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NSWhospital2015-07-27

Inquest into the death of Lynette Maree YOUNG

46y · Female·Shock following interferon alpha treatment following removal of a melanoma

Lynette Young, 46, died of shock secondary to pericarditis with cardiac tamponade following interferon alpha treatment for melanoma. She presented with chest pain to Dubbo Base Hospital where multiple clinical failures o…

oncologycardiologydiagnosticcommunicationinterferon alpha
VICcommunity2015-07-24

Finding into death of Jamie Laurence Apap

34y · Male·mixed drug overdose (heroin, methadone, codeine, diazepam, nitrazepam, oxazepam …

34-year-old male with longstanding opioid and benzodiazepine dependence who overdosed following discharge from hospital. He was hospitalized on 22 September 2010 after police-observed overdose with altered consciousness.…

emergency medicinegeneral practicediagnosticsystemheroin
VIC2015-07-21

Finding into death of Philip David Harrison

49y · Male·Multiple injuries sustained after falling from his motorcycle during a race and …

A 49-year-old experienced motorcycle racer died from multiple injuries sustained when he fell from his motorcycle on a wet track and collided with a tyre barrier. His fall was caused by locking his front wheel while brak…

systemprocedural
SAhospital2015-07-17

Coroner's Finding: ASTON Marjorie Irene

86y · Female·right subdural haematoma due to blunt head trauma with contributing excessive wa…

An 86-year-old woman died from subdural haematoma following a minor head injury, complicated by excessive warfarin anticoagulation. She was started on warfarin by a cardiologist on 19 December 2012 for atrial fibrillatio…

cardiologygeneral practicecommunicationsystemwarfarin
WAhospital2015-07-16

Inquest into the Death of James Anthony STANCZYK

31y · Male·ligature compression of the neck (hanging)

A 31-year-old man with depression, suicidal ideation, and recent HIV diagnosis presented to emergency department after suicide attempt (carbon monoxide inhalation and diazepam overdose). Despite psychiatrists identifying…

emergency medicinepsychiatrycommunicationsystemdiazepam
VIChome2015-07-15

Finding into death of Margaret Helen McCall

60y · Female·hanging

Margaret McCall, a 60-year-old woman with chronic regional pain syndrome and longstanding anxiety and depression, died by hanging. She received multiple ketamine infusions for pain management, with cessation of fentanyl …

pain medicinepsychiatrycommunicationsystemketamine
VIChospital2015-07-15

Finding into death of Baby Mabel Windmill

0y · Female·Congenital Streptococcus agalactiae (Group B) pneumonia in the setting of compli…

Baby Mabel Windmill was born in a moribund state following emergency caesarean section after complicated labour and died from congenital Group B streptococcal pneumonia. The inquest identified several suboptimal clinical…

obstetricsanaesthesiadiagnosticmedicationbenzylpenicillin
NSWmental health2015-07-14

Inquest into the death of DA

34y · Male·Neck compression due to hanging

A 34-year-old man with a history of polysubstance abuse, high alcohol intake, and a recent suicide attempt died by hanging six weeks after being admitted to mental health services. Critical clinical lessons: (1) dual dia…

psychiatryemergency medicinediagnosticcommunicationmirtazapine
VIC2015-07-13

Finding into death of Dawn Ruby Edward

72y · Female·Aspiration of gastric contents in a woman with a functional large bowel obstruct…

A 72-year-old woman with chronic schizophrenia, epilepsy, and constipation died from aspiration of gastric contents complicated by functional large bowel obstruction. She became unwell on 16 June 2012 with vague symptoms…

general practiceforensic medicinedelayamisulpride
NSW2015-07-10

Inquest into the death of Tyrone Marley Gilks

19y · Male·chest injuries caused by blunt force trauma suffered in a high speed motorcycle …

Tyrone Gilks, 19, a professional freestyle motocross rider, died from chest injuries after a motorcycle long-distance jump attempt at Maitland Showground. His motorcycle had insufficient speed (111 km/h vs required 114.5…

trauma surgeryintensive caresystemcommunication
VIChospital2015-07-09

Finding into death of Male D

52y · Male·Multiple injuries and immersion leading to hypoxic brain injury and pneumonia

