85y · Male·cerebellar haemorrhage due to hypertension
An 85-year-old man died in custody from cerebellar haemorrhage due to hypertension. He was in the palliative care unit following an advanced care directive…
65y · Female·Catastrophic cerebellar haemorrhage with pulmonary embolic, subarachnoid haemorr…
…d unresponsive the following day and admitted to hospital with a brain bleed. She died from catastrophic cerebellar haemorrhage with contributing pulmonary embolism, subarachnoid haemorrhage, and hypertension. The corone…
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 a…
80y · Male·Complications of vertebral artery and right carotid artery vascular injuries (op…
…artery dissection, right carotid artery dissection, complex skull base and cervical fractures, bilateral cerebellar strokes) made severe disability or death the most likely outcome. Clinical lesson: even experienced swim…
30y · Male·Head injury; severe traumatic brain injury with global cerebral ischaemic injury…
… concrete path, causing a severe occipital fracture, global cerebral ischaemic injury, and intracranial haemorrhage. He was transported to hospital with an unsurvivable injury and died after life support withdrawal. Blo…
78y · Female·Complications of a left tentorial meningioma
…ergo surgery. She died suddenly on 10 September 2015 from complications of the meningioma (intratumoral haemorrhage and herniation) before surgery could be performed. The coroner found neurosurgical management appropria…
43y · Male·Multiple injuries sustained in a motorcycle incident (rider)
…ed when motorcycles collide with heavy vehicles—multiple spine fractures, skull fractures, subarachnoid haemorrhage, complete midbrain transection, and complete aortic transection. The coroner noted front-end camera sys…
81y · Male·Intracerebral haemorrhage in the setting of heparinisation for subclavian artery…
…bclavian artery thrombosis requiring embolectomy, followed by heparinization which caused intracerebral haemorrhage and death. Key lessons: written post-operative anticoagulation instructions, direct specialist-to-GP co…
87y · Male·Consequences of an assault with severe facial fractures
RFV, an 87-year-old man, died from severe facial fractures and traumatic brain injury sustained during an assault by his daughter-in-law. He presented to hospital in critical condition with cardiac arrest, multiple facia…
1y · Male·acute meningitis from Streptococcus pneumoniae, associated with diffuse brain sw…
Noah Souvatzis, a 19-month-old boy, died from Streptococcus pneumoniae meningitis on 31 December 2021 after presenting to Northeast Health Wangaratta ED on 29 December. Critical failures in his first ED presentation incl…
15y · Male·Multiple organ failure associated with hyperthermia (heat stroke)
A 15-year-old rugby league player died from heat stroke during training on an extremely hot Perth summer evening (44.4°C). The coaching staff appropriately applied NRL heat guidelines in deciding to proceed with modified…
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