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VIChospital2013-04-12

Finding into death of Bruce John Stubbs

59y · Male·Ruptured atherosclerotic abdominal aortic aneurysm (operated)

A 59-year-old man with a non-ruptured 8cm infrarenal abdominal aortic aneurysm (AAA) presenting with acute back pain was transferred from Bendigo to Royal Melbourne Hospital at 2.13am on 22 April 2008. Despite appropriat…

vascular surgeryemergency medicinediagnosticdelaymorphine
SAhospital2013-04-05

Coroner's Finding: RICCI John Peter

57y · Male·Acute renal failure complicating end stage liver cirrhosis with resultant enceph…

A 57-year-old man with end-stage alcoholic liver cirrhosis died of acute renal failure complicated by hepatic encephalopathy and coagulopathy while detained under mental health legislation. He presented with severe liver…

psychiatrygastroenterologylactulose
WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

Peter Martin Carroll, age 21, died on 8 June 2007 in the ICU at Royal Perth Hospital from acute hypoxic ischaemic encephalopathy and pneumonia following oxycodone overdose. He had been discharged that day (5 June) after …

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
WAhospital2013-01-17

Inquest into the Death of Aslett, Wendy May

60y · Female·Multiple organ failure following hemorrhage from penetration of the femoral arte…

Wendy May Aslett, aged 60, died on 29 October 2010 from multiple organ failure following hemorrhage from a femoral artery puncture sustained during coronary angiography on 21 October 2010. An Angio-Seal device was used t…

cardiologyemergency medicinediagnosticcommunicationprasugrel
WAhospital2013-01-17

Inquest into the Death of Wendy May Aslett

60y · Female·Multiple organ failure following haemorrhage from penetration of the femoral art…

A 60-year-old woman died from multiple organ failure caused by uncontrolled bleeding from an arterial puncture sustained during coronary angiography. Although the procedure itself was uncomplicated and an Angio-Seal devi…

cardiologygeneral practicediagnosticcommunicationaspirin
WAhome2013

Inquest into the Death of Osborne, Wendy Elaine

Female·early bronchopneumonia complicating combined drug toxicity (fentanyl overdose)

Wendy Osborne, a woman with a history of substance abuse and psychiatric issues, died from bronchopneumonia complicating fentanyl overdose. Her GP prescribed fentanyl patches (50mcg/h, increased to 75mcg/h) after one wee…

general practicepharmacologymedicationcommunicationfentanyl
WAhomePodcast2013

Inquest into the Death of Murphy, Sean Gordan Peter

3y · Male·Entrapment in an airtight environment (washing machine drum) resulting in suffoc…

Sean Murphy, aged 3 years 6 months, died on 20 September 2010 after becoming trapped in an airtight LG front-loading washing machine at his home in Hilton, Western Australia. He died from suffocation due to entrapment in…

emergency medicinepathologysystemoxycodone
WAcommunity2013

Inquest into the Death of Graham, Michael Keith

46y · Male·Misadventure - death occurred in remote bushland, likely from injury, disorienta…

Michael Keith Graham, a 46-year-old part-time prospector from New South Wales, disappeared on 14 January 2013 from a remote prospecting camp near Menzies, Western Australia. He left his mobile phone and GPS in his vehicl…

oxycodone
QLDhospital2012-12-19

Gerhardt, Robert John

44y · Male·Metastatic small cell neuroendocrine carcinoma of lung

Robert Gerhardt, 44, died of metastatic small cell lung cancer on 6 May 2011 at Princess Alexandra Hospital, shortly after receiving compassionate parole. He had presented to PAH emergency department on 28 September 2010…

oncologyemergency medicinediagnosticcommunicationoxycodone
SAmental health2012-12-13

