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NThospital2024

Inquest into the death of Road Death 35 of 2024

20y · Female·Severe traumatic brain injury sustained in a pedestrian versus motor vehicle col…

A 20-year-old Aboriginal female pedestrian with bilateral hearing loss was struck by a vehicle driven by an intoxicated male driver (BAC 0.158%) travelling at 74 kph in a 60 kph zone. She suffered catastrophic traumatic …

emergency medicineneurosurgery
NThospital2024

Inquest into the death of Road Death 27 of 2024

39y · Male·Multiple blunt force injuries due to motor vehicle collision (pedestrian), with …

A 39-year-old Aboriginal male with chronic alcohol intoxication was struck by a vehicle travelling at 79 km/h in a 60 km/h zone while crossing unsafely at an uncontrolled location. He sustained severe traumatic brain inj…

neurosurgerytrauma surgeryalcohol
NThospital2024

Inquest into the death of Road Death 60 of 2024

74y · Male·Complications of multiple blunt force injuries sustained in a motor vehicle cras…

A 74-year-old Aboriginal man died from complications of multiple blunt force injuries sustained in a single-vehicle rollover crash on Christmas Day 2024. He was driving with a blood alcohol concentration of 0.14% (three …

trauma surgeryintensive carealcohol
WAhospitalAugust 2023

Inquest into the Death of Justin DOBSON

46y · Male·sepsis following haemorrhoidectomy

46-year-old Justin Mark Dobson died from sepsis following a routine haemorrhoidectomy on 17 July 2019. He was discharged to the ward overnight but deteriorated significantly from 11:00 am on 18 July, showing hypotension,…

general surgerycolorectal surgerydiagnosticcommunicationmetronidazole
SAhospital2023-12-22

Coroner's Finding: FORREST, John Michael

68y · Male·Multi-organ failure due to gram-negative sepsis on a background of recent myocar…

A 68-year-old male prisoner with multiple comorbidities (diabetes, end-stage renal failure, COPD, morbid obesity) presented with acute myocardial infarction and underwent coronary artery bypass grafting. Post-operatively…

cardiothoracic surgerycardiologyglyceryl trinitrate
VICcommunity2023-12-20

Finding into death of Lachlan McMahon Cook

16y · Male·Hypoxic/ischaemic encephalopathy in the context of diabetic ketoacidosis

A 16-year-old with Type 1 Diabetes died from diabetic ketoacidosis (DKA) precipitated by acute gastroenteritis acquired while on a school trip to Vietnam. Despite reporting vomiting at 8am on 26 September 2019, Lachlan w…

endocrinologygeneral practicediagnosticcommunicationinsulin
TAScommunity2023-12-15

Coroner's Finding: Macpherson James Edward

29y · Male·blunt trauma of the chest

A 29-year-old male died from blunt chest trauma sustained in a mountain bike crash at Maydena Bike Park, Tasmania. He was an intermediate rider on an appropriate blue-trail track when he crashed, likely due to his front …

emergency medicineretrieval medicine
VIChospital2023-12-13

Finding into death of RW C

43y · Male·exsanguination from incised wounds to the arms - self inflicted

A 43-year-old man with schizophrenia, PTSD, and methamphetamine use died from exsanguination following self-inflicted incised wounds to both arms. He had been discharged from psychiatric inpatient care on 1 February 2020…

psychiatryemergency medicinecommunicationdelayrisperidone
WAhospital2023-12-13

Inquest into the Death of Ashleigh Rebecca HUNTER

26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia

Ashleigh Rebecca Hunter, a previously healthy 26-year-old, died from meningococcal septicaemia (W strain) within 3 hours of arriving at Royal Perth Hospital. She presented with severe generalised pain (10/10), tachycardi…

emergency medicineinfectious diseasesdiagnosticsystemMDMA
SAhome2023-12-06

Coroner's Finding: Cullen, Jason Mark

37y · Male·mixed drug toxicity with fentanyl as the principal agent

37-year-old Jason Cullen died from mixed drug toxicity with fentanyl as the principal agent. He had chronic idiopathic intracranial hypertension requiring multiple neurosurgeries and was prescribed opioids and benzodiaze…

