53y · Male·massive head injury, upper thoracic fracture and dislocation, multiple rib fract…
A 53-year-old experienced cyclist died after losing control of his bicycle on loose gravel left on a roadway during utility works. He collided with an oncoming vehicle on a downhill left-hand bend at Kingston Beach. Fric…
43y · Male·hypoxic brain injury secondary to asphyxiation by ligature
A 43-year-old man died from hypoxic brain injury due to asphyxiation by ligature while an inpatient at a rehabilitation centre. He had undergone spinal sur…
44y · Male·gunshot wound to abdomen
…iology. Critical clinical lessons include: delayed notification of consultant surgeons (general and cardiothoracic) who could have provided essential expertise; the deceased's unrecognized inferior vena cava tear caused …
60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…
Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…
45y · Male·multiple injuries sustained from a 25-metre fall down an unprotected stope when …
A 45-year-old experienced loader operator died when his vehicle fell 25 metres down an unprotected underground stope while attempting to place a rock bund at its edge. The incident occurred due to multiple contributing f…
92y · Female·Consequences of an assault
A 92-year-old woman with dementia died from consequences of an assault by another resident with unmanaged psychosis in an aged care facility. The assault occurred after the facility failed to adequately monitor, assess, …
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