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QLD2014-06-05

Bennett, Scott Anthony

46y · Male·Hypovolaemic shock due to haemothorax and pneumothorax due to multiple rib fract…

A 46-year-old man died when his 4WD towing a caravan collided head-on with a jack-knifing road train on wet roads near Jondaryan, Queensland. The road train driver braked heavily due to traffic buildup at an intersection…

systemdelay
TAScommunity2014-05-23

Coroner's Finding: Wagg, Christopher

52y · Male·Hypoxic/ischaemic brain damage due to mechanical asphyxia and neck compression f…

Christopher Wagg, a 52-year-old diesel fitter, died from hypoxic-ischaemic brain damage caused by crush injuries when trapped between an elevated work platform (EWP) basket and overhead structural beam on 3 August 2009. …

diagnosticprocedural
NSWaged care2014-05-23

Inquest into the death of Beryl Joyce WATSON

70y · Female·Aspiration pneumonia, associated with Huntington's disease

Beryl Watson, a severely disabled 70-year-old with advanced Huntington's disease and dementia, died of aspiration pneumonia following a three-week respite stay at a BUPA aged care facility. Critical failures included: om…

geriatric medicinegeneral practicemedicationcommunicationclonazepam
VIChospital2014-05-20

Finding into death of Angela Therese Thompson

51y · Female·Aspiration pneumonia in a woman with Down syndrome and Alzheimer's dementia

Angela Thompson, a 51-year-old woman with Down syndrome and early-onset Alzheimer's dementia, died from aspiration pneumonia following a shoulder fracture. She was in DHS supported residential care when she suffered freq…

general practicepsychiatrysystemcommunicationescitalopram
VIChospital2014-05-20

Finding into death of Rae Lynn Lukies

57y · Female·Aspiration pneumonia in a woman with cerebral palsy

A 57-year-old woman with severe cerebral palsy, intellectual disability, epilepsy, and a history of aspiration pneumonia died from aspiration pneumonia. She presented to hospital with upper respiratory symptoms initially…

general practiceemergency medicinedelaycefalexin
VIChome2014-05-15

Finding into death of Georgia Susan Cheal

31y · Female·Pneumonia; combined drug toxicity (including marijuana), smoking, pathological o…

Georgia Cheal, a 31-year-old with complex medical history including chronic pain, major depression, and obesity, died from pneumonia exacerbated by combined drug toxicity from multiple prescription medications, cannabis,…

general practicepsychiatrycommunicationsystemoxycodone
VICaged care2014-05-14

Finding into death of Norma Alice Bensley

92y · Female·Ischaemic heart disease in the setting of inappropriate administration of antihy…

Norma Bensley, a 92-year-old aged care resident, died from ischaemic heart disease after being inadvertently administered another resident's antihypertensive medications. A newly qualified nurse administered the wrong me…

geriatric medicinegeneral practicemedicationsystemantihypertensive medications
VIChospital2014-05-14

Finding into death of Palma Castro

26y · Female·compression of the neck consequent upon hanging

Palma Castro, a 26-year-old woman with adjustment disorder and benzodiazepine dependence, died by hanging after two Emergency Department presentations within 5 hours on 17-18 February 2011. She presented following a suic…

psychiatryemergency medicinecommunicationdocumentationalprazolam
NSWhospital2014-05-09

Inquest into the death of Brendan BURNS

24y · Male·acute hydrocephalus due to undiagnosed colloid cyst of the third ventricle of th…

Brendan Burns, 24, died from acute hydrocephalus caused by an undiagnosed colloid cyst of the third ventricle. He presented with progressive severe occipital headaches, dizziness, blurred vision, nausea and vomiting over…

emergency medicineneurosurgerydiagnosticcommunicationmorphine
NSWaged care2014-05-02

Inquest into the death of Leslie ARMSTRONG

84y · Male·Multiple blunt force injuries sustained from fall from balcony

An 84-year-old man died from blunt force injuries sustained when he fell from a second-floor balcony at an aged care facility. Investigation revealed the balcony railings had failed due to wood rot and structural deterio…

systemdelayvenlafaxine
NSWcommunity2014-05-01

Inquest into the death of Elijah HOLCOMBE

24y · Male·Gunshot wound to the chest inflicted by Senior Constable Rich of New South Wales…

