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VIChospital2025-01-22

Finding into death of Milan Rajic

40y · Male·Traumatic head injury sustained in an e-bike incident

A 40-year-old man died from traumatic brain injury sustained in an unwitnessed fall from an electric bicycle. He was riding without a helmet after consuming approximately three beers over several hours. He returned home …

neurosurgerytrauma surgery
NSWhome2025-01-17

Inquest into the death of BG

0y · Male·Concussive brain injury

A 7-month-old boy died from concussive brain injury caused by intentional head trauma inflicted by his mother's partner in a domestic violence context. The child had multiple bruises, bite marks, and subdural haemorrhage…

forensic medicinepaediatricssystemcommunication
VIC2024-12-16

Finding into death of Caroline Monique Hall

52y · Female·Spinal injuries sustained in falls in a woman with multiple medical comorbiditie…

Caroline Monique Hall, a 52-year-old woman with intellectual disability, epilepsy, schizophrenia, and multiple comorbidities living in supported disability accommodation, died from spinal injuries sustained in falls. She…

general practiceemergency medicinediagnosticdelaymorphine
TAShospital2024-10-18

Coroner's Finding: Long, Leonard

73y · Male·subdural haematoma from fall

Leonard Athol Long, a 73-year-old on warfarin for mechanical mitral valve replacement, fell twice during hospitalization for urinary tract infection. He was on SMZ-TMP antibiotics, which interact significantly with warfa…

general medicineemergency medicinediagnosticsystemwarfarin
TAShospital2024-09-30

Coroner's Finding: Newell, Warren James

71y · Male·raised intracranial pressure caused by left frontal-temporal-parietal subdural h…

Warren James Newell, a 71-year-old man with oesophageal cancer, presented with acute coronary syndrome on 29 September 2022 and was appropriately diagnosed and treated with anticoagulation and dual antiplatelet therapy. …

cardiologyemergency medicinemedicationsystemenoxaparin
VIChospital2024-09-22

Finding into death of Carl Edward Medlyn

51y · Male·Aspiration pneumonia secondary to traumatic brain injury arising from a scooter …

A 51-year-old man suffered a severe traumatic brain injury in an electric scooter crash on 14 March 2022 and died from aspiration pneumonia on 4 August 2022. He was riding a high-powered scooter (capable of 85km/h) at ex…

neurosurgerytrauma surgerycannabis
VIC2024-09-19

Finding into death of George Diamond

18y · Male·complications of acute on chronic subdural haemorrhage (operated) in the setting…

George Diamond, 18, died from acute-on-chronic subdural haemorrhage sustained during boxing sparring on 18 February 2019. He had suffered a head injury during sparring on 25 October 2018, presenting with headache, nausea…

general practiceemergency medicinediagnosticdelayparacetamol
VIChospital2024-07-23

Finding into death of Laurence Maxwell Attwood

68y · Male·Ischaemic infarction of the right cerebral hemisphere and cerebellum due to thro…

A 68-year-old man died from ischaemic stroke (basilar artery and right posterior cerebral artery thrombosis) seven days after being struck by a motor vehicle while attempting to cross Warrigal Road, Hughesdale. The colli…

trauma surgeryneurosurgerysystem
WAprison2024-06-12

Inquest into the Death of Alf Deon EADES

46y · Male·head injury complicated by bronchopneumonia, with palliation

A 46-year-old remand prisoner died from traumatic brain injury sustained during a severe prison assault. Critical failures in responding to cell call alarms preceded the attack. Prison officers answered multiple distress…

correctional healthneurosurgerycommunicationsystem
TAShospital2024-03-27

Coroner's Finding: Leary, Kane

17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…

Kane Mathew Leary, 17, died from a stroke (left middle cerebral artery infarction) following a motorbike collision. The critical clinical lesson involves a missed diagnosis of left internal carotid artery dissection on i…

emergency medicineneurosurgerydiagnosticcommunicationmorphine
WAprison2024-02-21

Inquest into the Death of Iain Campbell BUCHANAN

65y · Male·complications, including pneumonia, of traumatic brain injury

A 65-year-old male prisoner died from complications of severe traumatic brain injury sustained when punched by another prisoner at Hakea Prison. He fell backwards, striking his head, and was assessed at the prison medica…

neurosurgeryemergency medicinedelaysystem
VIChome2024-01-16

Finding into death of Kieran Joseph McGuinness

37y · Male·Sudden unexpected death in epilepsy (SUDEP) in the setting of acquired brain inj…

Kieran McGuinness, 37, died of sudden unexpected death in epilepsy (SUDEP) following acquired brain injury with post-traumatic epilepsy. He was found unresponsive on his apartment floor on 11 September 2022, having been …

neurosurgeryneurologydiagnosticcommunicationlevetiracetam
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 19 of 2024

22y · Female·Traumatic brain injury (diffuse axonal injury with skull fractures) secondary to…

A 22-year-old female died from traumatic brain injury sustained in a single-vehicle rollover on a rural road in the Northern Territory. She had consumed 15-20 cans of beer over approximately 10 hours, achieving a blood a…

trauma surgeryneurosurgeryalcohol
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
VIChospital2023-11-02

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
TAShome2023-10-25

Coroner's Finding: de-identified IY

54y · Male·Acute exacerbation of chronic obstructive pulmonary disease due to inhalation of…

A 54-year-old male with chronic obstructive pulmonary disease died from acute exacerbation triggered by inhalation of xylene during hobby spray-painting work. He was not wearing protective equipment despite warnings on p…

respiratory medicinecardiologytramadol
TAShospital2023-10-11

Coroner's Finding: Jones, Emily Margaret Rose

82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…

Mrs Emily Jones, 82, died from subdural haematoma following an unwitnessed fall at Royal Hobart Hospital on 15 November 2021. She was admitted five days after discharge from Hobart Private Hospital where she was treated …

cardiologyemergency medicinemedicationcommunicationmetoprolol
TAScommunity2023-10-04

Coroner's Finding: East, Robert William

78y · Male·subdural haematoma

Robert William East, 78, died from a subdural haematoma sustained when his electric wheelchair became uncontrollable on a gravel path in Glenmore Creek Reserve. He had consumed approximately five beers at the Granada Tav…

emergency medicineneurosurgerysystem
QLDaged care2023-07-26

Redmond, Elaine

81y · Female·Subdural haemorrhage from fall with exacerbation by anticoagulant therapy

An 81-year-old woman with atrial fibrillation and Alzheimer's disease fell at home on 21 December 2020, sustaining a subdural haematoma. Nambour Hospital appropriately ceased her anticoagulant (rivaroxaban) and planned c…

emergency medicineneurosurgerymedicationcommunicationrivaroxaban

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