Coronial

166 results for acute traumatic death

VIChospital2021-02-26

Finding into death of MrJ

22y · Male·Drowning

…ed medical assessment and resuscitation before mental health evaluation. He was sedated and restrained for acute agitation, with restraints removed after 3 hours when settled. During morning shift, he appeared compliant…

emergency medicinepsychiatrysystemdelayMDMA
VICmental health2023-09-15

Finding into death of Daylon John Roeton

28y · Male·Hanging

…icidal ideation and paracetamol overdose. The coroner found three key deficiencies causally related to his death: (1) access to a blanket with edge binding that could be modified into a ligature, (2) door hinges used as…

psychiatryemergency medicinesystemproceduralolanzapam
NSWmental health2018-12-19

Inquest into the death of R R

38y · Female·neck compression (hanging)

…umented consideration of the new housing information; no psychiatric review in the final 6 days before her death; and confusion about actual observation frequency (staff retrospectively marked observations). RR hanged h…

psychiatryemergency medicinecommunicationsystem
VIChospital2014-08-25

Finding into death of Sean Brindle

35y · Male·Head injury sustained in a bicycle accident

Sean Brindle, aged 35, died from head injury sustained in a bicycle accident on Boxing Day 2008 at The Alfred Hospital, Melbourne. He and his brother were struck from behind by a car driven by Luke Shields, who was sever…

emergency medicinetrauma surgerysystemalcohol
TAScommunity2017-04-20

Coroner's Finding: Roberts-Burton, Blaze Christian

31y · Male·Multiple blunt traumatic injuries sustained from being run over by a truck

…tely two minutes later. The coroner found no clinical failures or preventable errors by either driver. The death resulted from the combined depressant effects of multiple substances causing profound sedation and utter i…

alcohol
QLDhome2022-01-18

Lewis, Daniel Patrick

36y · Male·Gunshot wounds to the chest and abdomen

… health issues including PTSD and drug-induced psychosis, and was prescribed antipsychotics. On the day of death, he consumed alcohol and became violent toward his partner and her son. When police arrived, Lewis claimed…

psychiatryemergency medicinecommunicationsystemalcohol
VIChospital2025-12-15

Finding into death of Yan Jin

64y · Male·Pneumonia secondary to ischaemic cerebrovascular incidents, hypertension, and at…

…nadequate home support (reduced from 24 to 8 hours daily NDIS care). On day 2 of admission, he experienced acute decline in consciousness (GCS 6-7) with hypoactive delirium, attributed to progression of cerebrovascular …

emergency medicinegeneral medicinepiperacillin/tazobactam
ACTcommunity2024-06-17

Inquest Into The Death Of Catherine Maree Broadbent

39y · Female·multiple drug toxicity (etizolam and carisoprodol as major components)

…cal service gap: Cathy required intermediate residential respite and therapeutic recovery services—neither acute hospital admission nor community outreach alone—which were unavailable. Short voucher-funded respite stays…

psychiatryemergency medicineetizolam
TAShome2020-12-17

Coroner's Finding: Mitsakis, Stavros

79y · Male·Displaced cervical vertebral fracture with secondary carotid artery dissection r…

…him to fall approximately five metres. He sustained a burst fracture of the first cervical vertebra with traumatic dissection of the left internal carotid artery, resulting in stroke. He died two days later. Clinicians …

neurosurgeryneurologyproceduralsystem
VIChospital2023-07-14

Finding into death of Reginald Desmond Benham

85y · Male·Intracranial haemorrhage in the setting of a fall in a man with multiple comorbi…

… transported to hospital with stroke symptoms. A CT brain scan revealed subtle subarachnoid haemorrhage (traumatic), but the VST consultant neurologist missed this finding and recommended thrombolysis. ED clinicians app…

emergency medicineneurologydiagnosticcommunicationalteplase
VIChomePodcast2025-02-11

Finding into death of Kathleen Dawn Arnold

30y · Female·Acute ethanol toxicity on a background of chronic alcoholism

Kathleen Arnold, aged 30, died from acute ethanol toxicity on a background of chronic alcoholism. She had a 20-year history of alcohol dependence, c…

addiction medicinepsychiatrysystemalcohol
QLDprison2018-08-03

Wright, Kenneth Douglas

71y · Male·aspiration bronchopneumonia as a consequence of traumatic brain injury from a fa…

Kenneth Wright, a 71-year-old prisoner with acquired brain injury and cognitive impairment from a prior suicide attempt, died of aspiration bronchopneumonia in the Advanced Care Unit of Southern Queensland Correctional C…

emergency medicinepalliative carediagnosticcommunication
QLDcommunity2025-12-17

Inquest into the death of Collin James Young

45y · Male·Multiple injuries, due to, or as a consequence of a motor vehicle collision (ped…

Collin Young, aged 45, died after being struck by a Toyota Landcruiser utility driven by Isaiah Reiman on Beerburrum Road, Caboolture on 11-12 June 2021. Young was standing on the dark road wearing dark clothing and head…

forensic medicineemergency medicine
VICmental health2012-03-13

Finding into death of Matthew Spalding

28y · Male·neck compression subsequent upon hanging

…isorder and recent psychotic symptoms, died by hanging on 25 April 2009. He had been admitted to the Adult Acute Unit at Ballarat Health Services following deteriorating mental health and was placed on 30-minute observa…

psychiatryemergency medicinecommunicationsystemaripiprazole
VIChome2025-02-27

Finding into death of Shayn Nathan Darmanin

43y · Male·Mixed drug toxicity (methadone, synthetic cannabinoids (5f-cumyl-pinaca and cumy…

… He had a significant history of substance abuse, family violence offending, and mental health issues. His death was the unintended consequence of intentional drug use. Key clinical lessons include: recognising that syn…

toxicologypsychiatrymethadone
WAhome2013

Inquest into the Death of Deniro, Alen

28y · Male·Gunshot wound to the head

Alen Deniro died by suicide on 5 May 2011 after learning of his de facto partner's death from terminal lung cancer. Psychiatrists appropriately assessed him as high suicide risk and initiated inv…

psychiatrygeneral medicinecommunication
NT2011-11-25

Inquest into the death of Bird

46y · Male·Acute hypoxic brain damage resulting from intentional self-inflicted hanging

A 46-year-old male prisoner died from acute hypoxic brain damage following self-inflicted hanging in custody. He had a history of physical health issu…

psychiatrypsychology
ACTcommunity2014-01-20

Inquest Into The Death Of Brody Lee Oppelaar

0y · Male·Motor vehicle collision injuries

…ecommendations addressed cross-border pursuit training gaps and vehicle immobiliser installation to reduce deaths from stolen vehicle use.

emergency medicinetrauma surgeryalcohol
VICaged care2022-01-14

Finding into death of Margaret Lillian Watkins

84y · Female·Complications of pelvic fractures sustained in a traumatic incident

…pushed her during an altercation over food in an aged care facility. She developed bilateral pneumonia and acute kidney injury post-injury and deteriorated despite antibiotics and supportive care. The coroner's findings…

geriatric medicineemergency medicinesystemdelaymorphine
QLD2009-12-16

Myers, Robert Hayes

63y · Male·Myocardial infarction as a result of long standing ischaemic heart disease and a…

…ays after discharge from the Princess Alexandra Hospital. He had been admitted on 5 October 2005 following acute cardiac arrest, treated for a lung complaint with medication adjustments, and discharged on 11 October to …

cardiologygeneral practice
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