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QLD2017-07-11

Hooper, Troy Ronald - Non-inquest findings

24y · Male·Penetrating head injury due to industrial accident involving explosion and eject…

Troy Ronald Hooper, a 24-year-old labourer, died from a penetrating head injury caused by an exploding gas strut during removal of a prototype boat rack at his workplace. The incident occurred because the boat rack was p…

diagnosticprocedural
VICcommunity2017-07-11

Finding into death of Garry Montgomery Theobold

50y · Male·Multiple injuries

Garry Montgomery Theobold, aged 50, died from multiple injuries sustained in a motor vehicle collision on a wet, winding regional road with poor skid resistance. The collision involved his Toyota Prado and an unladen Mac…

forensic medicinedelay
TAS2017-06-30

Coroner's Finding: Monson, Troy Colin; Michael, Robin and Mitchell, Scott Clifford

Unknown·Troy Monson: asphyxia due to partially suspended hanging using seatbelt; Robin M…

This inquest examined three deaths in Tasmanian custody: Troy Monson (asphyxiation in prison van during transport in June 2015), Robin Michael (hanging in prison cell June 2015), and Scott Mitchell (cardiac arrhythmia fr…

psychiatrypsychologydiagnosticsystemolanzapine
WAhome2017-06-29

Inquest into the Death of Ejub MEHINOVIC

50y · Male·coronary artery atherosclerosis causing sudden fatal cardiac arrhythmia

Ejub Mehinovic, a 50-year-old man with treatment-resistant paranoid schizophrenia managed on clozapine, died from coronary artery atherosclerosis causing sudden fatal cardiac arrhythmia. He was under a Community Treatmen…

psychiatrygeneral practicedelayclozapine
NTcommunity2017-06-29

Inquest into the death of John Munkara

44y · Male·coronary artery disease superimposed upon chronic obstructive pulmonary disease …

John Benedict Munkara died at age 44 following cardiac arrest while in police custody after being found at Vestey's Beach. He had suffered severe, chronic alcohol abuse with multiple protective custody episodes. Critical…

emergency medicineparamedicinecommunicationsystemalcohol
VICmental health2017-06-29

Finding into death of Peter James Nolan

75y · Male·Hanging

Peter Nolan, a 75-year-old man with depression, chronic pain, alcohol dependence, and recent suicide attempts, died by hanging in an aged psychiatric mental health unit. He was admitted to Broadmeadows Aged Psychiatric M…

psychiatrygeriatric medicinesystemcommunicationsertraline
SA2017-06-28

Coroner's Finding: MCCONNAL Brenton Winton

47y · Male·gunshot wound of the head (self-inflicted)

A 47-year-old man with delusional disorder was discharged from mental health detention with a firearm prohibition order. He attended a commercial firing range and fatally shot himself. The coroner found his death was pre…

psychiatryforensic medicinesystemcommunicationpaliperidone
QLDhospital2017-06-28

Langley, Archer

0y · Male·Amniotic fluid aspiration (severe); with contribution from thin umbilical cord a…

Archer Langley died at age 1 hour from severe amniotic fluid aspiration following delivery by emergency caesarean section for obstructed labour. His mother's labour was prolonged and difficult, but critical delays occurr…

obstetricsneonatologydiagnosticcommunicationprostin
QLDhospital2017-06-28

Tonkin, Nixon Martin

0y · Male·Head injuries (birth trauma) secondary to obstructed labour and fetal macrosomia…

Nixon Martin Tonkin died from head injuries sustained during caesarean delivery for obstructed labour at 38 weeks gestation. The infant's head became deeply impacted in the maternal pelvis after prolonged second-stage la…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
TAShome2017-06-26

Coroner's Finding: Johnstone, BJay

0y · Male·Traumatic head injury

BJay Adam Johnstone, 45 days old, died from severe traumatic head injury inflicted by his father Simon Johnstone in a household environment. BJay suffered multiple episodes of violence including head trauma, rib fracture…

paediatricsemergency medicinediagnosticsystemcannabis
SAhospital2017-06-22

Coroner's Finding: BAARTSE Leila Marijke

9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma

Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforation was never diagnosed. At a r…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
QLDhospital2017-06-22

Mead, Gwendoline

73y · Female·Multiple organ failure due to or as a consequence of sepsis due to or as a conse…

73-year-old woman died 12 days after elective colorectal surgery for synchronous caecal and rectal tumours. Post-operatively, she developed persistent low urine output and intermittent hypotension managed with repeated f…

colorectal surgerygeneral surgerydiagnosticdelay5-fluorouracil
QLDhospital2017-06-22

PS - Non-inquest findings

68y · Female·Coronary heart disease

A 68-year-old woman with diabetes, hypertension, hypercholesterolaemia, COPD and chronic renal failure presented with chest pain and dyspnoea. She was admitted with suspected congestive cardiac failure; troponins were no…

cardiologyemergency medicinediagnosticcommunicationfurosemide
VIChome2017-06-22

Finding into death of Steven Pimblett

47y · Male·Pneumonia

Steven Pimblett, 47, with mild intellectual disability, died of pneumonia at home. A home care worker noticed significant health deterioration over two months—inability to walk, laboured breathing, swollen feet—and suspe…

general practicepublic healthcommunicationsystem
NSW2017-06-22

Inquest into the death of David BROWNE

28y · Male·Brain death due to large right acute subdural haematoma sustained as a result of…

David Browne died from brain death due to a subdural haematoma sustained during a professional boxing match on 11 September 2015. The coroner found the death was preventable. Critical failures occurred: the referee did n…

emergency medicineneurosurgerydiagnosticcommunication
TAShospital2017-06-20

Coroner's Finding: Crosswell, Wendy

69y · Female·peritonitis due to dislodged percutaneous endoscopic gastrostomy (PEG) tube

A 69-year-old woman with pyelonephritis developed peritonitis and died after a percutaneous endoscopic gastrostomy (PEG) tube became dislodged. The tube dislodgement was suspected on 11 December 2015 when the patient was…

gastroenterologyradiologydiagnosticcommunication
QLDhome2017-06-20

KH - Non-inquest findings

35y · Female·Incised wound to neck

KH, a 35-year-old woman, was killed by her de-facto partner C through severe neck lacerations inflicted with a kitchen knife on 20-21 January 2011. C had an extensive history of violent offences and was subject to a prot…

emergency medicinegeneral practicesystemcommunicationalcohol
TAShospital2017-06-16

Coroner's Finding: Baldock, Andrea Eileen

46y · Female·combined effects of aspiration pneumonia due to gastroparesis following sleeve g…

A 46-year-old woman died from aspiration pneumonia due to gastroparesis following sleeve gastrectomy, complicated by ischaemic heart disease. Post-operative recovery was beset with persistent vomiting, dehydration, and e…

general surgerygastroenterologysystemdelay
WAcommunity2017-06-12

Inquest into the Death of Wendy BEARFOOT

45y · Female·multiple organ failure following thermal injuries (severe burns)

Wendy Bearfoot, a 45-year-old DEC (Department of Environment and Conservation) employee, died from multiple organ failure following severe thermal burns (80% of body) sustained in a bushfire burnover on 12 October 2012. …

emergency medicineplastic and reconstructive surgerycommunicationdiagnostic
QLDaged care2017-06-09

DR - Non-inquest findings

46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)

A 46-year-old woman with bipolar/schizoaffective disorder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden…

general medicineemergency medicinecommunicationsystemquetiapine

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