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QLDhome2012-09-19

Diefenbach, Isabella Wren

0y · Female·Extensive cerebral destruction as a result of fractured skull following accident…

Isabella Wren Diefenbach, a 7-week-old infant, died from head injuries sustained when she fell from her father's arms after he stepped through a severely decayed timber board on the front verandah of the family's rented …

emergency medicinetrauma surgerydiagnosticsystem
VIChospital2012-09-18

Finding into death of Lorraine Therese Patrick

45y · Female·Aspiration pneumonia

A 45-year-old woman with Down syndrome, epilepsy, and non-verbalisation living in a high-care community residential facility died from aspiration pneumonia. She developed cold/flu symptoms on 2 January 2011, with a cough…

emergency medicineintensive caredelayceftriaxone
NT2012-09-17

Inquest into the death of Terrence Daniel Briscoe

27y · Male·Airway obstruction due to a combination of positional asphyxia, aspiration and a…

27-year-old Aboriginal man died in Alice Springs Watch House from airway obstruction due to acute alcohol intoxication, positional asphyxia and aspiration. He was detained in protective custody after being found intoxica…

forensic medicineemergency medicinediagnosticcommunicationalcohol
QLDcommunity2012-09-14

Isles, MIchael

58y · Male·gunshot wounds

Senior Sergeant Michael James Isles, a 58-year-old Queensland police officer with 34 years of service, disappeared on 23 September 2009. He was the subject of corruption allegations (which proved unfounded), stood down f…

general practicepsychiatrysystemcommunicationfluoxetine
QLDhome2012-09-13

CMC

36y · Female·Excited delirium

A 36-year-old woman died from excited delirium during a physical altercation with her 16-year-old son. She had longstanding alcohol and cannabis use, borderline personality disorder with features of post-traumatic stress…

psychiatryforensic medicinesystemdelayalcohol
WAhome2012-09-07

Inquest into the Death of Mulvaney

54y · Female·Multi-organ failure following a decreased level of consciousness caused by compl…

Linda Christina Mulvaney, 54, died of multi-organ failure following a prolonged period of unconsciousness caused by a combination of obstructive and central sleep apnoea complicated by sedating substances. On 2 June 2008…

respiratory medicineintensive caredelaydiazepam
VIChome2012-09-07

Finding into death of RGF

34y · Male·Firearm injury to the head and neck

A 34-year-old male died from a gunshot wound to the head on 13 March 2008. His stepdaughter, who had been sexually abused by him since age 14 with threats of violence and control, shot him in self-defense during a sexual…

paediatricsforensic medicinecommunicationsystem
QLDhospital2012-09-06

Parry, Nerida Ann

63y · Female·bile peritonitis as a complication from a laparoscopic cholecystectomy

A 63-year-old woman died from bile peritonitis following laparoscopic cholecystectomy. The surgeon's intraoperative management was appropriate with no identified injuries. However, critical clinical deterioration on post…

general surgeryanaesthesiadiagnosticcommunication
VIChome2012-09-06

Finding into death of Chanel Peckham

1y · Female·Consistent with drowning

Chanel Peckham, age 21 months, drowned in an unbarriered outdoor spa at a rental property in April 2010. The spa was installed without landlord permission or building permit and lacked required safety fencing compliant w…

systemdelay
SAhospital2012-09-05

Coroner's Finding: KAY Damian

38y · Male·Multiple injuries

Damian Kay, aged 38, died from multiple injuries after jumping from the 16th floor of a hotel on 22 September 2010, with a blood alcohol concentration of 0.71%. The death occurred in the context of recent relationship br…

emergency medicinepsychiatrydiagnosticcommunicationvenlafaxine
WAhospital2012-08-31

Inquest into the Death of Stone

62y · Female·Multiple injuries sustained from jumping from rocks at Torndirrup National Park …

Pamela Stone, a 62-year-old woman with a complex history of trauma, depression and relationship difficulties, presented to Albany Regional Hospital ED on 26 March 2009 after a violent altercation at home, having been sed…

emergency medicinegeneral practicesystemcommunicationmidazolam
NThospital2012-08-27

Inquest into the death of Kalotina Galimitakis

0y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …

A neonate died from acute blood loss due to velamentous insertion of the umbilical cord with likely vasa previa, a rare condition causing vulnerability to catastrophic bleeding. Key clinical lessons include: (1) prenatal…

obstetricspaediatricsdiagnosticcommunication
VIChome2012-08-23

Finding into death of Shane Anthony Jarrett

29y · Male·Mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) in a morbidly …

Shane Jarrett, a 29-year-old with schizophrenia and substance abuse history, died from mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) complicated by morbid obesity. During psychiatric hospitalization, …

psychiatrygeneral practicesystemdelayheroin
VICcommunity2012-08-17

Finding into death of Jesse Ross Sangster

28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)

Jesse Sangster, 28, died from injuries sustained in a high-speed motor vehicle collision while intoxicated. He had a 12-year history of bipolar affective disorder with comorbid substance abuse disorder, personality disor…

psychiatryparamedicinesystemdelayalcohol
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following susp…

emergency medicinegeneral practicediagnosticdelaymorphine
QLD2012-08-07

Bucknall, David John

41y · Male·Hanging

A 41-year-old male prisoner with a history of depression died by suicide while incarcerated at Wolston Correctional Centre. He was appropriately assessed as low-risk for suicide on arrival and received psychiatric care a…

psychiatrygeneral practicesystemdelaymirtazapine
VIChomePodcast2012-08-06

Finding into death of Margaret Grace McCreddan

59y · Female·Incised wound to right thigh and exsanguination

Mrs Margaret Grace McCreddan, a 59-year-old widow with multiple health conditions including limited mobility and frequent falls, died from exsanguination following an incised wound to her right thigh sustained in a fall …

general practicegeriatric medicinesystemdelaymorphine
VICaged care2012-08-01

Finding into death of Joan Ambrose

79y · Female·Ischaemic heart disease and heat exposure with underlying cerebro-vascular disea…

Mrs Joan Ambrose, 79, died of ischaemic heart disease exacerbated by heat exposure during Victoria's February 2009 heatwave at Noble Manor aged care facility. She exited unsupervised into an unprotected courtyard (46.4°C…

geriatric medicineemergency medicinesystemdelay
SAhospital2012-07-31

Coroner's Finding: KISON Trinity Isabel

0y · Female·respiratory failure due to congenital pneumonia with hyaline membrane disease ca…

Trinity Kison, a 21-hour-old neonate born at 35 weeks gestation, died from respiratory failure due to congenial pneumonia caused by streptococcus pneumoniae. The maternal high vaginal swab taken one week before delivery …

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
VIC2012-07-27

Finding into death of Michael Scott Wyly

41y · Male·hanging

Michael Scott Wyly died by hanging while in custody at Melbourne Assessment Prison on 23 November 2008. He had been remanded following his arrest for alleged murder, with known suicide and self-harm risk history. Clinica…

psychiatrycorrectional healthcommunicationsystem

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