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TASaged care2016-09-01

Coroner's Finding: Westcott, Barbara

84y · Female·Positional asphyxia due to head and neck entrapment between mattress and bed pol…

Barbara Westcott, aged 84, died of positional asphyxia on 31 March 2012 when her head and neck became trapped between her mattress and a bed pole at Vaucluse Gardens aged care facility in Hobart, Tasmania. The bed pole, …

geriatric medicinegeneral practicesystemdelay
NThospital2016-09-01

Inquest into the death of Kerry James Murphy

73y · Male·Acute subdural haematoma

Kerry James Murphy, 73, died from acute subdural haematoma following a fall in Royal Darwin Hospital's overcrowded Emergency Department. He was admitted with pneumonia, NSTEMI, and dizziness—significant fall risk factors…

emergency medicinecardiologysystemcommunicationblood thinners
VIChospital2016-08-31

Finding into death of Nathan Dimech

17y · Male·Global cerebral ischaemic injury and aspiration pneumonia post cardiac arrest du…

Nathan Dimech, a 17-year-old with intellectual disability and substance abuse issues, died from methadone toxicity after consuming his father's opioid replacement therapy (ORT) dose from a refrigerator. Nathan's father, …

general practicepharmacycommunicationsystemmethadone
NSWcommunity2016-08-26

Inquest into the death of Stacy Lee HUTCHINS

25y · Female·head injury sustained when she fell from a moving truck

Stacey Lee Hutchins, 25 years old, died from severe head injuries sustained when she fell from a moving truck driven by her former partner, Dean Willett, on 5 June 2007. The death followed her abduction at knifepoint by …

communicationsystem
WAcommunityPodcast2016-08-22

Inquest into the Death of Ewan Louis WILLIAMSON

14y · Male·severe heatstroke complicating a recent viral illness with focal myocarditis

A 14-year-old boy from Scotland died of severe heatstroke with myocarditis while hiking in extreme heat (40°C+) at Cape Range National Park. He had recently recovered from a viral illness. His father made navigation erro…

emergency medicineparamedicinecommunicationdelay
VIChospital2016-08-22

Finding into death of Alison Rae Wolinski

36y · Female·Hanging

A 36-year-old woman with borderline personality disorder and alcohol use disorder died by hanging approximately one month after discharge from St Vincent's Hospital. She had been admitted involuntarily following threats …

psychiatryemergency medicinecommunicationsystemvenlafaxine
WA2016-08-19

Inquest into the Death of Sara-Lee DAVEY

21y · Female·unascertained

This coroner's inquest examined the 1997 disappearance and presumed death of Sara-Lee Davey, a 21-year-old Aboriginal woman from One-Arm Point, Western Australia. She was last seen on 14 January 1997 at Broome Wharf afte…

diagnosticdelay
SAaged care2016-08-19

Coroner's Finding: CLAYTON James Edmund

59y · Male·ischaemic heart disease due to coronary atherosclerosis; acute myocardial infarc…

A 59-year-old man with ischaemic heart disease, paranoid schizophrenia, unstable type 2 diabetes, peripheral vascular disease and chronic renal failure died of acute myocardial infarction while residing in aged care. He …

cardiologypsychiatrydiagnosticdelay
QLDhospital2016-08-19

Plumb, Mark Anthony

76y · Male·Multiple organ failure due to sepsis with peritonitis and pancreatitis, secondar…

A 76-year-old man died from multiple organ failure following an ERCP procedure for gallstone removal. The procedure itself was appropriate and uneventful. Post-operatively, he developed severe abdominal pain and a CT sca…

surgeryanaesthesiadiagnosticcommunicationmorphine
VIChospital2016-08-19

Finding into death of Margaret Smith

91y · Female·Unascertained

Margaret Smith, a 91-year-old admitted with head strike from fall, developed moderate depression during her stay and received electroconvulsive therapy (ECT) as a compulsory patient. On 5 March 2015, she developed epigas…

psychiatrygeriatric medicinediagnosticdelaylithium
VICcommunity2016-08-18

Finding into death of Paul Daniel Rayudu

22y · Male·hypoxic ischaemic encephalopathy in the setting of immersion (drowning)