Elijah Holcombe, aged 24, died from a gunshot wound inflicted by Senior Constable Rich during a police encounter in Armidale. Elijah had mental health issues and was being assessed at hospital when he left voluntarily be…

psychiatryemergency medicinecommunicationsystem
VICcommunity2014-04-24

Finding into death of Mark Bethell

32y · Male·Valproic Acid Overdose

Mark Bethell, a 32-year-old with bipolar affective disorder and borderline personality disorder, died from valproic acid overdose at a crisis accommodation facility. He was admitted to John Cade Psychiatric Unit followin…

psychiatryemergency medicinediagnosticcommunicationsodium valproate
VIChospital2014-04-24

Finding into death of Stacey Jade Smith

20y · Female·Multiple injuries sustained when struck by train at Lalor Railway Station

Stacey Smith, aged 20, with complex psychiatric illness and suicidal ideation was transferred to Northern Hospital ED following confirmed overdose of 40-50 Valium tablets and explicit threats to throw herself in front of…

emergency medicinepsychiatrycommunicationsystemdiazepam
VIChospital2014-04-17

Finding into death of Gail Fergusson

65y · Female·Liver failure secondary to paracetamol toxicity

A 65-year-old retired nurse died from paracetamol toxicity and liver failure after taking excessive paracetamol tablets for pain relief following a fractured arm. She presented to hospital on Saturday with a fracture. Cr…

emergency medicineendocrinologycommunicationsystemparacetamol
VIChospital2014-04-17

Finding into death of Grazia Giosserano

61y · Female·Acute renal failure and dehydration in the setting of cirrhosis (secondary to he…

A 61-year-old woman with cirrhosis secondary to hepatitis C sustained rib and clavicle fractures in a motor vehicle collision. She was discharged from the ED after 6 hours despite her underlying liver disease and coagulo…

emergency medicinesurgerydiagnosticdelaytramadol
NSWcommunity2014-04-07

Inquest into the death of Jordan Leigh SARGENT

21y · Female·hypoxic brain injury due to choking on food, with Bardet-Biedl Syndrome as a con…

Jordan Sargent, a 21-year-old with Bardet-Biedl Syndrome causing intellectual disability and developmental delays, died from hypoxic brain injury after choking on a Jaffa lolly while being driven in a minibus by a disabi…

emergency medicinepathologycommunicationsystem
NSW2014-04-02

Inquest into the death of Reece POTTER

23y · Male·blunt force head injuries sustained when thrown from his horse during a race

A 23-year-old jockey, Reece Potter, died from severe head injuries sustained when thrown from his horse during a race at Tottenham Picnic Races on 12 March 2011. The horse 'Half Handy' suffered a spontaneous fractured pe…

systemdelay
QLDhospital2014-03-31

Platt, Christopher Robert Edmund - Non-inquest findings

69y · Male·Perforated bowel/septicaemia as a result of diverticulitis

A 69-year-old man presented to the ED with abdominal distension, incontinence and dehydration but was discharged with a diagnosis of depression and constipation. He returned 2 days later critically unwell and died of per…

emergency medicinegeneral surgerydiagnosticcommunicationsodium citrate enema
VICaged care2014-03-31

Finding into death of Margaret Lurline Martyr-Paterson

87y · Female·Multiple injuries with ischaemic heart disease, antecedent cause being recent fa…

87-year-old Margaret Martyr-Paterson, a low-care resident with dementia and ischaemic heart disease at Shoreham House aged care facility, fell from her bedroom window on 17 February 2010 and died 11 days later from multi…

geriatric medicinegeneral practicecommunicationsystem
VIChospital2014-03-25

Finding into death of Robert Glaisher

56y · Male·hypothermia

Robert Glaisher, a 56-year-old man with depression and significant alcohol abuse, presented to the ED on 5 July 2010 with acute confusion, agitation and visual hallucinations. He had a history of heavy alcohol consumptio…

psychiatryemergency medicinediagnosticcommunicationvenlafaxine

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