Coronial
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QLDhospital2026-04-14

Inquest into the death of Francis Michael Fahey

70y · Male·Metastatic melanoma with ischaemic heart disease as a contributing condition

Francis Michael Fahey, a 70-year-old prisoner, died from metastatic melanoma with contributing ischaemic heart disease. He presented with a rapidly enlarging axillary mass in February 2023, confirmed as metastatic melano…

oncologygeneral medicinesystemdelayimmunotherapy
VIC2025-10-07

Finding into death of Anthony George Creaton

55y · Male·Acute myocardial infarction secondary to coronary artery thrombosis due to coron…

Anthony Creaton, 55, died of acute myocardial infarction due to coronary artery thrombosis and atherosclerosis in prison custody. He presented with chest pain on 13 November 2022 (twice) and again on 14 November, but nur…

cardiologygeneral practicediagnosticcommunicationgliclazide
VIC2025-08-18

Finding into death of Wilhelm Bruno Mueller

69y · Male·Ischaemic and hypertensive heart disease

Wilhelm Mueller, a 69-year-old prisoner at Middleton Prison, died suddenly from ischaemic and hypertensive heart disease. Autopsy revealed critical coronary artery stenosis (>75%) with cardiac hypertrophy and remote myoc…

cardiologygeneral practicegliclazide
TAShospital2023-10-11

Coroner's Finding: Jones, Emily Margaret Rose

82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…

Mrs Emily Jones, 82, died from subdural haematoma following an unwitnessed fall at Royal Hobart Hospital on 15 November 2021. She was admitted five days after discharge from Hobart Private Hospital where she was treated …

cardiologyemergency medicinemedicationcommunicationmetoprolol
VICprison2022-03-30

Finding into death of Charles Bertram Squires

76y · Male·Intracranial haemorrhage

Charles Bertram Squires, a 76-year-old prisoner on anticoagulant therapy (apixaban and aspirin), fell and struck his head on 26 January 2017. Nursing staff at the correctional facility inadequately assessed his traumatic…

emergency medicineneurosurgerydiagnosticcommunicationapixaban
VIChome2016-08-02

Finding into death of Stephen Liat Kai Lim

56y · Male·Benzalkonium chloride toxicity

Stephen Lim, aged 56, died from benzalkonium chloride toxicity after deliberately ingesting approximately 2.5 litres of Pine-O-Cleen disinfectant on 25 September 2010. His death occurred from acute lung injury due to asp…

emergency medicinetoxicologycommunicationsystembenzalkonium chloride
SAhome2016-05-05

Coroner's Finding: MITTON Rodney Lyle

63y · Male·coronary artery thrombosis

A 63-year-old man with complex medical and psychiatric history died of coronary artery thrombosis while on authorized leave from psychiatric admission. He had severe triple-vessel coronary artery disease with acute throm…

psychiatrycardiologyolanzapine
WAhospital2015-09-18

Inquest into the Death of David Yehuda WEISER

70y · Male·gastrointestinal haemorrhage in a man with gastric ulcers

David Weiser, 70, presented to an emergency department with melaena and dizziness on 11 November 2012. An advanced trainee in emergency medicine, Dr H., examined him and found a haemoglobin of 92 g/L and elevated urea/cr…

emergency medicinegastroenterologydiagnosticcommunicationaspirin
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
NThospital2014-05-15

Inquest into the death of Eric Lewis Wobona

55y · Male·Cardiac hypertrophy with significant conditions contributing: coronary artery at…

Eric Lewis Wobona, a 55-year-old Aboriginal man with extensive cardiovascular risk factors including congestive cardiomyopathy, coronary artery disease, hypertension, diabetes, and previous amputation, died of acute hear…

cardiologyemergency medicineaspirin
NT2012-07-13

Inquest into the death of Edward Brown

34y · Male·coronary atherosclerosis (heart attack)

A 34-year-old Aboriginal male died of coronary atherosclerosis while in custody. He had type 2 diabetes diagnosed in 2007 but was non-compliant with medications and lifestyle modifications. Upon reception to prison, he w…

cardiologyemergency medicinemetformin
SA2011-12-22

Coroner's Finding: FRY Lindsay Allan

61y · Male·ischaemic heart disease with significant atherosclerotic narrowing of all three …

Lindsay Allan Fry, a 61-year-old prisoner with poorly controlled Type II diabetes, died of ischaemic heart disease while in custody at Yatala Labour Prison. Autopsy revealed marked coronary artery atherosclerosis, myocar…

cardiologyendocrinologymetformin

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