Paul, a 22-year-old with limited swimming experience, drowned at WaterMarc public pool on 2 February 2014 in a crowded busy period. The 50-metre pool was being divided by a movable boom, which two lifeguards were returni…

communicationsystem
TASmental health2016-08-16

Coroner's Finding: Pasinski, Alexander

59y · Male·asphyxia due to choking on food

Alexander Pasinski, age 59, died from asphyxia due to choking while an involuntary psychiatric patient in Launceston General Hospital's Northside unit. He had major depression and paranoid schizophrenia with complex psyc…

psychiatryintensive caresystemcommunicationamitriptyline
NSWcommunity2016-08-11

Inquest into the death of Afif Fakhouri

37y · Male·Combination of methylamphetamine toxicity and restraint leading to physiological…

A 37-year-old man died after being physically removed and restrained by NSW TrainLink staff at Cootamundra Station. He was displaying erratic, agitated behaviour consistent with methylamphetamine intoxication and possibl…

emergency medicineforensic medicineproceduralcommunicationmethamphetamine
ACTaged care2016-08-10

AN INQUEST INTO THE DEATH OFCHARLES ROWAN McCULLOCH

94y · Male·blunt head and neck trauma with associated haemorrhage; neck trauma included fra…

Charles Rowan McCulloch, aged 94, died from blunt head and neck trauma sustained in an assault by another dementia resident in Jindalee Aged Care Residence, ACT. He was admitted on 20 January 2012 and found deceased on 2…

geriatric medicineemergency medicinediagnosticcommunicationrisperidone
QLDhospital2016-08-04

Clarke, David Michael

56y · Male·intra-abdominal haemorrhage due to splenic rupture due to blunt force injury to …

David Michael Clarke, aged 56, died from intra-abdominal haemorrhage due to splenic rupture following blunt force injury to his back. The fatal injury occurred after he was kicked by Jeffrey Zinn during a violent alterca…

emergency medicineintensive caresystemdelay
SAhospital2016-08-03

Coroner's Finding: LAMBROPOULOS Andrea

34y · Male·hypoxic-ischaemic encephalopathy following laparoscopic bariatric surgery with i…

Andrea Lambropoulos, a 34-year-old man with morbid obesity, sleep apnoea, and ischaemic heart disease, died following sleeve gastrectomy. He was admitted to HDU rather than ICU post-operatively. In HDU, he experienced re…

bariatric surgeryanaesthesiacommunicationdelaymorphine
VIChome2016-08-02

Finding into death of Stephen Liat Kai Lim

56y · Male·Benzalkonium chloride toxicity

Stephen Lim, aged 56, died from benzalkonium chloride toxicity after deliberately ingesting approximately 2.5 litres of Pine-O-Cleen disinfectant on 25 September 2010. His death occurred from acute lung injury due to asp…

emergency medicinetoxicologycommunicationsystembenzalkonium chloride
TAShome2016-08-01

Coroner's Finding: Reardon, Jean May

86y · Female·Multiple organ failure following sepsis due to infected pressure ulcer of the hi…

Jean May Reardon, an 86-year-old widow living at home with limited mobility, required care from her adult children. Following an influenza illness, she developed multiple pressure ulcers within 7-10 days, particularly on…

general medicinegeriatric medicinedelaysystem
TAS2016-07-25

Coroner's Finding: Kupsch, Jessica Ann

29y · Female·Multiple severe blunt traumatic injuries to the face, neck and head

Jessica Ann Kupsch, aged 29, was murdered by her partner Matthew Tunks at the Penny Royal Hotel in Launceston on 9 August 2012 after years of severe family violence. Despite a non-contact family violence order preventing…

systemdelay
WAhome2016-07-21

Inquest into the Deaths of Heather GLENDINNING and Jessica Rose CUZENS and Jane Lesley margaret CUZENS

46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…

This tragic case involved a mother with severe untreated psychosis who killed her two daughters and then herself. Ms Glendinning had a longstanding history of paranoid delusions, cannabis use, and mental health difficult…

psychiatrypsychologycommunicationsystemcannabis

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