Coronial

20 results for thoracotomy

VIChospital2014-11-08

Finding into death of Nathan Andrew Roberts-Nunan

20y · Male·stab injury to the back

…volved medium calibre pulmonary vessels. Despite immediate emergency management including CPR en-route, thoracotomy, and lung hilum clamping, the injury was fatal. The coroner found that medical management at Royal Melb…

emergency medicinecardiothoracic surgerymorphine
VIChospital2018-03-29

Finding into death of Roy Irvin Dorner

64y · Male·Complications of redo thoracotomy/aortic valve replacement in a man with ischaem…

…ac history (prior CABG, pacemaker, congestive failure, and newly severe aortic stenosis) underwent redo thoracotomy for aortic valve replacement. During sternal re-entry, the right ventricle was inadvertently incised de…

cardiothoracic surgerycardiology
VIC2018-02-02

Finding into death of Friederike Antonia Ruhle

25y · Female·Chest injury in a workplace incident

…ateral haemothoraces, and pulmonary artery laceration. Despite emergency thoracostomy and resuscitative thoracotomy at the Alfred Hospital, she could not be revived. The coroner identified several preventable risk facto…

emergency medicinetrauma surgerysystem
SAhospital2008-11-13

Coroner's Finding: WILSON Edward James

29y · Male·air embolus complicating gunshot wounds to chest

…e need for surgery. However, approximately 6 hours later he suffered sudden cardiac collapse. Emergency thoracotomy revealed severe lung contusion from blast injury (not direct penetration) that had created a defect all…

trauma surgeryintensive care
WAhospital2019-05-13

Inquest into the Death of Daniel Josef ADWENT

44y · Male·gunshot wound to abdomen

…defence. Medical treatment at Fiona Stanley Hospital involved extensive resuscitative efforts including thoracotomy, laparotomy, and interventional radiology. Critical clinical lessons include: delayed notification of c…

emergency medicinegeneral surgerycommunicationdelay
TAS2020-06-01

Coroner's Finding: Tonner, Justin Michael

39y · Male·Hypovolemic shock due to blood loss resulting from multiple stab wounds, particu…

…retreating and attempting to extricate himself. Ambulance and hospital resuscitation efforts, including thoracotomy and blood transfusion, were unsuccessful. While not a medical case amenable to clinical recommendations…

emergency medicinetrauma surgerymethamphetamine
NThospital2023-03-15

Inquest into the death of Janelle Pamkal

35y · Female·aortic dissection with associated acute aortitis

A 35-year-old Aboriginal woman with schizoaffective disorder presenting with acute psychosis and chest pain was appropriately referred for psychiatric assessment and retrieval. CareFlight transport was timely and the rec…

emergency medicinepsychiatryolanzapine
SAhospital2023-10-12

Coroner's Finding: Philp, Afrika Rose Pearl

17y · Female·multiple injuries

Afrikah Rose Pearl Philp, aged 17, died from multiple injuries sustained in a high-speed vehicle collision on 6 October 2017 while being pursued by police. She had a complex medical history including psychogenic non-epil…

neurosurgerytrauma surgerysystemmethamphetamine
SAhospital2006-05-10

Coroner's Finding: SLOAN Adam Edward John

15y · Male·right haemothorax due to lacerations of right lung

A 15-year-old male died from right haemothorax due to lung lacerations sustained in a high-speed motor vehicle collision. The vehicle, driven by an unlicensed 15-year-old driver with faulty brakes, crashed into a tree af…

emergency medicinecardiothoracic surgeryalcohol
VIC2015-07-27

Finding into death of Michael John Jonson

48y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

Michael Jonson, age 48, died from multiple injuries sustained in a motor vehicle collision on the Melba Highway near Vasey Houghton Bridge when a trailer being towed by another vehicle detached and crossed into his path.…

forensic medicinetrauma surgerysystemprocedural
QLDhospital2017-09-20

Mr TAM - Non-inquest findings

62y · Male·Multi-organ infarctions (brain, kidneys, heart) resulting from thromboemboli sec…

