86y · Male·head injury with acute subdural haemorrhage
…ing and Mr Langlands' concerns prompted timely transfer to hospital where CT imaging revealed extensive intracranial bleeding. The coroner found management was reasonable and appropriate. Early recognition that the patie…
37y · Male·Subarachnoid haemorrhage due to ruptured berry aneurysm of the right middle cere…
…ing well minutes earlier. The coroner found the cause was natural—a spontaneous aneurysm rupture. While intracranial aneurysms occur in 0.4-6% of the general population and may be more common in vascular EDS, there is no…
74y · Female·Intracranial haemorrhages (non-operated) on a background of dementia
Frances Veronica Icke, aged 74, died from intracranial haemorrhages on a background of dementia. She fell at home on 31 December 2021 and was admitted to hosp…
87y · Female·left frontal temporal subdural haematoma following closed head injury sustained …
…ls develop anticoagulation reversal protocols to standardise management of anticoagulated patients with intracranial bleeding.
37y · Male·Traumatic intracranial haemorrhages/brain damage and fractured skull
A 37-year-old male died from traumatic intracranial haemorrhage and skull fracture after being punched and falling onto concrete. The critical clinical les…
80y · Female·Haemoperitoneum/retroperitoneal haematoma due to rupture of the abdominal aorta …
…presented to hospital after falls causing head injury and cervical spine fracture. Initial CT ruled out intracranial pathology. She developed undifferentiated shock at 5am, initially attributed to sepsis and treated with…
17y · Male·massive head injury sustained in a fall from height (approximately 3.5 metres th…
…t Regional Hospital (giving a false history of basketball injury) where CT imaging revealed significant intracranial bleeding. He was transferred by air ambulance to Royal Hobart Hospital for emergency hemicraniectomy bu…
44y · Male·head and neck injuries with terminal palliative care
Trent Robertson, 44, died from severe head and neck injuries sustained in a high-speed motorcycle crash on 27 May 2018 after evading a brief police traffic stop. Police observed him speeding at 92 km/h in a 60 km/h zone,…
51y · Male·Sepsis due to or as a consequence of right lower limb necrotising fasciitis due …
…tient with multiple comorbidities and anticoagulation; (2) failure to recognise and act on post-procedure bleeding complications—a competent cardiologist should have performed urgent ultrasound imaging on 11 May to exclu…
80y · Female·acute subdural haematoma following a fall while on warfarin for atrial fibrillat…
Mrs Bowerman, aged 80, fell at home on warfarin anticoagulation and sustained a minor head injury with no initial neurological signs. Paramedic Turnbull assessed her as requiring no transport (TNR), despite her anticoagu…
50y · Female·Irreversible hypoxic brain injury sustained during surgery for meningioma resect…
…pre-operative communication between surgeon and anaesthetist regarding tumour vascularity and anticipated bleeding risk; failure to visually monitor all suction containers despite known blood loss concerns; low platelet …
25y · Female·Head injuries
Lorraine Jane Hansen, 25, died from head injuries on 29 June 2016 after being found on a roadway in Willetton, Western Australia. She had been involved in a chaotic social gathering with alcohol, arguments, and physical …
58y · Male·effects of chronic alcoholism
…alcoholism complicated by Child C cirrhosis, hepatic encephalopathy, coagulopathy, sepsis, and multiple intracranial haemorrhages. While he sustained a fall on 13 October 2016 whilst under mental health detention, the co…
25y · Male·Ruptured berry aneurysm and sequelae resulting in catastrophic subarachnoid and …
…the time as hypertension was unknown and symptoms resolved well; and (4) the overwhelming nature of the intracranial haemorrhage was inevitably fatal regardless of medical treatment. The coroner found no medical negligen…
35y · Male·head injury in a man with chronic liver disease
…r. A single punch caused him to fall backward onto concrete, resulting in extensive skull fractures and intracranial haemorrhages. The coroner found the prison's supervision and care appropriate, noting this was an unpre…
38y · Male·acute on chronic right hemisphere subdural haematoma
…fell and struck his right temporal region in the early hours of 30 December while intoxicated, causing re-bleeding from the chronic subdural haematoma. Clinical lessons include the vulnerability of patients with chronic …
18y · Female·hypoxic encephalopathy due to raised intracranial pressure caused by severe clos…
…se. She fell approximately 2.5 metres onto a pine log border, sustaining a fractured skull and multiple intracranial haemorrhages. The coroner identified multiple preventable failures: inadequate metal fabrication with s…
61y · Male·Intracranial haemorrhage and myocardial infarct
…ctly to the cardiac catheterisation lab without ED assessment or CT brain imaging. A skull fracture and intracranial haemorrhage subsequently developed, likely exacerbated by anticoagulation. The coroner found that while…
2y · Male·Hypoxic ischaemic encephalopathy and intracranial haemorrhage complicating obstr…
A term infant died on day 2 of life from hypoxic-ischaemic encephalopathy and intracranial haemorrhage following obstructed labour requiring emergency caesarean section. The mother presented in …
73y · Male·subdural haematoma from fall
…ticoagulated patients with head trauma, even minor head injury requires CT imaging due to risk of delayed bleeding. Early imaging would have allowed warfarin reversal and potentially different management. The case highli…
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