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VIChospital2026-08-18

Finding into death of Susan Elizabeth Czudar

63y · Female·1a: Aspiration pneumonia in a woman with acquired brain injury, 1b: Cerebrovascu…

Susan Czudar, 63, died of aspiration pneumonia complicated by acquired brain injury from a 2017 subarachnoid haemorrhage and multiple strokes. Residing in NDIS-funded specialist disability accommodation, she was admitted…

neurosurgeryradiology
NSWhome2026-08-10

Inquest into the death of SMS

14y · Female·unascertained natural causes – possibly encephalitis leading to seizure or sudde…

SMS, a 14-year-old previously healthy girl, collapsed unexpectedly at home on 10 October 2021 and was found unresponsive and not breathing. Immediate resuscitation was commenced by family members and emergency services, …

emergency medicineintensive care
TAScommunity2026-07-15

Coroner's Finding: Hubbard, Brady James

21y · Male·Cerebral temporal lobe uncal and cerebellar tonsillar herniation

Brady Hubbard, 21, died from traumatic brain injury with cerebral herniation after falling from an unsecured utility vehicle driven by Andrew Hilfenhaus at West Ulverstone Football Club in June 2023. While riding on the …

emergency medicineintensive carecommunicationdelayalcohol
VICcommunity2026-07-03

Finding into death of Con Panagiotou

76y · Male·Traumatic head, ribs, pelvic and spinal injuries sustained in a motor vehicle in…

A 76-year-old man with schizophrenia, depression, Klinefelter syndrome, and poorly controlled diabetes was struck by a car as a pedestrian on 19 December 2024 while crossing Middleborough Road in Box Hill South outside a…

emergency medicineintensive care
VIChome2026-05-25

Finding into death of Robyn Julia Richards

69y · Female·Hydrocephalus and subarachnoid haemorrhage in the setting of a fall in a woman w…

A 69-year-old woman with cerebral palsy, intellectual disability, and B cell acute lymphoblastic leukaemia, residing in Specialist Disability Accommodation funded through the National Disability Insurance Scheme, sustain…

general practiceparamedicine
TAS2026-03-23

Coroner's Finding: Garcia, Adrian Walter

51y · Male·Traumatic brain injuries resulting from blunt head trauma: multiple calvarial an…

Adrian Garcia, 51, died from traumatic brain injuries sustained during an assault in a public park in Sorell, Tasmania on 10 March 2021. He was heavily intoxicated when struck by a baseball bat multiple times by his fian…

neurosurgeryintensive care
VIChospital2026-03-13

Finding into death of Wayne Ronald Watson

61y · Male·Intracranial haemorrhage and myocardial infarct

A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. Paramedics identified STEMI and administered heparin on advice from Austin…

cardiologyemergency medicinediagnosticcommunicationheparin
NSW2026-03-12

Inquest into the death of Evander Tuala

23y · Male·Blunt force head injury

A 23-year-old man died from blunt force head injury after being struck during a violent altercation outside a Sydney hotel. He fell backwards, striking the back of his head on concrete and suffered multiple intracranial …

emergency medicineneurosurgery
TAShospital2026-02-24

Coroner's Finding: Bradley, Steven Basil

65y · Male·Acute on chronic subdural haematoma caused by accidental falls

Steven Basil Bradley, 65, died from acute on chronic subdural haematoma following an unwitnessed fall in hospital. He had metastatic prostate cancer, ischaemic heart disease, and diabetes. On admission for chest sepsis, …

oncologygeneral medicinesystemdelay
QLDcommunity2026-02-24

Non-inquest findings into the death of Pedro Miguel Ventura Enes

54y · Male·Blunt force head injury due to hit by rock while driving

A 54-year-old Portuguese tourist driving a rental car on the Bruce Highway was struck by a rock that penetrated the windscreen while overtaking a heavy vehicle. The rock, approximately 190mm x 160mm, had become lodged be…

