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SAaged care2020-02-28

Coroner's Finding: NISCO Sophia Alessia

16y · Female·upper airway occlusion due to aspiration of a foreign body (disposable latex glo…

Sophia Nisco, a 16-year-old with severe cerebral palsy and intellectual disability, died from airway obstruction after aspirating a disposable latex glove at a respite care facility. She had documented oral fixation beha…

rehabilitation medicinesupervisionsystem
VIChospital2020-02-28

Finding into death of Keith Walter Sharp

63y · Male·Cerebral infarction complicating vertebral artery dissection following motor veh…

Keith Walter Sharp, 63, sustained a motor vehicle collision causing vertebral artery dissection and subsequent cerebral infarction. At Albury Base Hospital, initial CT imaging at 10:44am identified significant cervical s…

emergency medicineradiologydelaydiagnosticaspirin
VICcommunity2020-02-28

Finding into death of Robb Thomas Lawson

48y · Male·unascertained

Robb Thomas Lawson, a 48-year-old man with a long history of mental illness including depression, anxiety, paranoia and multiple suicide attempts, disappeared in July 2007 after declining psychiatric care. He had been ma…

psychiatrycommunicationolanzapine
NSW2020-02-28

Inquest into the death of Eric WHITTAKER

35y · Male·subarachnoid haemorrhage with antecedent ruptured cerebral artery aneurysm

Eric Whittaker, a 35-year-old Aboriginal man, died from a subarachnoid haemorrhage caused by a ruptured cerebral artery aneurysm while in remand custody at Parklea Correctional Centre. On 2 July 2017, he made 20 emergenc…

correctional healthneurologydiagnosticcommunicationamphetamine
NSWhospital2020-02-28

Inquest into the death of Peter ROBIN

56y · Male·Pulmonary embolism with deep vein thrombosis an antecedent cause; coronary arter…

Peter Robin, a 56-year-old man with a medical history of hypercholesterolaemia, hypertension, obesity, and depression, underwent elective dental surgery on 28 October 2015 to remove four wisdom teeth and resect a cyst. H…

oral and maxillofacial surgeryanaesthesiacommunicationsystemoxycodone
VIChome2020-02-25

Finding into death of Laurie Henry Cartledge

44y · Male·Heroin toxicity in the setting of ischaemic heart disease

Laurie Cartledge, a 44-year-old man with intellectual disability and acquired brain injury, died from heroin toxicity complicated by severe coronary artery atherosclerosis just one day after release from prison. He had b…

forensic medicineaddiction medicinesystemcommunicationheroin
ACThome2020-02-24

Inquest into the death of Joanne Lea LOVELOCK

53y · Female·Combined effects of alcohol, amitriptyline, and methadone

Joanne Lovelock, a 53-year-old woman with chronic pain, died from combined effects of alcohol, amitriptyline, and methadone on Christmas Day 2015. She had developed opioid dependence while receiving legitimate pain manag…

general practicepain medicinesystemcommunicationalcohol
QLDPodcast2020-02-24

Goodchild, Kate; Dorsett, Luke; Low, Cindy & Araghi, Roozbeh

Multiple severe internal and external injuries as a result of multiple compressi…

Four adults died when Raft 5 collided with a stationary Raft 6 on the Thunder River Rapids Ride at Dreamworld on 25 October 2016. The primary cause was south pump failure causing rapid water level drop, which stranded Ra…

systemdelay
WAhospital2020-02-20

Inquest into the Death of Eric WUMBIE

37y · Male·valvular and ischaemic heart disease

Eric Wumbie, a 37-year-old Aboriginal male prisoner, died from valvular and ischaemic heart disease on 13 April 2016 following intraoperative cardiac arrest during planned cardiothoracic surgery at Fiona Stanley Hospital…

cardiologycardiothoracic surgerysystemcommunication
TAShome2020-02-18

Coroner's Finding: Evans, Conor Maclaren

19y · Male·mixed drug toxicity (methadone and diazepam)

