Coronial

536 results for trauma assessment

VIChospital2025-05-20

Finding into death of Michael Philip Young

67y · Male·Complications of pressure ulcers in the setting of a thoracic vertebral fracture…

…12). The incident was preventable through: proper spinal precautions on admission; complete neurological assessment; involving family in care planning; and exploring alternative imaging options or positioning techniques.…

emergency medicineintensive carediagnosticproceduralhydromorphone
SAhome2017-11-17

Coroner's Finding: KEANE Shaun Martin

31y · Male·carbon monoxide toxicity

…istory of suicidal ideation, including a previous gassing attempt in 2010, and had experienced significant trauma including alleged sexual assault in prison. While on home detention, he received mental health support fro…

psychiatrypsychologycommunicationsystemmethamphetamine
VIChospital2013-01-29

Finding into death of Abdi Hassan

29y · Male·Acute subdural haematoma

A 29-year-old man died from acute subdural haematoma following blunt head trauma. He was arrested for public drunkenness after a fight with a friend and lodged in police cells where he fe…

neurosurgeryemergency medicinediagnostic
NSWhospital2016-12-20

Inquest into the death George TRIANTAFILOPOULOS

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

…ns. Neither GP ordered a CT brain scan despite the high-risk combination of age, anticoagulation, and head trauma. By 3pm on 15 August, George developed altered consciousness and vomiting. He was admitted with a massive …

general practiceemergency medicinediagnosticdelaywarfarin
VIChome2026-04-14

Finding into death of James Thomas Reilly

86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall

…dentified. Intercostal catheter insertion was attempted but unsuccessful. The coroner recommended improved trauma assessment protocols and EMR interface improvements.

emergency medicinegeneral medicinediagnosticmedicationenoxaparin
VIC2013-10-21

Finding into death of Stephanie Louise Meredith

46y · Female·Multiple injuries sustained in collision between semi-trailer and train; tension…

…, deficient trailer brake maintenance, and emergency response issues including inappropriate transfer of a trauma patient by fixed wing aircraft without critical care support. The incident resulted from interaction of mu…

emergency medicinetrauma surgerysystemdelaymorphine
TAS2023-02-20

Coroner's Finding: Calabrese Vincenzo

70y · Male·head injury

…nvolved. The clinical lesson is that patients with cardiac disease experiencing dizziness require prompt assessment for cardiac causes, and awareness that syncope from cardiac arrhythmia or hypotension can occur suddenly…

emergency medicineneurosurgery
NThospital2010-09-10

Inquest into the death of Adam Francis Chandler

20y · Male·acute haemorrhage and blunt abdominal trauma

Adam Chandler, a 20-year-old university student, died from acute haemorrhage and blunt abdominal trauma 15.5 hours after sustaining a severe internal injury. He was hit with a heavy potted plant (approximately …

emergency medicinetrauma surgerycommunicationproceduralalcohol
NSW2015-07-10

Inquest into the death of Tyrone Marley Gilks

19y · Male·chest injuries caused by blunt force trauma suffered in a high speed motorcycle …

…e including a rough, unaligned concrete run-in strip and undulations causing speed loss; inadequate risk assessment and planning; failure of speed monitoring protocols when the radar operator attempted to abort the jump …

trauma surgeryintensive caresystemcommunication
NTpolice custody2010-05-19

Inquest into the death of Cedric Trigger

32y · Male·traumatic subdural haemorrhage resulting from blunt head trauma

A 32-year-old Aboriginal man died from subdural haemorrhage caused by blunt head trauma sustained when climbing over a fence while evading police. He was arrested and brought to Alice Springs wa…

emergency medicineneurosurgerydiagnosticcommunication
TAScommunity2023-05-16

Coroner's Finding: Dodd, Christopher Darren

55y · Male·Head and chest injuries sustained in a motorcycle crash

…us due to unsurvivable injuries including complete thoracic spine transection, multiple rib fractures, and traumatic brain injury. This case highlights the critical importance of impairment assessment before operating ve…

alcohol
SAhospital2000-02-25

Coroner's Finding: STONEHOUSE Jarrod William (aka Scott)

23y · Male·aspiration of blood due to stab wound to trachea

…essing them as superficial without further investigation. Patient was intoxicated, uncooperative, making assessment difficult. Discharged after brief examination. Patient represented hours later with back pain; intern ex…

emergency medicinesurgerydiagnosticcommunicationalcohol
VIChospital2016-03-11

Finding into death of Chloe Mary Murphy

1y · Female·head injury from non-accidental trauma

…ies on 5 December 2010 after being left in the care of a babysitter (Mrs Jenkins) on 3 December. Medical assessment revealed a skull fracture, bilateral subdural haematomas, subarachnoid haemorrhage, cerebral oedema, ext…

neurosurgeryintensive care
WA

Inquest into the Death of Anthony John BILICK

34y · Male·Severe chest injury with fractures to ribs and sternum, internal bleeding, lacer…

…taking behaviour and crash risk. Emergency services responded appropriately with immediate CPR, but severe traumatic chest injury with cardiac tamponade was unsurvivable.

emergency medicinetrauma surgeryamphetamine
TAShome2021-05-06

Coroner's Finding: Bowerman, Valerie Joy

80y · Female·acute subdural haematoma following a fall while on warfarin for atrial fibrillat…

…er endorsed RCA recommendations for formal guidance, improved paramedic education on mechanism of injury assessment, and clarification of transport decision policies.

paramedicineemergency medicinediagnosticcommunicationwarfarin
VICmental health2010-09-08

Finding into death of Brian O'Connor

73y · Male·Acute on chronic subdural haematoma due to recent head trauma in the context of …

…he development of chronic subdural haematoma was not detected earlier despite the pattern of repeated head trauma in an elderly patient on anticoagulation or with bleeding risk.

psychiatryneurosurgerydiagnosticsystemfluphenazine
VIChome2011-07-26

Finding into death of Kevin Gary Dow

47y · Male·Blunt head injury

Kevin Dow, a 47-year-old Aboriginal man, died from severe blunt head trauma following a violent assault by his partner's son during a domestic altercation. The assault was the culmin…

systemcommunication
VIChome2025-09-11

Finding into death of ZSQ

26y · Female·Multiple stab wounds

…homicide as a preventable outcome requiring multi-agency coordination; (2) The importance of proper risk assessment frameworks (DV-PAF) when victims present with injuries and trauma histories; (3) Failure to escalate ris…

emergency medicinepsychiatrycommunicationsystemcocaine
VIChospital2018-08-01

Finding into death of Julia Folcik

89y · Female·Injuries sustained in motor vehicle collision (pedestrian)

…illation and persistent intra-abdominal bleeding. Given her age, injuries, and clinical deterioration, the trauma team determined she was not a surgical candidate and provided palliative care. She died two days after the…

trauma surgeryemergency medicine
VIC2013-10-21

Finding into death of Jaesok Lee

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

…oorly conspicuous for truck drivers; LEDs had been recommended but not upgraded pre-collision), the risk assessment model's failures, and emergency response issues. The investigation emphasises that level crossing safety…

emergency medicinetrauma surgerysystemdelay

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