Coronial

33 results for brainstem death

VIChome2013-05-07

Finding into death of JOVO VRANJESEVIC

57y · Male·thalamic haemorrhage with ventricular extension

…nfection. The viral infection could not have been detected by any available screening at the time, and the deaths were neither foreseeable nor preventable. The coroner found the donor screening process was reasonable an…

transplant medicineintensive care
WAcommunity2003-05-30

Inquest into the Death of Sandra Honey

56y · Female·Multiple injuries including small and large bowel damage, mesenteric damage with…

…sive care at Sir Charles Gairdner Hospital in Perth, she died from asystolic arrest. The coroner found the death arose by accident. Key findings were that excessive loose aggregate remained on the roadway creating a haz…

trauma surgeryintensive caresystem
VICcommunity2025-07-17

Finding into death of John Michael Jurdeczka

62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…

…r the emergency call and initiated CPR, but John suffered irreversible brain damage. The coroner found the death was not preventable and care was reasonable and appropriate. Key lessons include the challenges of managin…

speech pathologygeneral practicecommunicationsystemmorphine
NSWhospital2022-10-26

Inquest into death of Lucas PEYRET

21y · Male·Hypoxic brain injury arising from severe anaphylactic shock due to administratio…

…taneous circulation was achieved but prolonged hypoxia caused irreversible global cortical ischaemia and brainstem death. The coroner found no fault with surgical decision-making, anaesthetic conduct, or resuscitation m…

surgeryanaesthesiasugammadex
QLD2025-09-05

Findings into the death of Faysal Ishak AHMED

30y · Male·Acute pneumonia and multi-organ failure, due to or as a consequence of traumatic…

Faysal Ishak Ahmed, a 30-year-old Sudanese refugee, died from traumatic brain injury sustained in a fall down stairs at Manus Island Regional Processing Centre on 22 December 2016. He collapsed and fell while alone, like…

emergency medicineintensive caredelaymannitol
VIChospital2025-07-14

Finding into death of Baby Sidney

0y · Male·Head injury sustained in a difficult delivery including head impaction and caesa…

Baby Sidney died from severe hypoxic-ischaemic encephalopathy caused by head impaction during a difficult vaginal delivery attempt and subsequent caesarean section at 6 days old. The coroner found that medical care fell …

obstetricsneonatologydiagnosticcommunicationoxytocin
VIChospital2014-08-25

Finding into death of Sean Brindle

35y · Male·Head injury sustained in a bicycle accident

Sean Brindle, aged 35, died from head injury sustained in a bicycle accident on Boxing Day 2008 at The Alfred Hospital, Melbourne. He and his brother were struck from behind by a car driven by Luke Shields, who was sever…

emergency medicinetrauma surgerysystemalcohol
WAhospital2013

Inquest into the Death of Davies, Adriana Elise

46y · Female·brain swelling and dural venous thrombosis in association with low grade glioma …

Dr D., a 46-year-old medical practitioner, died from brain swelling and dural venous thrombosis associated with a low-grade glioma. She presented to Albany Hospital on 10 October 2005 with a severe, different headache ch…

general practiceneurosurgerydiagnosticcommunicationprochlorperazine
VIC2014-07-04

Finding into death of Samir Ograzden

25y · Male·Gunshot injury to the neck

…nding an officer), and was fatally shot. The coroner found the police response was appropriate and lawful. Death resulted from a gunshot wound to the neck causing catastrophic vertebral artery and cervical spine damage,…

emergency medicineforensic medicineamphetamine
NSWcommunity2020-10-30

COOK Grant Findings

28y · Male·Hypoxic brain injury as a result of a respiratory arrest, after inadequate respi…

Grant Cook, aged 28, collapsed during a rugby league game after a tackle caused him to fall and hit his head. He suffered a grand mal seizure with snoring/obstructed breathing, leading to respiratory arrest, cardiac arre…

paramedicineintensive carecommunicationdiagnosticadrenaline
NSW2016-11-04

Inquest into the death of Phillip Hughes

25y · Male·traumatic basal subarachnoid haemorrhage due to vertebral artery dissection

Phillip Hughes, a 25-year-old professional cricketer, died from traumatic basal subarachnoid haemorrhage caused by vertebral artery dissection after being struck on the neck by a cricket ball during a Sheffield Shield ma…

emergency medicineneurosurgerycommunicationsystem
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

…ted overnight with respiratory depression, seizures, and severe hypoxic-ischaemic brain injury, leading to death despite intensive care. Key clinical failures included: the prescribing doctor not specifying tablet/capsu…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
WAPodcast2019-08-14

Inquest into the Death of Anita Jade BOARD

8y · Female·complications of multiple injuries sustained in motor vehicle crash

Eight-year-old Anita Board died from catastrophic brain injury sustained in a motor vehicle crash at Perth Motorplex on her first junior drag racing licensing attempt. Her dragster failed to slow adequately after the fin…

emergency medicineintensive caresystemprocedural

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