Coronial

859 results for brain injury

VIC2022-05-10

Finding into death of Choon Jie Chai

18y · Male·Drowning

An 18-year-old Malaysian visitor drowned in a hotel swimming pool after entering water despite being unable to swim. He was attempting to rescue a colleague who had also gotten into difficulty. The pool was unattended by…

systemcommunicationmidazolam
VIChospital2015-10-19

Finding into death of Daniella Francesca Sessarego

24y · Female·Pentobarbitone toxicity

24-year-old Daniella Sessarego died from pentobarbitone toxicity following intentional ingestion. She had borderline personality disorder and depression with a history of self-harm and suicidality. On 12 August 2014, she…

psychiatrypsychologysystempentobarbitone
SAhospital2001-07-13

Coroner's Finding: TRIMBOLI Jayden Tyler

0y · Male·hypoxic-ischaemic encephalopathy due to prolonged fetal bradycardia

…cluding patient repositioning or urgent cesarean section—could have potentially prevented the catastrophic injury. The case highlights critical failures in CTG monitoring protocols, staff accountability, and communicatio…

obstetricsmidwiferycommunicationsystemprostaglandin gel
VIChospital2009-12-08

Finding into death of Timothy Jack Wood

1y · Male·Cerebral anoxia caused by cardiac arrest caused by bronchiolitis and bronchopneu…

Timothy Wood, a 19-month-old boy, died from cerebral anoxia following cardiac arrest caused by bronchiolitis and bronchopneumonia secondary to influenza A infection. He initially presented with croup symptoms on 15 July …

emergency medicineintensive carecommunicationsystemprednisolone
VICcommunity2017-06-14

Finding into death of Noah Zunde

1y · Male·Heat stroke

…bined to cause a lapse in her short-term memory. The coroner emphasised this was not negligence but normal brain functioning under extreme duress. Key clinical lessons include understanding how sleep deprivation and str…

VIChome2022-10-04

Finding into death of Baby R

3y · Unknown·Unascertained - natural causes; evidence of aspiration pneumonia, hypoxic-ischae…

…lties, respiratory distress, and collapsed on day 3. Despite resuscitation, he sustained hypoxic-ischaemic brain injury and died. Autopsy revealed aspiration pneumonia and chronic villitis but no definitive cause. Key c…

obstetricsmidwiferysystemcommunication
SA2025-05-20

Coroner's Finding: Pham, Duy Ngoc

35y · Male·multiple organ failure due to out-of-hospital circulatory arrest due to perforat…

35-year-old male died from multiple organ failure following out-of-hospital cardiac arrest caused by perforated duodenum. He was in police custody for drug-related charges and diagnosed with opioid withdrawal. Critical d…

emergency medicinegeneral practicedelaycommunicationmethamphetamine
VIChospital2019-02-07

Finding into death of JP

39y · Male·septicaemia following self-administered intravenous injection of faeces

A 39-year-old Aboriginal man with schizophrenia, personality disorder, and substance dependence died from septicaemia after self-injecting faeces into his vein while an involuntary mental health patient. He obtained a sy…

psychiatryinfectious diseasessystemdelaypaliperidone
TAShospital2024-09-30

Coroner's Finding: Newell, Warren James

71y · Male·raised intracranial pressure caused by left frontal-temporal-parietal subdural h…

Warren James Newell, a 71-year-old man with oesophageal cancer, presented with acute coronary syndrome on 29 September 2022 and was appropriately diagnosed and treated with anticoagulation and dual antiplatelet therapy. …

cardiologyemergency medicinemedicationsystemenoxaparin
QLDcommunity2013-11-05

Wirraway Aircraft Crash

Impact injuries from RAAF Wirraway aircraft strike - head trauma with skull frac…

Three children (Graham Stanley Blair and Pauline Probert, both aged 6; Liam Joseph O'Connor, aged 11) were fatally struck by a RAAF Wirraway aircraft conducting shark spotting patrols at Maroochydore Beach, Queensland on…

proceduralsystem
VICmental health2017-05-18

Finding into death of Derek Hamilton

46y · Male·Cerebral ischaemia secondary to compression of the neck in circumstances of hang…

