Coronial

95 results for acute blood loss

VIChome2018-07-10

Finding into death of Donna Maree Gusman

47y · Female·Acute external blood loss and multiple stab wounds to the neck

A 47-year-old woman was killed by her estranged husband in a family violence homicide. The perpetrator had a history of back injury leading to depression, unemployment, and financial dependence. Key risk factors included…

SAhospital2007-09-18

Coroner's Finding: MARKANTONAKIS Stefanos

63y · Male·uncontrolled haemorrhage from ruptured aortic aneurysm

A 63-year-old man presented with sudden back pain on 6 March 2004. Ambulance officers attended twice; on the first visit they did not transport him to hospital despite his request, misattributing his symptoms to musculos…

emergency medicineparamedicinediagnosticcommunicationparacetamol/codeine
VICcommunity2014-06-03

Finding into death of Michael (Miroslav) Cicmil

44y · Male·Effects of fire and smoke inhalation

A 44-year-old male died from fire and smoke inhalation following a single-vehicle motor collision on a wet road at high speed (≥117 km/h) in a 60 km/h zone. He was driving under the influence of cannabis (THC 1 ng/mL), h…

forensic medicineemergency medicinecannabis
WAhospital2014-10-17

Inquest into the Death of Gillian Hanson

62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …

… (2) excessive water drinking and vomiting are red flags for both psychosis and hyponatremia; (3) baseline bloods on psychiatric admission, even when patient cooperation is poor, are important; (4) symptoms attributed t…

psychiatrygeneral practicediagnosticescitalopram
VIChome2021-08-12

Finding into death of M J

37y · Male·Acute external and internal blood loss from single stab wound to upper left ches…

MWJ, aged 37, was fatally stabbed by his intimate partner EW on 24 December 2016 during an escalating domestic argument. The coroner identified significant systemic failures in Community Corrections management of both of…

general practicepsychiatrysystemcommunicationmethamphetamine
ACThome2003-12-23

Inquest Into The Manner And Cause Of Death Of Neil Summerell

34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…

…merell, a 34-year-old man with intellectual disability, epilepsy, and vision/hearing impairment, died from acute gastric erosions following severe scalding injuries sustained on 29 November 1999. He was scalded to 17.5%…

emergency medicinegeneral practicesystemcommunication
QLDhospital2025-10-01

Non-inquest findings into the death of Mr S

26y · Male·Multi-organ failure due to pneumococcal septic shock

A 26-year-old man presented with chest and abdominal pain, initially diagnosed with possible hepatitis based on elevated liver function tests. He developed an atypical blanched rash not recognised as varicella zoster (ch…

emergency medicineinfectious diseasesdiagnosticdelayantacid
VIChospital2019-05-10

Finding into death of Simon Smith

22y · Male·acute blood loss from incised injuries to left forearm

Simon Smith, a 22-year-old with end-stage renal failure requiring dialysis and complex comorbidities, died by suicide during hospitalization. Despite multiple psychiatric assessments finding he had capacity to make treat…

psychiatrynephrologycommunicationsystemtemazepam
VIC2011-10-20

Finding into death of Jeremy Edward Chandler

49y · Male·Acute blood loss from a single incised injury to left forearm

Jeremy Edward Chandler, a 49-year-old first-time prisoner, died by suicide in Melbourne Assessment Prison 36 hours after admission. He had been convicted of serious charges and remanded in custody pending sentencing. Des…

psychiatrycorrectional healthdiagnosticcommunication
WAhospital2021-09-14

Inquest into the Death of Jeremy Michael SCOTT

63y · Male·metastatic rectal carcinoma

…ay 2017 (ED assessment missed large rectal mass despite examination). Annual health reviews, faecal occult blood testing, and weight monitoring were not performed. Had colonoscopy been offered and accepted in 2015, tumo…

general surgerycolorectal surgerydiagnosticcommunication
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progress…

psychiatrygeneral practicesystemdelayrisperidone
NTcommunity1999-11-24

Inquest into the death of Gary Peter Tipungwuti, Patrick Raymond Kerinauia, Noeline Pauantulura, John Gerard Orsto

Unknown·Four deaths: three by self-inflicted hanging, one by multiple injuries from fall

… and lack of employment opportunities as underlying contributors. Three of the four deaths had significant blood alcohol levels (197, 146, and 199 mg/100ml). The coroner found no medical errors or clinical negligence; d…

alcohol
VIChospital2026-01-08

Finding into death of Malakai Cross-De Jesus

0y · Male·Complications following forceps delivery

A 3-day-old neonate died from complications of instrumental forceps delivery, specifically subgaleal haemorrhage with associated skull fracture and intracranial bleeding. Critical clinical lessons include: (1) complex fo…

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
VIC2013-10-21

Finding into death of Chantal Rose Meredith

5y · Female·Multiple injuries sustained in a collision between a semi-trailer and a V/Line p…

A semi-trailer collided with a V/Line passenger train at a level crossing near Kerang on 5 June 2007, killing 11 passengers instantly or within hours. The collision was caused by a heavy vehicle driver unfamiliar with th…

emergency medicinetrauma surgerysystemdelay
VIC2013-10-21

Finding into death of Harold Claude Long

83y · Male·Acute blood loss and shock/trauma in a man with cardiomegaly, myocardial fibrosi…

This coronial finding examines the deaths of 11 train passengers in the Kerang level crossing collision on 5 June 2007, where a semi-trailer struck a V/Line passenger train. The investigation found that 6 passengers died…

emergency medicineparamedicinesystemproceduralmorphine

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