Coronial

251 results for multiple fractures

SA2000-11-09

Coroner's Finding: ORGAN Kelly

18y · Female·hypoxic encephalopathy due to raised intracranial pressure caused by severe clos…

…g at the base. She fell approximately 2.5 metres onto a pine log border, sustaining a fractured skull and multiple intracranial haemorrhages. The coroner identified multiple preventable failures: inadequate metal fabrica…

proceduraldesign
VICaged care2014-03-31

Finding into death of Margaret Lurline Martyr-Paterson

87y · Female·Multiple injuries with ischaemic heart disease, antecedent cause being recent fa…

…am House aged care facility, fell from her bedroom window on 17 February 2010 and died 11 days later from multiple injuries and ischaemic heart disease. A critical system failure occurred when staff failed to complete an…

geriatric medicinegeneral practicecommunicationsystem
QLD2007-03-06

Browne, Roger Bruce

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 …

occupational and environmental healthforensic medicinesystemdelay
TAShospital2024-11-26

Coroner's Finding: de-identified FG

57y · Male·partially suspended hanging

…uicide risk require enhanced environmental safety measures including regular searches for means; (2) When multiple teams provide fragmented care without clear leadership, critical decisions about diagnosis, level of care…

orthopaedic surgerypsychiatrycommunicationsystemdiazepam
NTcommunity2013-06-20

Inquest into the death of Kevin Taylor, Lena Yali and Gregory McNamara

Unknown·Kevin Taylor and Lena Yali: multiple injuries sustained in vehicle collision. Gr…

Three architects died in a collision between a Mitsubishi Triton and an Airservices emergency fire truck at a Darwin intersection on 7-10 August 2011. The fire truck, a 30-tonne Rosenbauer Panther MK8, was responding to …

systemtraining
WA2014-03-14

Inquest into the Death of Wayne ROSS

45y · Male·multiple injuries sustained from a 25-metre fall down an unprotected stope when …

…otected underground stope while attempting to place a rock bund at its edge. The incident occurred due to multiple contributing factors: ambiguous instructions regarding preparation of the stope for surveying; the deceas…

occupational and environmental healthforensic medicinecommunicationsystem
QLDPodcast2008-01-16

Wigg, Allan Thomas

44y · Male·Massive brain damage due to multiple skull fractures from crush injuries sustain…

Allan Wigg, aged 44, died on 3 December 2004 when the rear levelling pin securing the work platform of a banana bagging machine failed due to a defective weld. The platform collapsed, ejecting him from the operator's bas…

occupational and environmental healthproceduralsystem
VIChome2025-03-14

Finding into death of Jonathan Mark Townsend

59y · Male·Unascertained

Jonathan Townsend, a 59-year-old Navy veteran with PTSD, alcohol use disorder, and multiple psychiatric comorbidities, died at home on 5 November 2021. The cause of death was unascertained despite …

trauma surgerypsychiatrycommunicationsystemdiazepam
VIChome2020-11-20

Finding into death of Baby S

1y · Male·head injury

…flicted by his mother's de facto partner, Mr B, while the mother was away obtaining heroin. The child had multiple previous injuries documented by childcare staff and presented with concerning bruises shortly before deat…

paediatricsgeneral practicediagnosticcommunicationheroin
VIC2006-07-21

Finding into death of Nicole Maree Knox-Smith

29y · Female·Multiple injuries (fracture dislocation cervical spine, fractured larynx, multip…

Nicole Knox-Smith, aged 29, died in a motorcycle collision with a stolen Ford station wagon on the Princes Freeway. The driver, Jeffrey Dobbin, was heavily intoxicated with drugs and driving erratically whilst evading po…

communicationsystemheroin
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

…absconded unnoticed due to inadequate observation practices and was struck by a motor vehicle, sustaining multiple injuries including head trauma. He died 17 days later from multi-organ failure and sepsis. The coroner id…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
WAhospital2020-10-19

Inquest into the Death of Renee Desiree RUYZING

21y · Female·pulmonary embolism in association with deep vein thrombosis of the left leg

…ollowing ankle fracture surgery and immobilisation. She was discharged without thromboprophylaxis despite multiple VTE risk factors (immobilisation, oral contraceptive use, obesity, family history of clotting). FSH had t…

orthopaedic surgeryemergency medicinediagnosticmedicationenoxaparin
QLD2015-09-11

Cole, Cameron Brandt

24y · Male·Multiple injuries including fractured left ribs leading to punctured and collaps…

Cameron Cole, aged 24, was killed when a heavy steel pipe rack fell from a flatbed trailer during unloading at a remote gas well site. The load of five pipe racks had been inadequately restrained with chains and binders,…

occupational and environmental healthemergency medicineproceduralcommunication
TASaged care2023

Coroner's Finding: Tweedie, Valma Ann

72y · Female·Pneumonia following cervical spine injuries sustained in an unwitnessed mechanic…

…by deviations from protocols and incomplete neurological observations. The Root Cause Analysis identified multiple systems failures including inadequate neurological assessment at presentation, lack of clinical support f…

emergency medicinetrauma surgerydiagnosticcommunication
QLD2015-01-23

Waugh, Harry McMaster Tickell

3y · Male·Massive cerebral trauma due to multiple fractures of the skull due to crush inju…

A three-year-old boy died after being run over by a reversing vehicle on a rural property. The child exited an unrestrained car seat while the driver refuelled the vehicle 50 metres away, likely accessing the front passe…

communicationdelay
VIChospital2019-11-11

Finding into death of Finn Moser

<1y · Male·Head injury in the setting of labour

…and extraction, resulting in bilateral subdural haematomas, subarachnoid haemorrhages and skull fracture. Multiple clinical management issues were identified: miscalculation of fetal weight discordancy, discontinuation o…

obstetricsneonatologydiagnosticcommunicationprostaglandin gel
NSWhome2021-03-10

Inquest into the death of Z

2y · Male·traumatic head injury

…d escalating physical abuse over weeks. Despite 13 reports to FACS (now DCJ) between 2010-2012, including multiple mandatory reports from childcare workers in June-July describing unexplained bruising, bite marks and inj…

paediatricsemergency medicinediagnosticcommunication
NSW2022-12-09

Inquest into the death of Tyrone Adams

22y · Male·Multiple injuries to the chest, abdomen and limbs

Tyrone Adams, age 22, died in a motor vehicle collision on the M1 Motorway following a police pursuit. The initial pursuit was initiated based on questionable reasonable suspicion to stop a hire vehicle. The coroner foun…

proceduralcommunicationmethamphetamine
QLDcommunityPodcast2013-04-12

Maitland, Michelle

19y · Female·severe head injury due to fall during gymnastics on Tumbl Trak, striking uncover…

A 19-year-old female gymnast died from severe head injury after falling from a Tumbl Trak apparatus and striking exposed concrete flooring at a gymnastics club. She was performing a complex sequence involving a round-off…

neurosurgeryemergency medicinesystemcommunicationcannabis
QLDcommunity2020-08-27

Master Carr and Jaylen

17y · Male·multiple injuries due to motor vehicle collision

Two juvenile males, aged 17 and 16, died in a high-speed motor vehicle crash on the Gore Highway near Wyaga Creek on 21 April 2018. The vehicle, a stolen Holden Commodore, was traveling at approximately 170-175 km/h when…

forensic medicineproceduralsystemmethamphetamine

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