859 results for “brain injury”
1y · Male·Head injury in the setting of labour
Finn Moser was a one-day-old neonate who died from head injury sustained during labour and delivery at the Royal Women's Hospital. He was born to a mother with dichorion…
43y · Male·Pneumonia
Jeffrey John Hartwig, a 43-year-old with chronic schizophrenia and opiate dependence, died from pneumonia following cardiorespiratory collapse on an acute psychiatric inpatient unit. He was on multiple psychoactive medic…
17y · Male·Cerebral ischaemia caused by hanging at Quamby Youth Detention Centre at approxi…
… point (a gap behind the shelf). Mark Watson hung himself on 17 September 1996 around 6.30am and died from brain death on 21 September. The coroner found critical failures: inadequate keys policy preventing immediate ro…
35y · Male·Complications of morbid obesity in a man with cardiomegaly and schizophrenia
Alexander McCulloch, a 35-year-old man with schizophrenia, morbid obesity (BMI 45), and cardiomegaly, was found dead in bed. Autopsy attributed death to complications of morbid obesity with cardiomegaly and schizophrenia…
86y · Female·subdural haemorrhage due to or as a consequence of a fall
Ms SME, an 86-year-old resident at a Blue Care nursing home, suffered a fatal subdural haemorrhage following a fall from bed during a sponge bath on 18 January 2016. She died on 21 January 2016. Clinical lessons include:…
37y · Male·mixed drug toxicity
A 37-year-old man with chronic pain from scoliosis and recurrent pancreatitis died from mixed drug toxicity. Over four months, he obtained prescriptions from 19 different doctors for multiple medications including opioid…
44y · Female·Head injury sustained when exiting a moving vehicle
A 44-year-old Filipino woman died from head injuries after exiting a moving vehicle travelling at 100 km/h during an episode of domestic violence. Ms Blackmore had reported non-lethal strangulation and threats to police …
22y · Male·hypoxic ischaemic encephalopathy in the setting of immersion (drowning)
… became submerged. Although patrons and staff performed prompt CPR, Paul suffered severe hypoxic-ischaemic brain injury and died 6 days later. The coroner found the death preventable. Key preventable factors included: i…
24y · Male·Hypoxic ischaemic encephalopathy due to or as a consequence of being hanged
Dane Benjamin Sloan, a 24-year-old remand prisoner with mental health history including suicidal ideation, hanged himself in the Maximum Security Unit exercise yard at Brisbane Correctional Centre. Although CCTV monitore…
1y · Male·Drowning in an unfenced in-ground home swimming pool
A 21-month-old boy drowned in an unfenced in-ground home swimming pool after leaving supervised care for approximately 30 minutes. The coroner identified two key clinical lessons: (1) the critical importance of active, c…
81y · Female·Complications of choking on a food bolus in a woman with dementia
Dorothy May Nelson, an 81-year-old woman with dementia, died from complications of choking on a food bolus at an aged care facility. She was served diced beef in casserole (approximately 4cm bolus found at autopsy, despi…
45y · Female·Multi-drug toxicity
Christine Drinnan, aged 45, died from multi-drug toxicity involving lethal morphine levels combined with pethidine, quetiapine, benzodiazepines and alcohol. Over 12 years, her GP Dr H. prescribed dangerous quantities of …
24y · Male·Hypoxic brain injury secondary to hanging
BJ, a 24-year-old with paranoid schizophrenia, substance abuse disorder, and anti-social personality disorder, died by hanging in a psychiatric unit after a suicide attempt. He was admitted on 4 January 2016 with suicida…
42y · Female·Global cerebral ischaemia in a setting of anaesthesia
A 42-year-old woman died from global cerebral ischaemia following cardiac arrest during anaesthesia for a late-term termination of pregnancy. The anaesthetist, Dr McAllister, failed to obtain or ensure a functioning puls…
38y · Male·hypoxic brain injury and organ failure following compression of the neck (hangin…
A 38-year-old Sri Lankan asylum seeker died by suicide after being released from immigration detention on a bridging visa. He had documented anxiety and trauma history during detention, managed by psychiatrist Dr A. who …
61y · Male·Hypoxic encephalopathy arising from cardiac arrest following self-removal of a c…
Kelvin Moulds, a 61-year-old man, died of hypoxic encephalopathy following a cardiac arrest caused by self-removal of a central venous catheter (CVC) on day 14 post-bilateral lung transplant. The CVC was still in situ de…
64y · Male·Acute traumatic subarachnoid haemorrhage secondary to single penetrating injury …
A 64-year-old man with schizophrenia was fatally stabbed in the eye by his roommate at a supported residential services facility. The roommate had a 12-year history of making specific threats to kill, including eye-pokin…
35y · Female·Multiple injuries due to motor vehicle accident (driver)
Janet Louise Young, 35, died from multiple injuries sustained in a motor vehicle accident involving a semi-trailer rollover. The trailer, carrying bricks loaded by Boral in a shipping container, rolled on a 90-degree ben…
2y · Male·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest secondary to up…
… he suffered cardiorespiratory arrest from upper airway obstruction, resulting in severe hypoxic-ischaemic brain injury and death. Key issues: inadequate observation period; poor documentation of senior review; failure …
60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression
Joseph Pezzimenti, a 60-year-old involuntary psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Dependency Unit bathroom. Key clinical lessons include: communication difficul…
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