Coronial

137 results for multiple rib fractures

VIC2015-10-22

Finding into death of Denis Adrian Fitzgerald

78y · Male·chest injuries sustained when struck by a tractor

…nt starting while in gear. The coroner found operator inattention to the tractor's gear position likely contributed to the incident. This case emphasises that even experienced operators can suffer fatal accidents with f…

emergency medicinetrauma surgeryproceduralsystem
TAScommunity2024-04-15

Coroner's Finding: De-identified AB

14y · Female·blunt trauma of the chest

…due to the absence of doors and failure to wear a seatbelt. The ATV was in poor mechanical condition with multiple safety defects. Critical contributing factors were: inexperienced driving on rough downhill terrain at in…

system
VIChospital2018-02-22

Finding into death of Stanislaw Edward Czubryj

89y · Male·Complications of chest injuries sustained in a motor vehicle incident (driver)

… Despite being admitted to hospital and initially surviving, he developed pneumonia—a known complication of rib fractures—and died 10 days post-injury. Clinical lessons: The coroner emphasised the importance of medical …

trauma surgeryintensive carecommunicationsystemmorphine
QLD2007-03-06

Browne, Roger Bruce

41y · Male·injuries sustained when he fell from height into a pit full of water

Roger Bruce Browne, a 41-year-old contract holder at Dawson Mine, died after falling from height into a pit at disused pit 8C. He suffered fatal injuries including cervical spine dislocation and internal injuries; death …

occupational and environmental healthforensic medicinesystemdelay
VICaged care2014-03-31

Finding into death of Margaret Lurline Martyr-Paterson

87y · Female·Multiple injuries with ischaemic heart disease, antecedent cause being recent fa…

…am House aged care facility, fell from her bedroom window on 17 February 2010 and died 11 days later from multiple injuries and ischaemic heart disease. A critical system failure occurred when staff failed to complete an…

geriatric medicinegeneral practicecommunicationsystem
WAhospital2024-05-23

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

<1y · Female·brain death complicating head and neck injury

…al by a child health nurse to hospital. The Department of Communities failed to escalate concerns despite multiple red flags: previous domestic violence allegations, a failed termination attempt, parental abandonment of …

paediatricsneonatologydiagnosticcommunicationmethamphetamine
WA2014-03-14

Inquest into the Death of Wayne ROSS

45y · Male·multiple injuries sustained from a 25-metre fall down an unprotected stope when …

…otected underground stope while attempting to place a rock bund at its edge. The incident occurred due to multiple contributing factors: ambiguous instructions regarding preparation of the stope for surveying; the deceas…

occupational and environmental healthforensic medicinecommunicationsystem
NSWhome2025-08-08

Inquest into the death of Jacob

<1y · Male·Non-accidental infliction of significant force to the head/face and gum region, …

Jacob, a premature infant born at 29 weeks, was discharged from neonatal care at 11 weeks old and presented to hospital three days later with a subarachnoid haemorrhage and periorbital bruising. Despite being assessed as…

paediatricsforensic medicinediagnosticsystemmethamphetamine
QLD2015-09-11

Cole, Cameron Brandt

24y · Male·Multiple injuries including fractured left ribs leading to punctured and collaps…

Cameron Cole, aged 24, was killed when a heavy steel pipe rack fell from a flatbed trailer during unloading at a remote gas well site. The load of five pipe racks had been inadequately restrained with chains and binders,…

occupational and environmental healthemergency medicineproceduralcommunication
NSWhome2021-03-10

Inquest into the death of Z

2y · Male·traumatic head injury

…d escalating physical abuse over weeks. Despite 13 reports to FACS (now DCJ) between 2010-2012, including multiple mandatory reports from childcare workers in June-July describing unexplained bruising, bite marks and inj…

paediatricsemergency medicinediagnosticcommunication
SAhome2016-01-28

Coroner's Finding: NAPIER Ebony Simone

<1y · Female·Blunt head trauma from multiple deliberate blows inflicted by father

Ebony Napier, aged 4 months, died from blunt head trauma resulting from multiple deliberate blows inflicted by her father Bradley Napier-Tucker over several weeks. A critical failure occ…

paediatricsradiologydiagnosticcommunicationcannabis
QLDhospital2017-11-23

Jacobs, Roy Rodney

48y · Male·Coronary artery disease precipitating acute myocardial infarction resulting in c…

…al infarction at Cherbourg Hospital after presenting three times over 28-30 August 2016 with chest pain and rib injury from an intoxicated fall. Critical clinical lessons include: failure to perform ECG despite persiste…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
QLDhospital2008-10-14

Mathers, John William

26y · Male·Air embolism due to ruptured spleen (surgery) due to motorcycle accident

John Mathers, 26, died from air embolism during emergency surgery following severe motorcycle trauma. A sedan turned across his path; despite heavy braking, he collided and suffered extensive injuries including ruptured …

emergency medicinetrauma surgerycommunicationsystem
TAScommunity2020-01-03

Coroner's Finding: Quad bike related deaths of Heather Dawn Richardson, Jan Severin Jensen, Kendall Russell Bonney, Vicki Mavis Percy, Jay Randall Forsyth, Jabob Graham Green and Roger Maxwell Larner

Unknown·Multiple causes across seven deaths: severe blunt trauma, crush injuries, trauma…

…training despite long experience); helmet non-use was catastrophic in four cases; passenger overloading contributed directly to one death; and excessive alcohol was implicated in three cases. The coroner found that mand…

emergency medicinepathologysystemprocedural
NSWhome2024-12-04

Inquest into the death of HB

1y · Female·Multiple injuries (subdural clot, multiple rib fractures, injuries to liver, blo…

…artner. She presented to hospital twice in two weeks with suspicious injuries: facial injuries on 7 June attributed to a puppy, and more extensive facial injuries on 13 June attributed to bumping into her mother's chest…

paediatricsemergency medicinesystemcommunication
QLD2006-09-27

Mulrunji

36y · Male·intra-abdominal haemorrhage due to rupture of liver and portal vein

…ith force. Both men fell through the station doorway. The Coroner found Hurley struck the supine Mulrunji multiple times, causing fatal compressive injuries to the upper abdomen. Critical clinical lessons include: arrest…

forensic medicineemergency medicinediagnosticprocedural
QLD2009-01-27

Scholl, Philip Henry

42y · Male·multiple injuries sustained in aircraft crash resulting from port side wing tip …

…sed until 5pm despite expected return by 9am); instructor Mr Keogh ignoring a 'do not start' placard; and multiple regulatory and oversight gaps. The coroner found the death preventable had regulators, trainers, inspecto…

aviation medicineemergency medicinediagnosticsystem

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