Coronial

859 results for brain injury

QLDhome2025-07-15

Inquest into the death of Daniel Thomas Wright

8y · Male·prematurity-associated lung and bowel disease

Daniel Wright was a premature infant (born at 24 weeks) with multiple complex medical needs including chronic lung disease, developmental delay, and failure to thrive. He died aged eight months from prematurity-associate…

neonatologypaediatricsdiagnosticcommunication
NSW2016-04-08

Inquest into the death of Paul SMITH

Male·drowning due to immersion in stormwater while trapped in a drain

Paul Smith, an Operations Supervisor at a SITA organic waste recycling facility, died after being sucked into a 30cm stormwater drain and drowning during clearing of a blockage in torrential rain. Expert evidence showed …

occupational and environmental healthemergency medicinesystemcommunication
WAhospital2022-08-22

Inquest into the Death of Roderick Malcolm NARRIER

38y · Male·Multiorgan failure following out of hospital cardiac arrest in a man with methyl…

A 38-year-old Noongar man died from multiorgan failure following out-of-hospital cardiac arrest after being restrained in prone position by police. He had injected methylamphetamine and developed excited delirium, becomi…

emergency medicineintensive caremethamphetamine
QLDhome2015-05-27

A, a six year old child

6y · Male·Hypoxic ischaemic encephalopathy due to drowning

A 6-year-old boy in foster care drowned in a backyard pool after removing his flotation device while his carer was distracted by a visitor. The carer, sitting on a veranda rather than in the pool enclosure as usual, was …

systemcommunication
VICmental health2017-02-07

Finding into death of Esther Ng Kit Ching

53y · Female·Hypoxic brain injury due to hanging

A 53-year-old woman with severe depression, anxiety, and recent suicide attempt died by hanging in a psychiatric hospital's low-dependency unit. She had received ECT and was on hourly observations. On the day of her deat…

psychiatrycommunicationdelaymirtazapine
NSWaged care2012-05-11

Inquest into the deaths of Shaneen BATTS, Ilona TAKACS, Dorothy HUDSON, Ian BIRKS, Donald MacKELLAR and Mohammed RAMZAN

Unknown·Multiple: Olanzapine toxicity, pulmonary thromboembolism, asphyxiation on food, …

This inquest examined six sudden deaths of residents at 300 Hostel, Marrickville, between June 2009 and August 2010. All residents had schizophrenia on multiple antipsychotic medications and severe, untreated physical co…

psychiatrygeneral practicediagnosticmedicationolanzapine
QLDhospital2021-11-01

Masoumali, Omid

24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns

Omid Masoumali, a 24-year-old Iranian refugee detained on Nauru under Australian offshore processing arrangements, suffered severe thermal burns (>50% TBSA) on 27 April 2016 after self-immolating at the Nibok settlement.…

plastic and reconstructive surgeryintensive carecommunicationsystem
VICpsychiatric inpatient unit2020-01-31

Finding into death of Damon Brenden Amiet

25y · Male·Injuries sustained when struck by a train (suicide)

Damon Brenden Amiet, a 25-year-old with schizoaffective disorder, borderline personality disorder, and antisocial personality traits, was admitted to a psychiatric inpatient unit (IPU1) on 12 April 2013 following a serio…

psychiatryemergency medicinecommunicationsystemolanzapine
VIChospital2026-04-16

Finding into death of Damien Mark Stone

53y · Male·Aspiration pneumonia in the setting of Down syndrome and pelvic fractures

Damien Mark Stone, a 53-year-old man with Down syndrome and early-onset Alzheimer's disease, died from aspiration pneumonia following a pelvic fracture sustained during hospital admission. Key clinical lessons include: (…

emergency medicineneurologydiagnosticcommunicationoxycodone
NSW2022-12-09

Inquest into the death of Tyrone Adams

22y · Male·Multiple injuries to the chest, abdomen and limbs

Tyrone Adams, age 22, died in a motor vehicle collision on the M1 Motorway following a police pursuit. The initial pursuit was initiated based on questionable reasonable suspicion to stop a hire vehicle. The coroner foun…

proceduralcommunicationmethamphetamine
VIChome2016-03-24

Finding into death of Caroline Emily Lovell

36y · Female·Global ischaemic injury following cardiorespiratory arrest in the immediate post…

