Coronial

43 results for air transport

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
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
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
WA2009-06-12

Inquest into the Death of Ward

46y · Male·Heatstroke

Ian Ward, a 46-year-old Aboriginal man, died from heatstroke on 27 January 2008 while in custody, transported by GSL Custodial Services in a Mazda E2500 prisoner van from Laverton to Kalgoorlie. The rear pod in w…

systemdelay
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
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; despi…

emergency medicinetrauma surgerycommunicationsystem
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

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
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
VICcommunity2018-09-30

Finding into death of Anthony Francis Carnevale

24y · Male·Head injury from explosion

…c barbeque bottles), all found with partially open valves. Gas leaked from these cylinders, creating a fuel-air mixture in the confined space. An uncapped rechargeable battery showing arcing evidence likely provided the…

systemmethamphetamine
VIC2013-10-21

Finding into death of Geoffrey Ian McMonnies

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

…, 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 pneumothorax developm…

emergency medicinetrauma surgerysystemdiagnostic
QLDcommunity2010-06-24

Robinson, Paul Gerard Joseph

50y · Male·Multiple injuries sustained in a motor vehicle accident

… for its brakes with significantly extended pushrods (six of eight exceeded optimal range), excess water in air tanks, and uneven brake application (front brakes operational, rear brakes inefficient). Although Paul had …

proceduralcommunication
VIC2011-04-04

Finding into death of Wingeel Plains Fire

Fire outbreak caused by sparks and molten metal from defective wagon air brake s…

…sed multiple fires along a railway line in rural Victoria on 2 February 2001. Wagon AQQY 4327 had defective air brake blocks that failed to retract properly, causing excessive friction between metal blocks and wheels. T…

systemdelay
TAS2025-02-05

Coroner's Finding: Explosion, Glenorchy

Explosion caused by ignition and deflagration of acetylene leak from a cylinder …

This coronial finding concerns an explosion caused by improper storage and transportation of an acetylene gas cylinder in a work vehicle. Ryan Rayner was seriously injured when an acetylene…

proceduralsystem
VIChome2010-11-05

Finding into death of Veronica Therese Campbell

38y · Female·complications following a ruptured ectopic pregnancy

… delays resulted—the initial ambulance took 1.5 hours to reach Cobram, then time was lost awaiting MICA and Air Ambulance. The coroner found the death preventable; surgery within 1–2 hours would have saved her life. Key…

emergency medicineobstetricscommunicationdelaymorphine
NSW2014-04-02

Inquest into the death of Reece POTTER

23y · Male·blunt force head injuries sustained when thrown from his horse during a race

… Orange helicopter had insufficient flying hours remaining that day. This unavoidable delay meant ground transport to Dubbo, then air transfer to Sydney—adding uncertainty about whether immediate helicopter retrieval co…

systemdelay
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
QLD2016-03-21

PB - Non-inquest findings

55y · Male·Traumatic asphyxia following compression of lower chest and upper abdomen

A 55-year-old experienced transport worker died from traumatic asphyxia when a car carrier trailer he was servicing lowered unexpectedly, tr…

WA

Inquest into the Death of Jarrod Arthur HAMPTON

22y · Male·drowning secondary to incapacitation from air embolism

… skilled and experienced pearl shell drift diver with over 600 logged dives died from drowning secondary to air embolism and cerebral arterial gas embolism while diving for Paspaley Pearling Company off Broome, Western …

diving medicineoccupational and environmental healthsystemdelay
VIC2011-09-30

Finding into death of Jacqueline Mary Henderson

33y · Female·Injuries sustained as a result of aviation accident—specifically, controlled fli…

A Piper PA-31T Cheyenne aircraft collided with terrain near Benalla, Victoria on 28 July 2004, killing all six occupants including pilo…

aviation medicinecardiologycommunicationsystemverapamil

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.