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NSWhome2015-06-09

Inquest into the death of Gabriele HANNEMANN

54y · Female·complications related to post-polio syndrome and chronic respiratory weakness; n…

Gabriele Hannemann, a 54-year-old woman with severe post-polio quadriplegia and chronic respiratory failure, died suddenly at home during consensual sexual activity. She had severely compromised lung function (13% predic…

respiratory medicinegeneral practicedelayparoxetine
VIC2015-05-29

Finding into death of Ignac Lecek

68y · Male·Ischaemic small and large intestine complicating cardiogenic shock in the settin…

Ignac Lecek, 68, with hypertension and gout, collapsed in custody and died of ischaemic bowel complicated by cardiogenic shock in the setting of ischaemic heart disease. He complained of feeling ill on 2 October while in…

emergency medicinevascular surgerycommunicationsystemdiazepam
QLD2015-05-28

Vetters, Farrin John

26y · Male·Neck compression from hanging

A 26-year-old man died by hanging in his correctional centre cell on 26 October 2011. He had a history of mixed personality disorder, anxiety, opiate dependence and previous suicide attempt (age 13), but was not assessed…

psychiatrycorrectional healthsystemcommunicationfluvoxamine
VIChospital2015-05-28

Finding into death of Naomi Charmaine Mahon

33y · Female·multiple injuries sustained when struck by a train

Naomi Mahon, a 33-year-old woman with bipolar affective disorder and substance use issues, died after being struck by a train shortly after absconding from Monash Medical Centre emergency department. She had been brought…

psychiatryemergency medicinerisperidone
VICmental health2015-05-27

Finding into death of Waldemar Ariel Ogon

45y · Male·spontaneous lethal arrhythmia arising from focal myocardial fibrosis

45-year-old man with bipolar disorder admitted to psychiatric unit involuntarily died from spontaneous lethal arrhythmia due to focal myocardial fibrosis. Critical issue was inadequate visual observations overnight—the p…

psychiatryforensic medicinecommunicationsystemolanzapine
QLDhome2015-04-24

Lievesley, Tamiya Calais

0y · Female·Morphine toxicity

Tamiya Calais Lievesley, a six-month-old infant, died from morphine toxicity on 2 March 2004. She ingested a fatal dose of morphine, likely administered by one of her parents who were both morphine-dependent. The coroner…

paediatricsgeneral practicemedicationdiagnosticmorphine
VIChome2015-04-22

Finding into death of Mark Brian Wilson

50y · Male·Mixed drug toxicity (propofol, codeine, diazepam)

Mark Wilson, a 50-year-old registered nurse at The Avenue Private Hospital, died from mixed drug toxicity involving propofol, codeine, and diazepam. He had access to propofol through his workplace and was found dead at h…

anaesthesiageneral practicesystempropofol
TAShome2015-04-06

Coroner's Finding: Ms D

51y · Female·Mixed drug toxicity (amitriptyline, chlorpheniramine, diazepam, codeine) complic…

A 51-year-old woman died from mixed drug toxicity (amitriptyline, chlorpheniramine, diazepam, codeine) complicated by biventricular heart hypertrophy. She had chronic back pain treated with opioids and used excessive ove…

general practiceemergency medicinesystemdelayamitriptyline
QLD2015-03-30

Bischoff, Noelene Gaye; Bischoff, Yvana Jean Yuri - Non-inquest findings

Female·Allergic type reaction (anaphylaxis), possibly secondary to scombroid syndrome (…

