Coronial

202 results for environmental injury

VIChospital2015-09-22

Finding into death of AJR

88y · Male·Multiple injuries sustained in a motor vehicle collision (pedestrian)

… lighting on Clarinda Road likely contributed to the collision. This case highlights the importance of environmental factors in injury prevention and the need for adequate lighting in pedestrian crossing areas, particul…

trauma surgeryneurosurgery
NT2013-12-04

Inquest into the death of Paul James Du Toit

53y · Male·Drowning

…ractures of both pelvic rami and right sacroiliac joint dislocation with adjacent muscle haemorrhage. This injury rendered him immobile and unable to escape the rising tide. Medical experts confirmed the injury was consi…

forensic medicineorthopaedic surgeryalcohol
NSWhome2022-02-07

Inquest into the death of Chatchaya ITTIVITHCHAI

1y · Female·blunt force injury of the head sustained when she fell from a third-floor window…

A 15-month-old girl died from blunt force head injury after falling from a third-floor apartment window lacking a safety lock. The building was governed by comp…

system
VIChome2012-12-06

Finding into death of Pearl Recht

90y · Female·Type II respiratory failure in the setting of severe respiratory injury followin…

… hearing loss and mobility limitations, died from Type II respiratory failure following severe respiratory injury sustained in a house fire on 17 August 2011. She was rescued by firefighters but succumbed to injuries eig…

intensive caregeriatric medicinesystemdelay
TAScommunity2019-02-12

Coroner's Finding: Lewtas, Georgia Amy

14y · Female·global hypoxic brain injury sustained during drowning

…Despite heroic rescue efforts by police, civilians, and surf lifesavers, she suffered global hypoxic brain injury and died six days later. No medical errors were identified. The coroner focused on environmental risk mana…

WAcommunity2018-05-30

Inquest into the Death of Lachlan James MITCHELL

2y · Male·Hypoxic brain injury following immersion (drowning)

…ty, drowned in a swimming pool at a family day care home on 9 November 2015, suffering fatal hypoxic brain injury. While swimming pools were not prohibited at family day care centres, critical supervision lapses occurred…

emergency medicineintensive caresupervisionsystem
VICaged care2017-11-15

Finding into death of Garry Serve

82y · Male·Trauma related intracerebral haemorrhage

…mentation was taken regarding his medical conditions or mobility needs; and there was no assessment of environmental safety at the destination. The coroner found no definitive mechanism for the fall but noted the reside…

geriatric medicineemergency medicineproceduralcommunicationfluoxetine
VICcommunity2011-03-04

Finding into death of Matthew Ray Atwood

22y · Male·lacerated right brachial artery following a fall associated with alcohol intoxic…

…lations, particularly international students unfamiliar with local beverage strength, and implementing environmental safety measures to mitigate injury from falls in intoxicated persons.

alcohol
VICcommunity2026-03-05

Finding into death of Yuhan Jin

Female·Hypothermia

Two young Chinese international students died from hypothermia while hiking Mount Bogong in severe weather conditions. They were inexperienced hikers who underestimated the alpine environment's dangers. Despite carrying …

NSW2024-03-06

Inquest into the death of WM

59y · Male·Hanging

…visible to staff). The death was self-inflicted but clinical escalation, risk reassessment timing, and environmental safety measures warrant review.

psychiatryforensic medicinesystemmirtazapine
VIChome2011-03-15

Finding into death of Simon Peter Gardner

14y · Male·chest injuries from motorcycle incident (rider)

…overnment strategy to address this public health issue. Key clinical lessons include the importance of environmental controls, rider competency assessment, and parental supervision in preventing injuries.

forensic medicineemergency medicinesystem
NSWhome2011-12-01

Coroner's Finding: Harshith ILLA

2y·head injuries from accidental fall from third-floor window

…and carers about the dangers of open windows to small children in high-rise accommodation, emphasizing environmental prevention of similar future incidents.

paediatrics
VIChospital2021-12-16

Finding into death of Fangzhou Shi

24y · Male·Complications of head injuries (operated), sustained in a tram impact (pedestria…

…roximity to the tracks. The tram driver could not stop in time despite emergency braking. Contributing environmental factors included overgrown bushes obscuring visibility, poor lighting, and lack of barriers or warning…

neurosurgeryintensive caremidazolam
WA2019-11-14

Inquest into the Suspected Death of John (Jack) Edward CARTER

61y · Male·Drowning

John Edward Carter, aged 61, died by drowning on 10 December 1965 after being swept from rocks at Sugar Loaf Rock by a freak wave while fishing with his wife. He initially surfaced and appeared to swim strongly but was s…

VIC2014-08-28

Finding into death of Andrew Ngo

20y · Male·Blunt force trauma to the head (train impact)

…raction-related risks in transportation settings, particularly mobile phone use, and the importance of environmental design features (active crossing signals with audible warnings) to compensate for human error. While t…

cannabis
NSW2016-04-08

Inquest into the death of Paul SMITH

Male·drowning due to immersion in stormwater while trapped in a drain

…eeper than boot height) because he perceived a greater responsibility to prevent leachate overflow and environmental breach, unaware of the hydraulic forces involved. Systemic lessons include: SITA lacked adequate hazar…

occupational and environmental healthemergency medicinesystemcommunication
VIChome2022-06-27

Finding into death of Master J

3y · Male·Neck compression due to entanglement in the cord of a blind

… for corded window coverings (effective December 2010). Key clinical lessons include the importance of environmental hazard awareness for young children, particularly those with developmental delay and high energy/climb…

system
VIC2011-10-28

Finding into death of Peter Andrew Ross

56y · Male·Thoracic Crush Injuries

Peter Ross, a 56-year-old hatch foreman, died from thoracic crush injuries when steel bundles being unloaded from a cargo ship became snagged, swung uncontrollably, and struck him. Critical clinical lessons include: inad…

systemdelay
VICcommunity2014-10-17

Finding into death of Sharga Amos Taite

17y · Male·Subarachnoid haemorrhage caused by penetrating left orbital injury with a long k…

A 17-year-old meat trimmer sustained an unintentional self-inflicted penetrating left orbital injury with a knife while at work, resulting in a subarachnoid haemorrhage (SAH) and death. Despite initial clini…

neurosurgeryemergency medicinecannabis
VIC2013-06-24

Finding into death of John William McPherson

52y · Male·Unascertained causes; likely drowning in the Latrobe River

…52, disappeared in November 1960 while disposing of rubbish at a local tip. He had sustained a severe head injury from a fall 2 years earlier, after which family members noted significant personality and behavioural chan…

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