Mr TAM, a 62-year-old man with multiple cardiac conditions, died from multi-organ infarction secondary to an atrio-oesophageal fistula that developed after radio-frequency ablation for atrial fibrillation. The fistula is…

cardiologycardiothoracic surgerycommunicationsystem
QLD2025-10-08

Inquest into the death of Peter Owen Pilkington

48y · Male·gunshot wound to chest

Peter Owen Pilkington, 48, died from a gunshot wound sustained during a police siege on 6 December 2021. After escalating behaviour at his NDIS support office in Stretton, Queensland, Peter produced what police believed …

emergency medicinetrauma surgerysystemmethamphetamine
SA2024-12-20

Coroner's Finding: Huddy, Kobee Michael David

20y · Male·gunshot wound to the chest

A 20-year-old man with borderline personality disorder, who had made over 25 suicide attempts in the two years prior, died from a gunshot wound sustained during a police encounter. He had called mental health services an…

psychiatryemergency medicinecommunicationsystemcannabis
VICcommunity2002-02-08

BEVERIDGE Graham

52y · Male·multiple injuries including right ventricular rupture

A 52-year-old volunteer race marshal was fatally struck by a detached Formula One race car wheel that passed through a gap in the debris fence at the 2001 Australian Grand Prix at Albert Park. The wheel was travelling at…

emergency medicineintensive caresystemdelay
WAhospital2024-01-12

Inquest into the Death of Herbert William MACKAY

45y · Male·complications associated with metastatic adenocarcinoma of the lung, treated pal…

Herbert Mackay, a 45-year-old Aboriginal man, died from complications of metastatic adenocarcinoma of the lung discovered at stage 4 in late December 2020 while imprisoned at Casuarina Prison. He presented with respirato…

oncologycardiothoracic surgery
VIChospital2020-01-31

Finding into death of Brett Maybus

60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…

Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…

cardiothoracic surgeryoncologycommunicationsystem
SAhospital2003-05-08

Coroner's Finding: PRATT Shirley May

66y · Female·acute necrotising haemorrhagic mediastinitis

Mrs Pratt, aged 66, underwent elective gastroscopy at Kapunda Hospital. During the procedure she heaved, and blood was noted at the gastro-oesophageal junction. She was discharged the same afternoon with pain, only to re…

surgerygeneral surgerycommunicationsystemfentanyl
QLDhospital2017-07-31

Mrs NSM - Non-inquest findings

81y · Female·left haemothorax and mediastinal haemorrhage from the insertion site of the perm…

An 81-year-old woman died from haemothorax and mediastinal haemorrhage following pacemaker insertion for sick sinus syndrome. Multiple venous punctures during the procedure caused vascular injury. Critical clinical lesso…

cardiologyintensive carediagnosticcommunicationglyceryl trinitrate
QLDhospital2025-10-23

Inquest into the death of Shirley Elizabeth Haggett

78y · Female·Tension pneumothorax (surgically managed) due to aspiration pneumonia (bronchosc…

78-year-old woman with severe COPD and type 2 respiratory failure underwent elective melanoma surgery at a private day hospital (North Lakes Day Hospital) despite being classified as ASA 4 (unsuitable for day surgery). T…

anaesthesiaplastic and reconstructive surgerysystemdiagnosticmidazolam
QLDhospital2015-11-03

Steer, Summer Alice

4y · Female·Haemorrhage due to aorto-oesophageal fistula caused by ingestion of a button bat…

A 4-year-old girl died from aorto-oesophageal fistula and haemorrhage caused by a lithium button battery lodged in her oesophagus for at least 3 days. Critical diagnostic failures occurred: the initial GP failed to consi…

general practiceemergency medicinediagnosticcommunicationmetronidazole/flagyl

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