A mother and daughter died from severe allergic reactions to contaminated fish consumed at a Bali hotel restaurant on 3 January 2014. Both had underlying asthma, which increased anaphylaxis severity and treatment resista…

emergency medicineallergy and immunologyadrenaline
TAShome2015-03-20

Coroner's Finding: Balmer, Rosemary Joy

50y · Female·Mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydr…

A 50-year-old woman with chronic pain from a work-related back injury died from mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol). She had long-standing opioid dependence…

general practicepain medicinesystemoxycodone
NSWhospital2015-03-16

Inquest into the death of John Gibson

63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…

A 63-year-old man with COPD, liver cirrhosis and alcohol dependence underwent emergency hemicolectomy for caecal volvulus. Post-operatively he developed respiratory depression, hypernatremia and alcohol withdrawal requir…

surgeryanaesthesiaproceduraldiagnosticdiazepam
VICmental health2015-02-26

Finding into death of Paul Bernard Finck

47y · Male·pulmonary thromboembolism and deep vein thrombosis

Paul Finck, 47, an involuntary psychiatric patient with schizophrenia, died from pulmonary thromboembolism and deep vein thrombosis while admitted to the psychiatric ward. He presented with fever, tachycardia, elevated C…

psychiatryemergency medicinearipiprazole
WAhospital2015-02-26

Inquest into the Death of Peta Susan DOIG

58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury

A 58-year-old woman with autism and severe intellectual disability died from pneumonia and cardiac failure complicated by hypoxic brain injury following cardiac arrest. She had been institutionalised at Graylands Hospita…

psychiatryintensive carediagnosticdelayazithromycin
VIC2015-02-23

Finding into death of Michael Theodore Anthony

28y · Male·toxicity to heroin

Michael Anthony, aged 28, died from heroin toxicity in a locked toilet cubicle at the Braybrook Hotel on 8-9 March 2011. He had a 13-year history of heroin dependence, complicated by polysubstance use including methylamp…

emergency medicineforensic medicinesystemdelayheroin
VIChome2015-02-20

Finding into death of Phillip George Black

29y · Male·Combined methadone, diazepam and clonazepam toxicity in a man commencing a metha…

Phillip Black, age 29, died from combined methadone, diazepam and clonazepam toxicity after commencing methadone maintenance therapy. He presented to Dr D. on 23 September 2010 seeking to re-commence MMT, having previous…

addiction medicinegeneral practicediagnosticmedicationmethadone
VICmental health2015-02-02

Finding into death of CB

27y · Female·hanging

A 27-year-old woman with borderline personality disorder and adjustment disorder died by hanging while voluntarily admitted to a psychiatric inpatient unit. She had presented with acute suicidality following relationship…

psychiatryemergency medicinediagnosticcommunicationquetiapine
SAhome2015-01-30

Coroner's Finding: GIBSON Justin Lee

30y · Male·mixed butane, isobutane and propane toxicity

Justin Lee Gibson, a 30-year-old Indigenous man on home detention bail, died from inhalation of butane/propane causing fatal cardiac arrhythmia. He had a documented history of substance abuse (alcohol, cannabis, and buta…

emergency medicineforensic medicinecommunicationsystembutane
NSWcommunity2015-01-23

Inquest into the death of XY

17y · Female·multiple blunt force injuries after being struck by a train

17-year-old X died by suicide on 18 December 2012 after being struck by a train. She received multiple psychiatric admissions and CAMHS outpatient care from July-December 2012 for suicidal ideation, overdose attempts, an…

psychiatryemergency medicinefluoxetine
VICcommunity2015-01-14

Finding into death of Richard James Purcell

53y · Male·Multiple injuries from motor vehicle strike

Richard James Purcell, aged 53, died from multiple injuries sustained when struck by a 4WD vehicle on an unlit rural road at night. He was lying prone on the roadway with a blood alcohol concentration of 0.20-0.25% and b…

alcohol
VICcommunity2014-12-17

Finding into death of Paul Kanis

38y · Male·Organizing pneumonia with loculated pleural effusion in the setting of drug use …

Paul Kanis, a 38-year-old man with schizoaffective disorder, drug dependency, diabetes, and asthma, died from organizing pneumonia with loculated pleural effusion in the setting of methadone and benzodiazepine use. The c…

general practiceaddiction medicinecommunicationsystemmethadone
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