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VIChospital2024-10-07

Finding into death of Danielle Julie Kaye Thomson

41y · Female·Neck compression and hanging

Danielle Thomson, a 41-year-old woman with complex medical and mental health conditions including cervical dystonia, bipolar disorder, borderline personality disorder, chronic pain, and alcohol use disorder, died by suic…

psychiatryaddiction medicinecommunicationsystembuprenorphine
NSWhome2024-08-06

Inquest into the death of Dion Moore

29y · Male·Mixed drug toxicity, most significantly methamphetamine and buprenorphine, with …

Dion Moore, a 29-year-old Aboriginal man, died on 5–6 January 2019 from mixed drug toxicity (methamphetamine and buprenorphine), with heat and dehydration as significant contributing factors. After running out of fuel wi…

diagnosticdelaymethamphetamine
NSW2024-07-03

Inquest into the death of Charles Yan

30y · Male·mixed drug toxicity (MDMA, methylamphetamine and methoxyamphetamine)

Charles Yan, a 30-year-old male prisoner, died from mixed drug toxicity (MDMA, methylamphetamine, methoxyamphetamine) following cardiac arrest in an open-wing correctional facility. Fellow inmates observed progressive si…

emergency medicinetoxicologyMDMA
NSW2024-05-21

Inquest into the death of Mohamed Warwar

35y · Male·cardiac arrhythmia with amisulpride toxicity, and myocarditis being contributory…

35-year-old Mohamed Warwar died in custody at Metropolitan Remand & Reception Centre from cardiac arrhythmia with amisulpride toxicity and myocarditis. He was admitted to custody with a history of mental health issues an…

psychiatrycardiologycommunicationdiagnosticamisulpride
QLDhospital2024-04-22

Non-inquest findings into the death of Lenore

48y · Female·Hypoxic ischaemic encephalopathy due to pulmonary thromboembolism due to deep ve…

A 48-year-old woman with morbid obesity and smoking history presented to a rural hospital with severe hip and leg pain. Over five days across two hospitals, no venous thromboembolism (VTE) risk assessment was performed d…

emergency medicineorthopaedic surgerydiagnosticsystemoxycodone
WAhome2024-04-04

Inquest into the Death of Child LT (Name Subject to Suppression Order)

11y · Male·unascertained

An 11-year-old child with Cornelia de Lange Syndrome and severe congenital heart disease died alone at home while his mother was intoxicated and unwell. He had complex care needs and was non-verbal. The Department of Com…

paediatricscardiologycommunicationsystemcocaine
VIChome2024-03-18

Finding into death of C J

44y · Female·Mixed drug toxicity (buprenorphine, ketamine, diazepam, fluvoxamine and lacosami…

A 44-year-old female veterinarian died from mixed drug toxicity involving buprenorphine, ketamine, diazepam, fluvoxamine and lacosamide. She had a 18-19 year history of opioid addiction, initially using heroin recreation…

addiction medicinepsychiatrybuprenorphine
NSW2024-02-01

Inquest into the death of Timothy Garner

31y · Male·Hanging

Timothy Garner, a First Nations man with bipolar disorder and schizophrenia, died by hanging in custody at MRRC on 7 July 2018, five days after being cleared from Risk Intervention Team (RIT) management. The coroner foun…

psychiatrycorrectional healthdiagnosticcommunicationquetiapine
WAhospitalAugust 2023

Inquest into the Death of Justin DOBSON

46y · Male·sepsis following haemorrhoidectomy

46-year-old Justin Mark Dobson died from sepsis following a routine haemorrhoidectomy on 17 July 2019. He was discharged to the ward overnight but deteriorated significantly from 11:00 am on 18 July, showing hypotension,…

general surgerycolorectal surgerydiagnosticcommunicationmetronidazole
QLD2023-11-17

MOLAYEE, Omid

43y · Male·Gunshot wounds to the chest, with other significant conditions noted as thermal …

Omid Molayee, a 43-year-old Iranian-born Australian resident, died from gunshot wounds to the chest on 6 April 2020 after a domestic violence incident escalated into a confrontation with police. Following an argument wit…

systemcommunicationmethamphetamine
QLDcommunity2023-11-17

MOLAYEE, Omid (Farsi Translation)

