Coronial

439 results for “traumatic injuries”

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SA2026-02-26

Coroner's Finding: Eckert, Paul Theodore & Eckert, Thomas Sebastian & Bottrill, Alan Leslie & Neave, David Arthur & Ingram, Rodney Jon & Martin, Peter Joseph & Walker, Roger Malcolm & Kent, Victor Reginald

Male·Drowning (with various contributing cardiac and traumatic factors)

Eight people died in four separate boating incidents in South Australian waters between March 2024 and January 2025, all from drowning or drowning-related causes. The coroner found that lifejackets would likely have prev…

system
ACThome2021-04-29

Inquest into the death of Bradyn Stuart Dillon

9y · Male·Traumatic head injury with diffuse cerebral swelling and subdural haemorrhage ca…

Bradyn Dillon, aged 9, was brutally beaten to death by his father Graham Dillon in February 2016. The inquest examined how multiple agencies—police, child protection, education, and health services—failed to protect him …

paediatricsgeneral practicediagnosticcommunicationmethamphetamine
QLD2006-09-14

Beattie, Christian Paul

36y · Male·massive multiple traumatic injuries, including transection of the trunk of the b…

Christian Paul Beattie, an experienced Cathay Pacific pilot, died when his privately owned Hawk T18 aircraft disintegrated in mid-air near Inglewood, Queensland on 13 September 2005. Investigation concluded the aircraft …

aviation medicinepathologysystem
QLDhome2021-06-15

Bradford, Teresa and Bradford, David - Non-inquest findings

40y · Female·Head injuries inflicted by axe blows in context of intimate partner domestic abu…

…d domestic homicide at their Pimpama home on 31 January 2017, followed by his suicide. She died from head injuries inflicted with an axe. This death occurred within a 17-year relationship characterised by escalating inti…

general practicepsychiatrycommunicationsystemwarfarin
VIChome2022-12-01

Finding into death of Alicia Maree Little

41y · Female·Multiple injuries

Alicia Maree Little, aged 41, was struck and killed by a motor vehicle driven by her former intimate partner while she was leaving the relationship. The case highlights significant systemic failures in family violence re…

psychologypsychiatrydiagnosticcommunication
VIChome2025-09-11

Finding into death of ZSQ

26y · Female·Multiple stab wounds

… coordination; (2) The importance of proper risk assessment frameworks (DV-PAF) when victims present with injuries and trauma histories; (3) Failure to escalate risk assessment appropriately when strangulation, threats t…

emergency medicinepsychiatrycommunicationsystemcocaine
NSWcommunity2012-11-16

Daryl hamilton findings

45y · Male·Traumatic neck and hypoxic brain injuries suffered in a high-speed powerboat rac…

Daryl Hamilton, a highly experienced 45-year-old powerboat racer, died on 23 February 2009 after being ejected from his racing boat during a high-speed drag race on Kogarah Bay, Sydney. At approximately 100 mph, excessiv…

system
QLDcommunity2015-08-03

Inquest into nine (9) deaths caused by Quad Bike accidents

Multiple causes across nine deaths; primary causes included rollover with crush …

This is a complex coronial inquest examining nine quad bike deaths in Queensland, with a focus on prevention through regulatory and design measures. Key clinical and safety lessons include: (1) helmet use is critical—33.…

systemdelay
QLDhospital2026-01-20

Non-Inquest findings - DUCHATEL Daniella Jade

26y · Female·Pulmonary thromboembolism due to deep vein thrombosis (left leg) due to fracture…

A 26-year-old woman with a tibia fracture died from pulmonary embolism due to deep vein thrombosis. Despite multiple risk factors (obesity, oral contraceptive use, vaping, leg immobilization, prolonged immobility), no fo…

orthopaedic surgeryemergency medicinediagnosticcommunicationaspirin
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
QLD2012-11-01

Short, James Leon

Male·pelvic, leg and chest injuries sustained from being run over by a reversing dog …

James Short was fatally run over by a reversing truck and dog trailer at an earthmoving company yard. The driver had limited visibility due to trailer configuration and did not use a designated spotter. The squawker audi…

systemcommunication
TAScommunity2022-01-28

Coroner's Finding: AZ 2022 TASCD 60

16y · Male·Multiple blunt traumatic injuries from fall from height

A 16-year-old boy with depression and suicidal ideation was discharged from an inpatient adolescent mental health facility in Victoria after 20 days. Two days later, he died by suicide at a cliff location he had previous…

psychiatrycommunicationdiagnosticfluoxetine
VIC2013-10-21

Finding into death of Jaesok Lee

26y · Male·Multiple injuries from collision between semi-trailer and train at level crossin…

On 5 June 2007, a semi-trailer collided with a V/Line passenger train at the Kerang level crossing, killing 11 passengers. The driver had crossed this crossing hundreds of times without seeing a train, was familiar with …

emergency medicinetrauma surgerysystemdelay
SAcommunity2001-10-05

Coroner's Finding: BEDNAREK Shantel Lisa

7y · Female·Multiple abdominal injuries including traumatic rupture of the liver and stomach…

A 7-year-old girl died from massive abdominal injuries sustained when a car, driven by an insulin-dependent diabetic man, collided with a group of pedestrians. …

endocrinologyemergency medicinediagnosticcommunicationinsulin
WAhospital2018-06-25

Inquest into the Death of LCTM

0y · Male·complications of head injury

A premature newborn died from severe head injuries inflicted deliberately by his teenage father in hospital on 15 February 2014. The father had a well-docum…

neonatologypaediatricscommunicationsystem
NSWcommunity2016-01-29

Jimmy JAMES - Findings

44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)

…ed lactate 12.7 mmol/L, leukopenia, acute kidney injury) but was managed on a trauma pathway focusing on traumatic injuries rather than the underlying medical emergency. Despite an ABG at 03:35 showing severe lactic aci…

emergency medicineintensive carediagnosticmedicationceftriaxone
NSW2022-12-09

Inquest into the death of Tyrone Adams

22y · Male·Multiple injuries to the chest, abdomen and limbs

Tyrone Adams, age 22, died in a motor vehicle collision on the M1 Motorway following a police pursuit. The initial pursuit was initiated based on questionable reasonable suspicion to stop a hire vehicle. The coroner foun…

proceduralcommunicationmethamphetamine
SA2003-01-17

Coroner's Finding: HOWARD Brendon Alan and SNEATH Lois Creama

Multiple severe traumatic injuries sustained in motor vehicle accident

Two people died when a car lost control on a recently resealed rural road with loose aggregate still present. The female driver was traveling at approximately 90 km/h on a straight sealed section, but lost control about …

systemdelay
VIC2023-11-24

Finding into death of Eugene Mahauariki

6y · Male·Complications of Head Injury following a fall from a Fairground Ride

…riki was ejected from the Cha Cha ride at a carnival in Rye, Victoria on 17 April 2017 and died from head injuries four days later. The coroner found the death was preventable due to three critical failures: (1) the rest…

diagnosticprocedural
NSWcommunity2019-10-04

Inquest into the death of Olivia INGLIS

27y · Female·chest injuries

Olivia Inglis, 27, died from chest injuries sustained in a fall whilst competing in the cross country phase of eventing at the 2016 Scone Horse Trial…

emergency medicineparamedicinesystemcommunication
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