259 results for “blood loss”
20y · Male·gunshot wound to the chest
A 20-year-old man with borderline personality disorder, who had made over 25 suicide attempts in the two years prior, died from a gunshot wound sustained during a police encounter. He had called mental health services an…
Unknown·Mr Christensen: stab wound to the chest. Mr Davy: blood loss caused by stab woun…
Two men died following stab wounds sustained while forcing entry to a dwelling in the early hours of 1 October 2018. The deceased had been misled about the circumstances of an injured woman they believed needed urgent as…
21y · Female·Multiple injuries sustained from being struck by a train; death by suicide while…
…ot report them. However, the coroner found these failures were not causative of her death but represented a loss of opportunity for intervention. The treatment provided was adequate but not optimal. Anorexia nervosa's in…
27y · Male·external blood loss due to laceration of right axillary artery from single gunsh…
Gregory Biggs, age 27, died from a gunshot wound to the upper right back inflicting a laceration of the right axillary artery. He was shot by Sergeant Samuel Cahir after being observed wielding samurai swords in Carlton …
26y · Male·multiple gunshot wounds with death resulting from combination of blood loss and …
Eduardo Concepcion, a 26-year-old man experiencing mental health crisis and acute intoxication, died from multiple gunshot wounds inflicted by Northern Territory Police. Following days of deteriorating mental state, self…
82y · Female·Peritonitis due to leakage of bowel contents from bowel anastomosis following el…
Winifred Carpenter, 82, died 11 days after a right hemicolectomy for colon cancer from peritonitis due to anastomotic leak. Critical failures occurred on discharge day (10 March 2023): clinicians did not recognize her de…
66y · Female·Blood loss due to tearing of the spleen and fractured ribs occasioned by a motor…
Nola Walker, a 66-year-old retired nurse, died from splenic rupture and haemorrhage caused by blunt force trauma from a motor vehicle accident. She was involved in a minor crash, assessed by paramedics who found normal v…
81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…
An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progress…
36y · Male·Toxic overdose of Clozapine (anti-psychotic drug), self-administered, with termi…
… and non-compliance with medication (zero Clozapine levels); Dr E. did not adequately communicate the zero blood level result to the case manager; the case manager failed to report the deplorable flat conditions (severe…
34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…
Neil Summerell, a 34-year-old man with intellectual disability, epilepsy, and vision/hearing impairment, died from acute gastric erosions following severe scalding injuries sustained on 29 November 1999. He was scalded t…
56y · Male·Internal blood loss, complications arising from laparoscopic cholecystectomy
Barry Brown, a 56-year-old man, died from internal bleeding after laparoscopic cholecystectomy due to critical systemic failures in post-operative care and diagnosis. Following hypotension at 7:30pm, nursing staff failed…
45y · Male·gunshot wound to the chest with associated significant blood loss
Stanley Russell, a 45-year-old Aboriginal man with mild intellectual disability, was shot dead by NSW police executing a bench warrant at his home on 9 November 2021. He had suffered childhood sexual abuse, his brother d…
26y · Male·Multi-organ failure due to pneumococcal septic shock
A 26-year-old man presented with chest and abdominal pain, initially diagnosed with possible hepatitis based on elevated liver function tests. He developed an atypical blanched rash not recognised as varicella zoster (ch…
Unknown·Four deaths: three by self-inflicted hanging, one by multiple injuries from fall
… and lack of employment opportunities as underlying contributors. Three of the four deaths had significant blood alcohol levels (197, 146, and 199 mg/100ml). The coroner found no medical errors or clinical negligence; d…
0y · Male·Complications following forceps delivery
A 3-day-old neonate died from complications of instrumental forceps delivery, specifically subgaleal haemorrhage with associated skull fracture and intracranial bleeding. Critical clinical lessons include: (1) complex fo…
8y · Female·Faith died from the combined effects of the haemodynamic consequences of extensi…
An 8-year-old girl, Faith, died from injuries caused by repeated beatings with a metal vacuum pole by her mother. She had previously disclosed abuse to school staff in 2009 and 2010, leading to Department investigations.…
24y · Male·Blood loss due to multiple stab wounds to chest and multiple incised wounds of n…
A 24-year-old man with schizoaffective disorder and substance abuse killed his 2-year-old son and himself in March 2009. The deceased had been released on licence following a mental impairment finding and was subject to …
5y · Female·Multiple injuries sustained in a collision between a semi-trailer and a V/Line p…
A semi-trailer collided with a V/Line passenger train at a level crossing near Kerang on 5 June 2007, killing 11 passengers instantly or within hours. The collision was caused by a heavy vehicle driver unfamiliar with th…
83y · Male·Acute blood loss and shock/trauma in a man with cardiomegaly, myocardial fibrosi…
This coronial finding examines the deaths of 11 train passengers in the Kerang level crossing collision on 5 June 2007, where a semi-trailer struck a V/Line passenger train. The investigation found that 6 passengers died…
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