Derek Hamilton, a 46-year-old involuntary psychiatric patient with cluster B personality disorder and recurrent depression, died from cerebral ischaemia secondary to hanging while an inpatient at Northern Hospital Psychi…

psychiatryintensive caresystemcommunicationmirtazapine
WAhospital2024-05-06

Inquest into the Death of Devan Beau GINBEY

20y · Male·Hypoxic brain injury following ligature compression of the neck (hanging)

Devan Ginbey, a 20-year-old with longstanding mental health issues including depression, psychosis, ADHD, and substance abuse, presented to Peel ED on 12 January 2022 with self-harm and active suicidal ideation with a st…

emergency medicinepsychiatrysystemdelay
TAScommunity2024-06-13

Coroner's Finding: Xu, Robert Bo; Davies, Jarrod Robert

Male·Drowning (Dr Xu); Undetermined - accidental drowning while intoxicated (Mr Davie…

Two men died after excessive alcohol consumption in Hobart waterfront venues. Dr B. (32), a trainee surgeon, consumed 9-10 whiskies and beers over several hours at three venues on 6-7 November 2019, reaching a blood alco…

diagnosticsystem
QLDhospital2007-08-17

Mental Health patient

71y · Male·hypoxic brain injury due to hanging

A 71-year-old farmer with a 10-year history of major depressive disorder with melancholic features died by hanging on 22 July 2005, three days after admission to a private psychiatric hospital (Belmont) following a medic…

psychiatryemergency medicinecommunicationdiagnostictemazepam
VIChospital2025-11-10

Finding into death of Jason Hosier

39y · Male·mixed drug toxicity (methadone, benzodiazepines, olanzapine, zopiclone)

Jason Hosier, a 39-year-old man with complex mental health and substance use history, died from mixed drug toxicity following discharge from Sunshine Hospital. He was subject to an inpatient temporary treatment order and…

emergency medicinepsychiatrycommunicationsystemmethadone
VIChome2023-04-13

Finding into death of Martin William Sheahan

57y · Male·Gunshot wounds to the head and abdomen

Martin Sheahan, 57, was fatally shot by Glenn Usher-Clarke at his home on 26 January 2022. Usher-Clarke, who held a NSW firearms licence and permit to acquire, legally purchased a shotgun in Victoria on 17 December 2021 …

general practicepsychiatrycommunicationsystemmirtazapine
VICcommunity2026-05-07

Finding into death of Elizabeth Susan Edwina Ferris

44y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest in the setting of p…

…oids, benzodiazepines, methamphetamine, and others). She was resuscitated but suffered severe irreversible brain injury and died 16 days later. The coroner found no direct causal link between her death and police respon…

psychiatryintensive carediagnosticcommunicationheroin
ACTmental health2021-03-04

Inquest into the deaths of ANTHONY LEIGH BEARHAM, NICOLA JOY FISHER, CHRISTINE BELLE DOUCH andKEN ALEXANDER LUCAS

Bearham: hypoxic brain injury from hanging; Fisher: asphyxiation from hanging by…

Four inpatient suicides occurred at The Canberra Hospital mental health units between January 2015 and November 2016: three by hanging and one by jumping. The coroner found systemic failures including inadequate ligature…

psychiatryemergency medicinediagnosticsystem
QLDhome2008-12-22

Plint, Hannah Isabella Alyson

2y · Female·Drowning in an above-ground swimming pool

Hannah Plint, a 2½-year-old, died from drowning after accessing an above-ground pool by dragging a chair to the gate and opening it unsupervised. Her mother was inside with a younger sibling. The pool fence and gate sepa…

emergency medicinepaediatricssystemdelay
QLD2008-05-26

Rouse, Christine Chloe

2y · Female·Drowning (Fresh Water)

A 2-year-old girl died from freshwater drowning at a public pool in rural Queensland. She was briefly unsupervised when her guardian stepped away for approximately two minutes to speak with a family member at the pool fe…

systemcommunication
139404143

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.