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WAcommunity2022-08-18

Inquest into the Suspected Death of Nicholas PAVLIDIS

Male·Unknown - presumed deceased from exposure, heat exhaustion, or injury during unp…

Nicholas Pavlidis disappeared in October 2015 from Yanchep, Western Australia. He was last seen alive on 14 October 2015 by a friend. His vehicle was found abandoned in a pine plantation on 24 October 2015. Despite exten…

general practicepsychologysystemdelayfluoxetine
VIChome2022-08-08

Finding into death of Kim Michelle Cooper

47y · Female·Mixed drug toxicity (pregabalin, oxycodone and mirtazapine)

A 47-year-old woman died from mixed drug toxicity involving pregabalin, oxycodone, and mirtazapine. She had chronic pain, anxiety, and depression, and attended a medical clinic frequently. Over five days before her death…

general practiceaddiction medicinemedicationsystempregabalin
TAShome2022-08-04

Coroner's Finding: Joyce. Kaye Maree

58y · Female·thermal burns

A 58-year-old woman with schizophrenia died from extensive thermal burns after a fire originated in a wall-mounted heat pump that lacked a required residual current device (RCD). The heat pump was installed in 2012 witho…

psychiatrygeneral practicesystempaliperidone
NSWcommunity2022-08-02

Inquest into the disappearance and suspected death of Kenneth Klees

37y · Male·Unascertained

Kenneth Klees, aged 37, disappeared on 1 February 2021 and was found deceased on Mollymook beach on 26 February 2021. He had a history of depression, anxiety, poorly controlled type 2 diabetes, and obsessive-compulsive d…

general practicepsychiatrycommunicationsystem
VICaged care2022-08-01

Finding into death of Mr CLX

85y · Male·Incised wounds to the wrist

An 85-year-old man with myelodysplasia and severe hip pain from an ischiorectal abscess died from incised wrist wounds sustained in a nursing home while in palliative care. He had expressed wishes to die, discussed eutha…

palliative caregeriatric medicinesystemcommunicationoxycodone
TAScommunity2022-07-29

Coroner's Finding: Chamberlain, Pamela Jacqueline

55y · Female·asphyxia due to choking on food (steak)

A 55-year-old woman with multiple comorbidities including morbid obesity, schizophrenia, depression, and substance use disorder died from asphyxia caused by choking on food while at a friend's home in supported accommoda…

emergency medicinepsychiatrysystemcommunicationdiazepam
VIC2022-07-28

Finding into death of Master S

17y · Male·Unascertained in the setting of volatile substance abuse

Master S, a 17-year-old Yorta Yorta young man, died on 3 July 2017 at the Bert Williams Hostel from a cause unascertained in the setting of volatile substance abuse (chroming Rexona deodorant). He had a history of exposu…

paediatricspsychiatrycommunicationsystemrexona deodorant
NSW2022-07-22

Inquest into the death of Mootijah Douglas Andrew Shillingsworth

44y · Male·Complications of a Left Temporal Lobe Abscess

Mootijah was a 44-year-old Aboriginal man who died from a brain abscess originating from an untreated chronic ear infection. He had documented hearing impairment and a history of chronic ear disease requiring ENT special…

correctional healthgeneral medicinediagnosticsystemciprofloxacin eardrops
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

21y · Male·complications of ligature compression of the neck (hanging)

Sarwan Al Jhelie, a 21-year-old Iraqi-born man in immigration detention, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior self-harm and overdose att…

psychiatryaddiction medicinecommunicationsystemmethamphetamine
VIChome2022-07-14

Finding into death of Mr P

71y · Male·Exsanguination from incised wounds to the neck and wrist

A 71-year-old man with bipolar disorder, depression, alcohol addiction, and cirrhosis died by suicide via exsanguination from neck and wrist lacerations. He had stopped psychiatric medications in 2017 and was managed by …

general practicepsychiatrycommunicationsystem
SAhospital2022-07-13

Coroner's Finding: Wotton, Jeremy Dane

57y · Male·brainstem and cerebellar infarction due to vertebrobasilar artery thrombosis

