Coronial

137 results for complex trauma

SAmental health2025-04-17

Coroner's Finding: Furlan, Mark John & Miller, Richard John

50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…

Two men died by hanging while detained under inpatient treatment orders at Ward 2G of Royal Adelaide Hospital. Mark Furlan (50) died in 2018 after developing psychotic depression with suicidal ideation. The coroner found…

psychiatryemergency medicinediagnosticcommunicationescitalopram
SA2024-12-20

Coroner's Finding: Huddy, Kobee Michael David

20y · Male·gunshot wound to the chest

…t; considering continuity of mental health care following emergency department discharge; recognizing the complex interplay of substance abuse, impulsivity, and mental illness in crisis presentation; and the importance …

psychiatryemergency medicinecommunicationsystemcannabis
VICcommunity2010-10-19

Finding into death of Patrick Tolan

55y · Male·Multiple injuries sustained in a fall

…care coordination. The coroner recommended comprehensive review of discharge procedures for patients with complex presentations, including mandatory consideration of Mental Health Act referral, adequate notice periods t…

psychiatryorthopaedic surgerydiagnosticcommunicationmirtazapine
QLDcommunity2013-03-01

Arnold, Vicki; Leahy, Julie-Anne

26y · Female·intentionally inflicted gunshot wounds to the head

This complex triple-inquest into the deaths of two women in 1991 reveals systemic investigative failures and challenge…

forensic medicinepsychiatrydiagnosticprocedural
VICmental health2018-09-14

Finding into death of Lynette Roberts

49y · Female·Motor vehicle accident related multi trauma including a severe head injury

…s wearing inappropriate heavy clothing on a hot day. She left a community mental health facility (Vahland Complex CCU) stating she was going to a supermarket, but actually went to relatives' homes on two previous days. …

psychiatrysystemcommunicationclozapine
NSWcommunityPodcast2014-09-16

Inquest into the death of Michael WILSON

42y · Male·Extensive blunt trauma injuries sustained during the course of rescuing an injur…

Michael Wilson, an experienced SCAT (Special Casualty Access Team) paramedic, died from extensive blunt trauma injuries sustained during a rescue operation at Bridal Veil Falls on 24 December 2011. A canyoner had fall…

emergency medicineaviation medicineproceduralcommunication
VIC2024-06-19

Finding into death of X Y

17y · Female·Neck compression by hanging (suicide)

XY, a 17-year-old Wemba Wemba Aboriginal girl, died by suicide on 18 July 2021 while in out-of-home care. The inquest found the Victorian Department of Families, Fairness and Housing (DFFH) failed in its duty of care as …

paediatricspsychiatrycommunicationsystemvenlafaxine
VICcommunity2014-08-25

Finding into death of Travis Joseph Hartskeerl

32y · Male·Head and neck trauma (train impact)

Travis Hartskeerl, a 32-year-old man with a complex history of schizophrenia, polysubstance abuse, and multiple serious suicide attempts, died by suicide on …

psychiatrygeneral practicecommunicationsystemzuclopenthixol decanoate
TAS2018-02-13

Coroner's Finding: Reaney, Leigh Anthony

20y · Male·Blunt trauma to the head sustained in a fall from gutter boards at a height of a…

Leigh Anthony Reaney, 20-year-old roofer, died from head injuries sustained in a 4.7-metre fall through an unfixed sump on gutter boards during roofing work. Death was entirely preventable. The approved Safe Work Method …

systemprocedural
NSWhospital2023-10-31

Inquest into the death of Adam Fitzpatrick

20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…

Adam Fitzpatrick, a 20-year-old with complex facial and skull fractures from a motor vehicle collision, underwent emergency tracheostomy placement. On…

intensive careanaesthesiadiagnosticproceduralrocuronium
WAhospital2020-09-23

Inquest into the Death of PT (Name Subject to Suppression Order)

5y · Female·aspiration of vomit with microscopic early pneumonia, in a child with a history …

A five-year-old girl with cerebral palsy and epilepsy resulting from non-accidental head injuries at two months old died from aspiration of vomit with early pneumonia. Critical lessons: bruising in non-ambulant infants i…

paediatricsgeneral practicediagnosticcommunicationtopiramate
QLDprison2021-11-23

Row Row, Frederick Arthur James

34y · Male·Neck compression by hanging

Frederick Row Row, a 34-year-old Aboriginal man, died by suicide in Capricornia Correctional Centre following a precipitous change in risk assessment from high to low in less than 48 hours. After assaulting another priso…

psychiatrypsychologydiagnosticcommunication
WAprison2017-02-28

Inquest into the Death of Jayden Stafford BENNELL

20y · Male·ligature compression of the neck (hanging)

…son, died by ligature compression of the neck (hanging) in a cleaning storeroom on 6 March 2013. He had a complex psychiatric history including drug-induced psychosis, depression, and anxiety, for which he was frequentl…

psychiatrycorrectional healthcommunicationsystemquetiapine
NSW2024-12-19

Inquest into the death of Ian Turner

35y · Male·multi-drug toxicity

CPL Ian Turner, a 35-year-old Special Forces soldier with combat-related PTSD, died from multi-drug toxicity in July 2017. His death followed multiple deployments to Afghanistan and Iraq, domestic violence incidents, dis…

psychiatrygeneral practicediagnosticcommunicationamitriptyline
WAhospital2012-08-31

Inquest into the Death of Stone

62y · Female·Multiple injuries sustained from jumping from rocks at Torndirrup National Park …

Pamela Stone, a 62-year-old woman with a complex history of trauma, depression and relationship difficulties, presented to Albany Regional Hospital ED on …

emergency medicinegeneral practicesystemcommunicationmidazolam
WAhome2007-09-14

Inquest into the Death of Jones Coronial

9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)

Dwayne Michael Jones, aged 9, had Trisomy 10, a rare congenital chromosomal disorder causing severe developmental delay and neurological abnormalities. On 11 April 2000, he fell from a computer desk and struck his head. …

general practiceemergency medicinediagnosticdelayparacetamol
VIChospital2012-04-19

Finding into death of James Kellock Bloomfield

53y · Male·severe burns

Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act aft…

emergency medicinepsychiatrycommunicationsystem

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