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TAShome2020-11-02

Coroner's Finding: Besgrove, Trevor Scott

46y · Male·cause of death cannot be determined

Trevor Besgrove, a 46-year-old man with complex mental health issues including borderline schizophrenia, depression, and a history of trauma and substance use, was found deceased in his Bicheno home after an estimated tw…

psychiatrypsychologysystemprescribed medications
WA2020-10-07

Inquest into the Death of JM (Name Subject to Suppression Order)

0y · Male·dehydration complicating diarrhoea (aetiology unknown)

A 10-week-old infant in out-of-home care in a remote Western Australian community developed acute diarrhoea and fever one day after routine immunisation. Despite appropriate initial care by foster parents and timely hosp…

paediatricsemergency medicinesystemparacetamol
VIChome2020-09-28

Finding into death of Mary Veronica Payne

71y · Female·Combined drug toxicity in a woman with emphysema

Mary Veronica Payne, a 71-year-old woman with emphysema, died from combined drug toxicity after ingesting her daughter's methadone. The deceased had a long-standing history of chronic back pain from an old car accident a…

general practiceforensic medicinesystemmethadone
VIChome2020-09-11

Finding into death of Mr A

44y · Male·compression of the neck consequent upon hanging

A 44-year-old man with a 42-year history of intimate partner violence died by hanging. He had recently separated from his wife and was enrolled in a 18-week men's behaviour change program, having completed 17 of 18 sessi…

general practicepsychiatrysystemdelayalcohol
VICcommunity2020-09-07

Finding into death of Ms WX

40y · Female·Injuries sustained when struck by a train (in circumstances where the deceased i…

A 40-year-old South Asian woman died by suicide when struck by a train, four weeks after arriving in Australia. She was deeply distressed by financial circumstances—construction delays on her new home and storage fees fo…

psychiatrygeneral practicesystemdelay
WAhospital2020-09-04

Inquest into the Death of Malakai Matiu Ward PARAONE

0y · Male·Complications in association with fulminant sepsis in an infant (Streptococcus p…

Malakai Paraone, a seven-month-old infant, died from fulminant Streptococcus pyogenes sepsis and septic shock. Over three days, he was seen at three hospitals and a general practice clinic but sepsis was not identified. …

emergency medicineintensive carediagnosticcommunicationparacetamol
NSWcommunity2020-09-04

Inquest into the death of Thomas HUNT

27y · Male·unascertained; likely death from entering water

Thomas Hunt, a 27-year-old man, died after entering the water near Bondi Beach on 23 March 2017, likely after experiencing an acute mental health crisis characterised by paranoid delusions and auditory hallucinations. Mu…

psychiatrygeneral practicediagnosticcommunication
TAShospital2020-09-02

Coroner's Finding: Breen, Kylie Anne

40y · Female·hypoxic brain injury and acute lung injury; multiple drug toxicity with oxycodon…

A 40-year-old woman with advanced multiple sclerosis died from drug toxicity and hypoxic brain injury following intentional overdose and gas inhalation. She had completed an Advance Care Directive (ACD) 12 months prior r…

emergency medicineintensive carecommunicationsystemoxycodone
VICcommunity2020-08-31

Finding into death of Gregory David Tory

48y · Male·unascertained

Gregory David Tory, aged 48, disappeared from Mallacoota, Victoria in April 2018 and is presumed deceased. He had a history of methamphetamine use with associated paranoia and thought disorder, requiring psychiatric admi…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VICcommunity2020-08-28

Finding into death of Heather Telfer

69y · Female·Toxicity to pentobarbitone in circumstances where she intended to end her own li…

Heather Telfer, a 69-year-old woman with longstanding asthma, chronic health anxiety, and significant social isolation, died from pentobarbitone toxicity. She had a prior suicide attempt 12 years earlier and expressed su…

general practicerespiratory medicinecommunicationsystempentobarbitone
VIChome2020-08-17

