Coronial

23 results for air ambulance transport

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…

…ntable factors included: lack of proper pre-hospital triage protocols, over-triage leading to inappropriate air transfer of one victim without intensive care paramedic support, and failures in emergency coordination bet…

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

… not expecting a train, vehicle maintenance defects, emergency response systems, and the appropriateness of air transport of a critically injured patient without paramedic support. The investigation identified systemic …

emergency medicinetrauma surgerydiagnosticsystem
VIC2013-10-21

Finding into death of Harold Claude Long

83y · Male·Acute blood loss and shock/trauma in a man with cardiomegaly, myocardial fibrosi…

…osis despite appropriate emergency response. Harold Long developed a tension pneumothorax during fixed-wing air transport to Melbourne without Mobile Intensive Care Ambulance support, highlighting risks of air transfer …

emergency medicineparamedicinesystemproceduralmorphine
VIChome2010-11-05

Finding into death of Veronica Therese Campbell

38y · Female·complications following a ruptured ectopic pregnancy

…topic pregnancy requiring urgent transfer to Goulburn Valley Hospital. Critical failures occurred in the ambulance transfer: the case was initially prioritized as Code 2 (non-urgent), and despite multiple requests from …

emergency medicineobstetricscommunicationdelaymorphine
VIC2013-10-21

Finding into death of Jaesok Lee

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

…reness despite infrastructure, vehicle maintenance lapses, and tension pneumothorax risk from inappropriate air transfer of an older trauma patient.

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

…ve coordination between emergency agencies, delayed or inappropriate decisions regarding patient triage and air transport, and a level crossing risk assessment system (ALCAM) that failed to identify this dangerous site …

emergency medicinetrauma surgerysystemdelay
VICcommunity2013-10-21

Attachment a

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

…r brake maintenance; and critical failures in emergency medical response including inappropriate fixed-wing aircraft transfer of trauma patient without Mobile Intensive Care paramedic support. Coroner identifies systema…

emergency medicineparamedicinediagnosticcommunication
VIC2013-10-21

Finding into death of Geoffrey Ian McMonnies

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

…, particularly heavy vehicle operators); and emergency response (found Harold Long's transfer by fixed-wing aircraft without intensive care support may have contributed to his death through tension pneumothorax developm…

emergency medicinetrauma surgerysystemdiagnostic
VICcommunity2013-10-21

Finding into death of Rosanne Eve McMonnies

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

…icle brake maintenance (unroadworthy trailer brakes), and emergency response issues including inappropriate air transport of a trauma patient. While some deaths were immediate from impact, Harold Long's death may have b…

emergency medicinetrauma surgerysystemdelay
TAShospital2021-06-07

Coroner's Finding: RA

17y · Male·massive head injury sustained in a fall from height (approximately 3.5 metres th…

…ry school. He landed on concrete at 10:30 pm after the sail tore under his weight while jumping. Friends transported him to North West Regional Hospital (giving a false history of basketball injury) where CT imaging rev…

emergency medicineneurosurgerysystem
VIC2013-10-21

Finding into death of Danielle Louise Meredith

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

…r with immediately fatal injuries; and one patient (Harold Long) died after being transferred by fixed-wing aircraft without Mobile Intensive Care support, possibly due to tension pneumothorax developing during pressuri…

emergency medicinetrauma surgerysystemdelay
VIC2013-10-21

Finding into death of Stephanie Louise Meredith

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

…intenance, and emergency response issues including inappropriate transfer of a trauma patient by fixed wing aircraft without critical care support. The incident resulted from interaction of multiple system failures—infr…

emergency medicinetrauma surgerysystemdelaymorphine
VICcommunity2013-10-21

Finding into death of Matthew John Stubbs

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

… with LEDs before the collision. Emergency response issues included tension pneumothorax development during air transfer. Lessons include improving level crossing warning systems for heavy vehicle operators, enhanced dr…

emergency medicinetrauma surgerysystemdelay
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; despi…

emergency medicinetrauma surgerycommunicationsystem
VIChospital2011-07-29

Finding into death of Marlene Kenny

64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…

…ation. Transfer to tertiary care was delayed over 9 hours due to poor communication between hospital and ambulance services about clinical urgency, ineffective bed coordination, and adverse weather. She deteriorated, su…

emergency medicinegeneral practicediagnosticcommunicationdiazepam
VICcommunity2010-04-12

Finding into death of Veronica Campbell

23y · Female·complications of ruptured ectopic pregnancy with massive intra-abdominal haemorr…

…ired urgent transfer to a tertiary centre. The initial response was classified as routine, and the first ambulance crew arrived late without a MICA-trained paramedic. When deterioration occurred, a helicopter was approp…

emergency medicineobstetricscommunicationsystemmorphine
VICcommunity2013-10-21

Finding into death of Margaret Eunice Wishart

78y · Female·Blunt force trauma to the head caused by a compressor from a refrigeration unit …

…sed human factors data collection, and communications gaps in the emergency response (failure to include ambulance and rail representatives in the incident management committee). The coroner made 25 recommendations addr…

emergency medicinetrauma surgerysystemprocedural
VIC2024-12-16

Finding into death of Caroline Monique Hall

52y · Female·Spinal injuries sustained in falls in a woman with multiple medical comorbiditie…

… of 7 May 2021 and appeared relatively well afterwards, walking unaided to dinner. Despite requesting an ambulance, disability support workers did not call one, judging her injuries minor based on her apparent recovery.…

general practiceemergency medicinediagnosticdelaymorphine
VIChomePodcast2018-11-09

Finding into death of Hope Carnevali

20y · Female·acute asthma

…sthma event on 21 November 2016. She experienced acute respiratory distress at home around 6:00pm and an ambulance was called at 6:28pm but did not arrive until 7:03pm, during an unprecedented surge in emergency calls. …

respiratory medicineallergy and immunologysystemcommunicationsalbutamol
NSWhospital2020-02-14

Inquest into the death of Tristan Naudi

23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…

…ce appropriately placed him in a police vehicle after finding him violently agitated at home. A delay in ambulance dispatch meant police transported him to hospital instead. While his transfer into the isolation room wa…

emergency medicinetoxicologysystemdelayMDMA

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