43y · Male·Gunshot wounds to the chest; exsanguination and respiratory failure secondary to…

Imad Damouni (43) died from gunshot wounds to the chest after self-immolating with petrol in a parking lot in Sunnybank, Brisbane on 6 April 2020, following a domestic dispute. Police responded appropriately to a suicide…

emergency medicinetrauma surgerymethamphetamine
QLD2023-10-24

CUMMINS, James

48y · Male·Subarachnoid haemorrhage

James Cummins, a 48-year-old prisoner, died of subarachnoid haemorrhage from a ruptured cerebral aneurysm while in the exercise yard at Townsville Correctional Centre. He had chronic spinal stenosis managed with pregabal…

neurosurgeryemergency medicinepregabalin
VIChome2023-10-12

Finding into death of Amanda Jane Harris

36y · Female·Stab wound to the right chest

Amanda Jane Harris, 36, was fatally stabbed by her intimate partner Daniel Eckersley on 7 July 2018 in Cranbourne North, Victoria. Eckersley was prescribed high-dose tramadol (700-800mg daily) for chronic pain over 22 mo…

general practicepain medicinemedicationcommunicationtramadol
TASaged care2023-09-06

Coroner's Finding: Weldon, Dayle Patricia

93y · Female·Catastrophic subdural haemorrhage resulting from head strike sustained in a witn…

Dayle Patricia Weldon, a 93-year-old woman with dementia, fell in the secure suite of an aged care facility and sustained a catastrophic subdural haemorrhage from which she died three days later. The coroner found that M…

geriatric medicinegeneral practicebuprenorphine
NSWcommunity2023-09-05

Inquest into the death of Daniel Bolton

30y · Male·Gunshot wound to the neck and head

Daniel Bolton, aged 30, died from a self-inflicted gunshot wound to the neck and head while attempting to avoid arrest by police. He had a history of drug addiction, mental health issues including depression, anxiety and…

psychiatrygeneral practicesystemcommunicationcannabis
NSWcommunity2023-08-08

Inquest into the death of Simon Miles

42y · Male·heroin and methylamphetamine toxicity

Simon Miles, a 42-year-old First Nations man with severe heroin and methylamphetamine dependence, died from accidental drug overdose while on Stage 2.5 of the Compulsory Drug Treatment Program (CDTP). Despite progressing…

addiction medicinepsychiatrysystemcommunicationheroin
VIChome2023-05-25

Finding into death of Emma Gertrude Weidemann

76y · Female·Effects of fire in a woman with head and neck injuries

Mrs Emma Weidemann, aged 76, died from burns sustained in a fire deliberately set by her husband Rudolf at their home on 11 December 2019. Rudolf had recently been diagnosed with terminal cancer, experienced cognitive de…

oncologypsychiatrydiagnosticcommunicationvenlafaxine
NSW2023-02-01

Inquest into the death of Jay Lee Crich

41y · Male·Cardiomegaly and Coronary Artery Disease with significant contributing condition…

Jay Crich, a 41-year-old man in custody at Clarence Correctional Centre, died of cardiomegaly and coronary artery disease with emphysema and obesity as significant contributing conditions. He was discovered unresponsive …

cardiologyrespiratory medicinebuprenorphine
VIChome2023-01-30

Finding into death of Veronica Nelson

37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…

Veronica Nelson, a 37-year-old Aboriginal woman with opioid dependence, was arrested on minor theft charges, remanded in custody following a bail hearing, and held at Dame Phyllis Frost Centre (DPFC) women's prison. She …

general practiceaddiction medicinediagnosticsystembuprenorphine/naloxone
NSW2022-12-06

Inquest into the death of Jason RADFORD

48y · Male·Fatal cardiac arrhythmia which was the result of obstructive sleep apnoea

Jason Radford, a 48-year-old First Nations man, died of fatal cardiac arrhythmia secondary to obstructive sleep apnoea while in custody at Junee Correctional Centre. He had multiple comorbidities including obesity, type …

cardiologygeneral practicemethadone

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