68y · Male·Internal haemorrhage due to coagulopathy and upper gastrointestinal varices, cir…
… significantly to death, which resulted from rapid hepatic decompensation, coagulopathy, gastrointestinal bleeding, and acute cardiac events. The coroner recommended Queensland Health address equipment standardisation, s…
61y · Female·injuries sustained in a motor vehicle collision as a passenger
A 61-year-old woman died from hypovolaemic shock and cardiac arrest following a motor vehicle collision in rural Victoria. She was trapped in her vehicle for approximately 90 minutes with severe crush injuries and lower …
17y · Female·multiple injuries
…ive craniectomy, extraventricular drain insertion, and fracture fixation. She developed a traumatic right internal carotid artery aneurysm on day 12 post-injury with catastrophic bleeding, leading to brain death. The cor…
56y · Female·Multiple injuries including small and large bowel damage, mesenteric damage with…
… day. The vehicle collided with a tree. She sustained bowel and mesenteric injuries, lung contusions, and internal bleeding. Despite emergency surgery at Bunbury Regional Hospital and intensive care at Sir Charles Gairdn…
34y · Male·Severe chest injury with fractures to ribs and sternum, internal bleeding, lacer…
A 34-year-old male motorcyclist died from severe chest injuries after crashing into a Toyota Tarago at high speed. He was riding a stolen, high-performance Ducati motorcycle with a false number plate, intoxicated with me…
49y · Male·cor pulmonale and chronic bronchitis and emphysema
Graham Murrurkuwuy, a 49-year-old Aboriginal man, died of cor pulmonale and chronic bronchitis/emphysema while imprisoned at Darwin Correctional Centre. He had a long history of smoking and substance abuse. Medical staff…
Female·Mona: multiple internal injuries (including head and lung injuries) sustained in…
Mona Lisa Smith (16) and Jacinta 'Cindy' Rose Smith (15), Aboriginal girls from Bourke, NSW, died in a single-vehicle motor vehicle accident on 6 December 1987 when a Toyota utility driven by Alexander Grant rolled over …
Unknown·Multiple injuries from motor vehicle collision due to loss of control of tanker …
…osa Guajardo. The coroner found the collision was caused by a dangerously maintained road surface—bitumen bleeding, severe texture loss, and rutting in the left lane—which created extremely low skid resistance when wet. …
4y · Female·Multiple severe traumatic injuries from motor vehicle crash; severe crushing inj…
A 4-year-old girl died from severe traumatic injuries sustained when a motor vehicle overturned on a wet road curve. The driver (her mother) was unlicensed, had consumed alcohol and cannabis, was driving a vehicle with d…
73y · Male·Combined effects of cerebrovascular accident and subsequent iatrogenic related i…
…ged with prednisolone. Three days later, he returned with worsening symptoms and was found to have a left internal carotid artery occlusion with large infarct. Emergency endovascular clot retrieval was performed but the …
64y · Male·hypoxic-ischaemic encephalopathy complicating cardiac arrest due to retroperiton…
A 64-year-old man died from hypovolaemic cardiac arrest caused by retroperitoneal bleeding from a pelvic fracture. The bleeding occurred six days post-injury while on high-dose enoxaparin (100mg t…
83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…
Margaret Patricia Kenney, 83, died from upper gastrointestinal bleeding complicated by cardiac arrest while anticoagulated for atrial fibrillation. She had been diagnosed with g…
Male·Motor vehicle crash injuries; Arjomand—head injury; Hiron—chest and abdominal in…
…st and abdominal injuries; and the front seat passenger (Dean) sustained critical abdominal injuries with internal bleeding. All three had significant blood levels of methylamphetamine and other stimulants, which impaire…
81y · Male·pneumonia due to traumatic internal bleeding of the chest wall sustained in fall…
An 81-year-old man with Parkinson's disease, dementia, and multiple comorbidities residing in aged care suffered an unwitnessed fall on 6 June 2021, sustaining a right-sided chest wall haematoma. Staff found him at 7:40a…
45y · Male·Abdominal injuries from being struck by reversing front-end loader
…e, Western Australia on 24 June 2015. He sustained severe crushing injuries to his abdomen with extensive internal bleeding and died despite resuscitation efforts at Fiona Stanley Hospital. The loader operator, David Bon…
51y · Male·blunt trauma of the chest sustained in a motor vehicle crash; hypovolemic shock …
A 51-year-old man with schizophrenia, bipolar disorder, chronic pain, and substance use disorder died from blunt chest trauma following a motor vehicle crash. He had a history of two previous crashes associated with high…
62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…
…were outcome-changing given the tumour's invasiveness. Key lessons include earlier recognition of massive bleeding, improved team communication, and careful pre-operative assessment of complex cases.
68y · Male·Pulmonary thromboembolus secondary to deep vein thrombosis
…cancer requiring chemotherapy and major surgery. Warfarin anticoagulation was appropriately ceased due to bleeding risk from the cancer and instability during chemotherapy. After surgery, he received appropriate short-te…
16y · Female·intra-abdominal haemorrhage due to ruptured spleen
A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital,…
70y · Male·hypovolaemic shock due to the consequences of fractured femur
…lity and osteoporosis in a group home, fell on 19 January 2018 and sustained a spiral femur fracture with internal bleeding. Care workers failed to seek medical assessment after the fall, instead conducting their own rud…
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