Coronial
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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
SAaged care2024-06-19

Coroner's Finding: Whelan, Brian John

84y · Male·head and pelvic injuries with contributing ischaemic and valvular heart disease …

An 84-year-old man under guardianship with dementia, cardiac disease, and on anticoagulation suffered an unwitnessed fall at an aged care facility and sustained head and pelvic injuries. Following the fall, a registered …

geriatric medicineemergency medicinesystemcommunicationanticoagulation medication
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
SAhospital2019-05-31

Coroner's Finding: CHAPLIN Gray Clyde

81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…

An 81-year-old man sustained multiple rib fractures from a 1.5m ladder fall. Initial assessment at a rural hospital on day one was appropriate. However, when chest X-rays on day two revealed 9 rib fractures, the treating…

general practiceemergency medicinediagnosticdelaymorphine sulphate
SAhospital2017-06-22

Coroner's Finding: BAARTSE Leila Marijke

9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma

Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforation was never diagnosed. At a r…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
SAhospital2012-06-25

Coroner's Finding: POLKLASER Irmgard Giesela

76y · Female·Aspiration pneumonia complicating surgery for pelvic and spinal fractures on a b…

A 76-year-old woman died from aspiration pneumonia following surgery for pelvic and spinal fractures sustained in a fall on a shopping centre travelator. She fell when her husband lost control of a shopping trolley with …

orthopaedic surgerytrauma surgerysystemdelay
SAhospital2008-11-13

Coroner's Finding: WILSON Edward James

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

A 29-year-old male died from air embolus complicating gunshot wounds to the chest sustained during a police confrontation. Initial medical stabilization appeared successful; he was intubated, chest drains inserted, and t…

trauma surgeryintensive care
SAhospital2007-02-07

Coroner's Finding: ROBBINS Amy Louise

16y · Female·intra-abdominal haemorrhage due to ruptured spleen

A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital,…

trauma surgeryemergency medicinesystemdelay
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

A 36-year-old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was t…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
SAhospital2006-08-18

Coroner's Finding: CAMPANELLA Cosmo Joseph

20y · Male·anoxic brain injury following cardio-respiratory arrest caused by hypoxia result…

A 20-year-old male died from anoxic brain injury following cardiac arrest caused by hypoxia resulting from tracheostomy tube occlusion. After motor vehicle trauma, he underwent surgery and was eventually transferred to a…

intensive careneurosurgerysystemcommunicationmannitol
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
SAcommunity2006-02-22

Coroner's Finding: SINCLAIR-SPAAN Christopher James

21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…

A 21-year-old man died from massive internal bleeding into the pelvis and retroperitoneum following a motor vehicle collision with a stobie pole in rural South Australia. He was trapped for over 2 hours before extricatio…

intensive caretrauma surgerycommunicationsystem
SAhospital2005-11-10

Coroner's Finding: LAZOPOULOS Christopher

34y · Male·multi-organ failure with right-sided tension pneumothorax

A 34-year-old man with a ruptured spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admissi…

emergency medicineintensive carediagnosticsystem
SAhospital2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

John Matthew Murray, aged 35, died of pulmonary thromboembolism complicating pelvic and leg fractures sustained in a motorcycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic sur…

orthopaedic surgerytrauma surgerymedicationsupervisionheparin
SAhospital2005-04-12

Coroner's Finding: KARTINYERI Richard John

60y · Male·respiratory failure and sepsis complicating acute subdural haematoma

Richard Kartinyeri died 44 days after exiting a moving vehicle during a police pursuit. He sustained a severe right-sided acute subdural haematoma, cerebral contusions and skull fractures requiring emergency neurosurgery…

neurosurgeryintensive caremorphine
SA2003-11-07

Coroner's Finding: GOLDSMITH Brenton Maurice

19y · Male·Head injury: depressed stellate (star-shaped) fracture of skull with diffuse sub…

A 19-year-old male died from severe head injury (depressed stellate skull fracture with subarachnoid haemorrhage) sustained when a stolen motorcycle he was riding struck a kerb while evading police on Port Road, Adelaide…

emergency medicinetrauma surgerycommunicationsystemalcohol
SAhospital2003-09-18

Coroner's Finding: NEWTON Ronald Luke

7y · Male·Hypoxic-ischaemic encephalopathy due to reflex cardiac arrest triggered by blunt…

A 7-year-old boy died from hypoxic-ischaemic encephalopathy following a motor vehicle collision. He was seated on an unanchored booster seat and wearing an adult seatbelt. During the collision, the unsecured booster seat…

intensive careemergency medicinesystem
SAcommunity2002-12-04

Coroner's Finding: HYDE Justin Reny Edward

18y · Male·left haemopneumothorax due to traumatic rupture of the lower lobe of the left lu…

An 18-year-old male riding a motorcycle died when the vehicle crashed into a culvert while being pursued by police. The deceased was riding whilst disqualified from holding a licence and fled from police at moderate spee…

emergency medicineparamedicinecannabis
SAhospital2002-07-05

Coroner's Finding: BARBER Jason Troy

20y · Male·Closed head injury

Jason Troy Barber, aged 20, died from severe closed head injuries sustained in a motor vehicle collision on 3 October 2000. He had been driving a stolen vehicle recklessly at high speed through Adelaide, intoxicated with…

trauma surgeryneurosurgeryalcohol
SAcommunity2001-10-05

Coroner's Finding: BEDNAREK Shantel Lisa

7y · Female·Multiple abdominal injuries including traumatic rupture of the liver and stomach…

A 7-year-old girl died from massive abdominal injuries sustained when a car, driven by an insulin-dependent diabetic man, collided with a group of pedestrians. The driver had undiagnosed and unaware hypoglycemia at the t…

endocrinologyemergency medicinediagnosticcommunicationinsulin

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