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VIChospital2015-09-30

Finding into death of Kirat Singh

0y · Female·Global hypoxic-ischaemic injury of unknown cause

A three-day-old girl, Baby Kirat, died from global hypoxic-ischaemic brain injury sustained during co-sleeping with her mother in a hospital maternity ward on 9 July 2013. She was resuscitated and transferred to NICU but…

neonatologypaediatricsphenobarbital
VIChospital2015-09-07

Finding into death of Jay Dion Sykes

18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…

Jay Dion Sykes, aged 18, died from aspiration pneumonia in the setting of acquired brain injury sustained non-accidentally as an infant. He had severe cerebral palsy, tetraparesis, aphasia, visual impairment, intellectua…

general medicineemergency medicinecommunicationesomeprazole
VIChome2015-08-28

Finding into death of Cheryl May Currie

39y · Female·smoke inhalation

Cheryl May Currie, 39, with complete paraplegia from a 1998 spinal cord injury, died from smoke inhalation in a bedroom fire on 12 June 2009. The fire was caused by smoking in bed. Investigation revealed critical systemi…

general practiceoccupational therapysystemcommunicationolanzapine
NT2015-08-14

Inquest into the death of Virginia Brown

46y · Female·Cardiac arrest of unknown origin

Virginia Brown, a 46-year-old Aboriginal woman, died of cardiac arrest of unknown origin on 31 October 2014 while detained under a Mandatory Residential Treatment (MRT) order at CAAAPU (Central Australian Aboriginal Alco…

emergency medicineaddiction medicinediagnosticcommunicationsodium_valproate
QLD2015-08-14

O'Connor, Scott Matthew

31y · Male·Hanging

Scott Matthew O'Connor, a 31-year-old male, died by suicide in the Maximum Security Unit of Arthur Gorrie Correctional Centre on 22 January 2013. He had been assessed as high-risk for self-harm and placed on 30-minute ob…

psychiatrypsychologydiagnosticproceduraltramadol
VIChospital2015-08-11

Finding into death of Orce Petrusevski

35y · Male·Unascertained, following autopsy. Likely drowning but circumstances undetermined…

A 35-year-old man with chronic alcohol dependence was admitted to the ED with acute alcohol withdrawal and auditory hallucinations. Despite presenting with objective signs of withdrawal (tremor, elevated BP, tachycardia,…

emergency medicinepsychiatrydiagnosticmedicationdiazepam
TAS2015-08-01

Coroner's Finding: Leemhuis, Leah Maree

46y · Female·Multiple severe trauma suffered in a motor vehicle accident

A 46-year-old woman died in a head-on motor vehicle collision after her car drifted across the centre line on the Bass Highway. She had reported feeling tired earlier that morning and had intended to pull over to sleep. …

psychiatrygeneral practicecommunicationdiazepam
NSWhome2015-07-30

Inquest into the death of Phillip Buckley

39y · Male·combined drug toxicity

Phillip Buckley, 39, died from combined drug toxicity involving oxycontin, diazepam, alcohol and venlafaxine. He had been prescribed high-dose oxycontin (40-80mg daily) and diazepam by his GP Dr C. for 12 years without c…

general practicepsychiatrymedicationcommunicationoxycodone
QLDhospital2015-07-28

Mills, Stephen John

57y · Male·Head injury from fall; with coronary atherosclerosis and complete heart block wi…

A 57-year-old man with bipolar disorder died from head injury following a fall at Toowong Private Hospital. Critical failures in falls risk management were identified: no formal falls risk assessment was completed on adm…

psychiatryneurosurgerysystemcommunicationseroquel xr
VIChome2015-07-24

Finding into death of James Stewart Dougan

32y · Male·Mixed drug toxicity (codeine, methadone, alprazolam, diazepam) in a man with cor…

James Dougan, 32-year-old man with longstanding polysubstance abuse, died from mixed drug toxicity (codeine, methadone, alprazolam, diazepam) complicated by severe coronary artery atherosclerosis. He engaged in prescript…

general practiceaddiction medicinemedicationcommunicationalprazolam
VICcommunity2015-07-24

