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QLDPodcast2020-06-30

Ayliffe-Chung, Mia Mishka Annie and; Jackson, Thomas Leslie - Non-inquest findings

Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain

Two young UK backpackers, Mia Ayliffe-Chung (20) and Thomas Jackson (30), were fatally stabbed at a Queensland hostel on 23 August 2016 by a French backpacker, Smail Ayad, who was psychotic and cannabis-intoxicated. Ayad…

psychiatryemergency medicinesystemcommunicationcannabis
QLDmental health2020-06-29

Rangi, Taare Tamakehu

44y · Male·Cardiac arrhythmia during physical restraint

Taare Rangi, a 44-year-old man with bipolar affective disorder, died from cardiac arrhythmia during physical restraint in a mental health unit. Critical failures occurred at multiple levels: (1) the decision to acutely s…

psychiatryemergency medicinediagnosticprocedurallorazepam
VIChospital2020-06-29

Finding into death of Baby AA

0y · Female·Disseminated Herpes Simplex Virus (HSV 1)

An 11-day-old neonate died from disseminated HSV-1 infection acquired perinatally. She presented with sepsis-like symptoms including lethargy, poor feeding, fever and respiratory signs. Clinical management was appropriat…

neonatologypaediatricsdiagnosticcommunicationbenzyl penicillin
QLDcommunityPodcast2020-06-26

Nyholt, Nicole Sonia and Clark, Margaret Louisa

Female·Burns due to gas explosion due to motor vehicle collision with building

A 60-year-old man with a long-standing history of seizures experienced an epileptic seizure while driving and lost control of his vehicle. It collided with an LPG gas cylinder outside a café, triggering an explosion that…

emergency medicineneurologycommunicationsystem
NSWcommunity2020-06-25

Inquest into the disappearance and suspected death of Bennett DOMINICK

41y · Male·unable to determine

Bennett Dominick disappeared on 10 January 2015 from the remote Coocoran Opal Fields near Lightning Ridge, NSW. The inquest found he was deceased but could not determine the cause or manner of death. Critical systemic fa…

systemdelaycannabis
NSWhome2020-06-05

Inquest into the death of BG

30y · Male·neck compression from ligature strangulation and possible suspension (hanging)

BG, a 30-year-old Nepalese national in Australia, died by intentional neck compression on 11–12 January 2018. He had previously caused the death of Amelia Blake on 9 January 2018. BG was experiencing multiple severe stre…

psychiatryemergency medicinedelay
WAcommunity2020-06-02

Inquest into the Suspected Death of Christen Lee FOGARTY

22y · Male·Unknown - Open Finding

Christen Lee Fogarty, a 22-year-old man with undiagnosed intellectual disability (cognitive capacity of approximately 12 years old), disappeared from his family home in Newman, Western Australia on 25 July 2002. He had r…

delay
QLDhome2020-06-02

Lee, Mason Jet

1y · Male·Abdominal injuries (perforation of small bowel and mesentery with peritonitis pr…

Mason Lee, aged 22 months, died on 11 June 2016 from abdominal injuries inflicted by his mother's partner, William O'Sullivan, combined with severe neglect. Mason was admitted to hospital in February 2016 with severe per…

paediatricsinfectious diseasesdiagnosticsystemmethamphetamine
NSWhome2020-06-01

Inquest into the death of A P

2y · Female·drowning

A 2-year-old child died by drowning at her home in September 2016. Her mother was suffering from acute psychosis and had stopped taking antipsychotic medication days before the death. Critical failures occurred: the chil…

general practicepsychiatrycommunicationsystemtriflouperazine
VIChome2020-05-29

Finding into death of Ronald John Wood

68y · Male·Pulmonary thromboembolus secondary to deep vein thrombosis

Ronald Wood, a 68-year-old with complex medical history including prior pulmonary emboli, was treated for rectal cancer requiring chemotherapy and major surgery. Warfarin anticoagulation was appropriately ceased due to b…