Finding into death of Benjamin James Browne

29y · Male·Incised injury to the neck

Benjamin Browne, 29, died from a neck laceration sustained during acute behavioural disturbance in August 2018. He had diagnosed major depression with anxiety, prescribed mirtazapine but attended only two psychology sess…

general practicepsychologysystemcommunicationmirtazapine
WAhospital2020-08-13

Inquest into the Death of Susan Jessica Elsie WINDIE

22y · Female·bowel obstruction due to faecal impaction

Susan Windie, a 22-year-old with rare congenital abnormalities affecting bowel function, died from bowel obstruction due to faecal impaction complicated by abdominal compartment syndrome. She presented to Carnarvon Hospi…

gastroenterologygeneral practicecommunicationsystemfleet enema
TAShome2020-08-13

Coroner's Finding: Wellington, Timothy John

44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…

Timothy Wellington, a 44-year-old man with longstanding opioid and polysubstance use disorder, died from acute pulmonary hypertension caused by intravenous injection of foreign debris (crushed tablets). He had been presc…

general practiceaddiction medicinemedicationsystemmethadone
VIChome2020-08-11

Finding into death of Angel Louise Hensgen

13y · Female·Acute paracetamol toxicity

Angel Hensgen, aged 13, died from acute paracetamol toxicity following intentional self-harm with an excessive overdose. She was exposed to intense cyberbullying, distressed by family relationships, peer conflicts, and a…

general practicetoxicologycommunicationsystemparacetamol
TAScommunity2020-07-17

Coroner's Finding: Lyons, Matthew Clayton

47y · Male·mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam and diazepam)

Matthew Clayton Lyons, a 47-year-old man with longstanding schizophrenia, severe anxiety, and substance abuse history, died from mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam, diazepam). He had expre…

psychiatrygeneral practicecommunicationsystemquetiapine
VICcommunity2020-07-13

Finding into death of Cameron Andrew MacLellan

44y · Male·Multiple injuries sustained in a motorcycle incident

A 44-year-old man with complex psychiatric history and substance abuse was killed in a motorcycle collision while driving unlicensed and under the influence of methylamphetamine. A 92-year-old driver, disoriented after b…

psychiatryaddiction medicinesystemdelaymethamphetamine
VICaged care2020-07-06

Finding into death of Irene Florence Curran

79y · Female·Ischaemic bowel in the setting of cardiomegaly, pneumonia and chronic renal fail…

A 79-year-old woman died from ischaemic bowel in the setting of cardiomegaly, pneumonia and chronic renal failure, four days after discharge from hospital following a hysterectomy for endometrial cancer. Key clinical les…

gynaecologygeneral practicecommunicationsystemoxycodone
TAShome2020-06-30

Coroner's Finding: Hinley, David John

74y · Male·Mixed prescription drug toxicity (codeine, paracetamol, mirtazapine, promethazin…

A 74-year-old man with multiple chronic conditions including cerebellar ataxia, COPD, depression and anxiety died from mixed prescription drug toxicity. He had cognitive impairment affecting medication management and hab…

general practicepsychiatrycommunicationsystemcodeine
TAShospital2020-06-30

Coroner's Finding: Shrimpton, Dallas Brooks

54y · Male·carbon monoxide asphyxia

Dallas Brooks Shrimpton, a 54-year-old man with severe alcohol dependence, chronic depression, and multiple previous suicide attempts, died by carbon monoxide asphyxiation. He presented to Royal Hobart Hospital ED on 16 …

psychiatryemergency medicinecommunicationsystemalcohol
QLDcommunityPodcast2020-06-26

Nyholt, Nicole Sonia and Clark, Margaret Louisa

Female·Burns due to gas explosion due to motor vehicle collision with building

A 60-year-old man with a long-standing history of seizures experienced an epileptic seizure while driving and lost control of his vehicle. It collided with an LPG gas cylinder outside a café, triggering an explosion that…

emergency medicineneurologycommunicationsystem
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