Inquest into the Death of Dennis Michael GREEN
Male·multiple injuries sustained in motorcycle crash
…nted better fatigue management, provided track-based high-speed training, and conducted practical riding assessments before course participation.
536 results for “trauma assessment”
Male·multiple injuries sustained in motorcycle crash
…nted better fatigue management, provided track-based high-speed training, and conducted practical riding assessments before course participation.
0y · Female·head and neck injuries
A 4-month-old girl (Baby H) died from head and neck injuries caused by violent shaking inflicted by her mother on 28 May 2017. She had presented to an emergency department on 10 May 2017 with facial bruising, which physi…
0y · Unknown·fatal injuries from dog attack
A 5-week-old infant died from fatal injuries inflicted by the family pet, a dog (American Staffordshire Terrier) named Bully, who attacked him in the family home in early July 2021. About one month before the fatal attac…
42y · Male·multiple injuries sustained in aircraft crash resulting from port side wing tip …
Philip Scholl, an inexperienced microlight pilot with only 20 hours flight training, died in a crash near Mareeba on 20 October 2005. The aircraft T2-2776 was airworthy unfit due to degraded wing fabric, corroded cables,…
31y · Female·Pressure applied to neck (asphyxia); not ascertained due to advanced post-mortem…
A 31-year-old First Nations woman was killed by her partner during intimate partner violence. She was pregnant at the time of death. Despite multiple contacts with police, court services, employment agencies, and domesti…
35y · Female·multiple injuries sustained in fall from sixth-floor balcony
FJ, an Iranian woman with bipolar affective disorder and schizophrenia, died by suicide at age 35 in November 2016. Key clinical lessons include: (1) the critical importance of continuity of psychiatric care during trans…
50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…
…adequate Aboriginal liaison officer access, poor family engagement, understaffing, and inconsistent risk assessment practices. Key lessons: psychotic depression requires continuous supervision; observations must be conte…
30y · Male·ligature compression of the neck (hanging)
Jomen Blanket, a 30-year-old Aboriginal and Torres Strait Islander man, died by suicide in prison on 12 June 2019 after eight months incarcerated for assault. He had a known suicide plan (hanging from his cell door using…
27y · Male·Airway obstruction due to a combination of positional asphyxia, aspiration and a…
…ge). Critical failures in care included: absence of Watch House Keeper, failure to conduct proper health assessment despite obvious incapacity, dragging the detainee rather than assisting him to walk, failure to recognis…
35y · Male·self-inflicted gunshot wound to the head
Ralph Donald, aged 35, died by suicide after attempting to kill his ex-partner Eileen Gibbons on 3 October 2023 in Milner, NT. The death occurred in context of escalating coercive control including verbal abuse, property…
Blunt force trauma from impact with motor vehicle
…anno (25), Jess Mudie (22), Zachary Matthew Bryant (3 months), and Bhavita Patel (33). All sustained fatal traumatic head and torso injuries from blunt force impact. This coronial finding examined systemic failures prece…
Unknown·multiple physical injuries sustained in a mid-air collision during skydiving
Three skydivers died in a mid-air collision near Mission Beach, Queensland on 13 October 2017. Tandem instructor Peter Dawson and customer Kerri Pike (in drogue-fall) collided with solo sport jumper Tobias Turner whose m…
41y · Male·Complications of blunt force injuries of the head
… reporting head tenderness. Critical delays occurred in: (1) obtaining adequate history and neurological assessment in ED; (2) clinical handover between cardiologists; (3) transfer arrangements to Liverpool Hospital's ne…
20y · Male·hypoxic encephalopathy
…om the ETT, falling oxygen saturations despite 100% oxygen, and later abdominal distension—the incorrect assessment was accepted by another registrar (Dr J.). Vecuronium paralysis was administered based on this false pre…
17y · Female·Neck compression by hanging (suicide)
XY, a 17-year-old Wemba Wemba Aboriginal girl, died by suicide on 18 July 2021 while in out-of-home care. The inquest found the Victorian Department of Families, Fairness and Housing (DFFH) failed in its duty of care as …
Female·Betty: cardiac arrhythmia complicating heart failure due to consequences of past…
…owding, housing inadequacy, limited health literacy, staff turnover, fly-in/fly-out models, and historical trauma affecting trust. Critical lessons included the need for integrated care coordination, timely specialist re…
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