Male D, aged 52, died from multiple injuries and immersion leading to hypoxic brain injury and pneumonia sustained during an assault. The perpetrator, Y, was a patient with schizo-affective disorder admitted involuntaril…

psychiatryemergency medicinediagnosticsystemzuclopenthixol decanoate
QLDhospital2015-07-08

Hamilton, Michael John - Non-inquest findings

72y · Male·Multiple organ failure due to sepsis caused by abdominal adhesions from previous…

Michael Hamilton, 72, presented with acute abdominal pain post-bladder surgery while anticoagulated with warfarin. Initial assessment suspected duodenal perforation based on CT findings; laparotomy was performed but foun…

surgeryintensive carediagnosticsystemwarfarin
VICmental health2015-07-08

Finding into death of David Allan D'Angelo

30y · Male·Heroin toxicity

David D'Angelo, a 30-year-old Aboriginal man with schizophrenia and polysubstance dependence, was admitted to The Alfred Psychiatric Unit involuntarily on 24 March 2010 for psychotic relapse. His symptoms improved rapidl…

psychiatryemergency medicinesystemdelayheroin
NSWcommunity2015-07-02

Inquest into the deaths of Myassar Ayoub, Donald White

multiple deaths: 8 from drowning, 1 from drowning with head injury; 1 from immer…

This inquest examined nine rock fishing deaths in NSW between 2012-2015, all caused by drowning after unexpectedly being swept into the sea or falling into deep water. Most victims were either inexperienced swimmers or u…

emergency medicineforensic medicinesystemdelay
NSWhospital2015-07-02

Inquest into the death of N

69y · Female·Asphyxiation consistent with hanging

A 69-year-old woman admitted to Hornsby Hospital with seizures and subacute encephalopathy developed rapidly fluctuating mental state including anxiety, depression, suicidal ideation, and cognitive impairment. While indi…

neurologypsychiatrydiagnosticcommunicationphenytoin
VIChospital2015-07-01

Finding into death of Robert Charles Avery

86y · Male·Septic shock secondary to urosepsis

Robert Avery, 86, was admitted to Valley Private Hospital for colonoscopy to investigate constipation. After the procedure was cancelled due to respiratory concerns, he was managed with fluid restriction, bowel preparati…

surgerygastroenterologycommunicationsystemmixtard insulin
NSWhomePodcast2015-06-26

Inquest into the death of Tony BUGEJA (n/a,PDF File)

50y · Male·Acute anaphylactic reaction due to wasp sting

Tony Bugeja, a 50-year-old man with severe wasp sting allergy, died from anaphylactic shock after being stung at his home in Wilberforce, NSW. He was alone, used an expired EpiPen that appeared ineffective, and called tr…

emergency medicineallergy and immunologydelaysystemadrenaline
SA2015-06-24

Coroner's Finding: HARDING-ROOTS Jeremy Godfrey

47y · Male·Toxic effects of phosphine gas

Jeremy Harding-Roots died from phosphine gas toxicity after deliberately exposing himself to the pesticide fumigant aluminium phosphide (Fumitoxin) during a siege at his former girlfriend's residence. Key clinical and pr…

psychiatrygeneral practicediagnosticsystemoxazepam
QLDhome2015-06-19

Sweeney, Michael Shawn

42y · Male·Gunshot wound to the head

Michael Sweeney, aged 42, died from a self-inflicted gunshot wound to the head on 8 February 2013 while on parole. He attended his ex-partner's home in violation of a Domestic Violence Order to see their infant son. Afte…

psychiatrygeneral practicedelaymethamphetamine
WAhome2015-06-18

Inquest into the Death of MKP

15y · Female·Seizure Disorder in association with Long Standing Hypoxic Ischaemic Encephalopa…

MKP was a 15-year-old girl with severe cerebral palsy (GMFCS level 5) and long-standing hypoxic-ischaemic encephalopathy who died from a seizure disorder in her foster home on 26 December 2011. She had progressive respir…

neurologypaediatricsdelaydiazepam

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