Coronial
QLDaged care2024-12-10

Non-inquest findings into the death of Mr O.

79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…

…orax. Critical issues included: staff administered aspirin and rivaroxaban despite obvious rib trauma and bruising (potentially exacerbating bleeding); delayed ambulance response; and omission of bed/chair sensors. He de…

geriatric medicineemergency medicinediagnosticmedicationaspirin
VICmental health2010-09-16

Finding into death of Louise Litis

37y · Female·Hypoxic brain injury consequent upon hanging

…night on 5 December. Clinical lessons include: (1) inadequate examination and documentation of suspicious bruising/marks on 4 December suggesting possible suicide attempt—the coroner found records contradictory and uncle…

psychiatryintensive carediagnosticcommunicationsertraline
VIChome2016-10-28

Finding into death of Zane Bradbury

3y · Male·Head injury resulting from blunt force trauma

Zane Bradbury, age 3 years 11 months, died from a catastrophic head injury resulting from being thrown by Brok Hughes during physical punishment at home in Glenroy, Victoria on 9 May 2014. Hughes grabbed Zane by the neck…

cannabis
NSWhospital2017-04-19

Inquest into the death of Heidi COX

58y · Female·consequences of acute subdural haemorrhage

…ainst Bingle and extensive family observations of physical and verbal abuse. Medical examination revealed bruising consistent with blunt trauma to the neck and head, though the exact mechanism could not be precisely dete…

emergency medicineintensive carequetiapine
SAaged care2008-02-07

Coroner's Finding: WELLS Gladys Ruth

71y · Female·undetermined

…on aged care facility. Her body was positioned with head resting against bed pole, with marks on neck and bruising observed by carers. The death was certified as 'cardiac arrest' by Dr S. without proper investigation. Cr…

geriatric medicinegeneral practicediagnosticsystem
VIC2022-02-11

Finding into death of Michelle Hughes

53y · Female·Ligature strangulation

…arm. On 25 January 2017, Registered Nurse Pare conducted an 'at risk' assessment following observation of bruising around her neck. The assessment was conducted through a cell door window, with limited direct observation…

psychiatrycorrectional healthdiagnosticprocedural
VIChospital2012-08-15

Finding into death of Vanessa Jenner

38y · Female·Septicaemia, urosepsis, and Lennox Gastaut syndrome

…aut epilepsy, died from septicaemia and urosepsis following a urinary tract infection. She presented with bruising to her thigh on 6 February 2011, but was not admitted initially. When admitted on 7 February, she had a u…

intensive caregeneral medicine
NThospital2000-10-31

Inquest into the death of Marcio Jose Lay Nheu

26y · Male·Closed head injury with extradural and subdural haemorrhage resulting from a sku…

…h a Glasgow Coma Score of 12, which improved to 15. Despite presenting with signs of serious head injury (bruising, haematoma, incoherence, difficulty walking), he was prematurely discharged after 40-50 minutes of assess…

emergency medicineneurosurgerydiagnosticcommunicationtemazapam
VIChome2020-04-28

Finding into death of Baby M

0y · Male·Unascertained in the setting of detected methylamphetamine

… 4-month-old boy was found unresponsive in his bassinet and could not be revived. Autopsy revealed facial bruising and injuries, and toxicological analysis detected methylamphetamine in his blood and hair. The cause of d…

forensic medicinetoxicologymethamphetamine
QLDhome2021-01-22

Cobb, Tyrell - Non-inquest findings

4y · Male·Intra-abdominal injuries from blunt force trauma (ruptured duodenum and lacerate…

Tyrell Cobb, a 4-year-old boy, died from intra-abdominal injuries caused by blunt force trauma inflicted on two separate occasions between 22-24 May 2009. Postmortem revealed a ruptured duodenum and lacerated mesentery c…

paediatricsemergency medicinedelaysystem
TAShome2022-05-19

Coroner's Finding: Dillon, Kelly John

58y · Male·pulmonary thromboemboli complicating deep venous thrombosis

…mbosis. Three days before death, he sustained a leg injury at work (chair thrown at his lower leg causing bruising). He subsequently developed malaise, shortness of breath, and pallor. He consulted his GP on 17 February …

general practiceemergency medicine
VIC2022-06-03

Finding into death of Micky Craig Revera

40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…

Micky Craig Revera, a 40-year-old man with chronic heroin addiction, died in Melbourne Assessment Prison on 18 February 2019 from unascertained causes. He was arrested on 12 February after erratic driving, underwent poli…

emergency medicineforensic medicinediagnosticcommunicationheroin
TASaged care2022-11-08

Coroner's Finding: Kerr,Anthony Neville

81y · Male·pneumonia due to traumatic internal bleeding of the chest wall sustained in fall…

…021, sustaining a right-sided chest wall haematoma. Staff found him at 7:40am with low blood pressure and bruising; his doctor was contacted at 11:00am and an ambulance called at 3:00pm when chest swelling developed. He …

geriatric medicineemergency medicinedelaysystem
NSWhome2024-11-04

Inquest into the death of MR

4y · Female·hypoxic brain injuries

A 4-month-old girl died from hypoxic brain injury following an unexplained, unnatural restriction of oxygen on 13 May 2017. She was found unresponsive at home and despite resuscitation, suffered irreversible brain damage…

paediatricspathologydiagnosticdelay
QLDhome2006-07-28

Vidler-Cumming, Liam Richard

0y · Male·Global hypoxic brain necrosis as a result of non-accidental violent shaking of t…

…ately 12:30pm and died on 24 March 2001. Autopsy revealed subdural haemorrhage, retinal haemorrhages, and bruising consistent with violent shaking, not natural disease or metabolic disorder. Despite circumstantial eviden…

paediatricsneurosurgery
VIC2019

Finding into death of Emma Louise Saunders

22y · Female·Ruptured myocardium in motor cycle incident

…st trauma in young people can cause sudden cardiac death despite low-speed incidents and minimal external bruising. Paramedics responded appropriately; death was not preventable by medical intervention.

forensic medicineemergency medicine
WAhospitalPodcast2016-12-28

Inquest into the Death of Jasmine Lilian CAMMILLERI

2y · Female·chest injury - tear to right atrium with haemopericardium caused by television s…

…: (1) understanding that children's flexible ribcages can sustain severe internal injury without external bruising, (2) recognizing that blunt chest trauma may cause arrhythmias and sudden cardiovascular collapse, and (3…

emergency medicineforensic medicinesystem
NSWhome2025-08-28

Inquest into the death of KBS

1y · Male·Blunt force abdominal trauma; laceration of spleen with intra-abdominal haemorrh…

…ion on 13 January 2019. He had multiple injuries documented at autopsy including rib fractures, extensive bruising, and patterned burns consistent with inflicted injuries sustained over time. The child died in the early …

paediatricsforensic medicinecommunicationsystemcannabis
NSWhome2017-08-15

Inquest into the death of Alyce POLLETT

20y · Female·unascertained

…-like symptoms. Autopsy findings were concerning for possible asphyxia due to neck compression, with deep bruising to the anterior and posterior neck, petechial haemorrhages, and abrasion injuries. However, three indepen…

obstetricsgeneral practicecommunicationsystem
VICcommunity2014-09-29

Finding into death of Neil Phillip Hay

48y · Male·Multiple injuries sustained as a driver of a motorcycle

Neil Hay, a 48-year-old experienced motorcyclist, died from multiple injuries sustained in a motorcycle crash on Eildon-Jamieson Road, Victoria. He approached a left-hand sweeping bend at excessive speed, braked heavily …

forensic medicinetrauma surgery

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