Coronial

95 results for spinal surgery

TAShospital2021-05-24

Coroner's Finding: Wade, Neville Ernest

80y · Male·acute myocardial ischaemia due to coronary atherosclerosis

Mr Wade, aged 80, died from acute myocardial infarction following knee surgery. On postoperative day 3, he developed chest symptoms, elevated troponin, and hypoxia. An ECG was performe…

cardiologygeneral surgerydiagnosticcommunication
NSWcommunity2018-04-11

Inquest into the death of Brendan Vickery

20y · Male·drowning

Brendan Vickery, a 20-year-old, died by drowning in a quarry reservoir after jumping from a cliff. He was an adequate swimmer who appeared fit and well before jumping. After his initial jump, witnesses observed him expre…

emergency medicinepathology
NThospital2024

Inquest into the death of Road Death 32 of 2024

78y · Female·Blunt force chest injuries from motor vehicle crash, compounded by chronic obstr…

A 78-year-old Aboriginal woman died from blunt force chest injuries sustained as a passenger in a single-vehicle run-off crash on a remote road in the Northern Territory. She was wearing a seatbelt and the crash was low-…

emergency medicineintensive care
VIChospital2021-08-11

Finding into death of Mariza Beretta

52y · Female·Presumed SUDEP (Sudden Unexplained Death in Epilepsy)

Mariza Beretta, a 52-year-old woman with Trisomy 21 and early-onset Alzheimer's disease, died from presumed SUDEP (Sudden Unexplained Death in Epilepsy) at Royal Melbourne Hospital. She was diagnosed with genetic general…

neurologygeriatric medicinesodium valproate
VIChospital2024-04-11

Finding into death of Mark Andrew Spillane

58y · Male·Septic shock secondary to intra-abdominal collections as sequelae of osteomyelit…

…antibiotics, and underwent drainage of collections. Despite treatment, his prognosis was poor and further surgery was deemed inappropriate. He became distressed by intravenous access which required removal. He was trans…

infectious diseasesgeneral medicine
VICaged care2019-07-31

Finding into death of Hong Tay

63y · Male·Sepsis in a man with complicated peripheral vascular disease

Hong Tay, a 63-year-old man with extensive peripheral vascular disease, diabetes, and prior amputations, died from sepsis in an aged care facility following a cervical spine fracture sustained in a fall. After conservati…

geriatric medicinepalliative carecommunicationsystemfentanyl
NSWhospital2020-10-02

Inquest into the death of Madeline Newcombe

63y · Female·Pulmonary thromboembolism

…ocumented despite being required by guidelines), and the decision to proceed with single versus bilateral surgery should be discussed earlier in consultation rather than on the day of surgery. The coroner noted that mod…

orthopaedic surgeryanaesthesiacommunicationdiagnosticaspirin
VIChome2025-03-12

Finding into death of H D

11y · Female·Pneumonia complicating cerebral palsy secondary to KCNQ2 developmental and epile…

HD was an 11-year-old girl with severe cerebral palsy, epilepsy, and multiple complex medical conditions including central respiratory depression and recurrent chest infections. She died from pneumonia at home in August …

paediatricspalliative care
VIC2014-07-04

Finding into death of Samir Ograzden

25y · Male·Gunshot injury to the neck

A 25-year-old man was shot and killed during a police pursuit in May 2008 after fleeing a vehicle stop where drugs and a firearm were found. He was pursued on foot through Melbourne streets, entered a car park, fired at …

emergency medicineforensic medicineamphetamine
QLDhospital2017-12-04

Mr AC - Non-inquest findings

76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…

…form but not flagged as anaesthetic alert; (2) absent pre-operative physician assessment despite previous surgery six months earlier that required ICU admission for atrial fibrillation; (3) consultant anaesthetist's ass…

neurosurgeryanaesthesiadiagnosticcommunicationamiodarone
NTcommunity2024

Inquest into the death of Road Death 40 of 2024

28y · Male·Multiple blunt force injuries from motor vehicle collision

…lision resulted in multiple severe blunt force injuries including intracranial haemorrhage, rib fractures, spinal fractures, and pelvic fractures. While seatbelt use would not have prevented death given the severity of i…

forensic medicinetrauma surgery
VIC2023-09-07

Finding into death of Betty Torrance Sloan

86y · Female·Bronchopneumonia complicating chest injuries sustained in a motor vehicle collis…