Coroner's Finding: Jenkinson Jacqueline Mary

46y · Female·mixed drug toxicity

46-year-old woman with bipolar disorder and chronic suicidal ideation died from mixed drug toxicity involving clozapine (prescribed to her roommate), olanzapine, fluoxetine, oxycodone, and diazepam. She disclosed to her …

psychiatrypsychologycommunicationsystemclozapine
VIChospital2012-10-24

Finding into death of Nicola Spina

63y · Male·End stage ischaemic cardiomyopathy and chronic renal impairment

Nicola Spina, a 63-year-old male prisoner at Port Phillip Prison, died from end-stage ischaemic cardiomyopathy and chronic renal impairment on 17 July 2010. He presented to St Vincent's Hospital on 6 July 2010 with acute…

emergency medicineintensive careoxycodone
WAhospital2012-09-14

Inquest into the Death of dawkins

17y · Female·Acute Lymphocytic Meningitis and Focal Myocarditis

Amy Lee Dawkins, 17, presented twice to Rockingham General Hospital ED within two weeks with severe headaches, myalgias, and vomiting. On 28 December 2008, she was discharged with a diagnosis of viral upper respiratory t…

emergency medicinegeneral medicinecommunicationsystemcitalopram
VIChome2012-04-02

Finding into death of Ellzbeth Rebecca Robins

1y · Female·Oxycodone toxicity

Ellzbeth Rebecca Robins, a 1-year-old girl, died from Oxycodone toxicity after ingesting an 80mg Oxycontin tablet on 24 February 2010. Her father took Oxycontin for arthritis, stored in a bedroom drawer. A Piroxicam tabl…

paediatricstoxicologysystemoxycodone
VIChospital2012-02-29

Finding into death of Joanne Feeney

40y · Female·Multiple injuries sustained in a fall from a height followed by being struck by …

A 40-year-old woman with a history of substance abuse and a prior suicide attempt in August 2010 presented to Northern Hospital at 2am with chest pain. Diagnosed clinically with pleurisy from lower respiratory tract infe…

emergency medicinepsychiatrysystemmethamphetamine
VIChome2012-02-14

Finding into death of Leigh Glenn Travaglia

30y · Male·Carbon monoxide poisoning

Leigh Travaglia, a 30-year-old man with cerebral palsy, profound deafness, and significant disabilities requiring 24-hour care, died from carbon monoxide poisoning. His father deliberately connected a hose from the vehic…

benzodiazepines
VIChome2012-02-14

Finding into death of David Travaglia

27y · Male·carbon monoxide poisoning

David Travaglia, a 27-year-old man with cerebral palsy, profound deafness, and inability to walk or speak, died from carbon monoxide poisoning. He was killed by his father, Edo Travaglia, who deliberately connected a hos…

benzodiazepines
VIChome2012-02-14

Finding into death of Edo Travaglia

54y · Male·Carbon monoxide poisoning

Edo Travaglia, a 54-year-old carer for two adult sons with profound disabilities, died of carbon monoxide poisoning along with his sons in an apparent murder-suicide. Despite significant improvement in his sons' care fol…

psychiatrygeneral practicebenzodiazepines
VIChospital2012

Finding into death of Kathleen Raven

85y · Female·Pulmonary embolus secondary to deep vein thrombosis, precipitated by minor fall

An 85-year-old woman died from pulmonary embolism secondary to deep vein thrombosis following a minor fall. She was admitted to Maryborough Hospital with chest infection and abdominal pain. Despite being identified as hi…

emergency medicinegeneral medicinecommunicationsystemdiazepam
VIChome2011-10-31

Finding into death of Rory

4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet

Four-year-old Rory died from oxycodone toxicity after ingesting an 80mg OxyContin tablet from his father's prescribed medication. The tablet was not appropriately stored and remained accessible to the child. His parents …

general practicepaediatricssystemdelayoxycodone
QLD2011-10-20

Hornby, Grace Ann; Hornby, Jessica Lee; Mansell, Denise Ann; Thomson, Anthony Paul

Unknown·Multiple injuries from motor vehicle accident; Anthony Paul Thomson died from ru…

Motor vehicle accident involving 4 deaths on 8 May 2009 at Nambour Connection Road and Blackall Street intersection, Queensland: 5-year-old twins, a 60-year-old female driver, and 43-year-old male driver Anthony Paul Tho…

general practicepsychiatrysystemcommunicationdextroamphetamine

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