66y · Male·subdural haematoma from head injury sustained in a fall
… public memorial site, striking his head on concrete. He sustained a subdural haematoma requiring urgent craniotomy. Despite surgical evacuation, he developed elevated intracranial pressure and remained neurologically un…
48y · Male·subdural haemorrhage
…e at home after a day spent drinking heavily, with an alcohol-induced altered mental state. He underwent emergency craniotomy but his condition deteriorated and life support was withdrawn. The coroner found the subdural…
49y · Female·Blunt force head injury from pedestrian-pushbike collision
…as also obstructed by vegetation. Neither party could identify the other or avoid the collision. Despite emergency medical care including craniotomy and ICU management at Royal Darwin Hospital, she suffered irreversible…
67y · Male·complications of blunt force head injuries
…ansported to Port Macquarie Base Hospital, then to John Hunter Hospital where he underwent decompressive craniotomy for intracranial bleeding, before being transferred to Royal Prince Alfred Hospital. He deteriorated pro…
42y · Male·Multiple traumatic injuries of head and chest sustained in a motorcycle crash
Mark Andrew O'Brien, 42, died from multiple traumatic injuries sustained in a motorcycle crash on 13 January 2017 and died 18 January 2017 at Royal Hobart Hospital. He was riding a Honda 125cc motorcycle on a P1 novice l…
54y · Male·metastatic lung cancer with terminal palliative care
…pical overdose indicators. Subsequent investigations revealed brain and lung lesions. Thompson underwent craniotomy and palliative radiotherapy before returning to prison for end-of-life care. The coroner found his medic…
28y · Female·Multiple injuries due to quad bike accident
… The quad bike had mechanical defects including inefficient front brakes and a loose rear wheel bearing. Emergency response was appropriate given rural location. Key clinical lesson: preventable death through helmet use…
48y · Male·Cerebrovascular Accident (stroke) caused by subdural haemorrhage, which resulted…
… following days and was admitted to Danila Dilba on 8 April with suspected subdural haematoma, requiring emergency craniotomy on 9 April. He appeared to recover initially but suffered a catastrophic secondary haemorrhag…
23y · Male·head injury resulting in acute left subdural haemorrhage and cerebral oedema fro…
… blows to the head and died six days later from acute subdural haemorrhage and cerebral oedema requiring emergency decompressive craniotomy. Nagy was not registered as a professional boxer in Victoria and underwent no m…
78y · Male·head injury sustained when struck by a car
…ere head injury with bilateral frontal and temporal haemorrhagic contusions and skull fractures. Despite emergency transport to Royal Melbourne Hospital, neurosurgery, craniotomy and haematoma evacuation, he developed p…
74y · Male·Head injury in motor vehicle incident
…ned a severe head injury with right subdural haemorrhage and bilateral subarachnoid haemorrhage. Despite emergency decompressive craniotomy and evacuation of subdural haematoma, repeat imaging showed extensive brain inj…
53y · Male·Complications arising from blunt force trauma to the head
Colin David Johnson, aged 53, died from complications of severe blunt force head trauma sustained during an assault in a prison day room on 23 April 2011. The attack occurred in full view of a prison office with a clear …
60y · Male·respiratory failure and sepsis complicating acute subdural haematoma
…stained a severe right-sided acute subdural haematoma, cerebral contusions and skull fractures requiring emergency neurosurgery. Post-operative complications including raised intracranial pressure requiring further cran…
59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…
59-year-old woman admitted with newly diagnosed grade 4 glioblastoma underwent surgery 16 days later after delays during consultant's planned leave. Post-operative complications included ischaemic stroke confirmed on ima…
39y · Male·Complications following extradural haemorrhage (operated) sustained in an electr…
…dural haemorrhage with midline shift, base of skull fracture, and subarachnoid haemorrhage. He underwent emergency craniotomy at The Alfred Hospital but experienced minimal neurological recovery. Treatment was withdrawn…
23y · Male·intra-cerebral haemorrhage following methylamphetamine use
…otball game on 13 April 2013, he received a heavy blow (rib fracture) and used methylamphetamine. At the emergency department, ECG changes were misinterpreted as acute myocardial infarction, resulting in inappropriate a…
2y · Male·head injury due to accidental fall from bed
Luke Borusiewicz, a 2-year-old in foster care, died from severe head injuries sustained in an accidental fall from a bed on 12 January 2009. The foster carer, Joy (age 74), had taken him into care on 24 December 2008 aft…
69y · Male·Head injury post-collapse secondary to ventricular tachycardia due to ischaemic …
…CT imaging (age >65, head injury, loss of consciousness, anticoagulation), this was not performed in the Emergency Department due to failure to recognize and act upon the combination of risk factors. Information about t…
55y · Male·Glioblastoma multiforme
Mark Ian McLaughlin, a 55-year-old man in custody, presented with haematuria and neurological symptoms and was found to have a grade 4 glioblastoma multiforme on imaging and histopathology. He underwent appropriate neuro…
9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)
…wayne appeared stable. When the CT scan was finally performed, it revealed a massive epidural haematoma. Emergency surgery was attempted but Dwayne died from cerebral coning. The coroner found the critical failure was d…
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