An 86-year-old woman died from bronchopneumonia complicating chest injuries sustained in a motor vehicle collision on 17 June 2019. A stolen vehicle being driven recklessly by an unlicensed driver under the influence of …

intensive careemergency medicinecommunicationsystemmethamphetamine
QLD2006-10-27

Blockley, Michael Gary; Watson, Stevie Lee; Teske, Neil Lackland; Donaldson, Michael Bruce; and Nugent, Christopher John

Unknown·Multiple fatal injuries sustained in motor vehicle accident; for driver (Blockle…

Five young workers died in a motor vehicle accident on 7 April 2006 when the driver, aged 20, was travelling at 150-160 km/h and attempted an unsafe overtaking maneuver on the Toowoomba-Cecil Plains Road. The driver lost…

forensic medicineemergency medicinesystem
NSWcommunity2023-12-14

Inquest into the disappearance and suspected death of XA

36y · Male·Unascertained

A 36-year-old male psychiatrist disappeared on 25 January 2023 and is presumed deceased. He had treatment-resistant depression, was in significant pain from a recent back injury, and was prescribed opioids (Lyrica, Endon…

psychiatrygeneral practicepregabalin
TAShospital2024-10-23

Coroner's Finding: Edwards, Macy Jayne

22y · Female·Traumatic brain injuries: diffuse axonal and intracranial haemorrhagic brain inj…

…loway. Road conditions were wet and slippery due to rain and drizzle. Ms Edwards underwent emergency neurosurgery including frontal craniectomy and ICP monitoring but suffered severe diffuse axonal and intracranial haem…

neurosurgerytrauma surgery
SAhome2014-04-17

Coroner's Finding: KEITH George

80y · Male·gunshot wound to the head

An 80-year-old man with chronic back pain died by self-inflicted gunshot wound to the head on 1 March 2011. Five days before his death, he mentioned suicide using a rifle to his long-term general practitioner, Dr D., but…

general practiceorthopaedic surgerydiagnosticcommunicationoxycodone
NSWhospital2009-06-12

Coroner's Finding: Rebecca Murray

29y · Female·Multisystem organ failure following postpartum haemorrhage due to atonic uterus

Rebecca Murray, 29, died from multisystem organ failure following postpartum haemorrhage after an emergency caesarean section at Bathurst Base Hospital on 24–25 June 2007. The coroner found her death preventable. Key cli…

obstetricsanaesthesiasystemcommunicationoxytocin
NT2019-08-09

Inquest into the death of Robin Riley, Thomas Turpin, Fabian Andrews, Cassandra Martin

Unknown·Blunt force trauma from motor vehicle accident (four deceased: head injuries in …

Four people died in a single vehicle rollover on Kakadu Highway, NT. The driver (Robin Riley, 46) and three unrestrained passengers (Thomas Turpin, 39; Cassandra Martin, 32; Fabian Andrews, 45) were killed when their veh…

emergency medicineretrieval medicinesystemdelayalcohol
TAShospital2019-10-29

Coroner's Finding: Holmes, Julie Anne

71y · Female·pneumonia following cervical spine fracture sustained in motor vehicle collision

Julie Anne Holmes, aged 71, died of pneumonia following a cervical spine fracture sustained in a motor vehicle accident that was not diagnosed during her hospital admission. Critical clinical lessons include: (1) paramed…

emergency medicinegeneral surgerydiagnosticprocedural
VIChospital2026-04-28

Finding into death of Ronald William Beaumont

74y · Male·Acute myocardial infarction complicated by multiple organ failure

…lessons: (1) Despite inadvertent withholding of dual antiplatelet therapy (aspirin and ticagrelor) before surgery on 6 November 2023, the subsequent NSTEMI was not caused by thrombotic occlusion but by supply-demand mis…

cardiologyorthopaedic surgerymedicationcommunicationaspirin

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