Coronial

34 results for prior subdural haematoma

TASaged care2025-06-13

Coroner's Finding: de-identified OQ -2

84y · Male·Head injury - left lateral convexity acute subdural haematoma with 2mm midline s…

…eed was not communicated during transfer. Without sitter supervision, he fell and sustained a fatal acute subdural haematoma. The coroner found the handover information inadequate and stated that if a sitter had been pre…

geriatric medicinerehabilitation medicinecommunicationsystem
SAhospital2009-07-30

Coroner's Finding: BRUNT Sidney

65y · Male·acute right subdural haematoma

Sidney Brunt, aged 65, died from an acute right subdural haematoma caused by excessive, unmonitored anticoagulation with warfarin. His general practitioner, Dr A.…

general practiceemergency medicinemedicationcommunicationwarfarin
WAprison2024-02-21

Inquest into the Death of Iain Campbell BUCHANAN

65y · Male·complications, including pneumonia, of traumatic brain injury

…bulance was called 1.5 hours later. Despite emergent neurosurgical intervention, his severe brain injury (subdural haematoma with midline shift) was unsurvivable. Clinical lessons include: early recognition of high-risk …

neurosurgeryemergency medicinedelaysystem
QLDhospital2025-10-24

Non-Inquest findings into the death of Ms G

76y · Female·Head injury comprised of subdural haematoma, subarachnoid haemorrhage with brain…

A 76-year-old woman died from complications of a severe head injury sustained in a motor vehicle collision. She was initially managed conservatively at a regional hospital, but her condition deteriorated markedly at 9pm …

neurosurgeryemergency medicinecommunicationdelay
VIChospital2019-11-11

Finding into death of Finn Moser

1y · Male·Head injury in the setting of labour

…y impacted in the maternal pelvis requiring difficult disimpaction and extraction, resulting in bilateral subdural haematomas, subarachnoid haemorrhages and skull fracture. Multiple clinical management issues were identi…

obstetricsneonatologydiagnosticcommunicationprostaglandin gel
VICaged care2019-05-30

Finding into death of S B

87y · Male·Complications of head injuries in setting of dementia

…a known risk but managed only by redirection. The perpetrator had a history of aggression toward staff and prior violence, though no documented aggression toward residents. An Aged Psychiatry Assessment Team referral wa…

geriatric medicineforensic medicinesystemcommunicationclopidogrel
VIChome2016-11-11

Finding into death of John Raynox Jansen

51y · Male·Blunt head injury sustained in the circumstances of a seizure

…tained during a seizure in his home. He had not taken his anti-epileptic medication (Epilim) for four days prior to death, making seizure recurrence highly likely. He was found deceased in his enclosed patio area with a…

neurologygeneral practicemedicationsodium valproate
WAcommunity2020-12-17

Inquest into the Death of Jamie Douglas KNEALE

43y · Male·head injury

…y and an obligation to give way. The driver had been using his mobile phone to read and send text messages prior to the collision, though the timing of the final message was approximately 50 seconds before the impact. T…

VIChospital2021-12-16

Finding into death of Fangzhou Shi

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

…lity, poor lighting, and lack of barriers or warning signage at the collision site. The coroner found five prior tram-pedestrian collisions in the area between 2014-2019. No clinical errors were identified; the death re…

neurosurgeryintensive caremidazolam
QLDhome2013-05-31

Garrett-Pratt, Jake Michael

12y · Male·Head injuries resulting from ride-on mower collision

Jake Garrett-Pratt, a 12-year-old boy, died from fatal head injuries sustained when he lost control of a poorly maintained ride-on lawn mower on a steep driveway. The rear axle drive chain broke due to inadequate mainten…

emergency medicinetrauma surgerysystemdelay
VIChospital2026-03-13

Finding into death of Wayne Ronald Watson

61y · Male·Intracranial haemorrhage and myocardial infarct

A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. Paramedics identified STEMI and administered heparin on advice from Austin…

cardiologyemergency medicinediagnosticcommunicationheparin
WAhospital2023-05-22

Inquest into the Death of Errol Warren BARTLETT

87y · Male·Metastatic carcinoma of the prostate with complications (end-of-life palliative …

Errol Warren Bartlett-Torr, aged 87, died of metastatic prostate cancer on 20 June 2021 whilst in prison custody and receiving palliative care at Bethesda Hospital. Clinical lessons include: (1) elevated PSA findings sho…

oncologypalliative carecommunicationsystemwarfarin
WAcommunity2010-12-21

Inquest into the Death of Njana

24y · Male·left intracerebral haemorrhage and consequential brain bleeding resulting from h…

Hendrick Njana, a 24-year-old Aboriginal male, was assaulted on 27 December 2008 by Shaun Steven Midd at a service station in Broome, suffering a strike to the head causing unconsciousness, kicks to the head with steel-c…

emergency medicineintensive carecommunicationdelayalcohol
SAcommunity2000-03-13

Coroner's Finding: STRANGWAYS Kenneth Charles

34y · Male·aspiration pneumonia following seizure with concomitant global severe anoxic enc…

Kenneth Strangways, a 34-year-old Aboriginal man with post-traumatic epilepsy, organic brain damage from head injuries, alcoholism and psychiatric illness, died from aspiration pneumonia following a seizure. The death wa…

psychiatryneurosurgerycommunicationsystemanticonvulsant medications

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