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VICcommunity2024-08-29

Finding into death of Bridget Flack

28y · Female·compression of the neck and hanging

28-year-old Bridget Flack, a transgender woman experiencing complex mental health issues including depression, anxiety, borderline personality disorder and PTSD, died by suicide in December 2020 after becoming increasing…

psychiatrypsychologycommunicationsystemescitalopram
VIC2024-08-28

Finding into death of Mount Disappointment Helicopter Accident

Multiple injuries sustained in a helicopter incident

Five people died in a helicopter crash at Mount Disappointment on 31 March 2022. The pilot, Dean Neal, had no instrument flying training and was only authorised for visual flight rules (VFR). Despite weather forecasts in…

diagnosticsystem
ACT2024-08-22

Inquest Into The Death Of Luke Anthony Rich

27y · Male·suicide by hanging

Luke Anthony Rich, age 27, died by suicide by hanging in a prison cell in the Alexander Maconochie Centre (ACT) on 1 February 2022, one day after being remanded in custody on domestic violence allegations. The coroner fo…

psychiatrycorrectional healthsystemcommunicationcocaine
QLDaged care2024-08-22

Non-inquest findings into the death of Malcolm Daniel Moriarty

87y · Male·Combined effects of sotalol toxicity on a background of severe valvular and athe…

An 87-year-old man with Alzheimer's disease died in a residential aged care facility after ingesting Sotalol, a cardiac medication not prescribed to him. The medication trolley was left unlocked and accessible despite fa…

geriatric medicinegeneral practicemedicationproceduralsotalol
NSW2024-08-22

Inquest into the death of Russell Zaska

33y · Male·hanging

Russell Zaska, a 33-year-old man with a complex mental health history including probable methamphetamine dependence and recurrent drug-induced psychosis, died by hanging in custody at the Metropolitan Remand and Receptio…

psychiatrycorrectional healthsystemdelayolanzapine
QLDcommunity2024-08-21

Inquest into the deaths of Charmaine, Aaleyn, Matilda, Wyatt, and Zaidok McLeod

Female·multiple injuries from motor vehicle collision (for all five deceased)

Charmaine McLeod died by intentionally driving her vehicle into an oncoming truck, killing herself and her four young children (aged 2-6). She had a longstanding history of complex mental health issues (Borderline Person…

psychiatryemergency medicinesystemcommunicationfluvoxamine
NSWhospital2024-08-20

Inquest into the death of Ricky Dougie Hampson

36y · Male·perforated duodenal ulcer

Ricky Douglas Hampson, a 36-year-old First Nations man, presented to Dubbo Base Hospital on 14 August 2021 with sudden onset severe abdominal pain and a reported sensation of something popping in his abdomen. He had two …

emergency medicinegastroenterologydiagnosticcommunicationmorphine
VIChome2024-08-19

Finding into death of Siya Yogin Patel

0y · Female·hyperviscosity-related brain injury secondary to hypernatraemic dehydration

Siya Patel, a 23-day-old neonate, died from hyperviscosity-related brain injury secondary to severe dehydration caused by insufficient breastfeeding. Her family were recent emigrants without Medicare eligibility, creatin…

neonatologygeneral practicediagnosticcommunication
VIChospital2024-08-19

Finding into death of Matilda Ruby Armstrong

1y · Female·viral respiratory tract infection (Parainfluenza and Respiratory Syncytial Virus…

Matilda Armstrong, a 12-month-old previously well child, died from viral respiratory tract infection (Parainfluenza and RSV) complicated by Streptococcus pyogenes sepsis following recent COVID-19 infection. She presented…

emergency medicinepaediatricsdelaysystemparacetamol
VIChospital2024-08-14

Finding into death of Gayle Dianne Ireland

63y · Female·Sepsis with multiorgan failure in the setting of limb cellulitis complicating a …

A 63-year-old woman with multiple comorbidities (obesity, chronic lung disease, obstructive sleep apnoea, prior cerebrovascular disease with hemiparesis) sustained a 4cm laceration to her right shin from a motorised whee…

emergency medicineintensive carediagnosticdelayceftriaxone
QLDhospital2024-08-13

Non-inquest findings into the death of RJH

70y · Female·Heart failure due to paroxysmal atrial fibrillation treated with flecainide card…

