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QLDhospitalPodcast2011-10-07

Saunders, Ryan Charles

2y · Male·Group A Streptococcal toxic shock syndrome which probably originated in the thro…

Ryan Saunders, a 2-year-old boy, died from Group A Streptococcal toxic shock syndrome after a 72-hour presentation with fever, pain, and systemic illness. Initial GP care was appropriate given the presentation and diagno…

paediatricsemergency medicinediagnosticcommunicationparacetamol
SAhospital2011-10-06

Coroner's Finding: BROWN Kunmanara

18y · Male·Hypoxic brain injury following cardiac arrest due to neck compression from hangi…

An 18-year-old Aboriginal man died from hypoxic brain injury following cardiac arrest from hanging. He had a chronic petrol-sniffing habit and was acutely intoxicated on petrol when he hanged himself after a police incid…

emergency medicineintensive carecommunicationsystempetrol
VIC2011-10-04

Finding into death of Patrick Paul

68y · Male·Ischaemic heart disease and coronary artery atherosclerosis

Patrick Paul, a 68-year-old man with significant cardiac history including prior myocardial infarction and coronary stents, died of ischaemic heart disease while in prison custody. He presented to hospital with symptoms …

cardiologyemergency medicinediagnosticdelaymetoprolol
VICaged care2011-10-04

Finding into death of Shane Peter Kerstjens

42y · Male·Pulmonary thromboembolism and deep calf vein thrombosis

Shane Kerstjens, a 42-year-old man with cerebellar dystrophy and intellectual disability, died from pulmonary thromboembolism and deep vein thrombosis. He sustained a tibia and fibula fracture on 6 September 2007, requir…

orthopaedic surgeryrehabilitation medicinesystemdelayenoxaparin
QLD2011-09-29

Tiers, Matthew Maurice

53y · Male·Multi-organ failure due to sepsis

Matthew Tiers, a 53-year-old Aboriginal man with extensive comorbidities including alcoholic liver disease, was arrested and detained at Rockhampton Watchhouse then transferred to Capricornia Correctional Centre. He deve…

intensive careemergency medicinediagnosticsystemdiazepam
SAhospital2011-09-23

Coroner's Finding: BLYTHE Dorothy Josephine

81y · Female·ischaemic bowel

An 81-year-old woman with longstanding depression and multiple comorbidities fell and fractured her humerus in March 2009. During rehabilitation, she became increasingly depressed and self-neglectful, refusing food and c…

psychiatrygeneral surgerydiagnosticdelay
QLDhospital2011-09-20

Anderson, John Clive

36y · Male·infective endocarditis

John Clive Anderson, a 36-year-old prisoner, died from infective endocarditis despite being evaluated 25 times by prison medical officer Dr P. between February and May 2009. Dr P. documented possible infective endocardit…

general practicecardiologydelaycommunicationamoxicillin
VICcommunity2011-09-20

Finding into death of DA

42y · Male·Ischaemic heart disease due to severe triple-vessel coronary artery atherosclero…

A 42-year-old man with known severe triple-vessel coronary artery disease died from acute ischaemic heart disease while working at height. He had refused recommended coronary artery bypass graft surgery in December 2008,…

cardiologycardiothoracic surgerydiagnosticcommunicationangioprim
SA2011-09-19

Coroner's Finding: RIGNEY Vincent Norman

35y · Male·ischaemic heart disease due to coronary atherosclerosis

A 35-year-old Aboriginal man died of ischaemic heart disease due to coronary atherosclerosis whilst in prison custody. He presented with chest pain and arm tingling at 6:20am but received only Panadol and Mylanta from no…

cardiologyemergency medicinediagnosticdelayparacetamol
SAhospital2011-09-19

Coroner's Finding: FERME Susan Jane

47y · Female·acute subendocardial septal myocardial infarction complicating hypertension and …

A 47-year-old woman with hypertension, high cholesterol, and significant family history of early cardiac disease presented to a country hospital ED with acute crushing central chest pain (10/10), shortness of breath, and…

emergency medicinegeneral practicediagnosticcommunicationglyceryl trinitrate
VIChospital2011-09-19

