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SAaged care2014-03-21

Coroner's Finding: MORGAN Beryl Jean

73y · Female·pneumonia and renal failure with hyperthermia

Beryl Jean Morgan, 73-year-old aged care resident, died from pneumonia and renal failure with hyperthermia after a brief hospital admission. She had been prescribed haloperidol for behavioural problems; while neuroleptic…

general practicegeriatric medicinediagnosticcommunicationhaloperidol
QLDcommunity2014-03-21

Nixon, Carey Scott

39y · Male·Multiple injuries sustained from motorcycle collision and impact with traffic po…

A 39-year-old motorcyclist died after a collision during a road rage altercation with a 4WD driver on a busy road. The motorcyclist cut off or became frustrated with the 4WD's lane change, positioned his motorcycle dange…

delayamphetamine
VIC2014-03-18

Finding into death of Stephen Arthur Niit

45y · Male·Hanging

Stephen Arthur Nit, a 45-year-old paramedic with a history of alcoholism, was placed in police custody in intoxicated state after a family dispute. Despite expressing suicidal ideation to mental health staff and police, …

psychiatryemergency medicinecommunicationsystemalcohol
TAShospital2014-03-14

Coroner's Finding: Little, Neita Jean

79y · Female·aspiration pneumonia caused by aspiration of emesis secondary to small bowel obs…

Mrs Little, 79, died from aspiration pneumonia caused by small bowel obstruction post-hysterectomy surgery. The obstruction resulted from both pre-existing adhesions and a post-operative haematoma at the surgical site. C…

gynaecologyanaesthesiadiagnosticcommunicationrivaroxaban
VIChospital2014-03-13

Finding into death of Kerry Anne Golley

35y · Female·Global cerebral ischaemic injury in the setting of post caecal resection for col…

Kerry Anne Golley, a 35-year-old woman with intellectual disability, autism, and epilepsy, presented with recurrent vomiting between December 2011 and February 2012, requiring multiple ED visits and hospital admissions. …

general practiceemergency medicinediagnosticdelay
SAcommunity2014-03-12

Coroner's Finding: MUNDY Michaela Jayne

15y · Female·neck compression due to hanging

Michaela Mundy, a 15-year-old with depression, was seen by CAMHS therapist Vina Hotich from July-November 2011, presenting with suicidal ideation, self-harm, and moderate-to-severe depressive symptoms. Despite evidence o…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
VIC2014-03-06

Finding into death of Geoffrey Ashton

78y · Male·Ischemic heart disease

Geoffrey Ashton, a 78-year-old with significant ischemic heart disease, died in the foyer of Croydon Police Station on 17 December 2011. Stress from an altercation over disabled parking at a nearby church likely triggere…

cardiologypathologydelayprocedural
VIChome2014-03-06

Finding into death of Melanie Jane Maher

36y · Female·Effects of fire (schizophrenic psychotic episode); for children: effects of fire…

This case involved the deaths of Kylie Fowler (36) and her three children—Samantha (18), Melanie (13), and Matthew (11)—in a house fire on 9 January 2011. Kylie, with an 18-year history of schizophrenia requiring five in…

psychiatrygeneral practicecommunicationsystemrisperidone
VIChome2014-03-06

Finding into death of Kylie Jane Fowler

36y · Female·Effects of Fire

A 36-year-old woman with a 18-year history of schizophrenia killed herself and her three children (ages 11, 13, and 18) in a house fire with stab wounds on 9 January 2011. Ms Fowler had five involuntary psychiatric admis…

psychiatrygeneral practicecommunicationsystemrisperidone
VIChome2014-03-06

Finding into death of Matthew Patrick James Maher

36y · Female·Effects of fire and stab wounds (for Matthew Maher); effects of fire (for Kylie …

Kylie Fowler, a 36-year-old woman with a 18-year history of schizophrenia requiring five involuntary psychiatric admissions, killed herself and her three children (Melanie, 13; Matthew, 11; Samantha, 18) on 9 January 201…

psychiatrypaediatricscommunicationsystemrisperidone
VIChome2014-03-06

Finding into death of Samantha Jane Fowler

36y · Female·Effects of fire and stab wounds (Kylie Fowler); effects of fire (Melanie Maher);…