Caroline Lovell, 36, died from postpartum haemorrhage following home birth of her second child. She had significant risk factors: prior PPH with first child and uterine fibroid, but these were not properly investigated b…

midwiferyobstetricsdiagnosticcommunicationsyntocin
QLDcommunity2010-09-07

Simpson-Willson, John Douglas

56y · Male·head injuries inflicted by blunt force trauma

56-year-old John Douglas Simpson-Willson was fatally assaulted in Brisbane's Botanical Gardens on 3 June 2005 by Daniel Pattel, released from prison five days earlier. Pattel had expressed clear intentions to kill someon…

psychiatrycorrectional healthdiagnosticcommunication
QLDhome2014-11-17

Beutel, Noelene Marie

36y · Female·traumatic head injuries from multiple assaults perpetrated by domestic violence …

Noelene Beutel died from severe head injuries inflicted by her domestic violence partner in 2011. Although she had engaged with police, GPs, hospitals, and domestic violence agencies in the six months before her death, s…

general practiceemergency medicinecommunicationsystem
QLD2010-07-09

Mataia, Tofia Josen

32y · Male·Cardiac arrest as a result of the combined effects of severe coronary atheroscle…

Tofia Mataia, a 32-year-old male with schizophrenia, died in custody at Capricornia Correctional Centre following restraint after assaulting officers. He collapsed during a 2-minute prone restraint by five officers. The …

psychiatryemergency medicinediagnosticcommunicationsodium valproate
VIChome2026-03-19

Finding into death of Catherine Alison Lynch

41y · Female·Mixed drug toxicity (alprazolam, clonazepam, diazepam, methadone, metoclopramide…

Catherine Lynch, a 41-year-old nurse, died from mixed drug toxicity in July 2022 in circumstances consistent with suicide. She was experiencing severe family violence, including coercive control, threats, stalking and em…

psychiatrypsychologycommunicationsystemalprazolam
VIC2023-09-14

Finding into death of Darren Ricky Culleton

31y · Male·Hypoxic ischaemic encephalopathy following out of hospital cardiac arrest in a m…

31-year-old Darren Culleton died from hypoxic brain injury after choking on the hood of his coveralls while in police custody. He had presented to St Vincent'…

emergency medicinepsychiatrycommunicationsystemmethamphetamine
VICaged care2026-01-19

Finding into death of Kevin Thomas Maloney

39y · Male·Mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) with contribut…

Kevin Thomas Maloney, a 39-year-old man with complex mental health conditions and substance use disorder, died from mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) while residing in a supported resident…

psychiatryaddiction medicinecommunicationsystemheroin
VIChome2020-06-12

Finding into death of Daniel Isaac Semple

39y · Male·Multiple drug toxicity (methadone, diazepam, oxazepam, carbamazepine, levetirace…

A 39-year-old man with epilepsy and opioid dependence died from multiple drug toxicity involving methadone, benzodiazepines (diazepam, oxazepam), antiepileptics (carbamazepine, levetiracetam), and mirtazapine. He was pre…

general practiceaddiction medicinediagnosticmedicationmethadone
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

Shane Pappas, a 54-year-old man with ischaemic heart disease, died from quetiapine toxicity after deliberately overdosing on multiple medications on 29 June 2021. He had experienced a recent relationship breakdown and pr…

psychiatryemergency medicinediagnosticcommunicationquetiapine
WAhospital2013-01-17

Inquest into the Death of Mckay-Hall, Julienne Maria

46y · Female·Complications following cardiorespiratory arrest in association with an air embo…

A 46-year-old woman died from air embolism during a gastroscopy to manage complications from bariatric surgery. The initial laparoscopic sleeve gastrectomy on 9 November 2007 had a staple misfire that was inadequately re…

general surgerybariatric surgerydiagnosticcommunicationmorphine

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