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VIChospital2014-11-26

Finding into death of Daniel Colin McKittrick

25y · Male·Multiple injuries sustained in a fall from a height

Daniel McKittrick, a 25-year-old man with depression, anxiety and recent-onset psychosis, died by suicide on 12 June 2012 after jumping from an eight-storey carpark while Victoria Police negotiators were present. He pres…

psychiatryemergency medicinecommunicationsystemolanzapine
VIChospital2014-11-26

Finding into death of Ming Shan Yuan

88y · Male·Tuberculous pneumonia in the setting of multiple rib fractures, osteoporosis and…

Ming Shan Yuan, an 88-year-old man with osteoporosis and cachexia, died from tuberculosis pneumonia precipitated by multiple rib fractures. He suffered elder abuse and neglect by his primary carer daughter over months be…

emergency medicinegeriatric medicinediagnosticdelayantibiotics
VICaged care2014-11-20

Finding into death of Gerald Quinane

82y · Male·bronchopneumonia

Gerald Quinane, an 82-year-old man with intellectual disability living in state-managed residential care, died from bronchopneumonia. He presented with respiratory symptoms and was taken to hospital on 1 March 2014, trea…

general practiceemergency medicinecommunicationdelay
NSWhome2014-11-20

Inquests into the death MB and KB

Unknown·Sudden Infant Death Syndrome Category II (for both MB and KB)

Two infant deaths in the same family from unsafe sleeping environments: MB (9 months) died in 2006 on a lounge with parents, categorised as SIDS Category II; KB (24 days) died in 2013 co-sleeping on a lounge with her mot…

paediatricspathologysystemdelay
VIChospital2014-11-19

Finding into death of Noah Philip James Sheekey

3y · Male·Escherichia Coli sepsis in a low birth weight infant

Noah Sheekey, a small-for-gestational-age neonate, died of E. coli sepsis at 3 days old, one day after discharge from hospital. Although his initial condition was reassuring, he was managed on the postnatal ward rather t…

neonatologypaediatricscommunicationsystemcefalexin
NSWhospital2014-11-19

Inquests into the death of Luke WOOD

35y · Male·intraperitoneal haemorrhage from an anastomotic leak from a transplanted renal a…

Luke Wood, a 35-year-old kidney transplant recipient, died 11 days post-transplant from intraperitoneal haemorrhage due to anastomotic leak from the transplanted renal artery. While post-operative inpatient care and init…

transplant medicinenephrologycommunicationsystemlymphocyte immune globulin, anti-thymocyte globulin
VIChospital2014-11-17

Finding into death of Allan Phipps

76y · Male·exsanguination secondary to pulmonary aortic fistula and thoracic aorta aneurysm…

Allan Phipps was a 76-year-old man with a known thoracic aortic aneurysm and severe depression admitted to Austin Hospital in October 2012 for unstable angina and depression management. His aneurysm, discovered in March …

vascular surgerycardiologysystemdelayquetiapine
SAhospital2014-11-14

Coroner's Finding: KEY George Darcy

0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…

George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractions and delayed obstetric intervention. The infant was de…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
VIChome2014-11-11

Finding into death of Tamara Ann Burt

32y · Female·Alcoholic ketoacidosis

Tamara Burt, 32, died of alcoholic ketoacidosis after isolating in her room and drinking excessively. She had bipolar affective disorder, alcohol dependence disorder, and borderline personality disorder traits. Despite o…

psychiatryaddiction medicinesystemcommunicationquetiapine
NTcommunity2014-11-03

Inquest into the death of Dion Daniels

24y · Male·Coronary artery thrombosis secondary to coronary atherosclerosis

A 24-year-old Aboriginal man collapsed during football in extreme heat and presented to a rural clinic with dizziness, chest pain, shortness of breath and sweating. The nurse diagnosed dehydration and administered IV flu…

cardiologyemergency medicinediagnosticcommunication
VIC2014-10-27

Finding into death of Kyle William Vassil

12y · Male·Unascertained in the setting of immersion; involuntary inhalation of water after…

Kyle Vassil, a 12-year-old competent swimmer, died by submersion in a cold, murky dam at a school camp. After 4-5 minutes of swimming, Kyle experienced acute difficulty, likely related to panic, anxiety, possible asthma,…

general practicecardiologysystemcommunication
VIChome2014-10-19

Finding into death of Hayley

2y · Female·head injury

Hayley, aged 2, died from severe head injuries sustained on 7-8 July 2009 at her home in St Arnaud, Victoria. She presented to childcare in the weeks before her death with unexplained bruising and injuries to her face an…

paediatricsforensic medicinediagnosticcommunication
VIC2014-10-15

Finding into death of Benjamin Elijah Mills

31y · Male·Hanging

Benjamin Mills, a 31-year-old prisoner with depression receiving psychological support, died by hanging in his cell at Barwon Prison. Despite ongoing mental health treatment and plans for transfer to a safer unit, he was…

psychiatrypsychologysystemdelay
NT2014-10-14

Inquest into the death of Richard Baird

8y · Male·hypoxic brain injury and multi-organ failure from drowning

Richard John Obrey Baird, an 8-year-old Aboriginal boy, drowned on 19 January 2014 after becoming trapped in a stormwater drain system in Palmerston, NT during heavy monsoonal rain. He entered an unsecured drain with fri…

intensive careemergency medicinesystemdelay
VIChome2014-10-14

Finding into death of Lauren Kayley Harris

3y · Female·Drowning

Lauren Harris, aged 3 years, drowned in a non-compliant backyard swimming pool in September 2008 after gaining access to the pool enclosure while unsupervised. The pool barrier failed to meet Australian Standards due to …

systemdelay
WAhospital2014-10-09

Inquest into the Death of Tamar Jemima Sabbath Stitt

10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …

Tamar, a 10-year-old girl diagnosed with advanced metastatic hepatoblastoma in August 2009, died from septic shock and multiorgan failure in El Salvador on 12 November 2009. Her treating oncologist Dr A. at Princess Marg…

oncologygeneral practicediagnosticcommunication
VICmental health2014-10-07

Finding into death of Warren Guneratne

25y · Male·consistent with drowning in a man with multiple injuries

Warren Guneratne, a 25-year-old man with paranoid schizophrenia, was admitted involuntarily to the psychiatric unit of Royal Melbourne Hospital on 28 January 2008 after assessment by the Crisis Assessment and Treatment T…

psychiatryemergency medicinecommunicationsystemclozapine
VIC2014-10-07

Finding into death of Darren Carr Hannah

41y · Male·Upper airway obstruction from ingestion of dirt in an intellectually impaired ma…

Darren Hannah, a 41-year-old man with severe intellectual disability, autism, partial blindness and longstanding pica disorder, died from upper airway obstruction after ingesting large quantities of dirt in the backyard …

general practicepsychiatrysystemsupervisiondiazepam
VIC2014-10-02

Finding into death of David Robert Judge McVea

63y · Male·Multiple injuries (motor vehicle impact—passenger)

David McVea, an Irish visitor, died from multiple injuries sustained as a passenger in a motor vehicle collision on the Maroondah Highway near Coldstream, Victoria on 21 February 2007. A Toyota utility driven by Jason Lo…

systemdelay
NSW2014-09-29

Inquest into the death of Richard SAJKO

21y · Male·undetermined - coroner unable to determine place, manner or cause of death

Richard Sajko, a 21-year-old car detailer, disappeared on 13 May 1995 after finishing his shift at AVIS, Mascot. He was last seen leaving work at midnight in his red Commodore with an unknown passenger. His abandoned car…

systemdelay

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