Coronial

312 results for severe brain injury

NSWhospital2018-12-17

Inquest into the death of Jarrod Wright

42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …

…ted his agitation severity due to poor communication between nursing and medical teams. When Jarrod became severely agitated and pulled out his oxygen support at 10:15pm, no alarm sounded because he had also disconnected…

intensive careinfectious diseasescommunicationsystemmeropenem
QLDcommunity2009-12-24

Hirning, Amanda Lee

30y · Female·Multiple injuries due to motorcycle accident (pedestrian)

Amanda Lee Hirning, 30, died from multiple injuries sustained when struck by a motorcycle while crossing Stanley Street East in East Brisbane. She stepped onto the road 30-40 metres from a traffic light-controlled inters…

WAhospital2018-06-25

Inquest into the Death of LCTM

0y · Male·complications of head injury

A premature newborn died from severe head injuries inflicted deliberately by his teenage father in hospital on 15 February 2014. The father had…

neonatologypaediatricscommunicationsystem
NSWhospital2018-10-04

Inquest into the death of D H

56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…

…pofol) was used for this high-risk patient. During surgery, the patient experienced prolonged hypoxia with severe oxygen desaturation (53–78%), bradycardia (heart rate 26–40/min), and hypertension, none adequately recogn…

anaesthesiageneral surgerydiagnosticproceduralpropofol
SAhospital2009-12-31

Coroner's Finding: LYNN Matthew John

20y · Male·hypoxic encephalopathy

…rrest followed. Only at 1:25am, 65 minutes later, was the tube found to be in the oesophagus and replaced. Severe hypoxic brain injury resulted; he died 27 January. The coroner found the death preventable through culture…

intensive careanaesthesiadiagnosticcommunicationpropofol
SA2000-11-09

Coroner's Finding: ORGAN Kelly

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

An 18-year-old woman died from hypoxic encephalopathy due to severe closed head injury sustained when she fell from a shade sail structure at a playground. While climbing on …

proceduraldesign
NSW2016-09-12

Inquest into the death of M

15y · Female·hypoxic brain damage due to multiple drug toxicity

…, limited engagement with available counselling and therapeutic services, and the cumulative effect of her severe childhood trauma which prevented meaningful attachment to carers or engagement with support. The death occ…

emergency medicinetoxicologydelaysystemheroin
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…

This coronial inquest examined seven quad bike fatalities in Tasmania between 2012-2015. The deceased included farmers, workers, and recreational riders aged 21-75 years. Key findings: inadequate training was a significa…

emergency medicinepathologysystemprocedural
VIC2012-02-29

Finding into death of Keith Phillip Dickman

56y · Male·Head injuries sustained in a fall from a height

Keith Dickman, a 56-year-old experienced plumber, died from severe head injury sustained in a fall from a 2-metre 'A' frame ladder while installing air conditioning ducting …

occupational and environmental healthoccupational therapysystemcommunication
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

…ve therapeutic concentrations. The child deteriorated overnight with respiratory depression, seizures, and severe hypoxic-ischaemic brain injury, leading to death despite intensive care. Key clinical failures included: t…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
NSWcommunity2021-05-21

Inquest into the death of Pono Wairua Aperahama

17y · Male·Cardiac arrhythmia during restraint, with previous traumatic brain injury as a s…

Pono Aperahama, a 17-year-old with severe traumatic brain injury and moderate intellectual disability, died from cardiac arrhythmia during restraint…

neurologypsychiatrysystemcommunication
NSW2014-04-02

Inquest into the death of Reece POTTER

23y · Male·blunt force head injuries sustained when thrown from his horse during a race

A 23-year-old jockey, Reece Potter, died from severe head injuries sustained when thrown from his horse during a race at Tottenham Picnic Races on 12 March 201…

systemdelay
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 gymnasti…

neurosurgeryemergency medicinesystemcommunicationcannabis
WAmental health2013

Inquest into the Death of Vos, Glenis June

60y · Female·Focal pneumonia in a woman with emphysema and ischaemic heart disease

…and care were adequate. Clinical lessons include the challenge of managing medically complex patients with severe psychiatric disease and cognitive decline, the risk of sedating vulnerable patients with multiple comorbid…

psychiatrygeneral medicinetemazepam
VIChospital2023-03-10

Finding into death of Armin Andrew Schaefer

63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…

…er, a 63-year-old man with schizophrenia, cardiac risk factors, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 August 2019 …

psychiatryemergency medicinediagnosticcommunicationdiazepam
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
VIChome2014-10-19

Finding into death of Hayley

2y · Female·head injury

Hayley, aged 2, died from severe head injuries sustained on 7-8 July 2009 at her home in St Arnaud, Victoria. She presented to childcare in…

paediatricsforensic medicinediagnosticcommunication
VIChome2026-03-20

Finding into death of HD S

41y · Female·Multiple injuries from assault

A 41-year-old woman with physical disability and stable mental health was killed by her adult son through severe blunt force trauma including extensive rib fractures causing flail chest, pneumohaemothorax, liver lacerat…

communicationsystemcannabis
TAShome2017-06-26

Coroner's Finding: Johnstone, BJay

0y · Male·Traumatic head injury

BJay Adam Johnstone, 45 days old, died from severe traumatic head injury inflicted by his father Simon Johnstone in a household environment. BJay suffered mu…

paediatricsemergency medicinediagnosticsystemcannabis
SA2009-05-19

Coroner's Finding: O'KEEFFE Daniel William Barry

34y · Male·hypoxic encephalopathy following hanging

…ficers on mezzanine to detect blocked cell windows. Rapid emergency response prevented immediate death but severe hypoxic brain injury was irreversible.

psychiatryintensive caresystemcommunicationcitalopram
111121316

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