Coronial

181 results for ischaemic brain injury

VIC2020-12-09

Finding into death of Alma Lynette Honeychurch

76y · Female·Ludwig's angina

… case. The patient developed acute airway obstruction during transfer, suffered cardiac arrest and hypoxic brain injury. Key lessons: Ludwig's angina requires recognition of airway compromise risk (may not present with …

emergency medicinedentistrydiagnosticcommunicationantibiotics
VICcommunity2016-08-18

Finding into death of Paul Daniel Rayudu

22y · Male·hypoxic ischaemic encephalopathy in the setting of immersion (drowning)

…and both became submerged. Although patrons and staff performed prompt CPR, Paul suffered severe hypoxic-ischaemic brain injury and died 6 days later. The coroner found the death preventable. Key preventable factors inc…

communicationsystem
QLD2017-02-10

Sloan, Dane Benjamin

24y · Male·Hypoxic ischaemic encephalopathy due to or as a consequence of being hanged

…based on risk assessment. Resuscitation attempts were appropriate but unsuccessful; he died from hypoxic ischaemic encephalopathy. Key lessons include: improved CCTV systems with multiple angle visibility are essential;…

psychiatryemergency medicinesystemdelayamitriptyline
WAhospital2024-05-23

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

0y · Female·brain death complicating head and neck injury

A five-month-old girl died from catastrophic brain injuries caused by violent shaking on 20 May 2019. Medical evidence established she was shaken by an adult…

paediatricsneonatologydiagnosticcommunicationmethamphetamine
VIChome2016-09-13

Finding into death of Sally Brooks

48y · Female·Head injuries

Ms Brooks, a 48-year-old woman, sustained fatal head injuries at home on 1 July 2011, dying on 11 July after neurosurgical intervention. Her estranged husband was later convicted of her murder. The coroner examined famil…

forensic medicineneurosurgerycommunicationsystem
VICmental health2022-12-13

Finding into death of Jamie Andrew Kowalewsky

27y · Male·Global cerebral ischaemic injury in the setting of hanging

Jamie Kowalewsky, a 27-year-old with long-standing mental health issues including depression, substance abuse (ICE and cannabis), and previous suicide attempt, was voluntarily admitted to a low dependency psychiatric uni…

psychiatryintensive carecommunicationlorazepam
NSW2025-12-08

Inquest into the death of Benjamin Cullen

41y · Male·acute, severe hydrocephalus contributed to by longstanding chronic hydrocephalus…

Benjamin Cullen, aged 41, died on 25 February 2021 from acute severe hydrocephalus secondary to a brain tumour abutting the cerebral aqueduct. He suffered three seizures on 23 February 2021, two days after rele…

neurologyemergency medicinemedicationsystemlevetiracetam
SAaged care2026-06-19

Coroner's Finding: Fowle, Colleen Margaret

78y · Female·urinary tract infection and pneumonia on a background of facial fractures and de…

…fied during her initial hospital assessment as radiological imaging was not deemed necessary, despite head injury. She was discharged and gradually deteriorated with declining oral intake and mobility. Readmitted on 15 A…

general practicegeriatric medicinediagnostic
WAPodcast2019-08-14

Inquest into the Death of Anita Jade BOARD

8y · Female·complications of multiple injuries sustained in motor vehicle crash

Eight-year-old Anita Board died from catastrophic brain injury sustained in a motor vehicle crash at Perth Motorplex on her first junior drag racing licensing att…

emergency medicineintensive caresystemprocedural
VIChospital2024-10-14

Finding into death of Bekkie-Rae Curren

28y · Female·Blunt head injury

Bekkie-Rae Curren, 28, died from blunt head injury sustained in an assault by her domestic partner on 26-27 November 2019. She had disclosed extensive family…

NSWhospital2023-06-23

Inquest into the death of Baylen Pendergast

21y · Male·Complications of blunt head injury resulting from at least two separate acts of …

Baylen Pendergast, 21 months old, died from complications of blunt head injury sustained in two separate traumatic incidents (17 and 28 November 2013). The coroner found injuries were n…

paediatricsemergency medicinediagnosticcommunication
QLDhome2015-05-27

A, a six year old child

6y · Male·Hypoxic ischaemic encephalopathy due to drowning

A 6-year-old boy in foster care drowned in a backyard pool after removing his flotation device while his carer was distracted by a visitor. The carer, sitting on a veranda rather than in the pool enclosure as usual, was …

systemcommunication
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

Shane Pappas, a 54-year-old man with ischaemic heart disease, died from quetiapine toxicity after deliberately overdosing on multiple medications on 29…

psychiatryemergency medicinediagnosticcommunicationquetiapine
WAcommunity2002-12-20

Inquest into the Death of Lauren Jay Kitching

5y · Female·Head and neck injuries sustained in collision with utility vehicle while operati…

Lauren Jay Kitching, age 5, died on 5 July 2000 from head and neck injuries sustained in a go-kart collision at the Pauline Matika netball courts in Newman, Western Australia. She was participating in a holiday program f…

diagnosticsystem
VIChospital2023-08-01

Finding into death of Michele Valentino

81y · Male·Head injury sustained in a fall

Michele Valentino, 81, died from a head injury sustained in a fall on 20 December 2019, with death occurring on 24 December 2019. A CT angiogram at 3:45p…

emergency medicineradiologydiagnosticcommunicationaspirin
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…

George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractions and delayed obs…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
VICaged care2017-11-15

Finding into death of Garry Serve

82y · Male·Trauma related intracerebral haemorrhage

An 82-year-old man with dementia, cerebellar ataxia, and mobility limitations fell from his wheelchair down three concrete steps (480cm drop) while attending a hearing aid appointment at an off-site clinic. He sustained …

geriatric medicineemergency medicineproceduralcommunicationfluoxetine
VICcommunity2025-09-05

Finding into death of Lisa Nicole Murphy

52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…

…ffered cardiac arrest and was resuscitated but subsequently developed a massive stroke and diffuse hypoxic brain injury. The medical cause of death remains unascertained, though underlying cardiac disease (myocardial in…

emergency medicineintensive carecommunicationrisperidone
VICaged care2010-08-28

Finding into death of Patricia Mary Cook

85y · Female·Complications of subdural haematoma (evacuated), secondary to fall, contributed …

…triking her head. Personal care attendants (PCAs) with minimal training assessed her as having no apparent injury and did not call a doctor or ambulance, allowing 4 hours to elapse before she collapsed. The facility's Fa…

geriatric medicineneurosurgerycommunicationsystemwarfarin
SAhospital2023-07-28

Coroner's Finding: Searle, Bodhi Leo

0y · Male·hypoxic ischaemic encephalopathy due to intrapartum asphyxia

Bodhi Leo Searle, aged 36 hours, died from hypoxic ischaemic encephalopathy due to intrapartum asphyxia. He was born to a woman in low-risk labour managed initially …

obstetricsmidwiferydiagnosticcommunication

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