Kylie Fowler, a 36-year-old woman with severe schizophrenia and a 18-year history of involuntary psychiatric admissions, killed her three children (Samantha 18, Melanie 13, Matthew 11) and herself by stabbing and fire on…

psychiatrypaediatricscommunicationsystemrisperidone
VICcommunity2014-03-03

Finding into death of Shannon McCormack

22y · Male·Cranial fracture, epidural haemorrhage, marked cerebral oedema and diffuse axona…

Shannon McCormack, aged 22, died from severe head injuries sustained during an unprovoked assault outside a Melbourne nightclub on 27 May 2007. He was struck from behind by an unknown assailant while attempting to protec…

emergency medicineneurosurgerydelay
VIChospital2014-02-26

Finding into death of Dean Lovett

21y · Male·dilated cardiomyopathy

Dean Lovett, 21 years old, presented with fever, vomiting, cough and palpitations to his general practitioner on 6 September 2008. Dr G. identified clinical signs concerning for cardiac disease (tachycardia, finger clubb…

emergency medicinegeneral practicediagnosticdelaymethotrexate
VIChospital2014-02-24

Finding into death of Baby Jacob Hill

0y · Male·complications of intrauterine hypoxia

Baby Jacob Hill died from intrauterine hypoxia following an obstructed labour managed at Sunshine Hospital. A 39-week primiparous labour was complicated by deep transverse arrest. After initial assessment suggesting caes…

obstetricspaediatricscommunicationdelaypethidine
SAhospital2014-02-14

Coroner's Finding: RYAN John William and WALTON Patricia Dawn

Hypoxic-ischaemic encephalopathy following ventilatory failure/cardiac arrest (R…

Two obese patients died from hypoxic-ischaemic encephalopathy following cardio-respiratory deterioration post-operatively at a private hospital without overnight medical cover. John Ryan (54) deteriorated within hours of…

anaesthesiaorthopaedic surgerydiagnosticcommunicationmorphine
QLDcommunity2014-02-14

Caulton, Van Edward

62y · Male·Undetermined

Van Edward Caulton, a 62-year-old man with intellectual disability and serious cardiac disease (congestive cardiac failure), disappeared in 2005-2006 while living with Peter Westlund. Medical records show Caulton had con…

systemdelay
VIChospital2014-02-10

Finding into death of Glenn Stewart Hayes

36y · Male·Hypoxic/ischaemic encephalopathy and hanging

Glenn Hayes, a 36-year-old male, was found hanging in his garage on 5 February 2013 and died 3 days later at Northern Hospital from hypoxic-ischaemic encephalopathy. He had experienced major life stressors including busi…

intensive careemergency medicinediagnosticsystemmethamphetamine
SAhospital2014-02-05

Coroner's Finding: COOK Eileen Hazel

76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…

Mrs Cook, a 76-year-old woman, died in January 2010 from hospital-acquired pneumonia, multiple organ dysfunction, and small bowel obstruction. She was admitted to a rural hospital with acute renal failure and dangerously…

general practiceemergency medicinediagnosticcommunicationintravenous fluids
SAhome2014-01-31

Coroner's Finding: HADLEY Duke Zenon

2y · Male·Asphyxiation due to neck and/or chest compression

A 2-year-old boy died from asphyxiation due to chest and neck compression inflicted by his mother during an acute manic psychotic episode. The mother had been admitted to psychiatric care in December 2008 with psychosis …

psychiatryemergency medicinecommunicationsystemrisperidone
QLDhospital2014-01-31

George, Lynda Margaret - Non-inquest findings

60y · Female·Peritonitis due to anastomotic leak following subtotal colectomy for treatment o…

60-year-old woman died from septic shock due to anastomotic leak following subtotal colectomy for synchronous bowel cancers. Early postoperative bronchospasm complicated clinical assessment, leading focus on respiratory …

general surgerycolorectal surgerydiagnosticcommunication

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