859 results for “brain injury”
9y · Male·Traumatic head injury with diffuse cerebral swelling and subdural haemorrhage ca…
Bradyn Dillon, aged 9, was brutally beaten to death by his father Graham Dillon in February 2016. The inquest examined how multiple agencies—police, child protection, education, and health services—failed to protect him …
0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…
George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractions and delayed obstetric intervention. The infant was de…
2y · Male·accidental drowning
A 2-year-old boy drowned at a public pool in a remote Australian community during a childcare centre excursion. Critical clinical and organisational failures contributed: no formal risk assessment was documented for the …
18y · Female·Multiple fractures of the skull, separation of C2 and C3 and generalised cerebra…
Sarah Waugh, aged 18, died on 24 March 2009 following a fall from a horse (Dargo) during a Jackaroo/Jillaroo course at TAFE NSW Western Institute Dubbo. The coroner found multiple critical systemic failures: TAFE impleme…
49y · Male·Global cerebral hypoxia due to cardiac arrest and drowning, with bilateral bronc…
Mark Murphy, an experienced diver with 657 logged dives, died during an occupational diving course when his full face mask became accidentally dislodged underwater, resulting in sudden cold-water exposure. This triggered…
0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia
…rar (Dr L.) recognised the severely abnormal foetal heart rate, the baby had suffered irreversible hypoxic brain injury. The coroner found the death was preventable if foetal heart rate abnormalities had been recognised…
74y · Female·Multiple injuries sustained when struck by train
A 74-year-old woman with borderline personality disorder, depression, anxiety and type 2 diabetes died by suicide after absconding from Fiona Stanley Hospital Emergency Department. She had been on extended psychiatric ad…
10y · Male·Hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…
A 10-year-old boy with severe obstructive sleep apnoea and morbid obesity died from hypoxic brain injury following cardiorespiratory arrest. Despite repeated medical interventions and explicit warnings th…
33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…
A 33-year-old man with schizophrenia and a forensic history suffered cardio-respiratory arrest during prone restraint in a busy emergency department after his mental health community treatment order was revoked. He was a…
51y · Female·Multiple injuries sustained from a fall from the top floor of a multi-storey car…
Justine Painter, aged 51, died from multiple injuries sustained jumping from a multi-storey carpark while an inpatient at Royal Perth Hospital (RPH). She had severe treatment-resistant schizoaffective disorder, command h…
24y · Female·hypoxic brain injury secondary to hanging
Chrystal Ross, a 24-year-old woman, died by hanging in hospital in January 2015 after a catastrophic chain of communication failures and care coordination errors. She had been admitted to Mount Barker Hospital for anxiet…
0y · Female·Extensive cerebral destruction as a result of fractured skull following accident…
Isabella Wren Diefenbach, a 7-week-old infant, died from head injuries sustained when she fell from her father's arms after he stepped through a severely decayed timber board on the front verandah of the family's rented …
41y · Female·neck compression
Kim Lynch, 41, died from neck compression between 12-14 February 2016. She was in a relationship with LM, who had paranoid schizophrenia, substance abuse issues, and a history of violence. Following a family violence inc…
19y · Male·hypoxic brain injury following asphyxia due to hanging
Jordan Kirkwood, a 19-year-old male, died by hanging on 30 April 2019 after being admitted to a newly established community-based mental health program (MHHITH) on 3 April 2019. He presented with depression, cannabis wit…
10y · Male·hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…
AA, a 10-year-old boy with morbid obesity and severe obstructive sleep apnoea, died from hypoxic brain injury after a cardiorespiratory arrest. He had been admitted to hospital in May 2008 with these diagnoses…
19y · Male·complications of ligature compression of the neck
Stanley John Inman, 19-year-old Aboriginal male, died by suicide at St John of God Midland Hospital on 13 July 2020, two days after ligature compression of the neck at Acacia Prison. He was on low-level ARMS (at-risk man…
0y · Male·Complications of hypoxic ischaemic encephalopathy secondary to recurrent episode…
… at Sydney Children's Hospital with hypoxic ischaemic encephalopathy and ultimately died from irreversible brain injury. Key lessons: early recognition that vomiting despite nasogastric rehydration warrants escalation a…
30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…
Heather Calgaret, a 30-year-old Aboriginal woman, died from hypoxic ischaemic encephalopathy after being administered a first dose of buprenorphine (Buvidal) injection without prior stabilisation on sublingual Suboxone. …
78y · Female·Blunt force trauma to the head caused by a compressor from a refrigeration unit …
Margaret Wishart, aged 78, died instantly on 5 June 2007 when a semi-trailer driven by Christian Scholl collided with a V/Line passenger train at a level crossing near Kerang, Victoria. The compressor from the refrigerat…
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