Coronial

95 results for spinal surgery

SAhospital2019-03-08

Coroner's Finding: PETERS Clinton Neal

40y · Male·metastatic malignant melanoma

…September 2015. He had atypical nevi removed in 2009 and melanoma diagnosed in 2013, initially undergoing surgery with curative intent. However, he had poor follow-up compliance with melanoma clinic appointments. In Jun…

oncologyemergency medicinediagnosticdelay
VIChospital2014-03-17

Finding into death of Mervyn Barry Maslin

67y · Male·Complications arising from multiple injuries — fall from a height

…ienced a dizzy spell in hot weather. He was transferred to Melbourne for neurosurgical care but had severe spinal and head injuries with poor prognosis. The coroner highlighted systemic gaps in ladder safety prevention f…

neurosurgerytrauma surgerysystem
TAShome2022-11-29

Coroner's Finding: Young, Andrew Robert

61y · Male·hanging

Andrew Robert Young, a 61-year-old man with lifelong depression and social phobia, died by hanging on 13-14 January 2020. He had received consistent psychiatric care from an experienced psychiatrist for 16 years using su…

psychiatrygeneral practicediazepam
TAShospital2025-04-30

Coroner's Finding: Warn, Kenneth

86y · Male·aspiration pneumonia following injuries sustained in a motor vehicle crash and p…

…le tyre blowout or driver inattention). Mr Warn was hospitalised and initially treated conservatively with spinal bracing and rehabilitation. He had significant comorbidities including congestive cardiac failure, diabete…

emergency medicineorthopaedic surgery
NSWhome2014-12-22

Inquest into the death of Margaret Elizabeth HILLS

60y · Female·undetermined

Margaret Elizabeth Hills, a 60-year-old woman with chronic pain and depression from a work-related spinal injury, disappeared on 2 February 2010 from her home in Katoomba, NSW. Her skeletal remains were discovere…

general practicepsychiatrycommunicationdelay
NThospital2024

Inquest into the death of Road Death 60 of 2024

74y · Male·Complications of multiple blunt force injuries sustained in a motor vehicle cras…

…. He was ejected from the vehicle and suffered multiple rib fractures with flail chest, haemopneumothorax, spinal fractures, and retroperitoneal haemorrhage. Despite initial stabilization and ICU admission at Royal Darwi…

trauma surgeryintensive carealcohol
WAhospital2020-11-20

Inquest into the Death of Trent Nathaniel ROBERTSON

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,…

trauma surgeryintensive care
SAhospital2020-12-18

Coroner's Finding: ANKER Paul Eugene

53y · Male·metastatic carcinoma of the rectum (operated)

…h Hospital. He had been appropriately diagnosed with bowel cancer in 2016 whilst in custody and underwent surgery, chemotherapy, and radiotherapy. Despite initial treatment response, metastases developed in his lungs, l…

oncologycolorectal surgerydexamethasone
VIChospital2022-09-07

Finding into death of Mr AB

17y · Male·Hypoxic ischaemic encephalopathy due to hanging

…after discharge from psychiatric inpatient care. He had complex medical needs including chronic back pain, spinal fusion, post-viral fatigue, depression, anxiety, and gender dysphoria. Critical clinical lessons include: …

psychiatryemergency medicinesystemcommunicationquetiapine
VICaged care2010-03-30

Finding into death of John James Byron

95y · Male·bronchopneumonia in a man who has sustained extensive head injury

… and extradural haematoma and C2 vertebral fracture. Despite conservative management due to unfitness for surgery, he developed bronchopneumonia and died. The coroner found staffing levels adequate, observations appropr…

geriatric medicineneurosurgery
TAS2023-05-31

Coroner's Finding: Clayton, Danielle Alisha

22y · Female·multiple blunt trauma injuries

…logy revealed she was affected by methamphetamine, cannabis, and prescription pain medications from recent spinal surgery, all of which significantly impaired her driving ability. She may also have been distracted by mob…

methamphetamine
VIChospital2017

Finding into death of Mary Fillipas

75y · Female·Complications of multiple injuries sustained when struck by a car (pedestrian)

…et in Burwood on 8 May 2017. She suffered multiple serious injuries including subarachnoid haemorrhage and spinal and rib fractures, requiring intubation and ICU admission with multiple surgeries. Despite maximal treatme…

trauma surgeryintensive care
TAShospital2021-11-29

Coroner's Finding: Helen Mary Badcock

77y · Female·haemoperitoneum and retroperitoneal haematoma secondary to Type I aortic dissect…

…ted cardiovascular examination. Early recognition and imaging (CT angiography) with urgent cardiothoracic surgery could have been life-saving.

emergency medicinecardiothoracic surgerydiagnosticcommunication
VIChospital2025-08-21

Finding into death of Andrew William Barr

54y · Male·Complications of pelvic and spinal fractures sustained in a fall in man with Dow…

…Barr, a 54-year-old man with Down syndrome and Alzheimer's dementia, died from complications of pelvic and spinal fractures sustained in a fall. Following his mother's death in January 2021 and his February fall, Mr Barr…

orthopaedic surgerypalliative carecommunicationsystemanti-epileptic medication
TASaged care2022-11-09

Coroner's Finding: Tate, Barry Ronald

75y · Male·bronchopneumonia

…y after the fall was reasonable given Mr Tate's poor prognosis, metastatic disease, and unsuitability for surgery. The death resulted from immobilization-related complications and immunosuppression from prior chemothera…

palliative careoncology
VIChospital2016-11-10

Finding into death of Beverley Joy Leggett

79y · Female·Pulmonary thromboembolism in the setting of right elective total hip replacement

A 79-year-old woman died from pulmonary embolism eight days after undergoing elective right total hip replacement. She received multimodal VTE prophylaxis including aspirin, early mobilisation, mechanical foot compressio…

orthopaedic surgeryanaesthesiasystemaspirin
SAhospital2026-06-19

Coroner's Finding: Clancy, Carmen Jayne

37y · Female·sepsis secondary to rectosigmoid perforation on a background of metastatic squam…

Carmen Jayne Clancy, aged 37, died on 27 September 2022 from sepsis secondary to rectosigmoid perforation caused by metastatic cervical cancer. Incarcerated on home detention following a cancer diagnosis in 2021, she und…

oncologycolorectal surgerypsyllium
NThospital2017-08-10

Inquest into the death of Ruby Blitner

7y · Female·respiratory failure from severe scoliosis due to Murray Valley encephalitis

…inical course involved progressive respiratory compromise, recurrent aspiration pneumonia, and progressive spinal deformity. The coroner found that the care, supervision and treatment provided to Ruby was appropriate. A …

paediatricsinfectious diseases
VIChospital2016-06-15

Finding into death of Patricia Mary Russell

76y · Female·Aspiration pneumonia complicating catatonia and depression in the setting of met…

Patricia Russell, a 76-year-old woman with metastatic bladder cancer, catatonia, and severe depression, died from aspiration pneumonia at St Vincent's Hospital. She was a compulsory patient under the Mental Health Act af…

psychiatrypalliative care
TAScommunity2022-07-04

Coroner's Finding: Leighton, Garth Mcdonald

58y · Male·chest and abdominal injuries sustained in motor vehicle collision

A 58-year-old experienced motorcycle rider died from massive chest and abdominal injuries after losing control on a rural curve and colliding with an oncoming vehicle. He was initially conscious with three doctors presen…

emergency medicinesurgerysystemdelay

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