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NSWhospital2018-10-10

Inquest into the death of Craig Catley

32y · Male·sudden cardiac arrhythmia

Craig Catley, aged 32, died of sudden cardiac arrhythmia while in prison custody one day after discharge from Prince of Wales Hospital following neurosurgery for a pituitary tumour. The coroner found his hospital care wa…

neurosurgeryintensive careclonidine
NSWhospital2018-05-22

Inquest into the death of TM

5y · Male·complications of blunt force injury to the head

A 5-year-old boy died from complications of blunt force head injury sustained on 19-20 March 2010. He presented to a rural hospital unresponsive, with the initial account not mentioning head trauma. The attending doctor …

paediatricsemergency medicinediagnosticdelaymannitol
NSWhospital2017-12-22

Inquest into the death of Colin Parker

41y · Male·Complications of blunt force injuries of the head

Colin Parker, aged 41, suffered an unwitnessed fall with head injury while experiencing syncope from atrial fibrillation in early May 2014. He was admitted to Campbelltown Hospital but his serious intracranial pathology …

cardiologyemergency medicinediagnosticcommunicationenoxaparin
NSWhome2017-12-01

Inquest into the death of AF

3y · Female·peritonitis caused by small bowel perforation due to blunt force trauma

A 3-year-old girl died from peritonitis caused by small bowel perforation. Expert evidence established the perforation resulted from blunt force trauma, not natural disease or accidental mechanisms. The manner of injury …

paediatric surgerypaediatricscommunicationsystemparacetamol
NSW2017-11-20

Inquest into the death of Glennon Johnstone

87y · Male·Complications of acute subdural haematoma

An 87-year-old prisoner died from complications of acute subdural haematoma sustained in a fall at Kirkconnell Correctional Centre. He fell while walking in the common area and struck his head on metal fittings. Though p…

neurosurgerygeriatric medicinesystemdelay
NSW2017-06-22

Inquest into the death of David BROWNE

28y · Male·Brain death due to large right acute subdural haematoma sustained as a result of…

David Browne died from brain death due to a subdural haematoma sustained during a professional boxing match on 11 September 2015. The coroner found the death was preventable. Critical failures occurred: the referee did n…

emergency medicineneurosurgerydiagnosticcommunication
NSWhospital2017-06-06

Inquest into the death of Helen Ashburn

46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…

Helen Ashburn, a 46-year-old woman with history of alcohol use, coagulopathy and seizures, died from prolonged effects of a severe head injury sustained on 25 October 2011. She presented to Kempsey Hospital with extensiv…

emergency medicineneurosurgerycommunicationdiagnostic
NSWhospital2017-04-19

Inquest into the death of Heidi COX

58y · Female·consequences of acute subdural haemorrhage

Heidi Cox, 58, died from acute subdural haemorrhage after suffering interpersonal violence, likely at the hands of her long-term partner Karl Bingle. She was found unconscious at their residence and died in hospital. Evi…

emergency medicineintensive carequetiapine
NSW2017-02-03

Inquest into the death of Thanh PHAM

30y · Male·traumatic brain injury

Thanh Pham, a 30-year-old karate student, died from traumatic brain injury sustained during a black belt grading when he was repeatedly knocked down and struck to the head while sparring. Critical clinical lessons includ…

neurosurgeryemergency medicinecommunicationsystem
NSWhospital2016-12-20

Inquest into the death George TRIANTAFILOPOULOS

75y · Male·acute right subdural haemorrhage sustained in a fall

George Triantafilopoulos, a 75-year-old man on warfarin after aortic valve replacement, suffered two head strikes within 24 hours—first falling onto concrete at a supermarket on 14 August 2014, then falling onto concrete…

general practiceemergency medicinediagnosticdelaywarfarin
NSWhospital2016-11-04

Inquest into the death of Hellen Marsh

50y · Female·Irreversible hypoxic brain injury sustained during surgery for meningioma resect…

Hellen Marsh, a 50-year-old woman with Fragile X Syndrome and a brain meningioma, died from irreversible hypoxic brain injury sustained during tumour resection surgery. Significant intraoperative blood loss (4,500ml esti…

neurosurgeryanaesthesiacommunicationmonitoring
NSW2016-11-04

Inquest into the death of Phillip Hughes

25y · Male·traumatic basal subarachnoid haemorrhage due to vertebral artery dissection

Phillip Hughes, a 25-year-old professional cricketer, died from traumatic basal subarachnoid haemorrhage caused by vertebral artery dissection after being struck on the neck by a cricket ball during a Sheffield Shield ma…

emergency medicineneurosurgerycommunicationsystem
NSW2016-10-10

Inquest into the death of Philiip Hughes

25y · Male·traumatic basal subarachnoid haemorrhage due to dissection of the dominant left …

Phillip Joel Hughes, a 25-year-old South Australian cricketer, died from a traumatic basal subarachnoid haemorrhage caused by dissection of the dominant left vertebral artery following a blow to the left side of his neck…

neurosurgeryemergency medicinesystem
NSW2016-09-14

Inquest into the death of Rodney James BATES

55y · Male·Traumatic brain injury caused by blunt force to the head sustained in a fall

Rodney Bates, a 55-year-old in custody at Cessnock Correctional Centre, died from traumatic brain injury sustained in a fall on 2 April 2015. He had experienced recurrent unexplained loss of consciousness episodes from N…

neurosurgeryneurologymethadone
NSWcommunity2016-07-12

Inquest into the death of Matthew Mitchell

30y · Male·head injury occasioned by impact with a moving vehicle moving at speed

Matthew Mitchell, 30 years old, died from a severe head injury sustained when struck by a moving vehicle on Graham Drive, Sandy Beach on 17 August 2013. He remained comatose for one month before dying at Royal North Shor…

trauma surgeryneurosurgeryalcohol
NSWhospital2016-02-26

Inquest into the death of Rhyan Dickson

23y · Male·complications of blunt force head injuries

Rhyan Dickson, aged 22, died on 4 January 2013 at Canterbury Hospital from complications of blunt force head injuries sustained on 16 October 2011 when he was unprovoked and punched by Darryl John Stacey, causing him to …

neurosurgeryintensive care
NSWcommunity2014-12-18

Inquest into the death of Kenneth MAWBY

59y · Male·Suicide by hanging while suffering from a mood disorder in the nature of deliriu…

A 59-year-old man died by suicide on 5 January 2009, 47 days after undergoing Deep Brain Stimulation (DBS) surgery for Parkinson's disease. Post-operatively, he experienced significant behavioural changes including agita…

neurologyneurosurgerycommunicationsystemmadopar
NSW2014-06-04

Inquest into the death of Gary McKell

67y · Male·complications of blunt force head injuries

Gary McKell, aged 67, died from complications of blunt force head injury sustained during a physical altercation with his neighbour. After consuming approximately six beers, Mr McKell became angered by noise from his nei…

neurosurgeryintensive carealcohol
NSWhospital2014-05-09

Inquest into the death of Brendan BURNS

24y · Male·acute hydrocephalus due to undiagnosed colloid cyst of the third ventricle of th…

Brendan Burns, 24, died from acute hydrocephalus caused by an undiagnosed colloid cyst of the third ventricle. He presented with progressive severe occipital headaches, dizziness, blurred vision, nausea and vomiting over…

emergency medicineneurosurgerydiagnosticcommunicationmorphine

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