Coronial

86 results for emergency evacuation

TAS2024-05-02

Coroner's Finding: Gleeson, Bernice Valma

84y · Female·left subdural haematoma resulting from head injury due to fall from standing

…n a left subdural haematoma. She was appropriately transported to neurosurgical facilities and underwent emergency evacuation of the haematoma, but died 8 days later. The coroner found her prior fall in August 2021 was …

neurosurgeryemergency medicineaspirin
TAS2026-03-23

Coroner's Finding: Garcia, Adrian Walter

51y · Male·Traumatic brain injuries resulting from blunt head trauma: multiple calvarial an…

…his fiancée's grandson, resulting in extradural and subdural haematomas and pneumocephalus. He underwent emergency neurosurgery and was managed in ICU with mechanical ventilation, but his neurological condition did not …

neurosurgeryintensive care
VIChospital2015-04-14

Finding into death of Bryan Joseph Clothier

74y · Male·Head injury in motor vehicle incident

…ned a severe head injury with right subdural haemorrhage and bilateral subarachnoid haemorrhage. Despite emergency decompressive craniotomy and evacuation of subdural haematoma, repeat imaging showed extensive brain inj…

neurosurgerytrauma surgery
NTcommunity2006-05-04

Inquest into the death of Cynthia Diane Ching

29y · Female·multiple organ failure following persistent sepsis occurring as a complication o…

…vere burns including infection surveillance rather than prophylactic antibiotics; and timely aeromedical evacuation.

plastic and reconstructive surgeryintensive careproceduralsystemmorphine
NSWhome2017-09-29

Inquest into the death of Robin MacDonald, Colin Webb and Brian Wilson (Dungog Floods)

Unknown·Presumed freshwater drowning

…ictable weather anomaly exceeding a one-in-1000-year rainfall, with 167mm falling in two hours. Although emergency services were alerted, the flash flooding proved too sudden for timely evacuation. The coroner identifie…

system
SAhospital2005-04-12

Coroner's Finding: KARTINYERI Richard John

60y · Male·respiratory failure and sepsis complicating acute subdural haematoma

…stained a severe right-sided acute subdural haematoma, cerebral contusions and skull fractures requiring emergency neurosurgery. Post-operative complications including raised intracranial pressure requiring further cran…

neurosurgeryintensive caremorphine
NSW1979-09-03

Inquiry into the fire and deaths at Luna Park

Unknown·Carbon monoxide poisoning and burns (or burns only in one case), accidentally su…

… coroner identified critical safety failures: absence of the required internal patrol attendant, lack of emergency lighting and hose reel systems (mandatory upgrades not yet completed), poorly marked or hidden escape ex…

systemdelay
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
VIC2012-02-06

Finding into death of Samantha Jane Killen

36y · Female·exercise-associated hyponatraemia with fatal cardiac arrhythmia in the setting o…

A 36-year-old female died on the Kokoda Track from exercise-associated hyponatraemia (EAH) with fatal cardiac arrhythmia. She was a fit, well-prepared trekker who became disoriented, confused, and seizing on day 2 of the…

emergency medicinesports medicinecommunicationsystem
QLD2014-02-07

Johnson, Nicholas Peter

47y · Male·Smoke inhalation due to fire

…c funnel were provided, increasing spillage and static discharge risk; there were no fire extinguishers, evacuation plans, or formal safety audit. The fire ignited either from fuel spillage contacting the hot engine or s…

occupational and environmental healthemergency medicinecommunicationsystem
NThospital2005-04-06

Inquest into the death of Peter Wiryal

48y · Male·Cerebrovascular Accident (stroke) caused by subdural haemorrhage, which resulted…

… following days and was admitted to Danila Dilba on 8 April with suspected subdural haematoma, requiring emergency craniotomy on 9 April. He appeared to recover initially but suffered a catastrophic secondary haemorrhag…

emergency medicineneurosurgerydiagnosticcommunicationalcohol
QLDhomePodcast2014-11-28

Slacks Creek House Fire

42y · Female·Smoke inhalation caused by house fire

…tical failures included: absence of working smoke alarms despite legislative requirements, lack of early evacuation due to the resident's attempt to extinguish the fire with a garden hose rather than immediately alerting…

systemcommunication
VIC2013-01-30

Finding into death of Burnley Tunnel Deaths

Male·Kennard: Multiple injuries; Sporn: Effects of fire; McDonald: Effects of fire

…llowing distance when approaching a stationary truck. The investigation focused on tunnel safety design, emergency response systems, and driver behaviour. While emergency systems performed excellently, improvements to t…

delay
NTcommunity2011-07-27

Inquest into the death of Marilyn Lalara

48y · Female·acute myocarditis resulting from systemic viral infection

…Although rapidly evacuated to Alyangula clinic where she was assessed as critically ill and awaiting air evacuation to hospital ICU, no aircraft were available due to maintenance, pilot illness, and another category-1 pa…

emergency medicinecardiologydiagnosticdelayantibiotics
SAaged care2018-02-08

Coroner's Finding: DILETTOSO Giuseppe

79y · Male·aspiration pneumonia

…ianship orders. He had suffered two significant head injuries (2000 and 2013), with the latter requiring emergency neurosurgery for skull fractures and subdural haematoma. Post-injury he developed dementia and dysphagia…

general practiceintensive care
SAhospital2003-05-08

Coroner's Finding: PRATT Shirley May

66y · Female·acute necrotising haemorrhagic mediastinitis

…nvasive procedures in rural settings must have formal transfer agreements with teaching hospitals, clear emergency protocols, and must take active responsibility for post-operative escalation decisions—not delegate this…

surgerygeneral surgerycommunicationsystemfentanyl
QLDhome2014-08-26

McInnes, Zoe Louise

28y · Female·Multiple injuries due to quad bike accident

… The quad bike had mechanical defects including inefficient front brakes and a loose rear wheel bearing. Emergency response was appropriate given rural location. Key clinical lesson: preventable death through helmet use…

trauma surgeryneurosurgerysystemdelay
VIChospital2010-01-15

Finding into death of Josephine Cesnik

76y · Female·complications of subdural haemorrhage (operation)

…ical attention for 9 days despite worsening headache. When she presented to the Royal Melbourne Hospital Emergency Department on 29 January with severe headache, subdural haematoma was diagnosed and surgery performed. P…

emergency medicineneurosurgerydelaywarfarin
VICcommunity2023-07-13

Finding into death of Christopher James Wrigglesworth

59y · Male·Multiple injuries sustained from a tree falling on a motor vehicle (driver)

Christopher Wrigglesworth, aged 59, died when a tree fell on his vehicle during severe weather. Emergency services responded promptly, but he was trapped for approximately 100 minutes before extrication. Despit…

emergency medicinetrauma surgeryondansetron
VIChome2014-10-06

Finding into death of Britney Jade Guerra

10y · Female·smoke inhalation

A 10-year-old girl with cerebral palsy and high care needs died from smoke inhalation in a house fire. The fire originated in roof space above the south-eastern bedroom, possibly from electrical faults involving downligh…

system

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