neurosurgerytrauma surgerysystem
VIC2026-01-28

Finding into death of L N

28y · Male·Traumatic intracranial haemorrhage sustained in an unwitnessed fall

A 28-year-old man died from traumatic intracranial haemorrhage following an unwitnessed fall at his apartment building. He had been heavily intoxicated (blood alcohol 0.27 g/100mL, cocaine positive) at a social event and…

intensive careneurosurgeryalcohol
VIChospital2026-01-23

Finding into death of Dorothy Anne Simm

74y · Female·Non traumatic intracerebral haemorrhage with further deterioration post medical …

Dorothy Simm, a 74-year-old woman, died from intracerebral haemorrhage with post-operative deterioration following participation in the EVACUATE trial at Monash Medical Centre. She presented with acute right parietal int…

neurosurgeryneurology
VIChospital2026-01-08

Finding into death of Linette Ann Hawkins

80y · Female·Injuries sustained in a motor vehicle collision (driver)

An 80-year-old woman died from injuries sustained in a motor vehicle collision after likely experiencing a seizure or similar medical episode while driving. She had a history of traumatic brain injury from 1972 and a doc…

neurologytrauma surgerycommunicationsystemlevothyroxine
VIChospital2026-01-08

Finding into death of Malakai Cross-De Jesus

<1y · Male·Complications following forceps delivery

A 3-day-old neonate died from complications of instrumental forceps delivery, specifically subgaleal haemorrhage with associated skull fracture and intracranial bleeding. Critical clinical lessons include: (1) complex fo…

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
NSWhospital2025-12-08

Inquest into the death of Katrina McGrady

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

Trina McGrady, a 43-year-old Goomeroi woman, died from subarachnoid haemorrhage due to a ruptured berry aneurysm on 15 September 2020. She had been admitted to John Hunter Hospital following incidental discovery of two l…

neurosurgeryradiologycommunicationdiagnosticaspirin
VIChospital2025-12-02

Finding into death of Benjamin Goossens

54y · Male·Glioblastoma

Benjamin Goossens, a 54-year-old man in custodial supervision for a prior forensic mental health matter, died from glioblastoma at Austin Hospital following palliative care. He had a Grade 2 glioma identified in 2010 tha…

oncologyneurosurgery
VIC2025-10-29

Finding into death of David James Klingberg

55y · Male·Complications of traumatic head injury sustained in a workplace incident (pallia…

David Klingberg, a 55-year-old experienced pile testing engineer, died from traumatic head injury sustained when an auxiliary line hook on a piling rig struck him in the face at a construction site. The hook became jamme…

emergency medicineintensive caresystemmorphine
QLDhospital2025-10-24

Non-Inquest findings into the death of Ms G

76y · Female·Head injury comprised of subdural haematoma, subarachnoid haemorrhage with brain…

A 76-year-old woman died from complications of a severe head injury sustained in a motor vehicle collision. She was initially managed conservatively at a regional hospital, but her condition deteriorated markedly at 9pm …

neurosurgeryemergency medicinecommunicationdelay
SAcommunity2025-10-17

Coroner's Finding: Hall, Robert Lloyd

66y · Male·multiple injuries sustained in motor vehicle collision

A 66-year-old cyclist was struck and killed from behind by a driver with left absolute homonymous hemianopia (left-sided visual field loss) who was not scanning to compensate for his disability. The driver had suffered a…

neurosurgeryneurologysystemcommunication
VIChospital2025-09-30

Finding into death of Robert Thoai Dao

73y · Male·Complications of cervical fractures and spinal injury (operated), sustained in a…

A 73-year-old man with multiple comorbidities (diabetes, cardiac disease, liver cancer) slipped on wet tiles outside McDonald's and sustained cervical and thoracic spine fractures with spinal cord injury. Attending param…

paramedicineemergency medicinediagnosticprocedural
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