Coronial

373 results for life support

VICcommunity2020-09-07

Finding into death of Ms WX

40y · Female·Injuries sustained when struck by a train (in circumstances where the deceased i…

…essive overtime shifts (as early as 3am). Family members noted her distress but she refused psychological support. While family violence allegations existed, these were not substantiated with formal evidence. The corone…

psychiatrygeneral practicesystemdelay
VIChome2014-10-30

Finding into death of Anne Christine Brain

44y · Female·Intoxication by the combined effects of tramadol, methadone, diazepam, codeine, …

…comprehensive drug coverage (not just Schedule 8) would have enabled coordination and potentially saved her life.

general practiceaddiction medicinesystemcommunicationtramadol
WAhospital2024-04-04

Inquest into the Death of Karl Frederick Dominic HOLMES

66y · Male·Complications of metastatic lung adenocarcinoma, with terminal palliative care, …

…ived excellent medical care from Dr S. who actively managed his investigations, specialist referrals, and supported his informed decision to refuse potentially curative treatment. Holmes rapidly deteriorated in January …

oncologypalliative caresystemdelaymorphine
NSWhospital2018-12-04

Inquest into the death of June Nutter

58y · Female·lymphangitic carcinomatosis leading to hypoxaemic respiratory failure and cardia…

June Nutter, a 58-year-old woman presenting with weight loss, anorexia, and unexplained shortness of breath, underwent gastroscopy and colonoscopy at a private hospital to investigate suspected gastric pathology. She had…

anaesthesiagastroenterologymedicationproceduralfentanyl
VICaged care2019-07-31

Finding into death of Hong Tay

63y · Male·Sepsis in a man with complicated peripheral vascular disease

Hong Tay, a 63-year-old man with extensive peripheral vascular disease, diabetes, and prior amputations, died from sepsis in an aged care facility following a cervical spine fracture sustained in a fall. After conservati…

geriatric medicinepalliative carecommunicationsystemfentanyl
VIChome2025-06-02

Finding into death of Christina Lackmann

32y · Female·Caffeine toxicity

… and high demand on emergency services. The coroner noted that earlier medical intervention could have been life-saving, highlighting critical gaps in emergency response coordination and triage decision-making.

emergency medicinetoxicologytriagesystemcaffeine
NSWcommunity2022-07-05

Inquest into the deaths of Darren WALLACE and T B D

Male·Darren Wallace: single gunshot wound to right side of neck. TBD: two self-inflic…

…er, and stimulant use disorder, shot and killed Darren Wallace (32) at a service station, then took his own life. TBD had experienced multiple police contacts in the preceding weeks, including a mental health assessment …

psychiatryemergency medicinesystemdelaysertraline
NSWhospital2022-10-28

Inquest into death of Dane LOCKWOOD

33y · Male·methylamphetamine toxicity; antecedent causes being the physiological effects of…

A 33-year-old man with methamphetamine addiction and possible schizophrenia attended the ED seeking help while acutely intoxicated, psychotic and sleep-deprived. After initially agreeing to medication, he attempted to le…

emergency medicinepsychiatrysystemdelaymethamphetamine
VIC2020-04-06

Finding into death of Darren Brandon

51y · Male·hypoxic-ischemic encephalopathy due to hanging

Darren Brandon died by hanging in prison on 10 June 2018, two days after arriving at Melbourne Assessment Prison. He was a 51-year-old man with acquired brain injury from a 2003 motorcycle accident, depression, and histo…

psychiatryforensic medicinecommunicationsystemoxycodone
QLDhospital2019-06-20

Burrell, Michael Leslie

58y · Male·Multifocal hepatocellular carcinoma due to cirrhosis of the liver due to hepatit…

Michael Leslie Burrell, a 58-year-old prisoner with terminal hepatocellular carcinoma secondary to hepatitis C and cirrhosis, died in the Princess Alexandra Hospital Secure Unit. He was admitted to the ED on 17 September…

emergency medicinegastroenterologydiagnosticcommunicationmorphine
QLD2016-07-06

Mickelo, Garnett Allan

48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)

Garnett Mickelo, aged 48, died from myocardial infarction due to coronary atherosclerosis while in custody at Woodford Correctional Centre on 24 November 2012, shortly after discharge from Princess Alexandra Hospital fol…

cardiologycardiothoracic surgerymedicationcommunicationisosorbide mononitrate
NSWhome2024-08-06

Inquest into the death of Dion Moore

29y · Male·Mixed drug toxicity, most significantly methamphetamine and buprenorphine, with …

…linicians should note the importance of recognising substance-use disorders—particularly methamphetamine—as life-threatening medical emergencies requiring urgent intervention and family support in vulnerable populations.

diagnosticdelaymethamphetamine
QLDhospital2012-09-28

Harold, Rex

59y · Male·disseminated carcinoma due to right lung carcinoma

… 19 July 2009 with pneumonia symptoms and rapidly deteriorated despite appropriate antibiotic therapy and supportive care. A chest X-ray showed consolidation initially attributed to pneumonia; malignancy was suspected b…

general medicinecardiologydiagnostic
VIC2014-07-04

Finding into death of Samir Ograzden

25y · Male·Gunshot injury to the neck

…al within minutes. Key clinical lessons: severe neck trauma with vertebral artery disruption is immediately life-threatening; the delay in medical access (31 minutes due to scene safety protocols) did not contribute to t…

emergency medicineforensic medicineamphetamine
VIChospital2025

Finding into death of Ms NXA

54y · Female·neck compression secondary to hanging

… multiple psychosocial stressors. Despite expressing clear suicidal ideation and a specific plan to end her life upon discharge, she was discharged on 10 August 2021 with minimal safety planning, no mental health treatme…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
NSW2012-04-24

Shane o donoghue and nicholas costin findings of deputy state coroner brydon 24 04 2012

Male·Multiple injuries sustained from aircraft in-flight break-up and ground impact

… inquest resulted in 10 safety recommendations addressing emergency equipment, testing procedures, ground support protocols, manufacturer information sharing, and regulatory oversight.

diagnosticprocedural
NSW2021-05-26

Inquest into the death of Liam WOLF

19y · Male·unexpected arrhythmogenic event leading to a fall from height, blunt force head …

… brain injury. He was transferred to St George Hospital in Sydney but died 4 days later after withdrawal of life support. The coroner concluded Wolf likely had an underlying cardiac predisposition (possibly Brugada syndr…

emergency medicinecardiologysystemdelay
WAhome2021-12-15

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

15y · Male·ligature compression of the neck (hanging)

Aboriginal child in out-of-home care died by hanging following relationship breakdown. He experienced foetal alcohol spectrum disorder, early trauma and neglect, and 34 different living arrangements. Despite specialist m…

psychiatrypaediatricssystemdelay
WAprison2025-04-10

Inquest into the Death of Dannielle Stacey LOWE

41y · Female·complications of intracerebral haemorrhage due to ruptured aneurysm

Dannielle Stacey Lowe, a 41-year-old Aboriginal woman, died in custody at Wandoo Rehabilitation Prison from complications of intracerebral haemorrhage due to a ruptured cerebral aneurysm. Critical missed opportunities in…

emergency medicineneurosurgerydiagnosticcommunicationparacetamol
VIChospital2021-09-27

Finding into death of Abigail Louise Cooke-Mitchell

42y · Female·Traumatic right subdural haematoma

A 42-year-old woman died from a traumatic right subdural haematoma sustained on 22 January 2015. She was found unresponsive at home with severe head and facial injuries after falls. Critical delays in medical assessment …

emergency medicineneurosurgerycommunicationdelaymorphine

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