Coronial

29 results for air ambulance transfer

VIChome2010-11-05

Finding into death of Veronica Therese Campbell

38y · Female·complications following a ruptured ectopic pregnancy

…m District Hospital with severe pain and was diagnosed with a possible ectopic pregnancy requiring urgent transfer to Goulburn Valley Hospital. Critical failures occurred in the ambulance transfer: the case was initially…

emergency medicineobstetricscommunicationdelaymorphine
VIC2013-10-21

Finding into death of Chantal Rose Meredith

5y · Female·Multiple injuries sustained in a collision between a semi-trailer and a V/Line p…

…ntable factors included: lack of proper pre-hospital triage protocols, over-triage leading to inappropriate air transfer of one victim without intensive care paramedic support, and failures in emergency coordination bet…

emergency medicinetrauma surgerysystemdelay
TAShospital2021-06-07

Coroner's Finding: RA

17y · Male·massive head injury sustained in a fall from height (approximately 3.5 metres th…

…a false history of basketball injury) where CT imaging revealed significant intracranial bleeding. He was transferred by air ambulance to Royal Hobart Hospital for emergency hemicraniectomy but the injury was unsurvivabl…

emergency medicineneurosurgerysystem
TAShospital2019-01-21

Coroner's Finding: Brown, Tony David

28y · Male·traumatic brain injury

…Dowling, who were intoxicated and unknown to him. Brown collapsed after a final punch while dazed and was transferred to Royal Hobart Hospital but did not regain consciousness. Two perpetrators were convicted of assault …

emergency medicineneurosurgeryalcohol
QLD2014-12-12

Chen, Ruby Yan

3y · Female·massive air embolism

Ruby Chen, 3 years old, died from massive air embolism during aeromedical transfer from Blackwater to Rockhampton Hospital. The fatal sequence occurred w…

retrieval medicineemergency medicineproceduralsystem
VIC2013-10-21

Finding into death of Harold Claude Long

83y · Male·Acute blood loss and shock/trauma in a man with cardiomegaly, myocardial fibrosi…

…osis despite appropriate emergency response. Harold Long developed a tension pneumothorax during fixed-wing air transport to Melbourne without Mobile Intensive Care Ambulance support, highlighting risks of air transfer

emergency medicineparamedicinesystemproceduralmorphine
VIC2013-10-21

Finding into death of Stephanie Louise Meredith

46y · Female·Multiple injuries sustained in collision between semi-trailer and train; tension…

…ang level crossing in Victoria, killing 11 train passengers immediately and one more (Harold Long) during transfer. The driver (Mr Scholl) failed to see the flashing warning lights at the level crossing despite them bein…

emergency medicinetrauma surgerysystemdelaymorphine
VIChospital2011-07-29

Finding into death of Marlene Kenny

64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…

…al stroke caused by a patent foramen ovale allowing a blood clot to cross from right to left circulation. Transfer to tertiary care was delayed over 9 hours due to poor communication between hospital and ambulance servic…

emergency medicinegeneral practicediagnosticcommunicationdiazepam
VIC2013-10-21

Finding into death of Jaesok Lee

26y · Male·Multiple injuries from collision between semi-trailer and train at level crossin…

…reness despite infrastructure, vehicle maintenance lapses, and tension pneumothorax risk from inappropriate air transfer of an older trauma patient.

emergency medicinetrauma surgerysystemdelay
VIClevel crossing collision between vehicle and train2013-10-21

Finding into death of Nicholas William Parker

32y · Male·Multiple injuries sustained when struck by semi-trailer at level crossing

… not expecting a train, vehicle maintenance defects, emergency response systems, and the appropriateness of air transport of a critically injured patient without paramedic support. The investigation identified systemic …

emergency medicinetrauma surgerydiagnosticsystem
VICcommunity2010-04-12

Finding into death of Veronica Campbell

23y · Female·complications of ruptured ectopic pregnancy with massive intra-abdominal haemorr…

A 23-year-old woman with a ruptured ectopic pregnancy at a rural hospital required urgent transfer to a tertiary centre. The initial response was classified as routine, and the first ambulance crew arrive…

emergency medicineobstetricscommunicationsystemmorphine
VIC2013-10-21

Finding into death of Ercil Jean Webb

79y · Female·multiple injuries sustained in collision between semi-trailer and train

…ve coordination between emergency agencies, delayed or inappropriate decisions regarding patient triage and air transport, and a level crossing risk assessment system (ALCAM) that failed to identify this dangerous site …

emergency medicinetrauma surgerysystemdelay
VICcommunity2013-10-21

Finding into death of Rosanne Eve McMonnies

17y · Female·Multiple injuries sustained in collision between semi-trailer and train

…icle brake maintenance (unroadworthy trailer brakes), and emergency response issues including inappropriate air transport of a trauma patient. While some deaths were immediate from impact, Harold Long's death may have b…

emergency medicinetrauma surgerysystemdelay
VICcommunity2013-10-21

Attachment a

Blunt force trauma sustained in level crossing collisions between heavy vehicles…

…r brake maintenance; and critical failures in emergency medical response including inappropriate fixed-wing aircraft transfer of trauma patient without Mobile Intensive Care paramedic support. Coroner identifies systema…

emergency medicineparamedicinediagnosticcommunication
VIC2013-10-21

Finding into death of Geoffrey Ian McMonnies

50y · Male·Multiple injuries sustained in collision between semi-trailer and train

…of approaching trains, particularly heavy vehicle operators); and emergency response (found Harold Long's transfer by fixed-wing aircraft without intensive care support may have contributed to his death through tension p…

emergency medicinetrauma surgerysystemdiagnostic
VIChospital2018-11-28

Finding into death of Jason William Causon

46y · Male·COMPLICATIONS OF RUPTURED ANTERIOR COMMUNICATING CEREBRAL ARTERY ANEURYSM (OPERA…

…l artery aneurysm. He received prompt initial resuscitation by correctional and health staff, was rapidly transferred to Alfred Hospital, and underwent emergency aneurysm repair surgery. Despite surgical intervention and…

neurosurgeryintensive care
VIC2013-10-21

Finding into death of Danielle Louise Meredith

8y · Female·Multiple injuries sustained in collision between semi-trailer and train at level…

…t; two died shortly after with immediately fatal injuries; and one patient (Harold Long) died after being transferred by fixed-wing aircraft without Mobile Intensive Care support, possibly due to tension pneumothorax dev…

emergency medicinetrauma surgerysystemdelay
NSWhospital2020-02-14

Inquest into the death of Tristan Naudi

23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…

…ce appropriately placed him in a police vehicle after finding him violently agitated at home. A delay in ambulance dispatch meant police transported him to hospital instead. While his transfer into the isolation room wa…

emergency medicinetoxicologysystemdelayMDMA
VICcommunity2013-10-21

Finding into death of Matthew John Stubbs

13y · Male·chest and abdominal injuries sustained in collision between semi-trailer and tra…

… with LEDs before the collision. Emergency response issues included tension pneumothorax development during air transfer. Lessons include improving level crossing warning systems for heavy vehicle operators, enhanced dr…

emergency medicinetrauma surgerysystemdelay
VIChospital2019-08-07

Finding into death of Leon Edward Balshaw

55y · Male·Bronchopneumonia in a man with a healing myocardial infarction

…tion while in police custody. He was arrested on 25 January 2018 following a domestic dispute and taken to Bairnsdale Regional Health Service where an abnormal ECG showing old anteroseptal infarct was noted but he was d…

emergency medicineintensive care

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