A 57-year-old man with multiple cardiovascular risk factors presented to an ED with vertigo, blurred vision, and 'not feeling right' caused by an evolving posterior circulation stroke. A junior doctor discharged him afte…

emergency medicineneurologydiagnosticcommunicationprochlorperazine
VIChome2022-07-08

Finding into death of X RR

29y · Male·Mixed drug toxicity (heroin and methamphetamine)

A 29-year-old man with a history of heroin and methamphetamine addiction died from mixed drug toxicity. He had suffered a work-related back injury leading to opioid dependence, complicated by anxiety and panic attacks. A…

addiction medicinegeneral practicesystemheroin
NSW2022-07-06

Inquest into the death of Kevin BUGMY

57y · Male·Severe coronary artery disease. It is likely that Kevin's use of inhalants in cu…

Kevin Bugmy, a 57-year-old Aboriginal man, died of severe coronary artery disease while in custody at Cessnock Correctional Centre. The coroner found the care received for his chronic inhalant use disorder was grossly in…

cardiologygeneral practicediagnosticcommunicationacetone
QLDcommunity2022-06-29

Clarke, Hannah Ashlie; Baxter, Aaliyah Anne; Baxter, Laianah Grace; Baxter, Trey Rowan Charles; Baxter, Rowan Charles

Mixed·Hannah Clarke: multi-organ failure due to effects of fire; Aaliyah, Laianah and …

Hannah Clarke, aged 33, and her three children (ages 6, 4, and 3) were killed by her estranged husband Rowan Baxter on 19 February 2020 in Camp Hill, Queensland. Baxter forced his way into Hannah's car, doused the family…

emergency medicineparamedicinediagnosticcommunication
VIChome2022-06-22

Finding into death of Mr Y

46y · Male·Neck compression by ligature suspension

Mr Y, a 46-year-old man with a history of alcohol use and family violence perpetration, died by suicide via neck compression by ligature suspension in May 2020. He had expressed suicidal ideation to his wife on multiple …

general practicepsychiatrycommunicationsystem
WA2022-06-21

Inquest into the Death of Ashley Adrian LANE

56y · Male·acute exacerbation of chronic obstructive pulmonary disease (bronchial asthma) i…

Ashley Adrian Lane, a 56-year-old Aboriginal man from the Ngaanyatjarra Lands, died in custody at Kalgoorlie Regional Hospital from acute exacerbation of chronic obstructive pulmonary disease (asthma). He was a remand pr…

respiratory medicineemergency medicinediagnosticcommunicationsalbutamol
VICaged care2022-06-17

Finding into death of Brent Andrew Newman

58y · Male·Pneumonia and urosepsis

Brent Newman, a 58-year-old man with Down syndrome and early-onset dementia, died from pneumonia and urosepsis following inadequate care at an aged care facility. His indwelling catheter was poorly managed, causing ureth…

geriatric medicinegeneral practicecommunicationsystemcefalexin
TAShome2022-05-27

Coroner's Finding: TS de-identified

47y · Female·Traumatic closed head injury likely sustained in a fall from standing

TS, a 47-year-old woman with a 18-year history of anorexia nervosa, bulimia, and severe alcoholism, died from a traumatic closed head injury sustained in a fall from standing. At autopsy, blood alcohol concentration was …

emergency medicinegeneral practicecommunicationsystemalcohol
NSWhome2022-05-27

Inquest into the death of WX

54y · Male·gunshot wound to the head

WX, a 54-year-old with longstanding depression, substance abuse (opioids, benzodiazepines), and a 2008 suicide attempt, died by gunshot wound on 27 April 2015. Despite this psychiatric and substance abuse history, he hel…

psychiatrypsychologysystemcommunicationcodeine
QLDcommunity2022-05-23

Sheppard, Mark Andrew

50y · Male·Gunshot wounds to the chest

Mark Sheppard, aged 50, died from gunshot wounds sustained during a police response to a hoax emergency call at a caravan park. He had terminal end-stage COPD with alpha-1 antitrypsin deficiency and was using home oxygen…

respiratory medicinepalliative carecommunicationsystemsertraline
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