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VICcommunity2021-11-12

Finding into death of Michael Anderson

36y · Male·Cardiorespiratory arrest complicating propofol administration for endodontic pro…

Michael Anderson, a 36-year-old obese man (BMI 38.5), suffered cardiorespiratory arrest during a root canal procedure under conscious sedation with propofol administered by Dr S. in a dental office setting. He had undiag…

anaesthesiadentistrycommunicationdocumentationpropofol
NThome2021-11-09

Inquest into the death of Holly Davidson

38y · Female·Subdural haemorrhage in the context of chronic alcoholism due to post-traumatic …

Holly Anne Davidson, a 38-year-old police officer, died from a subdural haemorrhage sustained 3-5 days before her death. She had been in a coercive, controlling, and violent relationship with her police officer partner f…

emergency medicinepsychiatrydiagnosticsystemparacetamol/codeine/doxylamine
QLD2021-11-09

Grover, Gwen Lorraine

32y · Female·Cerebral destruction caused by a self-inflicted bullet wound to the head

Gwen Lorraine Grover, aged 32, died by self-inflicted gunshot wound on 14 October 1983, with a blood alcohol level of 0.15% (over three times the legal driving limit). She was experiencing significant situational crisis:…

forensic medicinepathologycommunicationprocedural
NSWhospital2021-11-09

Inquest into the death of Caitlin CRUZ

3y · Female·complications of Influenza B viral infection

Three-year-old Caitlin Cruz presented to a medical centre unwell and collapsed, requiring resuscitation. She was transferred by ambulance to Children's Hospital at Westmead but critical information about her collapse and…

emergency medicinepaediatricscommunicationdiagnosticmidazolam
VIChospital2021-11-08

Finding into death of Baby MNL

0y · Male·Hypoxic ischaemic encephalopathy complicating peri partum asphyxia

A term neonate died at 3 days of age from hypoxic ischaemic encephalopathy due to perinatal asphyxia. The mother presented in early labour, was initially discharged, then readmitted when labour progressed. Labour progres…

obstetricsneonatologysystemcommunicationterbutaline
TASaged care2021-11-04

Coroner's Finding: Rosendale, Dwayne Edward

36y · Male·Complications of morbid obesity, including cardiac enlargement, aspiration of ga…

A 36-year-old man with treatment-resistant schizophrenia and Capgras syndrome died from complications of morbid obesity (183.5 kg, BMI 45.3). He was discharged from hospital on 14 January 2019 after admission for respira…

psychiatrygeneral medicinesystemdelayzuclopenthixol
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

Theo Papageorgiou, a 27-year-old man with a history of psychotic and manic symptoms since November 2014, was briefly detained under a mental health order in November 2015 but discharged after only six days despite contin…

psychiatrygeneral practicediagnosticcommunicationolanzapine
WA2021-11-03

Inquest into the Suspected Death of Peter JOHNSON

71y · Male·undetermined - likely injuries sustained from fall at The Gap, but cannot exclud…

Peter Johnson, a 71-year-old man with metastatic prostate cancer, disappeared on 17 October 2019 from The Gap in Torndirrup National Park, Albany. He had previously told family and friends he would end his life rather th…

oncologygeneral practicecommunication
QLDhospital2021-11-01

Masoumali, Omid

24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns

Omid Masoumali, a 24-year-old Iranian refugee detained on Nauru under Australian offshore processing arrangements, suffered severe thermal burns (>50% TBSA) on 27 April 2016 after self-immolating at the Nibok settlement.…

plastic and reconstructive surgeryintensive carecommunicationsystem
VICcommunity2021-11-01

Finding into death of Arzu Karakoc

35y · Female·Multiple injuries in a cyclist in a heavy vehicle collision

Arzu Karakoc, 35, died in a collision between her bicycle and a heavy truck at the Whitehall Street and Somerville Road intersection in Yarraville on 10 March 2017. Both the truck driver and cyclist had simultaneous gree…

diagnosticcommunication
WAprison2021-11-01

Inquest into the Death of Joseph Thomas ROE

50y · Male·subarachnoid and intracerebral haemorrhage in association with a ruptured berry …

