Coronial
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SAaged careNew2026-08-21

Coroner's Finding: Clark, Wayne Malcolm

84y · Male·bronchopneumonia complicating C2 odontoid fracture (palliated) due to fall on a …

Wayne Malcolm Clark, aged 84, with advanced Alzheimer's and vascular dementia, fell in a secure residential aged care facility and sustained a C2 odontoid fracture. He died on 23 August 2023 from bronchopneumonia complic…

general practiceparamedicineparacetamol
VIChomeNew2026-08-20

Finding into death of Gayle Patricia Carley

77y · Female·Ischaemic heart disease

Gayle Patricia Carley, 77, collapsed unwitnessed at home with acute ischaemic heart disease on 19 October 2023. Ambulance paramedics arrived and initiated emergency treatment, but a MICA paramedic inadvertently administe…

emergency medicineparamedicinemedicationsystemmetaraminol
VIChomeNew2026-08-07

Finding into death of TPK

6y · Unknown·Complications of Pelizaeus-Merzbacher disease

TPK was a 6-year-old with Pelizaeus-Merzbacher disease (PMD), a progressive neurodegenerative leukodystrophy diagnosed at birth causing profound disability and seizures. Placed with foster parents Mr and Mrs JEP via Depa…

paediatricspalliative caremethadone
VICaged care2026-07-29

Finding into death of Mrs LV

78y · Female·medication error resulting in combined drug toxicity

Mrs LV, age 78, died at The Bays Aged Care facility on 2 January 2025 following a medication error four days earlier. An endorsed enrolled nurse (EEN), distracted by a phone call during her first shift, inadvertently adm…

general practicemedicationsystempregabalin
VICcommunity2026-07-23

Finding into death of Danielle Meredith Noonan

51y · Female·Chest sepsis in the setting of recurrent aspiration pneumonia, cerebral palsy, L…

Danielle Noonan, aged 51, died from chest sepsis secondary to recurrent aspiration pneumonia. She had severe disability including cerebral palsy, Lennox-Gastaut syndrome, spastic quadriplegia, and intellectual disability…

general medicineneurologymedicationcarbamazepine
VIChome2026-07-22

Finding into death of Marian Gibson

64y · Female·Alzheimer's dementia and epilepsy in the setting of trisomy 21

This is a case of natural death of a 64-year-old woman with Down syndrome (trisomy 21) who had Alzheimer's dementia and epilepsy. She lived in Specialist Disability Accommodation and received support services through the…

general practiceneurologyanticonvulsants
QLDhospital2026-07-07

Inquest into the death of Maxwell John Beever

83y · Male·Metastatic melanoma

Maxwell John Beever, aged 83, died from metastatic melanoma on 8 July 2022 while in custody at Robina Hospital. A suspicious skin lesion was documented on 26 February 2021 but not investigated until 26 June 2021, delayin…

emergency medicinegeneral medicinedelaydiagnosticoxycodone
VIChome2026-06-19

Finding into death of Elizabeth Jean Hanlon

38y · Female·Pulmonary thromboembolism secondary to deep venous thrombosis due to promethazin…

Elizabeth Jean Hanlon, aged 38, died from pulmonary thromboembolism secondary to deep venous thrombosis following a promethazine overdose. She had complex mental health diagnoses including borderline personality disorder…

psychiatryintensive carepromethazine
SAhospital2026-06-19

Coroner's Finding: Clancy, Carmen Jayne

37y · Female·sepsis secondary to rectosigmoid perforation on a background of metastatic squam…

Carmen Jayne Clancy, aged 37, died on 27 September 2022 from sepsis secondary to rectosigmoid perforation caused by metastatic cervical cancer. Incarcerated on home detention following a cancer diagnosis in 2021, she und…

oncologycolorectal surgerypsyllium
QLD2026-05-26

Inquest into the death of Desmond George Buckby

74y · Male·Left cerebral ischaemic stroke caused by cerebral arterial cardioembolism