neurosurgerypsychiatrycommunicationsystemfentanyl
VIChospital2023-12-04

Finding into death of Brian Neil Smith

32y · Male·Multiple injuries sustained in a motorbike incident

A 32-year-old male motorcyclist died from multiple traumatic injuries sustained in a collision with a truck on the Western Freeway. The motorcycle was travelling faster than surrounding traffic and attempted to overtake …

emergency medicinetrauma surgery
VIChospital2023-11-30

Finding into death of Vincenzo Mario Chiarello

57y · Male·Combined effects of aspiration pneumonia and epilepsy (with cerebral palsy as un…

Mr Vincenzo Mario Chiarello, a 57-year-old man with cerebral palsy, intellectual disability, and epilepsy living in specialist disability accommodation, died from combined aspiration pneumonia and epilepsy complicated by…

infectious diseasesneurology
TAShospital2023-11-17

Coroner's Finding: Williams, Stewart

54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…

A 54-year-old male was assaulted in a nightclub with a single punch causing orbital and facial fractures and posterior epistaxis. He presented to the Royal Hobart Hospital ED with active bleeding. Critical deficits in hi…

emergency medicineoral and maxillofacial surgerydiagnosticcommunication
WAhospital2023-11-17

Inquest into the Death of Child MD (Name Subject to a Suppression Order)

2y · Male·multiorgan failure in a boy with clinically suspected sepsis and Cockayne syndro…

A 2-year-old boy with Cockayne syndrome (a rare life-limiting genetic condition) died from multiorgan failure due to clinically suspected sepsis following hospitalisation for acute illness with vomiting, lethargy and poo…

intensive carepaediatricsmedicationceftriaxone
VIChospital2023-11-08

Finding into death of K S

4y · Female·Drowning

A 4-year-old girl from an Afghan refugee family drowned in Lysterfield Lake after entering the water during a brief lapse of supervision. She was unable to swim and had not received water safety education. Despite immedi…

emergency medicineintensive caresystem
NSWcommunity2023-11-07

Inquest into the death of AAB

26y · Male·acute cocaine and alcohol toxicity

AAB, a 26-year-old man with a history of substance abuse and mental health issues, died from acute cocaine and alcohol toxicity while in police custody. He presented to a hotel with agitated, paranoid behaviour and was d…

emergency medicinetoxicologycocaine
VIChospital2023-11-02

Finding into death of Renato Ettore Poletti

72y · Male·Upper cervical spine injury sustained in a fall from a ladder

A 72-year-old man suffered a fall from a 3-metre ladder during home garden maintenance, sustaining a severe upper cervical spine injury (C2 fracture with high spinal cord haemorrhage) that was deemed non-survivable. He d…

trauma surgeryneurosurgerymidazolam
NSWhospital2023-10-31

Inquest into the death of Adam Fitzpatrick

20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…

Adam Fitzpatrick, a 20-year-old with complex facial and skull fractures from a motor vehicle collision, underwent emergency tracheostomy placement. On 22 August 2020, 13 days later, his tracheostomy tube became dislodged…

intensive careanaesthesiadiagnosticproceduralrocuronium
VIChospital2023-10-30

Finding into death of BCT

2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …

BCT was a 2-year-old Aboriginal child with complex needs from a genetic disorder (CAMTA1 mutation) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endosco…

gastroenterologyradiologydiagnosticcommunicationceftriaxone
SAhospital2023-10-12

Coroner's Finding: Philp, Afrika Rose Pearl

17y · Female·multiple injuries

Afrikah Rose Pearl Philp, aged 17, died from multiple injuries sustained in a high-speed vehicle collision on 6 October 2017 while being pursued by police. She had a complex medical history including psychogenic non-epil…

neurosurgerytrauma surgerysystemmethamphetamine
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