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WAhospital2007-06-08

Inquest into the Death of Rasmussen

31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…

Rachael Anne Rasmussen, a 31-year-old mother of three with severe neck deformities (torticollis, dysmorphia, short rigid neck), died on 17 June 2003 from cerebral anoxia following attempted intubation at Joondalup Health…

anaesthesiageneral surgerydiagnosticproceduralatracurium
SAcommunity2007-06-08

Coroner's Finding: COOKE Rowan Douglas

37y · Male·dehydration/heat-related death

A 37-year-old man died from dehydration and heat-related illness after collapsing in a sweat lodge during a vision quest ceremony in remote South Australia. He remained unconscious after removal from the lodge, but the g…

emergency medicineintensive carediagnosticdelay
QLDmental health2007-06-01

Huntington, Sparka Isarva aka Huntington, James Philip

31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…

Sparka Huntington, a 31-year-old forensic mental health patient with a history of schizophrenia, violence, and drug use, died during physical restraint by hospital security officers and nursing staff on 14 December 2003.…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
QLD2007-05-16

Davis, Jodie Maree

24y · Female·hypoxic brain damage due to cardiac arrest due to hanging

Jodie Maree Davis, aged 24, died by suicide in Townsville Correctional Centre in May 2002. She had a long history of self-harm dating from age 15, including multiple suicide attempts, and was assessed as high suicide ris…

psychiatrypsychologysystemcommunication
WAcommunity2007-05-11

Inquest into the Death of Robson

16y · Female·Adrenal insufficiency (Addison's Disease)

Emma Louise Robson, a 16-year-old female, died on 29 September 2004 from adrenal insufficiency (Addison's Disease), a treatable autoimmune condition. She presented with progressive fatigue, weight loss (from 48–50 kg to …

general practiceemergency medicinediagnosticsupervision_issue
QLDhospital2007-05-04

Horsington, Margaret Isabel

83y · Female·cardiac arrest from severe triple vessel coronary artery disease complicated by …

Margaret Isabel Horsington, aged 83, died from cardiac arrest secondary to severe coronary artery disease, complicated by large bowel obstruction from rectal carcinoma. She presented to Roma Hospital with constipation an…

general surgeryemergency medicinediagnosticcommunicationfleet
QLD2007-05-01

Lang, Michael Charles

41y · Male·Traumatic asphyxia resulting from pressure on the chest caused by falling concre…

Michael Lang, a 41-year-old backhoe operator, died from traumatic asphyxia when two large concrete beams fell on his cabin during pedestrian bridge demolition. The beams fell because the headstock had been structurally w…

occupational and environmental healthdiagnosticprocedural
QLD2007-03-30

Pittaway, Steven John and Coe, Paul Allen

Male·Coe: self-inflicted hanging; Pittaway: neck compression due to self-inflicted st…

Two men died by suicide in Bundaberg Watch House within 7 months. Paul Coe (38) hanged himself using his shirt from a door hinge on 11 June 2005, approximately 25 minutes after officers last physically checked him. Steve…

forensic medicinetoxicologysystemcommunicationmethamphetamine
QLD2007-03-21

Davis, Shane William

29y · Male·Multiple injuries from being struck by a tyre and rim assembly when attempting t…

Shane Davis, a 29-year-old truck driver, died from injuries sustained when attempting to remove a doughy tyre from a multi-piece rim on a coal haulage truck. The rim failed due to fatigue cracking, causing explosive rele…

occupational and environmental healthemergency medicinesystemcommunication
QLD2007-03-13

Turnbull, John

62y · Male·Head injury sustained in a fall from a vibrating roller that became uncontrollab…

A 62-year-old man with extensive plant operation experience died from a head injury sustained when a vibrating roller became uncontrollable on a steep (12-degree) driveway and he fell from it. The roller then free-wheele…

systemdelay
QLD2007-03-06

Browne, Roger Bruce

41y · Male·injuries sustained when he fell from height into a pit full of water

Roger Bruce Browne, a 41-year-old contract holder at Dawson Mine, died after falling from height into a pit at disused pit 8C. He suffered fatal injuries including cervical spine dislocation and internal injuries; death …

occupational and environmental healthforensic medicinesystemdelay
QLDmental health2007-03-02

Lather, David Andrew

24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…

Andrew Lather, aged 24, died at Charters Towers Rehabilitation Unit on 6 March 2004 from aspiration of gastric contents due to drug toxicity after ingesting approximately 150 tablets from a medication drawer beside his b…

psychiatryrehabilitation medicinesystemcommunicationquetiapine
QLD2007-03-01

McGeary, Corey Allan

20y · Male·Self-inflicted hanging

Corey McGeary, a 20-year-old remand prisoner with chronic risk factors for self-harm (history of suicide attempts, schizophrenia, personality disorder, severe childhood abuse, mild intellectual disability), died by hangi…

psychiatrypsychologycommunicationsystemolanzapine
SApolice station2007-02-08

Coroner's Finding: CARTWRIGHT Stephen Andrew

51y · Male·Hanging

Stephen Cartwright, a 51-year-old psychologist, was arrested for breach of bail and died by hanging in police custody at Christies Beach Police Station. He displayed multiple risk factors including depression requiring m…

diagnosticcommunicationtemazepam
SAhospital2007-02-07

Coroner's Finding: ROBBINS Amy Louise

16y · Female·intra-abdominal haemorrhage due to ruptured spleen

A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital,…

trauma surgeryemergency medicinesystemdelay
QLDhome2007-02-06

Marshall, Maxwell John

48y · Male·Undetermined

Maxwell Marshall, aged 48, died in December 2003 from undetermined causes after receiving escalating doses of oxycodone (Oxycontin) for post-Guillain-Barré neuropathic pain reaching 680mg daily—among the highest 1% of pr…

general practicepain medicinediagnosticcommunicationoxycodone
QLD2007-01-19

Fitzgerald, Darren Michael

34y · Male·heroin toxicity with possible contribution from coronary atherosclerosis

Darren Fitzgerald, a 34-year-old lifer serving for murder, died in Woodford Correctional Centre from heroin toxicity with possible contribution from coronary atherosclerosis. He had a documented history of drug abuse in …

forensic medicinecorrectional healthsystemdelayheroin
QLDhospital2007-01-10

West, Ian Leslie

26y · Male·bronchopneumonia following severe head injury

Ian Leslie West, a 26-year-old man with bipolar affective disorder, died from bronchopneumonia following severe head injury sustained when he fell from a hospital balcony on 31 December 2002. He had been admitted to Long…

psychiatryemergency medicinemedicationcommunicationacuphase
SAhospital2007-01-03

Coroner's Finding: FOOT Brodie Sian

23y · Female·drowning and citalopram overdose

23-year-old woman with major depressive disorder presented to multiple healthcare providers on 17 March 2004 with suicidal ideation. She was referred to Flinders Medical Centre Emergency Department by her GP, where she w…

general practiceemergency medicinediagnosticproceduralcitalopram
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

A 36-year-old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was t…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol

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