Coronial

202 results for environmental injury

NSWhome2023-10-24

Inquest into the death of AW

2y · Female·effects of fire (smoke inhalation and thermal injury)

…s, died on 14 April 2018 in a house fire at her rural NSW home. She died from smoke inhalation and thermal injury. The fire's exact cause could not be determined despite expert investigation; electrical fault, accidental…

paediatricssocial worksystemdelay
TAS2024-10-31

Coroner's Finding: Searle, Fiona

51y · Female·traumatic closed head injuries sustained after falling from a ramp into a sunken…

Fiona Searle, 51, died from traumatic closed head injuries sustained when her electric wheelchair fell from a ramp into a sunken sitting area at Glenorchy Primary School on 1 May 2021. Ms Searle was an experienced wheelc…

systempregabalin
VICaged care2022-01-14

Finding into death of Margaret Lillian Watkins

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

…ring 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 emphasize sys…

geriatric medicineemergency medicinesystemdelaymorphine
VIC2025-11-18

Finding into death of Stefan Andrew Barthelot

25y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

… and speed limit reduction could have prevented this fatality. The case demonstrates the importance of environmental and infrastructure factors in preventing traumatic injury deaths.

WA2022-06-17

Inquest into the 4 Deaths at Mount Augustus

heat stroke (environmental exposure) / hyperthermia; Mr Buske: atherosclerotic h…

Four deaths occurred on Mount Augustus summit trail in 2019-2020 during hot weather conditions. All deceased experienced heat stroke with dehydration as the primary mechanism of death. The coroner identified inadequate p…

emergency medicineforensic medicinesystemcommunication
VIC2026-04-22

Finding into death of Natasha Stojkoski

38y · Female·Multiple injuries sustained when struck by a train

Natasha Stojkoski, a 38-year-old sales assistant at The Good Guys, sustained a workplace injury in October 2018 involving a Work Assisted Vehicle incident affecting her back, shoulders and neck. Subsequ…

psychiatryoccupational and environmental healthsystemcommunicationescitalopram
SAhospital2012-04-13

Coroner's Finding: PROCTOR Janis Mary

56y · Female·multi-organ failure complicating severe burns on a background of alcoholic liver…

A 56-year-old woman with alcoholic liver disease, cerebellar atrophy, and marked mobility impairment suffered fatal full-thickness burns (75% TBSA) from scalding shower water at Flinders Medical Centre. She was left unat…

plastic and reconstructive surgeryphysiotherapycommunicationsystem
VICcommunity2014-06-30

Finding into death of Lewis John Muratori

50y · Male·Multiple injuries as a result of being struck by a train

…ention. The WorkSafe compensation claims process lacked appropriate safeguards for high-risk psychological injury claimants, with critical information about suicidal ideation not being escalated to key decision-makers. E…

psychiatryemergency medicinecommunicationsystemaurorix
TAShome2018-12-17

Coroner's Finding: Pitchford, Rhiannon Pearl Vanessa

0y · Female·Sudden infant death whilst bed-sharing with risk factors including unsafe sleepi…

A 55-day-old infant died in an unsafe bed-sharing environment with her sedated mother while her father, intoxicated by intravenous morphine and methamphetamine, remained nearby. The autopsy revealed no obvious cause, but…

paediatricsforensic medicinesystemdelaymorphine
TAScommunity2019-02-26

Coroner's Finding: Lore, Margaret

17y · Female·traumatic head injuries

Margaret Mary Lore, 17 years old, died from traumatic head injuries after falling approximately 20 metres from a cliff at Blackmans Bay, Tasmania on 28 January 2017. She had consumed approximately 350ml of vodka mixed wi…

vodka
VIChomePodcast2018-11-09

Finding into death of Priyantha Nirmale Ranjith Peiris

57y · Male·hypoxic ischaemic brain injury complicating acute asthma

A 57-year-old man with asthma and hay fever died from hypoxic ischaemic brain injury following an acute asthma exacerbation during Melbourne's November 2016 thunderstorm asthma event. The dec…

emergency medicineintensive caresalbutamol
VICmental health2018-02-01

Finding into death of Joy Maree Guppy

59y · Female·Hypoxic ischaemic brain injury secondary to compression of the neck in the circu…