colorectal surgerygastroenterologycommunicationsystemwarfarin
SAhome2020-05-28

Coroner's Finding: WHITE Jeffrey Thomas

35y · Male·heroin toxicity

Jeffrey Thomas White, 35, died from heroin toxicity while on home detention bail. He had a 13-year history of polysubstance abuse including heroin, amphetamines, and methamphetamine. Three days before death, he contacted…

addiction medicinegeneral practicedelayheroin
WAcommunity2020-05-27

Inquest into the Suspected Death of Edward John GIBBARD

51y · Male·Undetermined - Open Finding

Edward John Gibbard, a 51-year-old British merchant seaman, disappeared on the night of 23 December 1976 after leaving Lake Argyle Inn in Western Australia's Kimberley region to drive to Kununurra for a flight to Perth. …

communicationdelay
VIChospital2020-05-27

Finding into death of Ms T

46y · Female·Hanging

A 46-year-old woman with a history of depression, anxiety, and alcohol dependence died by hanging. She was transported to Box Hill Hospital on 27 January 2016 under Mental Health Act section 351 following suicidal ideati…

emergency medicinepsychiatrycommunicationsystemalcohol
WAhospital2020-05-26

Inquest into the Death of Nualla Christine REILLY

74y · Female·Multiple injuries sustained when struck by train

A 74-year-old woman with borderline personality disorder, depression, anxiety and type 2 diabetes died by suicide after absconding from Fiona Stanley Hospital Emergency Department. She had been on extended psychiatric ad…

psychiatryemergency medicinecommunicationsystemamitriptyline
WAcommunity2020-05-26

Inquest into the Suspected Death of Fred JACKAMORA

54y · Male·Open finding - manner and cause undetermined

Fred Jackamora, an Aboriginal man in his mid-50s, disappeared from Kalumburu Mission on 9 November 1983 while attempting to walk approximately 350 kilometres to Mount Elizabeth Station to visit relatives. He was last see…

delay
QLDhome2020-05-26

Mr M - Non-inquest findings

50y · Male·Stab wounds to chest and upper left limb

A 50-year-old man was stabbed to death by his partner's ex-partner, Mr F, in a premeditated attack at his home on 6 April 2015. The deceased and his partner had reported multiple threats and breaches of domestic violence…

diagnosticcommunication
QLD2020-05-22

McGuire, Paul Thomas

Male·Asphyxia, caused by the inhalation of severely oxygen-depleted air

Paul McGuire, an experienced mine electrician, died from asphyxiation after opening a partially sealed hatch door to a GOAF (worked-out coal area) containing severely oxygen-depleted air. The critical failure was the min…

systemcommunication
NSWcommunity2020-05-22

Inquest into the death of Brooke CARROLL

18y · Female·Multiple injuries to the head, thorax and limbs (fractures to skull, left clavic…

Brooke Carroll, 18, died in a motor vehicle collision on the Mitchell Highway near Dubbo when the vehicle she was a passenger in struck a telegraph pole. The driver, Scott Thompson, was affected by methamphetamine and tr…

communicationsystemmethamphetamine
SAhome2020-05-15

Coroner's Finding: TRINH Crystal

2y · Female·global cerebral hypoxia due to drowning

Crystal Trinh, 19 months old, drowned in her aunt's home swimming pool on 11 January 2016 after entering through non-compliant double gates left open. A Salisbury Council inspector had identified the gates as non-complia…

systemcommunication
VIChospital2020-05-12

Finding into death of Richard Mark Ray

49y · Male·Complications of Influenza A infection

Richard Mark Ray, a 49-year-old prisoner, died from complications of Influenza A infection after deteriorating rapidly from initial viral symptoms. He presented on 18 March 2019 with fever, body aches and cough, treated …

infectious diseasesintensive caredelayparacetamol

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