Desmond George Buckby, a 74-year-old prisoner detained under the Dangerous Prisoners (Sexual Offenders) Act, suffered a massive left cerebral ischaemic stroke caused by cardioembolism while in Wolston Correctional Centre…

emergency medicineneurologyalteplase
VIChospital2026-05-22

Finding into death of Stratos Ioannidis

45y · Male·focal coronary artery disease and cardiomegaly

Stratos Ioannidis, age 45, died at Maroondah Hospital on 28 March 2025 from focal coronary artery disease and cardiomegaly during an involuntary psychiatric admission. He presented with acute psychosis from bipolar disor…

psychiatryemergency medicinecommunicationsystemolanzapine
VICcommunity2026-05-07

Finding into death of Elizabeth Susan Edwina Ferris

44y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest in the setting of p…

Elizabeth Ferris, a 44-year-old woman with schizoaffective disorder and polysubstance use disorder, died from hypoxic ischaemic encephalopathy following cardiac arrest in the setting of presumed drug toxicity. She was fo…

psychiatryintensive carediagnosticcommunicationheroin
VICmental health2026-04-27

Finding into death of GM

Female·Fulminant hepatic failure due to paracetamol toxicity

A 19-year-old female with anorexia nervosa, borderline personality disorder, and chronic suicidality was admitted to St Vincent’s psychiatric inpatient unit on 28 July 2023. She reported ongoing suicidal thoughts but eng…

psychiatryintensive careparacetamol
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
NT2026-03-19

Inquest into the death of Bradley Murdoch

66y · Male·metastatic adenocarcinoma (palliated) from an unidentified primary tumour

Bradley John Murdoch, a 66-year-old prisoner serving a life sentence for murder, died in the palliative care unit of Alice Springs Hospital from metastatic adenocarcinoma on 15 July 2025. He had presented to the correcti…

oncologypalliative carecarboplatin
NSWhospital2026-03-10

Inquest into the death of Mustafa Kayirici

31y · Male·metastatic alveolar soft part sarcoma

31-year-old man serving a custodial sentence died of metastatic alveolar soft part sarcoma on 25 January 2022. Diagnosed April 2020, the ultra-rare cancer (1 in 10 million incidence) had already metastasised at discovery…

oncologypalliative caredelaypazopanib
QLDaged care2026-02-17

Non-inquest findings into the death of Mr G

84y · Male·Complications of fracture left humerus neck due to fall due to hyperactive delir…

An 84-year-old man with Alzheimer's disease and dementia-related behaviours developed a urinary tract infection causing acute delirium, atrial fibrillation, and multiple falls. After presenting to the emergency departmen…

geriatric medicineemergency medicinediagnosticcommunicationdonepezil
VIChospital2026-02-05

Finding into death of Max Peter McKenzie

15y · Male·Cardiorespiratory arrest of unknown aetiology complicating hypoxic ischaemic enc…

Max McKenzie, a 15-year-old with asthma and food allergies, died from cardiorespiratory arrest complicating hypoxic ischaemic encephalopathy after severe refractory anaphylaxis. After eating apple crumble containing nuts…

emergency medicineparamedicinedelaycommunicationadrenaline
VIChospital2026-01-23

Finding into death of Trang Thi Thu Le

28y · Female·3,4-methylenedioxy-N-methylamphetamine (MDMA) and ketamine toxicity

Trang Thi Thu Le, 28, died on her birthday from MDMA and ketamine toxicity after attending an electronic dance music event at John Cain Arena. She collapsed after consuming drugs purchased from an unknown source within t…

emergency medicineintensive caresystemMDMA
WAhospital2025-12-23

Inquest into the Death of Karl Albert STEINHAUSER

30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…

Karl Steinhauser, a 30-year-old man with schizoaffective disorder and polysubstance misuse, died from pulmonary thromboembolism on 12 March 2023 while under Mental Health Act care. After two weeks of increasingly challen…

psychiatryintensive caresystemdelayaripiprazole depot
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