Finding into death of Stephen Johnson

47y · Male·Multiple organ failure due to Aeromonas Sobria sepsis in a man with cirrhosis

Stephen Johnson, a 47-year-old teacher, died from sepsis caused by Aeromonas Sobria bacteria acquired through a cut hand exposure to contaminated farm water. He presented to hospital with non-specific symptoms and elevat…

emergency medicineinfectious diseasesdelay
NSWhospital2011-09-16

Chiundiza kundayi

16y · Male·Peritonitis as a result of ruptured duodenum following blunt trauma of the torso

A 16-year-old boy died from peritonitis secondary to duodenal rupture two days after being treated and discharged from Campbelltown Hospital Emergency Department for a rugby injury. He sustained blunt abdominal trauma fr…

emergency medicinesurgerydiagnosticcommunicationmethoxyflurane
VIChome2011-09-13

Finding into death of Rosa Sinapi

47y · Female·risperidone toxicity

Rosa Sinapi, a 47-year-old woman with delusional disorder, died from risperidone toxicity after ingesting an overdose of her antipsychotic medication. She had self-escalated her risperidone dose from 3mg to 6mg daily wit…

psychiatrygeneral practicesystemdelayrisperidone
NSWcommunity2011-09-09

Coroner's Finding: Morgan James Hill

26y · Male·self-inflicted gunshot wound to the head while suffering severe depression

Morgan Hill, a 26-year-old NSW police officer, died by self-inflicted gunshot wound in March 2009 while severely depressed. Over 20 months prior to death, he experienced escalating mental health difficulties with work ab…

general practiceoccupational and environmental healthdiagnosticcommunicationefexor xr
NThospital2011-09-09

Inquest into the death of Linda Nha Tran

34y · Female·Catastrophic post-partum haemorrhage following caesarean delivery, secondary to …

A 34-year-old Vietnamese woman died from catastrophic postpartum haemorrhage following an elective caesarean delivery. Placenta accreta was discovered intraoperatively and managed with blood transfusion, uterotonic agent…

obstetricsanaesthesiamedicationcommunicationoxytocin
QLDcommunity2011-09-07

Grillo, Carl Antony

42y · Male·Combined effects of moderately severe physical exertion; a lateral vascular neck…

Carl Grillo, a 42-year-old man, died after police detained him during a foot chase in Spring Hill, Brisbane. Following an initial wrestling struggle, a lateral vascular neck restraint was applied by Senior Constable Jake…

emergency medicineintensive careproceduraldelaymethamphetamine
VIChospital2011-08-31

Finding into death of Barry Wilson Howroyd

78y · Male·Complications of bowel surgery; specifically post-operative chest infection and …

Barry Howroyd, a 78-year-old man, underwent routine colonoscopy on 7 August 2008 which complicated a known bowel carcinoma diagnosis. The procedure caused bowel perforation, diagnosed the next day via CT imaging. Surgica…

gastroenterologygeneral surgerycommunicationsystem
NSWaged care2011-08-26

Coroner's Finding: Martha McKee

91y · Female·asphyxiation due to neck entrapment on KA524 bedpole following fall from bed

Martha McKee, 91, died from asphyxiation when her neck became entrapped on a KA524 bedpole after falling from bed at Mid Richmond Aged Care on 28 July 2010. Multiple systemic failures contributed: one night carer was res…

geriatric medicinesystemiccommunication
SAmental health2011-08-26

Coroner's Finding: REX Michael David

41y · Male·mixed drug toxicity (methadone, valproate, zuclopenthixol)

Michael David Rex, a 41-year-old man with chronic treatment-resistant paranoid schizophrenia, died from mixed drug toxicity (methadone, valproate, zuclopenthixol) while detained in Ward 5H of the Margaret Tobin Centre ps…

psychiatrypharmacysystemdelaymethadone
QLDcommunity2011-08-24

Jones, Adrian Elliott

18y · Male·Multiple injuries due to motorcycle accident

Adrian Elliott Jones, 18-year-old novice motorcycle rider, lost control of his Honda CX500 while negotiating a bend on Yandina Bli Bli Road and collided with an oncoming Land Cruiser. He had only acquired his open motorc…

forensic medicinetrauma surgerycommunicationdelay

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