A 70-year-old woman with complex cardiac history including heart failure, paroxysmal atrial fibrillation, and coronary atherosclerosis presented with urinary tract infection and atrial fibrillation on Christmas Day 2021.…

cardiologyemergency medicinediagnosticmedicationflecainide
NSWcommunity2024-08-13

Inquest into the death of Brett Walker

37y · Male·multiple gunshot wounds

Brett Walker, 37, was shot by police on 9 July 2022 after a domestic violence incident 23 days post-release from prison. He had long-standing drug addiction and mental health issues including paranoid ideation, particula…

psychiatryaddiction medicinesystemcommunicationcrystal methamphetamine
VIC2024-08-12

Finding into death of Angus Gordon Carruthers Collins

22y · Male·Injuries sustained in a motor vehicle collision (cyclist)

A 22-year-old cyclist, Angus Collins, was killed when struck by a cement mixer truck turning left at an intersection in West Melbourne on 2 February 2023. The collision occurred despite both the cyclist and the turning v…

systemdelay
TAShome2024-08-09

Coroner's Finding: Mansell-Moore, Codie

17y · Male·epileptic seizure complicating idiopathic epilepsy

17-year-old Codie Mansell-Moore died from epileptic seizures on 10 December 2018. An ambulance was called at 6:09am while he was seizing, but paramedics staged around the corner and did not enter his home for 48 minutes …

emergency medicineparamedicinecommunicationsystemlevetiracetam
NSWhome2024-08-09

Inquest into the death of Linus Phillips

65y · Male·Cardiac arrhythmia, probably Torsades de Pointes, due to the combined effects of…

Linus Phillips, age 65, died at home in October 2014 from cardiac arrhythmia (Torsades de Pointes) precipitated by methadone prescribed with inadequate oversight. Mr Phillips had chronic pain from knee surgery, severe sl…

general practiceaddiction medicinediagnosticmedicationmethadone
VIChospital2024-08-08

Finding into death of Alan Edward Stewart

70y · Male·haemoperitoneum and ruptured spleen following colonoscopy

Alan Stewart, aged 70, died from a ruptured spleen about 24 hours after an elective colonoscopy at Royal Melbourne Hospital. The splenic injury resulted from mechanical trauma during the procedure—an extremely rare compl…

gastroenterologyemergency medicinediagnosticcommunication
SA2024-08-08

Coroner's Finding: Howard, Peter Kevin

59y · Male·inhalation of products of combustion and effects of heat

Peter Howard, 59, a 27-year Orora packaging factory employee, died from inhalation of combustion products when his car caught fire outside the Athol Park site on 28 August 2018. After a workplace altercation with colleag…

general practicepsychiatrycommunicationdelay
VIChospital2024-08-08

Finding into death of Mr N

62y · Male·Metastatic small cell lung carcinoma (palliated)

Mr N, a 62-year-old man in custody, died from metastatic small cell lung carcinoma with palliation. He presented with abdominal pain in late May 2022, and was referred for urgent ultrasound and blood tests on 15 June 202…

oncologygeneral medicinedelay
VIChome2024-08-08

Finding into death of Alan Edward Stewart

70y · Male·haemoperitoneum secondary to ruptured spleen following colonoscopy

Alan Edward Stewart, aged 70, died from haemoperitoneum due to splenic rupture following routine colonoscopy at Royal Melbourne Hospital on 15 August 2018. The splenic injury was caused by mechanical trauma from the colo…

gastroenterologyemergency medicinecommunicationsystemparacetamol
NSWcustody2024-08-08

Inquest into the death of Phillip Boney

43y · Male·hanging

Phillip Mitchell Boney, a 43-year-old First Nations man, died by hanging in a correctional centre cell containing an obvious ligature point (exposed metal railings). He was under extended supervision in the community whe…

psychiatrygeneral practicecommunicationsystemmirtazapine

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