Coronial

20 results for CT brain scanning

TAShospital2025-03-17

Coroner's Finding: Phillips, Helen Lynette

77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)

…ar-old woman fell from a ladder on 12 December 2022, suffering loss of consciousness and rib fractures. No brain CT scan was performed at Mersey Community Hospital despite the mechanism of injury and unconsciousness sug…

emergency medicinecardiologydiagnosticdelaythrombolytic agents
SAhospital2020-12-18

Coroner's Finding: ANKER Paul Eugene

53y · Male·metastatic carcinoma of the rectum (operated)

…motherapy, and radiotherapy. Despite initial treatment response, metastases developed in his lungs, liver, brain and spine. His care throughout his incarceration and final hospitalisation was well-managed with appropria…

oncologycolorectal surgerydexamethasone
VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

…ediate antibiotic administration while awaiting blood culture results. She suffered cardiac arrest during scanning and died despite resuscitation. The coroner found that while antibiotics should have been given priority …

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
SAhospital2023-04-28

Coroner's Finding: Adams, Geoffrey Gordon

72y · Male·cerebral malignancy (glioblastoma multiforme)

…ied three intracerebral lesions. He was promptly transferred to Royal Adelaide Hospital where MRI and PET scanning were conducted to locate a primary cancer. Neuroradiologist review confirmed glioblastoma with very poor …

neurosurgeryradiologywarfarin
TAS2017-10-05

Coroner's Finding: Patmore, Jason - Decision as to Inquest

44y · Male·traumatic subarachnoid haemorrhage and diffuse brain injury sustained in a bicyc…

A 44-year-old experienced cyclist died from traumatic subarachnoid haemorrhage and diffuse brain injury sustained in a bicycle crash on 29 July 2015. The coroner concluded after thorough investigation th…

emergency medicineintensive care
VIChospital2018-06-22

Finding into death of Liaqat Ali Hamid Kayani

44y · Male·Hypoxic brain injury secondary to heroin and alcohol toxicity

A 44-year-old male died from hypoxic brain injury caused by heroin and alcohol toxicity following an overdose. He had a history of depression, financ…

emergency medicineintensive careheroin
QLDhospital2016-09-15

Mr B, a 41 year old indigenous man - Non-inquest findings

41y · Male·Subdural haematoma

…sed until transfer to a regional hospital, by which time he had deteriorated with aspiration pneumonia and brain herniation. Critical failures included: cognitive bias anchoring on alcohol withdrawal diagnosis; inadequa…

emergency medicineneurologydiagnosticcommunicationdiazepam
TAShospital2019-07-25

Coroner's Finding: Horcicka, Josef Vratislav

89y · Male·fractured cervical spine (C5 inferior articular process fracture) due to unwitne…

An 89-year-old man with Parkinson's disease fell at home on 16 August 2016, sustaining a cervical spine fracture. Initial CT imaging missed the C5 inferior articular process fracture, reporting only a paraspinal haematom…

orthopaedic surgeryemergency medicinediagnosticproceduralmorphine
TAShospital2017-05-17

Coroner's Finding: Woulleman-Jarvis, Anne Maree 2017 TASCD 188

62y · Female·subacute subdural haematoma due to a closed head injury sustained in a fall from…

A 62-year-old woman on warfarin for a mechanical aortic valve sustained a head injury from a fall. A CT scan on day 5 post-injury identified a small extradural haematoma, but the radiologist (Dr J.) failed to report it, …

general practiceemergency medicinediagnosticcommunicationwarfarin
SAhospital2019-03-08