A 59-year-old woman with major depression died by hanging using her dressing gown tie while a voluntary inpatient at a private psychiatric clinic. She was assessed as low-risk and had no restriction on ligature access. D…

psychiatryemergency medicinesystemdiagnosticquetiapine
VIChospital2016-06-03

Finding into death of Ronak Satyajit Warty

10y · Male·complications of anaphylaxis

…es of resuscitation, spontaneous circulation returned but he suffered catastrophic hypoxic-ischaemic brain injury and died 7 days later. No deficiencies were identified in ambulance or hospital care. The coroner highligh…

emergency medicinepaediatricsdelaysystemadrenaline
ACTcommunity2023-06-30

In the matter of four deaths by drowning in the Australian Capital TerritoryThe Inquest into the death of Najeebullah RafeeThe Inquest into the death of William Spencer HooleyThe Inquest into the death of Meredith Nancy HooleyThe Inquest into the death of Dinh Ta Nguyen

23y · Male·Drowning

Najeebullah Rafee, a 23-year-old ANU international relations student and Afghan refugee, drowned on 25 October 2020 at Cotter Bend, a promoted ACT river recreation area. A non-swimmer, he attempted to use a small flotati…

emergency medicineintensive caresystemhydroxychloroquine
VICmental health2018-04-18

Finding into death of Gerard Helliar

62y · Male·Cerebral ischaemic injury due to hanging

…; (3) failure to escalate concerns about his incomplete mental state assessments; and (4) insufficient environmental safeguards including access to ligature points. The coroner emphasized that involuntary psychiatric tr…

psychiatryanaesthesiadiagnosticcommunicationsodium valproate
TAS2024-03-26

Coroner's Finding: Knight, Daniel Thomas

43y · Male·Crush injuries (chest and abdominal injuries and chest compression) sustained in…

Daniel Thomas Knight, aged 43, died from crush injuries sustained while attempting to clear a blockage in a wastepaper compactor (model TCU 660) at a printing business. The compactor had never functioned correctly due to…

occupational and environmental healthforensic medicinesystemproceduralantiepileptic drugs
VIChospital2020-07-31

Finding into death of Julie-Ann Margaret Johnston

61y · Female·Injuries sustained in a motor vehicle collision (pedestrian)

A 61-year-old woman was struck by a bus at Croydon Railway Station while crossing a pedestrian zebra crossing. She sustained severe injuries and went into cardiac arrest upon arrival at Royal Melbourne Hospital, where sh…

emergency medicinetrauma surgerysystem
NSW2015-12-18

Inquest into the death of Officer A

43y · Female·External neck compression due to self-inflicted hanging

…hat was not formally investigated as a new incident, treating it instead as a recurrence of a pre-existing injury. This failure to investigate meant her condition was not adequately reassessed. She was transferred withou…

psychiatrypsychologydiagnosticsystemprescription medication
VIChome2015-10-08

Finding into death of Edna May Pullen

93y · Female·Subdural haemorrhage in the setting of a fall (palliated)

A 93-year-old woman with a history of falls was discharged from hospital following treatment for subdural haematoma from a prior fall. Discharge planning included a home assessment by occupational therapy, during which t…

neurosurgerygeriatric medicine
VICcommunity2016-11-28

Finding into death of Nicholas Barry Carr

36y · Male·injuries sustained in motor vehicle collision as a motorcyclist

…s, but his licence was not cancelled and VicRoads was not notified. The coroner found no mechanical or environmental factors contributed to the collision. Key clinical lesson: the self-reporting model for fitness to dri…

general practiceneurologycommunicationsystemcarbamazepine
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