356 results for “loss of control”
27y · Male·Loss of airway control and blockage due to aspiration from complications of a sm…
Dr R., a 27-year-old physician with cystic fibrosis, died from aspiration and airway blockage secondary to a small bowel obstruction whilst under dual respiratory-surgical care at Westmead Hospital. Critical clinical les…
41y · Male·Gunshot wounds to neck and chest (perpetrator Joel Cauchi); stab wounds (six vic…
… (4) seriously deficient discharge letter to GP in March 2020 lacking information about recent decline; (5) loss of mental health follow-up after relocation. Cauchi had treatment-resistant schizophrenia and was psychotic…
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…
33y · Female·Injuries sustained as a result of aviation accident—specifically, controlled fli…
…uded the accident was caused by navigation in Dead Reckoning (DR) mode on the Trimble GPS unit after signal loss. Air traffic controllers failed to alert the pilot to significant track deviations when two Route Adherence…
Female·Combination of liver failure, blood loss and shock following needle biopsy
…ive portal vein bleeding and massive intra-capsular hemorrhage. Emergency surgery 4 hours later could not control the bleeding. The coroner found death preventable: early recognition of hemorrhage and timely surgical in…
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…
17y · Male·multiple injuries due to motor vehicle collision
…en it left the road. The 17-year-old driver, who tested positive for methylamphetamine and had ADHD, lost control at high speed without evidence of braking. He was inexperienced and driving a powerful vehicle at night o…
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…
37y · Male·Hanging
Andrew Stanyer, a 37-year-old male with significant life stressors, died by hanging after police attendance at a family violence incident. He had previous suicide attempts (2000, 2009), depression treated with sertraline…
Female·Burns due to gas explosion due to motor vehicle collision with building
…-old man with a long-standing history of seizures experienced an epileptic seizure while driving and lost control of his vehicle. It collided with an LPG gas cylinder outside a café, triggering an explosion that killed …
19y · Female·Mechanical asphyxia due to crush injuries sustained under coach rollover; pregna…
…abrina Brady (19 years, 7 months pregnant), her daughter Madison Dobie, and Justin Pomery. The coach lost control while navigating a right-hand bend in wet conditions. The coroner found the primary cause was the poor ro…
Male·multiple injuries sustained in motorcycle crash
…al expert analysis revealed Den exhibited uncertainty in cornering techniques and inconsistent motorcycle control, particularly during rural riding. Key issues included: Den had only 1 hour 15 minutes of prior P1 traini…
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…
46y · Female·Multiple injuries sustained in collision between semi-trailer and train; tension…
On 5 June 2007, a semi-trailer collided with a V/Line passenger train at Kerang level crossing in Victoria, killing 11 train passengers immediately and one more (Harold Long) during transfer. The driver (Mr Scholl) faile…
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…
30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …
…ving him unmedicated for weeks. Multiple agencies failed coordinated care, and police tactics prioritized control over welfare assessment despite his known vulnerability.
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