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TAS2026-03-23

Coroner's Finding: Garcia, Adrian Walter

51y · Male·Traumatic brain injuries resulting from blunt head trauma: multiple calvarial an…

Adrian Garcia, 51, died from traumatic brain injuries sustained during an assault in a public park in Sorell, Tasmania on 10 March 2021. He was heavily intoxicated when struck by a baseball bat multiple times by his fian…

neurosurgeryintensive care
TAShospital2026-02-24

Coroner's Finding: Bradley, Steven Basil

65y · Male·Acute on chronic subdural haematoma caused by accidental falls

Steven Basil Bradley, 65, died from acute on chronic subdural haematoma following an unwitnessed fall in hospital. He had metastatic prostate cancer, ischaemic heart disease, and diabetes. On admission for chest sepsis, …

oncologygeneral medicinesystemdelay
TAShome2025-08-28

Coroner's Finding: de-identified XY

10y · Male·catastrophic brain injury with multiple brain bleeds

A 10-month-old child died from catastrophic brain injury with multiple brain bleeds inflicted by their mother's boyfriend during an episode of care at home. The perpetrator violently shook the infant, thrust his finger i…

paediatricsneurosurgery
TASaged care2025-06-13

Coroner's Finding: de-identified OQ -2

84y · Male·Head injury - left lateral convexity acute subdural haematoma with 2mm midline s…

An 84-year-old man with Parkinson's disease and moderate dementia was admitted to a rehabilitation unit after a fall at an acute hospital. He had been assessed as high falls risk and required a patient sitter at the acut…

geriatric medicinerehabilitation medicinecommunicationsystem
TAShospital2025-04-29

Coroner's Finding: de-identified OQ

41y · Female·frontal lobe ischaemic infarcts (strokes) caused by cerebral artery vasospasm co…

A 41-year-old woman died from frontal lobe ischaemic infarcts caused by cerebral vasospasm complicating subarachnoid haemorrhage from a ruptured aneurysm. She presented to multiple healthcare providers over five days wit…

emergency medicineneurosurgerydiagnosticcommunicationchlorpromazine
TAShospital2025-03-17

Coroner's Finding: Phillips, Helen Lynette

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

A 77-year-old woman fell from a ladder on 12 December 2022, suffering loss of consciousness and rib fractures. No brain CT scan was performed at Mersey Community Hospital despite the mechanism of injury and unconsciousne…

emergency medicinecardiologydiagnosticdelaythrombolytic agents
TASaged care2025-01-24

Coroner's Finding: Sheedy, Alan Noel

86y · Male·Traumatic closed head injury suffered in a fall

Alan Noel Sheedy, 86 years old, died from traumatic closed head injury sustained in a fall at a residential aged care facility. He had been admitted for respite care following previous falls and was assessed as moderate …

geriatric medicineneurologylevetiracetam
TAShospital2024-12-17

Coroner's Finding: Brown, Paul Louis

64y · Male·Subdural haematoma with mass effect following thrombolysis for acute myocardial …

A 64-year-old man with complex medical history including diabetes, mental illness, chronic alcohol misuse, and previous traumatic brain injury was admitted with diabetic ketoacidosis and acute kidney injury. He developed…

intensive carecardiologytenecteplase
TAShospital2024-11-05

Coroner's Finding: de-identified HN

16y · Male·severe traumatic brain injury

A 16-year-old male died from severe traumatic brain injury sustained when struck by a motor vehicle while riding an unlit, unmaintained scooter on the Lyell Highway at dusk. He was wearing dark clothing and no helmet. Th…

neurosurgerytrauma surgery
TAShospital2024-10-23

Coroner's Finding: Edwards, Macy Jayne

22y · Female·Traumatic brain injuries: diffuse axonal and intracranial haemorrhagic brain inj…

