Coronial

115 results for ambulance transport

NThome2005-03-29

Inquest into the death of Marshall Yantarrnga

37y · Male·Coronary artery thrombosis resulting from coronary atherosclerosis with contribu…

…mitral valve replacement in 1996), presented with chest and right-sided pain, fever, and was assessed by ambulance officers on 29 February 2004. Despite observable midline thoracic scarring—strongly suggestive of previo…

emergency medicineparamedicinediagnosticcommunicationwarfarin
VIChospital2015-04-23

Finding into death of Craig Ronald McMillan

37y · Male·Unascertained (death in custody)

…, 37-year-old male with chronic schizophrenia, died of undetermined cause (death in custody) after being transported by police divisional van to hospital. Despite documented tachycardia from Risperidone, this condition …

psychiatryemergency medicinecommunicationsystemrisperidone
NSWcommunity2025-04-04

Inquest into the death of RD

7y · Female·Group A Streptococcus (Streptococcus pyogenes) pneumonia with sepsis

…previously healthy girl died from Group A Streptococcus pneumonia with sepsis after paramedics failed to transport her to hospital despite recording a severely elevated heart rate (172 and 168 bpm) on 15 September 2019.…

emergency medicineparamedicinediagnosticcommunicationparacetamol
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…

A semi-trailer collided with a V/Line passenger train at a level crossing near Kerang on 5 June 2007, killing 11 passengers instantly or within hours. The collision was caused by a heavy vehicle driver unfamiliar with th…

emergency medicinetrauma surgerysystemdelay
NTcommunity2007-11-12

Inquest into the death of Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen

Male·Angel Blanco-Puerto: acute heart failure as result of long-standing damage from …

Four men died from acute heart failure after ambulance officers declined or inadequately pursued hospital transport. In Angel Blanco-Puerto, no potentially lif…

emergency medicinecardiologydiagnosticcommunication
NThospital2016-09-02

Inquest into the death of Christopher Murrungun

53y · Male·Left intra cerebral and left subdural haemorrhage

… Darwin Hospital on 12 February 2015. He was found intoxicated on a public footpath in Parap, Darwin. An ambulance arrived and was ready to transport him, but Police offered to take him to hospital instead. Police trans…

emergency medicineneurologysystemcommunicationalcohol
VICcommunity2017-03-23

Finding into death of Stacey Louise Yean

23y · Female·Unascertained

…use after presenting with violent vomiting on 5 January 2016. Her family believed that if paramedics had transported her to hospital, she would have survived. The coroner examined whether the ambulance paramedics' decis…

emergency medicineparamedicineamoxicillin
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…

…spite 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 in pneu…

emergency medicineparamedicinesystemproceduralmorphine
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

…pecting 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 failure…

emergency medicinetrauma surgerydiagnosticsystem
VIChome2010-11-05

Finding into death of Veronica Therese Campbell

38y · Female·complications following a ruptured ectopic pregnancy

…topic pregnancy requiring urgent transfer to Goulburn Valley Hospital. Critical failures occurred in the ambulance transfer: the case was initially prioritized as Code 2 (non-urgent), and despite multiple requests from …

emergency medicineobstetricscommunicationdelaymorphine
VICcommunity2013-10-21

Finding into death of Margaret Eunice Wishart

78y · Female·Blunt force trauma to the head caused by a compressor from a refrigeration unit …

…sed human factors data collection, and communications gaps in the emergency response (failure to include ambulance and rail representatives in the incident management committee). The coroner made 25 recommendations addr…

emergency medicinetrauma surgerysystemprocedural
VIC2013-10-21

Finding into death of Geoffrey Ian McMonnies

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

A comprehensive coronial investigation into 26 deaths from 12 level crossing collisions in Victoria (2002-2009), with particular focus on the Kerang incident (5 June 2007) in which 11 train passengers died when a semi-tr…

emergency medicinetrauma surgerysystemdiagnostic
SAhospital2007-02-07

Coroner's Finding: ROBBINS Amy Louise

16y · Female·intra-abdominal haemorrhage due to ruptured spleen

…-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital, followi…

trauma surgeryemergency medicinesystemdelay
VIC2013-10-21

Finding into death of Jaesok Lee

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

On 5 June 2007, a semi-trailer collided with a V/Line passenger train at the Kerang level crossing, killing 11 passengers. The driver had crossed this crossing hundreds of times without seeing a train, was familiar with …

emergency medicinetrauma surgerysystemdelay
SAcommunity2008-12-18

Coroner's Finding: EDWARDS Adrian Lee

31y · Male·haemorrhage due to incised wound to left arm with amphetamine toxicity as a poss…

…possible schizophrenia, and polysubstance abuse made a triple zero call suggesting self-harm. Police and ambulance crews found him with a deep laceration to his left arm (cephalic vein injury). He was extremely combativ…

emergency medicineforensic medicinedextroamphetamine
VICcommunity2013-10-21

Finding into death of Rosanne Eve McMonnies

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

…ake 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 been inf…

emergency medicinetrauma surgerysystemdelay
VICcommunity2013-10-21

Attachment a

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

Coronial investigation into 26 deaths at 12 level crossing incidents in Victoria between 2002-2009, with focus on the Kerang incident (5 June 2007) where 11 train passengers died after a semi-trailer collided with a pass…

emergency medicineparamedicinediagnosticcommunication
VICcommunity2013-10-21

Finding into death of Matthew John Stubbs

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

A 13-year-old boy, Matthew Stubbs, died when a semi-trailer collided with a V/Line passenger train at the Kerang level crossing on 5 June 2007, killing 11 train passengers total. The driver failed to see the train despit…

emergency medicinetrauma surgerysystemdelay
VIC2013-10-21

Finding into death of Danielle Louise Meredith

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

…ity for heavy vehicle drivers, inadequate heavy vehicle maintenance standards, and suboptimal triage and transport decisions in the emergency response that may have contributed to one preventable death.

emergency medicinetrauma surgerysystemdelay
WAhospital2013

Inquest into the Death of Williams, Ronald Graham

52y · Male·Coronary Atherosclerosis

…g access to medical history, nursing staff provided competent emergency care including intubation during ambulance transport. Advanced life support continued during hospital admission but was unsuccessful. The coroner f…

emergency medicinecardiology

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