Coronial — Australian Coroners Findings

State

WANSWVIC1QLDSATAS1ACTNT

Setting

hospitalaged caremental healthcommunity1home1other

Hospital

Sunshine Hospital1

Specialty

forensic medicine2respiratory medicine1pathology1paramedicine1general practice1disability medicine1cardiology1

Error Type

diagnosticmedicationproceduralcommunicationsystemdelay

Preventability

PreventablePossibly preventableNot preventableNot stated2

Age Group

Adult2PaediatricNeonate

Sex

Male1Female1

Clinical Flags

Escalation failureAHPRA referral madeRural / remotePrison / police custodyAged care deathMental Health Act involvedFamily violence relatedHas recommendations1Has podcast episode0

Year Range

–

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TAScommunity2026-05-26

Coroner's Finding: de-identified HK

32y · Female·Unable to be determined

A 32-year-old woman with obesity was prescribed Ozempic 1mg weekly in August 2024 (above the recommended starting dose) for weight management. She developed prolonged gastrointestinal symptoms and took loperamide for dia…

general practiceparamedicinesemaglutide

VIChome2025-06-05

Finding into death of Caine David Knight

26y · Male·Cardiomegaly in a man with Prader-Willi syndrome

Caine David Knight, aged 26, died from cardiomegaly with right ventricular hypertrophy in the context of Prader-Willi syndrome and severe obesity. He had a complex medical history including obesity hypoventilation syndro…

cardiologyrespiratory medicinequetiapine

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