdural haematoma

An 81-year-old man suffered a witnessed fall at a shopping centre with head strike to the right parietal region. He presented to the ED with a small haematoma and confusion. The ED te…

emergency medicinecardiologydiagnosticproceduralparacetamol
TAShospital2015-09-07

Coroner's Finding: Weir, Mary

80y · Female·subdural haematoma due to closed head injury sustained in a fall from bed in hos…

An 80-year-old woman with chronic heart failure admitted to hospital fell from bed and hit her head. Although nursing staff were concerned about a possible head injury, the House Medical Officer incorrectly …

emergency medicinegeneral medicinediagnosticmedicationaspirin
TAShospital2025-03-17

Coroner's Finding: Phillips, Helen Lynette

77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)

…n was performed at Mersey Community Hospital despite the mechanism of injury and unconsciousness suggesting head trauma risk. Eight days later, she suffered a STEMI and received thrombolysis based on standard protocols. …

emergency medicinecardiologydiagnosticdelaythrombolytic agents
WAhome2007-09-14

Inquest into the Death of Jones Coronial

9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)

…pmental delay and neurological abnormalities. On 11 April 2000, he fell from a computer desk and struck his head. His GP, Dr A., diagnosed concussion and sent him home. When Dwayne vomited—abnormal for him—his mother too…

general practiceemergency medicinediagnosticdelayparacetamol
TAShospital2024-10-18

Coroner's Finding: Long, Leonard

73y · Male·subdural haematoma from fall

…interact significantly with warfarin. After the first fall on 1 February, he had postural hypotension, mild head pain, and confusion, but the post-fall clinical pathway form was not properly completed and no CT brain was…

general medicineemergency medicinediagnosticsystemwarfarin
TAShospital2017-04-19

Coroner's Finding: Sheedy, Barbara

77y · Female·Large acute subdural haemorrhage leading to uncal herniation subsequent to an ac…

…ed uninjured with normal neurological examination. However, she developed breathing difficulties and severe headache hours later, which were attributed to pre-existing pulmonary disease. A dilated pupil at 4:25am prompte…

emergency medicinegeneral medicinediagnosticdelaytemazepam
VIChospital2021-04-08

Finding into death of Ian Lindsay Gould

64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall

…cidal ideation and was admitted to an acute mental health unit. On 7 August, he fell backwards, hitting his head, but was assessed as orientated with no bruising. No CT scan was performed despite being on anticoagulation…

neurologyophthalmologysystemrivaroxaban
VIC2011-07-28

Finding into death of Mr M

82y · Male·closed head injury (subdural haematoma) sustained in a fall

… lessons: (1) falls prevention protocols must be actively implemented; (2) patients on anticoagulation with head trauma require urgent INR checking and careful consideration of CT imaging despite initially normal signs; …

emergency medicineneurosurgerysystemdelaywarfarin
SAhospital2015-08-13

Coroner's Finding: TRENGOVE Ivy Mavis

87y · Female·acute intracranial haemorrhage

… under a Mental Health Act detention order. She was on warfarin for DVT management when she collapsed. A CT head scan was performed but images could not be viewed due to a GE systems outage, and she died before imaging r…

cardiologypsychiatrywarfarin
VIChospital2011-02-25

Finding into death of Michael Peysack

69y · Male·Head injury post-collapse secondary to ventricular tachycardia due to ischaemic …

… at work with witnessed loss of consciousness and occipital laceration. Despite meeting criteria for urgent head CT imaging (age >65, head injury, loss of consciousness, anticoagulation), this was not performed in the Em…

emergency medicinecardiologydiagnosticcommunicationwarfarin
VIChospital2023-08-01

Finding into death of Michele Valentino

81y · Male·Head injury sustained in a fall

Michele Valentino, 81, died from a head injury sustained in a fall on 20 December 2019, with death occurring on 24 December 2019. A CT angiogram at…

emergency medicineradiologydiagnosticcommunicationaspirin
VICPodcast2024-09-19

Finding into death of George Diamond

18y · Male·complications of acute on chronic subdural haemorrhage (operated) in the setting…

…ute-on-chronic subdural haemorrhage sustained during boxing sparring on 18 February 2019. He had suffered a head injury during sparring on 25 October 2018, presenting with headache, nausea and dizziness. Dr H. reviewed h…

general practiceemergency medicinediagnosticdelayparacetamol
VIChospital2026-03-13

Finding into death of Wayne Ronald Watson

61y · Male·Intracranial haemorrhage and myocardial infarct

A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. Paramedics identified STEMI and administered heparin on …

cardiologyemergency medicinediagnosticcommunicationheparin
SAaged care2016-02-08

Coroner's Finding: FORD Marie Janet

84y · Female·acute left subdural haematoma

… initial response appropriate but highlighted a critical gap: patients on anticoagulation who sustain minor head injuries should be referred to hospital for assessment and CT scanning. This case illustrates the particula…

geriatric medicineemergency medicinecommunicationsystemwarfarin
VIChospital2025-10-28

Finding into death of Jean Elizabeth Crocker

90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …

A 90-year-old woman on warfarin for atrial fibrillation suffered an unwitnessed fall with head strike at an aged care facility. She presented to hospital where a small subdural haemorrhage was not detec…

emergency medicinegeneral medicinemedicationdiagnosticwarfarin
NSWhospital2023-06-23

Inquest into the death of Baylen Pendergast

21y · Male·Complications of blunt head injury resulting from at least two separate acts of …

Baylen Pendergast, 21 months old, died from complications of blunt head injury sustained in two separate traumatic incidents (17 and 28 November 2013). The coroner found injuries …

paediatricsemergency medicinediagnosticcommunication
TAShospital2020-04-01

Coroner's Finding: Button, Shirley Gwendoline

69y · Female·subdural haematoma

A 69-year-old woman sustained a head injury from a witnessed fall, striking her head on a brick wall. She lost consciousness, experienced headac…

emergency medicineradiologydiagnosticanticoagulant
NThospital2000-10-31

Inquest into the death of Marcio Jose Lay Nheu

26y · Male·Closed head injury with extradural and subdural haemorrhage resulting from a sku…

26-year-old Marcio Jose Lay Nheu died from a closed head injury with extradural haemorrhage caused by a blow to the head with a Maglite torch at Karama Shopping Cen…

emergency medicineneurosurgerydiagnosticcommunicationtemazapam
TAShospital2024-03-27

Coroner's Finding: Leary, Kane

17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…

…t internal carotid artery dissection on initial CT scans (27 May 2021). Although appropriate angiographic imaging was ordered by the emergency physician, the radiologist failed to identify a subtle occlusion at the term…

emergency medicineneurosurgerydiagnosticcommunicationmorphine
NSWhospital2016-12-20

Inquest into the death George TRIANTAFILOPOULOS

75y · Male·acute right subdural haemorrhage sustained in a fall

George Triantafilopoulos, a 75-year-old man on warfarin after aortic valve replacement, suffered two head strikes within 24 hours—first falling onto concrete at a supermarket on 14 August 2014, then falling onto c…

general practiceemergency medicinediagnosticdelaywarfarin

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