Coroner's Finding: PETERS Clinton Neal

40y · Male·metastatic malignant melanoma

… initial assessments were inadequate and did not identify metastatic disease until the third presentation. Brain metastases and C6 spinal involvement were subsequently found. During terminal admission, he developed conf…

oncologyemergency medicinediagnosticdelay
NSWcommunity2022-05-16

Inquest into the death of James ROBERTS

51y · Male·head injury

A 51-year-old man died from a severe head injury after falling from his bicycle at high speed (38-40 km/h) when the chain dislodged and jammed the rear wheel. Despite wearing a helmet compliant with Australian Standard A…

methadone
VIChospital2023-05-16

Finding into death of Ian Keith Beissel

75y · Male·Traumatic brain injury sustained in a fall from a ladder

…attempting roof repairs on his caravan, despite medical advice against ladder use. He suffered a traumatic brain injury with extensive intracranial haemorrhage and base of skull fracture. Emergency surgery (hemicraniect…

trauma surgeryneurosurgerymorphine
QLDcommunity2012-04-05

Wall, Timothy John

43y · Male·Head injuries sustained in motor vehicle collision (pedestrian struck by motorcy…

… include: the impact of alcohol on pedestrian decision-making and reaction time; the severity of traumatic brain injury from motor vehicle collisions; and the importance of comprehensive witness identification and docum…

trauma surgeryneurosurgery
NSWhospital2025-12-08

Inquest into the death of Katrina McGrady

43y · Female·Subarachnoid haemorrhage due to a ruptured berry aneurysm

…September following a severe headache. Post-rupture, communication with her First Nations family regarding brain death certification and withdrawal of vasopressin was inadequate and culturally insensitive. Had escalatin…

neurosurgeryradiologycommunicationdiagnosticaspirin
QLDhospital2006-07-28

Zimitat, Vivian Bexley

68y · Male·pulmonary embolism secondary to immobilisation as a result of subdural haemorrha…

…ed to Rockhampton Hospital after a fall with head trauma, found unconscious with alcohol intoxication. CT scanning revealed a right subdural haematoma and skull fracture. Contact with Brisbane neurology indicated no imme…

neurosurgeryneurologycommunicationsystem
QLD2025-09-05

Findings into the death of Faysal Ishak AHMED

30y · Male·Acute pneumonia and multi-organ failure, due to or as a consequence of traumatic…

Faysal Ishak Ahmed, a 30-year-old Sudanese refugee, died from traumatic brain injury sustained in a fall down stairs at Manus Island Regional Processing Centre on 22 December 2016. He …

emergency medicineintensive caredelaymannitol
NSWhospital2017-12-22

Inquest into the death of Colin Parker

41y · Male·Complications of blunt force injuries of the head

…ry unit. Surgery eventually occurred 5+ hours after CT results were known—too late to prevent irreversible brain damage. Colin died 3 days later. Key lessons: document differential diagnoses and elicit complete historie…

cardiologyemergency medicinediagnosticcommunicationenoxaparin
VIChospital2021-03-31

Finding into death of Sarah Louise Rose

40y · Female·Cerebral oedema of unknown aetiology with probable contribution from Hashimoto's…

Sarah Louise Rose, aged 40, died from cerebral oedema of unknown aetiology with probable contribution from Hashimoto's encephalopathy. She had been diagnosed with Hashimoto's thyroiditis in late 2011 and prescribed thyro…

general practiceemergency medicinediagnosticcommunicationthyroxine
VIChomePodcast2018-11-09

Finding into death of Minh Thao La

48y · Male·hypoxic ischaemic encephalopathy, complicating cardiac arrest in the setting of …

…ed CPR. Ambulance response was timely in unprecedented circumstances; however, he sustained severe hypoxic brain injury and died 5 days later. Clinical lessons include: all asthmatics need written action plans and appro…

emergency medicineparamedicinesystemsalbutamol
VIChospital2014-01-21

Finding into death of Eddie Teck Chuan Lee

66y · Male·Intracerebral haemorrhage

A 66-year-old man with intracerebral haemorrhage and concurrent deep vein thrombosis died following an accidental tenfold heparin overdose. The patient received 20,000 units instead of 2,000 units due to a nurse misreadi…

neurosurgeryneurologymedicationsystemheparin

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