Coronial

28 results for clinical brain death testing

VIChomePodcast2018-11-09

Finding into death of Priyantha Nirmale Ranjith Peiris

57y · Male·hypoxic ischaemic brain injury complicating acute asthma

A 57-year-old man with asthma and hay fever died from hypoxic ischaemic brain injury following an acute asthma exacerbation during Melbourne's November 2016 thunderstorm asthma event. …

emergency medicineintensive caresalbutamol
VIChospitalPodcast2018-11-09

Finding into death of Hoi-Sam Lau

49y · Male·acute asthma leading to hypoxic brain injury

Hoi-Sam Lau, 49, died from acute asthma leading to hypoxic brain injury during the unprecedented Melbourne thunderstorm asthma event of 21 November 2016. He had well-contr…

emergency medicineintensive caresystemdelaysalbutamol
VIC2011-10-05

Finding into death of Jerry Karamesinis

30y · Male·head injury sustained in a fall after being struck by crowd controller Henry Von…

… allegedly threatening the controller. The incident occurred in an intoxicated state (BAC 0.05-0.07). Key clinical lessons include: the importance of understanding traumatic head injury mechanisms; the vulnerability of i…

emergency medicinetrauma surgerysystemmidazolam
VIChospital2025-01-28

Finding into death of Dustin Buckley

17y · Male·Gunshot wound to the head

… preventable aspects including poor supervision of junior licence holders, lack of mandatory drug/alcohol testing after firearms incidents, and absence of specific offences for pointing firearms at others. Key clinical

trauma surgeryemergency medicinesystemproceduralmidazolam
VIChomePodcast2023-12-11

Finding into death of Shane Michael Tuck

38y · Male·hanging

…al ideation. The inquest concluded CTE is linked not to concussion count but cumulative head impacts. Key clinical lessons include the importance of reducing full contact training, implementing independent medical assess…

neurologypsychiatrycocaine
NSWhospital2025-10-20

Inquest into the death of BR

1y · Unknown·unascertained

…nfant suffered cardiac arrest at home; resuscitation efforts continued but he died on 29 July after anoxic brain injury. Post-mortem examination and extensive investigations could not establish a definitive cause. Exper…

emergency medicineintensive carecommunicationsysteminfanrix hexa
SAcommunity2023-01-31

Coroner's Finding: Bromage, Ronald

72y · Male·acute cerebral infarction complicating acute myocardial infarction

…2 and 25 February 2016 to his GP, Dr P., who diagnosed costochondritis without performing ECG or troponin testing despite Bromage's high-risk profile (age, hypertension, hypercholesterolaemia). A cardiology expert concl…

general practicecardiologydiagnosticdelayparacetamol/codeine
SAhome2025-03-31

Coroner's Finding: Constantine, Matthew Keith

33y · Male·hypoxic-ischaemic encephalopathy due to hanging with resuscitation

… initiated resuscitation, achieving return of spontaneous circulation. However, he suffered severe hypoxic brain injury and was declared brain dead on 20 March 2022. The coroner made no recommendations. Key clinical les…

intensive careemergency medicinemethamphetamine
VIChomePodcast2018-11-09

Finding into death of Le Hue Huynh

46y · Female·hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest in the se…

… transported her to hospital where she was found in cardiac arrest. Prolonged resuscitation caused hypoxic brain injury. Clinical lessons: patients with asthma and hay fever, particularly those uncontrolled on reliever-…

emergency medicineintensive caresystemdelaysalbutamol
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
NSW2016-03-14

Inquest into the death of Michael David John Nolan

30y · Male·Exsanguination due to an incision in the radial vein of his right wrist

…licted laceration to his radial vein. He had complex mental health needs including schizophrenia, acquired brain injury, developmental delay, and substance abuse history. The coroner concluded that Justice Health and Co…

psychiatrycorrectional healthmethadone
QLD2017-12-15

Martin, Christopher Leslie

65y · Male·Spontaneous lethal arrhythmia on a background of cardiomegaly, myocardial fibros…

… underlying cardiac disease (coronary artery stenosis, myocardial fibrosis, cardiomegaly) and a history of brain injury causing unpredictable behaviour. During detention for breath testing, he became agitated, struggled…

cardiologyforensic medicinedelayalcohol
NSW2023-09-15

Inquest into the death of Sandra Lee Cawthorne

29y · Female·Multiple gunshot wounds to the head and chest, resulting in severe brain injury …

… a thorough 19-year police investigation involving hundreds of witness statements, forensic analysis, DNA testing, ballistics examination, and CCTV review, the perpetrator(s) remained unidentified. The investigation foc…

VIChospital2025-07-14

Finding into death of Nitin Haldipur Prabhu

41y · Male·Head injury in the setting of an e-bicycle collision (rider)

…coroner identified systemic gaps in e-bicycle regulation, detection, and enforcement across Victoria. Key clinical lesson: users of high-powered e-bicycles require appropriate protective equipment. The coroner recommende…

SAcommunity2005-03-14

Coroner's Finding: Ward Kunmanara

Unknown·Multiple causes: hanging (three cases); exposure in context of organic brain dam…

…oung men died between May 2003 and March 2004 on the Anangu Pitjantjatjara Lands in South Australia. Three deaths were by hanging (ages 19, 25, 27); one by exposure (age 35). Deaths were linked to petrol sniffing (chron…

psychiatryemergency medicinesystemdelaypetrol
WAcommunity- 28 March 2014

Inquest into the Death of Hayley DIAMOND

14y · Female·Acute cerebral hypoxia arising out of suffocation due to inhalation of toxic vap…

…hypoxia following inhalation of volatile substances (deodorant spray) in Kununurra, WA. She suffered acute brain damage and bronchopneumonia. Clinical lessons: volatile substance abuse poses immediate life-threatening r…

emergency medicineintensive carecommunicationsystemlynx deodorant spray
VIChospital2021-04-07

Finding into death of Anson

17y · Male·mixed drug toxicity (25C-NBOMe and 4-fluoroamphetamine)

… Despite aggressive treatment including intubation, CPR, and intensive care, he died from profound hypoxic brain injury. The key clinical lesson is that unregulated drug markets present significant risks due to mislabel…

emergency medicineintensive caresystemdelay25c-nbome
VIChospital2016-06-03

Finding into death of Ronak Satyajit Warty

10y · Male·complications of anaphylaxis

… minutes of resuscitation, spontaneous circulation returned but he suffered catastrophic hypoxic-ischaemic brain injury and died 7 days later. No deficiencies were identified in ambulance or hospital care. The coroner h…

emergency medicinepaediatricsdelaysystemadrenaline
VIChospital2015-12-09

Finding into death of Benjamin David Johnston

36y · Male·Global hypoxic brain injury due to hanging

…died by hanging after six weeks of varenicline (Champix) treatment for smoking cessation. Two weeks before death, his partner noted significant behavioral changes: withdrawal, irritability, anger, and sleep difficulty. …

general practicepsychiatryvarenicline
NSWhospital2025-12-08

Inquest into the death of Katrina McGrady

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

…en admitted to John Hunter Hospital following incidental discovery of two large unruptured aneurysms. Key clinical failures included: failure to escalate increasing headaches (5-8/10) occurring 30 August–4 September to t…

neurosurgeryradiologycommunicationdiagnosticaspirin

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