Joseph Thomas Roe, age 50, died from a ruptured berry aneurysm causing subarachnoid and intracerebral haemorrhage. He was a prisoner at Casuarina Prison when he called for medical assistance on the night of 17-18 Septemb…

emergency medicineneurosurgerycommunicationsystem
NSWPodcast2021-10-29

Inquest into the death of Jesse DRABSCH

31y · Male·Hypoxic brain injury caused by the exogenous administration of insulin, resultin…

Jesse Drabsch, 31, died from hypoglycaemia after self-injecting insulin in a gym bathroom. A competitive bodybuilder using performance and image enhancing drugs (PIEDs), Jesse entered the bathroom at 5:30pm on 16 Novembe…

endocrinologytoxicologysystemproceduralinsulin
VIChospital2021-10-26

Finding into death of John Francis Flynn

69y · Male·Hypoxic ischaemic brain injury secondary to right facial artery pseudoaneurysm r…

69-year-old male with tonsillar squamous cell carcinoma presenting with throat pain and trismus 12 days after completing chemoradiotherapy. On presentation to emergency department with bleeding, airway risk was under-rec…

emergency medicineENT surgerydiagnosticcommunicationparacetamol/codeine
NSW2021-10-25

Inquest into the death of Bronwynne RICHARDSON

17y · Female·Pressure to the neck (strangulation) and drowning

This is a coronial finding into the 1973 death of Bronwynne Anne Richardson, a 17-year-old found in Horseshoe Lagoon with injuries consistent with strangulation and drowning. She had been abducted from Albury, NSW and ph…

communicationsystem
NSW2021-10-22

Inquest into the death of A

34y · Male·hanging

A 34-year-old man died by hanging in a correctional centre in December 2018. He was placed on a mental health waitlist in June 2018 but was never seen by a mental health nurse due to insufficient staffing—only 1.5 FTE po…

forensic medicinepsychiatrycommunicationsystem
NSWhospital2021-10-22

Inquest into the death of Ivan Goolagong

68y · Male·Metastatic Pancreatic Adenocarcinoma

Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…

oncologypalliative caresystemcommunicationamylase
NSWcommunity2021-10-22

Inquest into the death of Terence Gray

54y · Male·Multiple injuries from collision with motor vehicle

Terence Gray, a 54-year-old man with chronic alcohol abuse and depression, was removed from a train at Grafton by a Passenger Services Supervisor (Mr Beadman) who lacked required authorization. The supervisor cited Mr Gr…

psychiatryemergency medicinecommunicationsystemalcohol
WAmental health2021-10-22

Inquest into the Death of Russell David BROCKLISS

38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…

Russell Brockliss, a 38-year-old Aboriginal man with severe treatment-resistant schizoaffective disorder and significant cardiovascular risk factors (obesity, smoking, focal coronary atherosclerosis), died from acute car…

psychiatryemergency medicinedelaysystemrisperidone depot
VICcommunity2021-10-20

Finding into death of Joshua Brown

57y · Male·Clozapine toxicity on a background of right lower lobe of lung lesion (unspecifi…

Joshua Brown, a 57-year-old man with treatment-resistant schizophrenia managed in the community, died from clozapine toxicity. He had accumulated over 50 tablets of clozapine at home despite being prescribed 550mg daily …

psychiatrytoxicologycommunicationsystemclozapine
QLD2021-10-14

Dreier, Logan

18y · Male·Multiple injuries due to motor vehicle collision

Logan Dreier, 18, was killed after a police pursuit of a stolen vehicle ended in a rollover crash on Queen Street, Southport. The crash occurred during a high-speed pursuit of a Toyota utility vehicle stolen from Movie W…

communicationsystemMDMA

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