Macy Jayne Edwards, aged 22, died from traumatic brain injuries sustained in a two-vehicle collision on Frankford Road, Tasmania on 28 March 2023. She was driving westbound when her vehicle drifted into the eastbound lan…

neurosurgerytrauma surgery
TAShospital2024-10-18

Coroner's Finding: Long, Leonard

73y · Male·subdural haematoma from fall

Leonard Athol Long, a 73-year-old on warfarin for mechanical mitral valve replacement, fell twice during hospitalization for urinary tract infection. He was on SMZ-TMP antibiotics, which interact significantly with warfa…

general medicineemergency medicinediagnosticsystemwarfarin
TAShospital2024-09-30

Coroner's Finding: Newell, Warren James

71y · Male·raised intracranial pressure caused by left frontal-temporal-parietal subdural h…

Warren James Newell, a 71-year-old man with oesophageal cancer, presented with acute coronary syndrome on 29 September 2022 and was appropriately diagnosed and treated with anticoagulation and dual antiplatelet therapy. …

cardiologyemergency medicinemedicationsystemenoxaparin
TAShospital2024-07-11

Coroner's Finding: Fletcher, Errol Adrian

74y · Male·traumatic closed head injuries

Errol Adrian Fletcher, a 74-year-old man, died from traumatic closed head injuries sustained when struck by a vehicle while crossing a service station driveway in Huonville on 28 November 2022. He was transported to Roya…

trauma surgeryintensive care
TAShospital2024-07-03

Coroner's Finding: Wragg, Dennis Edward

95y · Male·Head injuries (subarachnoid haemorrhage, frontal bone fracture and contrecoup) s…

A 95-year-old man admitted to hospital for fluid overload and cellulitis related to heart failure fell in his hospital room on day 11 of admission whilst attempting to walk to the bathroom without his walker or assistanc…

general medicineneurosurgerysystemprocedural
TAS2024-05-02

Coroner's Finding: Gleeson, Bernice Valma

84y · Female·left subdural haematoma resulting from head injury due to fall from standing

An 84-year-old woman suffered a fatal head injury after slipping on steps at a café in Stanley, Tasmania on 20 October 2021, resulting in a left subdural haematoma. She was appropriately transported to neurosurgical faci…

neurosurgeryemergency medicineaspirin
TAShospital2024-03-27

Coroner's Finding: Leary, Kane

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

Kane Mathew Leary, 17, died from a stroke (left middle cerebral artery infarction) following a motorbike collision. The critical clinical lesson involves a missed diagnosis of left internal carotid artery dissection on i…

emergency medicineneurosurgerydiagnosticcommunicationmorphine
TAShospital2024-03-05

Coroner's Finding: Carroll, Thomas Brian

81y · Male·traumatic brain injury

Brian Thomas Carroll, aged 81, died from traumatic brain injury sustained in a single-vehicle motor vehicle crash. He was travelling at approximately 125 km/h in an 80 km/h zone when he failed to negotiate a roundabout a…

trauma surgeryneurosurgerydiazepam
TAShome2023-10-25

Coroner's Finding: de-identified IY

54y · Male·Acute exacerbation of chronic obstructive pulmonary disease due to inhalation of…

A 54-year-old male with chronic obstructive pulmonary disease died from acute exacerbation triggered by inhalation of xylene during hobby spray-painting work. He was not wearing protective equipment despite warnings on p…

respiratory medicinecardiologytramadol
TAShospital2023-10-11

Coroner's Finding: Jones, Emily Margaret Rose

82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…

Mrs Emily Jones, 82, died from subdural haematoma following an unwitnessed fall at Royal Hobart Hospital on 15 November 2021. She was admitted five days after discharge from Hobart Private Hospital where she was treated …

cardiologyemergency medicinemedicationcommunicationmetoprolol
TAScommunity2023-10-04

Coroner's Finding: East, Robert William

78y · Male·subdural haematoma

Robert William East, 78, died from a subdural haematoma sustained when his electric wheelchair became uncontrollable on a gravel path in Glenmore Creek Reserve. He had consumed approximately five beers at the Granada Tav…

emergency medicineneurosurgerysystem

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