Coronial

248 results for multiple fractures

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
WA- 14 March 2014

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
NSWcommunity2020-05-22

Inquest into the death of Brooke CARROLL

18y · Female·Multiple injuries to the head, thorax and limbs (fractures to skull, left clavic…

Brooke Carroll, 18, died in a motor vehicle collision on the Mitchell Highway near Dubbo when the vehicle she was a passenger in struck a telegraph pole. The driver, Scott Thompson, was affected by methamphetamine and tr…

communicationsystemmethamphetamine
TAScommunity2020-01-03

Coroner's Finding: Quad bike related deaths of Heather Dawn Richardson, Jan Severin Jensen, Kendall Russell Bonney, Vicki Mavis Percy, Jay Randall Forsyth, Jabob Graham Green and Roger Maxwell Larner

Multiple causes across seven deaths: severe blunt trauma, crush injuries, trauma…

…icised WorkSafe Tasmania's minimal engagement and made firm recommendations for legislative action across multiple safety domains.

emergency medicinepathologysystemprocedural
NSW2011-12-23

Coroner's Finding: Sarah Kate Waugh

18y · Female·Multiple fractures of the skull, separation of C2 and C3 and generalised cerebra…

… a horse (Dargo) during a Jackaroo/Jillaroo course at TAFE NSW Western Institute Dubbo. The coroner found multiple critical systemic failures: TAFE implemented an in-house horse riding program without formal risk assessm…

diagnosticprocedural

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