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NThospital2004-07-02

Inquest into the death of John Colbert

55y · Male·Head injury from a fall, contributed to by chronic alcoholism and cirrhosis, res…

John Henry Colbert, a 55-year-old man with chronic alcoholism, Wernicke's encephalitis and cirrhosis, was admitted to Royal Darwin Hospital's ICU following a seizure. He was transferred to Ward 4A on 14 October 2002 and …

neurosurgeryemergency medicinesystemdelaydiazepam
WAcommunity2004-07

Inquest into the Death of Craig Dee Sandy

32y · Male·Multiple injuries sustained in a motor vehicle collision during bushfire fightin…

Craig Dee Sandy, a 32-year-old volunteer bushfire brigade captain, died on 26 January 2003 following a motor vehicle collision on Lancelin Road during a major bushfire response near Ledge Point, Western Australia. While …

systemcommunication
NTcommunity2004-06-18

Inquest into the death of Gregory Nunggarrgalu

35y · Male·effects of exposure

Gregory Nunggarrgalu, a 35-year-old Aboriginal man, died from exposure in remote Northern Territory bushland in late October 2002. He left Numbulwar with companions to travel to Lake Evella when their vehicle broke down …

delay
WAhospital2004-06-17

Inquest into the Death of Edmiston

41y · Female·Peritonitis following surgical procedure to the urinary bladder, due to infected…

Cheryl Lee Edmiston, a healthy 41-year-old woman, died of peritonitis and sepsis following minor bladder procedures (cystoscopy, hydrodilatation, and biopsy) at Joondalup Health Campus on 14 February 2003. The biopsies w…

urologygeneral surgerydiagnosticmedicationamoxicillin
WAhome2004-06-04

Inquest into the Death of Paul John Long

37y · Male·Acute Aspiration Pneumonitis following on Quetiapine Ingestion

Paul John Long, a 37-year-old man with chronic schizoaffective disorder and alcohol dependence, died on 4 November 2002 from acute aspiration pneumonitis following quetiapine overdose. After presenting to Avro Clinic in …

psychiatrygeneral practicecommunicationsystemquetiapine
SAhospital2004-04-30

Coroner's Finding: YOUNG Iris Patricia

60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…

A 60-year-old woman with metastatic breast cancer and COAD died from haemorrhagic shock due to right-sided haemothorax complicating thoracentesis. The procedure was appropriately performed to drain a pleural effusion on …

oncologyrespiratory medicinediagnosticcommunicationheparin
SAmental health2004-04-20

Coroner's Finding: TAYLOR Michael Jason

27y · Male·Not determined; olanzapine toxicity suspected but regarded by expert evidence as…

Michael Jason Taylor, aged 27, died on 26 February 2000 while detained at Glenside Hospital under the Mental Health Act 1993. He was a patient with chronic schizophrenia, borderline intelligence, and a history of drug-se…

psychiatrytoxicologysystemcommunicationolanzapine
VICcommunity2004-04-02

Wheelchair Pedestrian Railway Crossing Inquests

Unknown·Multiple injuries from being struck by trains at railway pedestrian crossings

A joint inquest examined two deaths of wheelchair users at Melbourne railway pedestrian crossings in 2001. Christopher Jones (aged 50), with athetoid cerebral palsy causing involuntary limb movements, was struck by a tra…

systemdelay
NThospital2004-02-11

Inquest into the death of Robert Dalgleish

57y · Male·Multiple organ failure in consequence of peritonitis resulting from complication…

Robert Douglas Dalgleish died from multiple organ failure due to peritonitis resulting from complications of gastric banding surgery. He presented to the ED on 18 July 2002 with abdominal pain and vomiting. Dr B. appropr…

surgerygeneral surgerydiagnosticcommunication
WA2004-02-10

Inquest into the Death of Dylan Robert Green

26y · Male·Ligature Compression of the Neck (Hanging)