Finding into death of Jamie Laurence Apap

34y · Male·mixed drug overdose (heroin, methadone, codeine, diazepam, nitrazepam, oxazepam …

34-year-old male with longstanding opioid and benzodiazepine dependence who overdosed following discharge from hospital. He was hospitalized on 22 September 2010 after police-observed overdose with altered consciousness.…

emergency medicinegeneral practicediagnosticsystemheroin
WAhospital2015-07-16

Inquest into the Death of James Anthony STANCZYK

31y · Male·ligature compression of the neck (hanging)

A 31-year-old man with depression, suicidal ideation, and recent HIV diagnosis presented to emergency department after suicide attempt (carbon monoxide inhalation and diazepam overdose). Despite psychiatrists identifying…

emergency medicinepsychiatrycommunicationsystemdiazepam
NSW2015-07-15

Inquest into the death of SW

42y · Male·Hanging

A 42-year-old male prisoner with a history of alcohol dependence, PTSD, and epilepsy died by intentional hanging in Cessnock Correctional Centre. Mental health assessments on reception and during detention found no suici…

psychiatrypsychologythiamine
VIChospital2015-07-09

Finding into death of Male D

52y · Male·Multiple injuries and immersion leading to hypoxic brain injury and pneumonia

Male D, aged 52, died from multiple injuries and immersion leading to hypoxic brain injury and pneumonia sustained during an assault. The perpetrator, Y, was a patient with schizo-affective disorder admitted involuntaril…

psychiatryemergency medicinediagnosticsystemzuclopenthixol decanoate
VICmental health2015-07-08

Finding into death of David Allan D'Angelo

30y · Male·Heroin toxicity

David D'Angelo, a 30-year-old Aboriginal man with schizophrenia and polysubstance dependence, was admitted to The Alfred Psychiatric Unit involuntarily on 24 March 2010 for psychotic relapse. His symptoms improved rapidl…

psychiatryemergency medicinesystemdelayheroin
VICmental health2015-07-03

Finding into death of Anthony Travaglini

40y · Male·combined drug toxicity in a man with asthma (undiagnosed) and sleep apnoea

Anthony Travaglini, a 40-year-old with schizoaffective disorder, severe sleep apnoea, and undiagnosed asthma, died from combined drug toxicity on a psychiatric high-dependency unit. Critically, his earlier clinical recor…

psychiatryrespiratory medicinesystemcommunicationzuclopenthixol
WAhospital2015-07-02

Inquest into the Death of John MAJINSKI

55y · Male·Complications of fibrosing alveolitis

John Majinski, a 55-year-old prisoner with severe fibrosing alveolitis, pulmonary hypertension, diabetes, and recurrent infections, died from complications of his lung disease while incarcerated. He received intensive me…

respiratory medicinegeneral medicinemirtazapine
VIChome2015-06-23

Finding into death of Terri Anne Woolley-Peresso

44y · Female·Unascertained

A 44-year-old woman with chronic pain, epilepsy, and opioid dependence died at home with an unascertained cause in the setting of prescription medication use. She was a known 'doctor shopper' who obtained opioids from mu…

general practiceaddiction medicinediagnosticmedicationdiazepam
WA2015-06-22

Inquest into the Death of Shane John ROBINSON

29y · Male·Multiple drug toxicity

Shane John Robinson, a 29-year-old prisoner with complex medical conditions including Crohn's disease, pulmonary embolism, anaemia and schizoaffective disorder, died from multiple drug toxicity in prison. He had been pre…

gastroenterologycardiologysystemmethadone
WAhome2015-06-18

Inquest into the Death of MKP

15y · Female·Seizure Disorder in association with Long Standing Hypoxic Ischaemic Encephalopa…

MKP was a 15-year-old girl with severe cerebral palsy (GMFCS level 5) and long-standing hypoxic-ischaemic encephalopathy who died from a seizure disorder in her foster home on 26 December 2011. She had progressive respir…

neurologypaediatricsdelaydiazepam
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