A 19-year-old male died from mixed drug toxicity following ingestion of illicit methadone and diazepam. He was a regular user of illicit substances and prescription medications obtained without medical supervision. He ha…

general practiceforensic medicinesystemcommunicationmethadone
NSWhospital2020-02-14

Inquest into the death of Tristan Naudi

23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…

Tristan Naudi, 23, died from acute cardiac arrhythmia during MDMA intoxication while being restrained prone at hospital. Police appropriately placed him in a police vehicle after finding him violently agitated at home. A…

emergency medicinetoxicologysystemdelayMDMA
NSW2020-02-13

Inquest into the death of LP

34y · Male·Foreign body aspiration

A 34-year-old man died by foreign body aspiration while in custody at a correctional centre, three days after arrest for a serious violent crime. He fashioned an airway obstruction from toilet paper and meal pack plastic…

psychiatrycorrectional healthsystemcommunication
NSWaged care2020-02-11

Inquest into the death of Neville Clutton

78y · Male·complications of head injuries; antecedent cause: dementia

An 78-year-old man with dementia died from head injuries sustained in a push by his roommate, also with dementia, at an aged care facility. The deceased had multiple prior incidents with the aggressor starting in Novembe…

geriatric medicinegeneral practicediagnosticcommunicationrisperidone
SAhome2020-02-10

Coroner's Finding: DAILLER Graziella and MUIR Dion Wayne

48y · Female and male·Ms Dailler: blunt head trauma and multiple sharp force injuries including stab w…

This inquest examined the deaths of two people in a violent domestic relationship. Ms Dailler, aged 48, was killed by her partner Mr Muir through blunt force trauma and stab wounds. Mr Muir subsequently died by suicide. …

emergency medicineforensic medicinecommunicationsystemalcohol
WA2020-02-05

Inquest into the Death of Tania Marie HODGKINSON

48y · Female·Ligature compression of the neck (hanging)

Tania Marie Hodgkinson, a 48-year-old Aboriginal woman, died by suicide via ligature compression while remanded at Bandyup Women's Prison on 23 March 2017. She had been admitted with heroin withdrawal symptoms, grief fro…

psychiatrypsychologycommunicationsystemheroin
VICcommunity2020-01-31

Finding into death of Francis John Stewart

38y · Male·Sepsis complicating bronchopneumonia and chest wall abscess in the setting of an…

A 38-year-old man with secondary adrenal insufficiency from childhood chemoradiation died from sepsis complicating a chest wall abscess and bronchopneumonia, precipitated by an adrenal crisis. He presented to his GP with…

general practiceendocrinologydiagnosticcommunicationprednisolone
VICpsychiatric inpatient unit2020-01-31

Finding into death of Damon Brenden Amiet

25y · Male·Injuries sustained when struck by a train (suicide)

Damon Brenden Amiet, a 25-year-old with schizoaffective disorder, borderline personality disorder, and antisocial personality traits, was admitted to a psychiatric inpatient unit (IPU1) on 12 April 2013 following a serio…

psychiatryemergency medicinecommunicationsystemolanzapine
VIChospital2020-01-31

Finding into death of Brett Maybus

60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…

Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…

cardiothoracic surgeryoncologycommunicationsystem
NSWhospital2020-01-31

Inquest into the death of OS

5y · Male·Combined effects of prescribed morphine, valproic acid and midazolam leading to …

A five-year-old child with complex neurodevelopmental conditions and polypharmacy (including valproic acid for epilepsy, benzodiazepines, and other medications) underwent routine burn dressing change at hospital with ora…

plastic and reconstructive surgeryanaesthesiamedicationproceduralmorphine
VICaged care2020-01-30

Finding into death of Adele Di Quinzio

86y · Female·Sepsis complicating sacral decubitus ulceration in the setting of recent surgica…

Mrs Di Quinzio, an 86-year-old woman with multiple comorbidities, was discharged from hospital to a supported residential service (SRS) after hip fracture surgery. She required two-person assistance for mobility and was …

geriatric medicineorthopaedic surgerysystemcommunicationcefalexin

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