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VIChospital2021-12-13

Finding into death of Baby A

1y · Male·Global cerebral ischaemic injury following cardiorespiratory arrest of unknown c…

A 22-month-old boy died from global cerebral ischaemic injury following cardiorespiratory arrest of unknown cause in the setting of detected methylamphetamine exposure. He had multiple healing traumatic injuries (rib fra…

paediatricsemergency medicinesystemcommunicationmethamphetamine
VIChospitalPodcast2021-12-10

Finding into death of Peta Hickey

43y · Female·Multisystem organ failure and hypoxic/ischaemic encephalopathy following anaphyl…

Peta Hickey, a 43-year-old company executive with no cardiac history, died from anaphylaxis to CT coronary angiogram contrast after her employer commissioned an inappropriate screening program. The referral lacked clinic…

radiologyemergency medicinediagnosticmedicationomnipaque 350 contrast dye
NSW2021-12-09

Inquest into the death of Yohan WEPITIYA-GAMAGE

19y · Male·Hanging

Yohan Wepitiya-Gamage, a 19-year-old male remand prisoner with a history of psychosis and substance use, died by hanging in his cell at the Metropolitan Special Programs Centre in January 2016. Critical clinical lessons …

psychiatryemergency medicineadministrativecommunicationrisperidone
VICcommunity2021-12-08

Finding into death of Max Edward Loweke

63y · Male·Drowning

Max Edward Loweke, aged 63, drowned after his car was washed off Delatite Road at Whiteheads Creek Ford during flooding on 4 January 2016. The coroner found that while drowning was the medical cause, the death was likely…

systemcommunication
QLD2021-11-30

Williams, Craig Leeton

45y · Male·Recurrence of ventricular fibrillation due to Brugada Syndrome

Craig Williams, 45, suffered an out-of-hospital cardiac arrest in 2015 due to presumptive Brugada Syndrome. He survived with severe hypoxic brain injury and spent 10 months rehabilitating at Cairns Hospital, where he was…

cardiologyrehabilitation medicinecommunicationsystemamitriptyline
WAhospital2021-11-29

Inquest into the Death of Miss T (Name Subject to Suppression Order)

16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…

A 16-year-old Aboriginal girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdominal pa…

emergency medicinegeneral practicediagnosticsystemcannabis
VICcommunity2021-11-29

Finding into death of Felicity Ruth Loveday

83y · Female·unascertained

Felicity Ruth Loveday, aged 83, disappeared and is presumed deceased after setting sail from Port Phillip Bay on 11 December 2019 with her son. Ms Loveday had significant medical and cognitive vulnerabilities including s…

general practicegeriatric medicinesystemdelay
NThome2021-11-25

Inquest into the death of Sammy

9y · Female·suicide by hanging

A 9-year-old Aboriginal girl died by suicide while in out-of-home care. She had been removed from her Aboriginal parents at 10 months of age and placed with non-Aboriginal carers despite legislation requiring Aboriginal …

paediatricspsychiatrysystemdelaymethylphenidate
NThomePodcast2021-11-24

Inquest into the death of Brody Wauchope-Dirdi

11y · Male·Combined effects of electrical shock and jack-knife body position

Brody Roy Wauchope-Dirdi, an 11-year-old boy, died from electrical shock combined with positional asphyxia after contacting a metal roof live with 240 volts in a remote Aboriginal community. The roof became electrified d…

systemprocedural
VIChome2021-11-20

Finding into death of Mark Leslie Missen

56y · Male·Multiple blunt force trauma to the head and neck

This finding concerns the homicide of Mark Leslie Missen (56 years old) by his son Nathan in January 2016 following a family violence incident. The autopsy revealed death from multiple blunt force trauma to the head and …

systemcommunicationmethamphetamine
NSWcommunity2021-11-19

Inquest into the death of Huy Neng Ngo

57y · Male·penetrating injury to the neck sustained from a piece of metal propelled from a …

Mr Huy Neng Ngo, age 57, died on 13 July 2017 from a penetrating neck injury caused by a metal fragment propelled from a defective Takata airbag that ruptured during a minor motor vehicle collision. The vehicle's driver-…

communicationsystem
NSWprison2021-11-19

Inquest into the death of Danny Whitton

25y · Male·Multiple organ failure due to acute paracetamol poisoning

Danny Whitton, a 25-year-old Aboriginal prisoner at Junee Correctional Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November 2015 with vomiting …

emergency medicinetoxicologydiagnosticcommunicationparacetamol
VICcommunity2021-11-11

Finding into death of Eden Herbert-Allan

33y · Male·Head injuries sustained in motor vehicle (tree fell on vehicle)

Eden Herbert-Allan, a 33-year-old man, died from head injuries when a tree fell on his vehicle on Warburton Highway. The tree had likely been compromised by water main replacement works (pipe cracking method) undertaken …

systemdelaymethamphetamine
NThome2021-11-09

Inquest into the death of Holly Davidson

38y · Female·Subdural haemorrhage in the context of chronic alcoholism due to post-traumatic …

Holly Anne Davidson, a 38-year-old police officer, died from a subdural haemorrhage sustained 3-5 days before her death. She had been in a coercive, controlling, and violent relationship with her police officer partner f…

emergency medicinepsychiatrydiagnosticsystemparacetamol/codeine/doxylamine
NSWhospital2021-11-09

Inquest into the death of Caitlin CRUZ

3y · Female·complications of Influenza B viral infection

Three-year-old Caitlin Cruz presented to a medical centre unwell and collapsed, requiring resuscitation. She was transferred by ambulance to Children's Hospital at Westmead but critical information about her collapse and…

emergency medicinepaediatricscommunicationdiagnosticmidazolam
TASaged care2021-11-04

Coroner's Finding: Rosendale, Dwayne Edward

36y · Male·Complications of morbid obesity, including cardiac enlargement, aspiration of ga…

A 36-year-old man with treatment-resistant schizophrenia and Capgras syndrome died from complications of morbid obesity (183.5 kg, BMI 45.3). He was discharged from hospital on 14 January 2019 after admission for respira…

psychiatrygeneral medicinesystemdelayzuclopenthixol
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

Theo Papageorgiou, a 27-year-old man with a history of psychotic and manic symptoms since November 2014, was briefly detained under a mental health order in November 2015 but discharged after only six days despite contin…

psychiatrygeneral practicediagnosticcommunicationolanzapine
WAprison2021-11-01

Inquest into the Death of Joseph Thomas ROE

50y · Male·subarachnoid and intracerebral haemorrhage in association with a ruptured berry …

Joseph Thomas Roe, age 50, died from a ruptured berry aneurysm causing subarachnoid and intracerebral haemorrhage. He was a prisoner at Casuarina Prison when he called for medical assistance on the night of 17-18 Septemb…

emergency medicineneurosurgerycommunicationsystem
QLDhospital2021-11-01

Masoumali, Omid

24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns

Omid Masoumali, a 24-year-old Iranian refugee detained on Nauru under Australian offshore processing arrangements, suffered severe thermal burns (>50% TBSA) on 27 April 2016 after self-immolating at the Nibok settlement.…

plastic and reconstructive surgeryintensive carecommunicationsystem
VIChospital2021-10-29

Finding into death of John Crabtree

69y · Male·Myocardial infarction secondary to coronary artery atherosclerosis in the settin…

Mr Crabtree, a 69-year-old man with intellectual disability, COPD, emphysema and heavy smoking history, presented to the ED with respiratory distress on 26 May 2016. He was diagnosed with infective exacerbation of COPD a…

emergency medicinegeneral practicediagnosticdelayamoxicillin/clavulanate

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