55y · Male·Consequences of urothelial cancer
… and history of bladder cancer treated with cystoprostatectomy. After diagnosis of metastatic disease with spinal cord compression and bowel obstruction in September 2020, he elected palliative care and an Advanced Care …
84y · Male·Pneumonia complicating fractured cervical spine in the setting of fall
…developed later and was complicated by loss of intercostal and accessory breathing muscles due to the C5-6 spinal injury with cord compression. The coroner found no medical intervention at an earlier stage would have cha…
45y · Male·Complications of VATS procedure for locally advanced right upper lobe lung adeno…
…complete tumour resection or vertebral body excision, chose to remove part of the vertebra. Post-operative spinal cord compression from haematoma required emergency laminectomy, but an 8-hour delay may have worsened neur…
75y · Male·Complications of multiple myeloma (palliated)
Brian Kevin Scurrah, a 75-year-old man with intellectual disability living in a supported residential service, died from complications of multiple myeloma. He was diagnosed with advanced multiple myeloma in June 2021 fol…
76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …
John Hayle, a 76-year-old with Alzheimer's dementia, ischaemic heart disease, and spinal fractures sustained a T11/12 flexion-distraction fracture on 9 June 2017. Over three weeks, he developed p…
29y · Male·Bronchopneumonia complicating neck injuries sustained in a fall, with Coffin-Low…
A 29-year-old man with Coffin-Lowry Syndrome suffered a severe cervical spinal cord injury from a fall at a respite facility. Disability workers found him on the floor but initially int…
72y · Female·Hanging
Chang Ying Xu, a 72-year-old Chinese-speaking woman with severe spinal cord compression, chronic pain, and depression, died by hanging during respite care at an aged care facili…
45y · Male·Bronchopneumonia
Gary Carrick, a 45-year-old man with Down syndrome and severe progressive cervical myelopathy, died from bronchopneumonia. He experienced rapid functional decline from January 2008, including loss of mobility, incontinen…
89y · Male·fractured cervical spine (C5 inferior articular process fracture) due to unwitne…
…spine fracture. Initial CT imaging missed the C5 inferior articular process fracture, reporting only a paraspinal haematoma. Conservative management with mobilisation by an occupational therapist caused ligament disrupti…
92y · Male·heart failure secondary to ischaemic heart disease/arrythmia aggravated by a fal…
…but no written request was submitted. The fall caused cervical spine fractures with epidural haematoma and spinal cord compression, ultimately precipitating fatal heart failure. The death was preventable: the chair shoul…
51y · Male·metastatic small round cell malignancy (Ewing's Sarcoma)
… in custody. He presented with urinary retention and lower limb weakness in January 2018, underwent urgent spinal decompression surgery, and was subsequently diagnosed with advanced metastatic cancer. Palliative care was…
0y · Male·Complications of VATER syndrome and sacrococcygeal teratoma
…agement. Following deterioration and development of end-stage renal failure with a progressively enlarging spinal tumour, a compassionate decision was made to transition to palliative care in December 2019. Baby E was di…
65y · Male·Traumatic high cervical spine injury in the setting of frontal head impact in a …
…ighly vulnerable to severe injury from minimal force. The fall caused C2 and C5/6 vertebral fractures with spinal compression and subarachnoid haemorrhage, resulting in respiratory arrest. The coroner found the arrest de…
54y · Male·Neck injuries sustained in a fall - fracture of the fifth cervical vertebra (car…
… staffing or motion-sensor alarms. A fall to the bathroom floor resulted in a 'carrot stick' fracture with spinal cord compression causing respiratory failure. The Disability Services Commissioner found that appropriate …
52y · Female·Spinal injuries sustained in falls in a woman with multiple medical comorbiditie…
…pilepsy, schizophrenia, and multiple comorbidities living in supported disability accommodation, died from spinal injuries sustained in falls. She fell in her bedroom on the afternoon of 7 May 2021 and appeared relativel…
69y · Male·neck compression due to hanging
GL, a 69-year-old Chinese national, died by hanging in Long Bay Correctional Centre's Medical Services Unit on 12 April 2022. He was incarcerated following the murder of his wife in September 2020 and had become a parapl…
95y · Male·bronchopneumonia in a man who has sustained extensive head injury
A 95-year-old man with multiple comorbidities including ischaemic heart disease, atrial fibrillation, chronic airways disease, aspiration pneumonia history, and dementia was struck unprovoked by a cognitively impaired co…
58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury
A 58-year-old woman with autism and severe intellectual disability died from pneumonia and cardiac failure complicated by hypoxic brain injury following cardiac arrest. She had been institutionalised at Graylands Hospita…
41y · Male·injuries sustained when he fell from height into a pit full of water
Roger Bruce Browne, a 41-year-old contract holder at Dawson Mine, died after falling from height into a pit at disused pit 8C. He suffered fatal injuries including cervical spine dislocation and internal injuries; death …
8y · Female·complications of multiple injuries sustained in motor vehicle crash
Eight-year-old Anita Board died from catastrophic brain injury sustained in a motor vehicle crash at Perth Motorplex on her first junior drag racing licensing attempt. Her dragster failed to slow adequately after the fin…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.