Dylan Robert Green, a 26-year-old remand prisoner at Hakea Prison, died by hanging on 11 July 2002. He had a history of serious mental illness, including psychotic episodes with delusional beliefs, and a previous suicide…

psychiatrycorrectional healthsystemcommunicationolanzapine
SA2004-01-30

Coroner's Finding: WOODCOCK Gary William Burton

36y · Male·anaphylactic reaction due to multiple bee stings

Gary Woodcock, a 36-year-old chimney sweep, died from anaphylactic reaction to multiple bee stings (40-50 stings) sustained while working at height on a chimney at St Peter's College. He was unknowingly allergic to bee v…

proceduralsystem
SAhome2004-01-29

Coroner's Finding: ARANY Eva and Jeno

Eva Arany: gunshot wound to the neck; Jeno Arany: traumatic brain damage complic…

An elderly man with severe depression, suicidal ideation, and ongoing psychiatric risk was hospitalised twice in 2000 and discharged on antidepressant medication. Despite staff identifying he owned seven firearms and pos…

psychiatrygeriatric medicinecommunicationsystemparoxetine
NThospital2004-01-21

Inquest into the death of Rita Anderson

43y · Female·unknown

Rita Anderson, a 43-year-old Aboriginal woman with chronic alcohol-related organic brain damage, was admitted to Royal Darwin Hospital in March 2002 for stabilization and placement planning. Unable to safely live indepen…

psychiatrygeneral medicinesystemcommunicationdroperidol
ACThome2003-12-23

Inquest Into The Manner And Cause Of Death Of Neil Summerell

34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…

Neil Summerell, a 34-year-old man with intellectual disability, epilepsy, and vision/hearing impairment, died from acute gastric erosions following severe scalding injuries sustained on 29 November 1999. He was scalded t…

emergency medicinegeneral practicesystemcommunication
NTmental health2003-12-19

Inquest into the death of Sarah Higgins

19y · Female·hypoxic encephalopathy as a result of attempted hanging

A 19-year-old woman with psychosis and depression died from hypoxic encephalopathy following attempted hanging while in involuntary psychiatric admission. She was on R15 (15-minute) observation status due to suicide risk…

psychiatrygeneral practicesystemcommunicationhaloperidol
SAhospital2003-12-19

Coroner's Finding: HAWKE Anne Elizabeth

33y · Female·Raised intracranial pressure secondary to thrombosis of the superior sagittal, t…

A 33-year-old woman presented with acute neurological symptoms (headaches, weakness, slurred speech, seizures) on 26 August 2000. Initial CT imaging showed focal haemorrhage with oedema; repeat CT after 50 minutes showed…

neurosurgeryradiologydiagnosticcommunicationoral contraceptive pill
SA2003-12-18

Coroner's Finding: LINDSAY Margaret

38y · Female·neck compression due to hanging

Margaret Lindsay, 38, died by hanging in Adelaide Women's Prison on 23 May 2001 whilst remanded in custody. She had a complex history of psychiatric illness, drug and alcohol abuse, and multiple suicide attempts. Despite…

psychiatrycorrectional healthcommunicationsystemdiazepam
WAcommunity2003-11-21

Inquest into the Death of Wesley Russell Yamera

17y · Male·Head injury

Wesley Russell Yamera, 17 years old, died on 22 December 2002 from head injury sustained when he fell from a police security vehicle cage. On 18 December, Yamera was apprehended by Fitzroy Crossing police after a vehicle…

systemproceduralalcohol
SA2003-11-07

Coroner's Finding: GOLDSMITH Brenton Maurice

19y · Male·Head injury: depressed stellate (star-shaped) fracture of skull with diffuse sub…

A 19-year-old male died from severe head injury (depressed stellate skull fracture with subarachnoid haemorrhage) sustained when a stolen motorcycle he was riding struck a kerb while evading police on Port Road, Adelaide…

emergency medicinetrauma surgerycommunicationsystemalcohol
SAhospital2003-11-05

Coroner's Finding: MARTIN Julie Anne

38y · Female·peritonitis with septic shock secondary to perforation of the gastrointestinal t…

A 38-year-old woman in persistent vegetative state following anoxic encephalopathy from anaphylaxis during surgery died from peritonitis caused by perforation at the gastrostomy stoma site. The perforation likely occurre…

anaesthesiaemergency medicinediagnosticcommunicationsuxamethonium

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