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QLDcommunity2016-12-08

Floyd, Leah Elizabeth

48y · Female·Sepsis due to pulmonary and cutaneous infections, with urinary tract infection a…

A 48-year-old tetraplegic woman died from sepsis originating from a necrotic sacral pressure wound. Multiple system failures contributed: inadequate pressure sore prevention at the disability care provider (air mattress …

neurologypsychiatrycommunicationsystemdiazepam
NSWhome2016-12-08

Inquest into the death of Ezekiel HOWARD

10y · Male·Unascertained - sudden and unexpected death; evidence did not allow determinatio…

Ezekiel Howard, a 10-year-old boy, died suddenly in his sleep on 12 September 2011. His death remains unexplained despite extensive investigation. The coroner could not determine whether death resulted from undiagnosed e…

paediatricscardiologydiagnosticdelay
VICcommunity2016-11-28

Finding into death of Nicholas Barry Carr

36y · Male·injuries sustained in motor vehicle collision as a motorcyclist

Nicholas Barry Carr, a 36-year-old motorcyclist, died from injuries sustained in a motor vehicle collision on 23 August 2015. He had recently been diagnosed with an arteriovenous malformation and was experiencing seizure…

general practiceneurologycommunicationsystemcarbamazepine
WAhome2016-11-22

Inquest into the Death of Maria Carmel NICEFORO

75y · Female·organ failure due to sepsis, likely from infected pressure sores, in the context…

Maria Carmel Niceforo, a 75-year-old woman with poorly controlled diabetes and ischaemic heart disease, died from septic shock secondary to extensive infected sacral pressure wounds. She received home care through KinCar…

general practiceemergency medicinecommunicationsystem
TAScommunity2016-11-21

Coroner's Finding: Mr S

58y · Male·asphyxia

A 58-year-old man with depression and suicidal ideation was assessed by his general practitioner, then taken to hospital by his partner. In the emergency department he was triaged with sufficient safety concerns to warra…

general practiceemergency medicinesystem
VICcommunity2016-11-17

Finding into death of Maria Elizabeth Valler

56y · Female·asthma

Maria Valler, a 56-year-old woman with intellectual disability and autism who was living in Department of Health and Human Services (DHHS) supported accommodation, died from acute asthma while returning from a walking ex…

general practicepsychiatrycommunicationsystemseretide 250/25 mcg
QLDhospital2016-11-14

Ms H - non-inquest findings

23y · Female·Necrotising retroperitoneal fasciitis due to acute perforated gangrenous appendi…

Ms H, a 23-year-old with Asperger's syndrome and intellectual impairment under OPG guardianship for healthcare decisions, presented to Redcliffe Hospital ED with abdominal pain, vomiting and diarrhoea. Despite clinical c…

emergency medicinesurgerysystemdiagnosticparacetamol
TAShome2016-11-10

Coroner's Finding: Richardson, Kenneth Charles

93y · Male·digoxin toxicity complicating acute on chronic renal failure

Kenneth Charles Richardson, a 93-year-old with long-standing cardiac disease (systolic heart failure, atrial fibrillation, mitral regurgitation) died from digoxin toxicity complicating acute-on-chronic renal failure. He …

general practicegeneral medicinediagnosticsystemdigoxin
TASmental health2016-10-07

Coroner's Finding: Weily, Richard Maurice

85y · Male·Probable pneumonia following a hip fracture (comminuted fracture of right acetab…

Richard Weily, 85, with Lewy-body dementia, Parkinson's disease, and cardiac disease, was admitted to Roy Fagan Centre (RFC) mental health facility on 13 June 2013 under Mental Health Act provisions for management of acu…

general practicegeriatric medicinesystemdelayamiodarone
VIChome2016-10-07

Finding into death of Milica (Mary) Minchev

48y · Female·Combined drug toxicity involving oxycodone, benzodiazepines (diazepam, nordiazep…

A 48-year-old woman with epilepsy, depression, anxiety and documented drug dependence died from combined toxicity of oxycodone, benzodiazepines, amitriptyline and other drugs. Over 12 months pre-death, she obtained medic…

general practicepsychiatrydiagnosticmedicationoxycodone
TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·asphyxia due to hanging

Eden Jayde Westbrook, a 15-year-old high school student, died by suicide on 17 February 2015. She had experienced depression for some time without formal diagnosis, had a history of self-harm and suicide attempts, and ha…

psychiatrypaediatricssystemdelay
NSWhome2016-09-30

Inquest into the death of Terry Riordan

45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline

Terry Riordan, 45, died from multi-drug toxicity caused by ingesting amitriptyline and methadone in April 2015. He had complex medical and psychiatric comorbidities, substance abuse issues, and was under care of his GP D…

general practicepsychiatrymedicationdiagnosticmethadone
WAhospital2016-09-28

Inquest into the Death of Donald Richard BROADRIBB

79y · Male·Bronchopneumonia and acute bronchiolitis

Donald Broadribb, 79, died of bronchopneumonia and acute bronchiolitis after presenting to York Hospital on 12 October 2012 with vomiting, cough, and abdominal pain. He was discharged after nurses focused on treating con…

emergency medicinegeneral practicediagnosticcommunicationhyoscine butylbromide
NThome2016-09-21

Inquest into the death of Natalie McCormack

Female·Wendy Murphy: blunt head and chest trauma. Natalie McCormack: haemorrhage follow…

Two Aboriginal women, aged 36 and 31, died following prolonged domestic violence by their partners in Alice Springs. Both had extensive histories of police-documented assaults, domestic violence orders (DVOs), and uncoop…

forensic medicineemergency medicinesystemalcohol
SAcommunityPodcast2016-09-19

Coroner's Finding: SMORDOWSKI Edmund

63y · Male·blunt head and chest trauma from motor vehicle collision

Edmund Smordowski, a 63-year-old cyclist, was struck from behind by an 83-year-old driver, Kevin Rice, and died from blunt head and chest trauma. The collision occurred because Rice was unable to maintain his vehicle wit…

general practiceophthalmologyproceduralsystem
VICcommunity2016-09-16

Finding into death of Paul Mervyn Gendre

61y · Male·drowning in a man with ischaemic heart disease

A 61-year-old man with ischaemic heart disease (70% stenosis of major coronary arteries) drowned while solo boating on Lake Dartmouth in winter conditions. He was not wearing a personal floatation device, had a blood alc…

forensic medicinegeneral practicesystem
NSWhome2016-09-14

Inquest into the death of NA

0y · Male·Hypoxic ischaemic encephalopathy (brain damage) sustained during and just after …

A newborn died from hypoxic-ischaemic encephalopathy following a home birth without medical assistance. The mother had significant risk factors: hepatitis C, anaemia, and transverse fetal lie confirmed at 38+ weeks gesta…

general practiceobstetricscommunicationsystem
WAcommunity2016-09-13

Inquest into the Death of Anthony Charles EURA

42y · Male·unascertained

Anthony Charles Eura, a 42-year-old Aboriginal man with long-standing mental health problems, alcohol and drug dependency, and chronic suicidality, disappeared in November 2006 and is presumed deceased. In the month befo…

psychiatryemergency medicinesystemdiagnosticfluphenazine
VIChome2016-09-13

Finding into death of Sally Brooks

48y · Female·Head injuries

Ms Brooks, a 48-year-old woman, sustained fatal head injuries at home on 1 July 2011, dying on 11 July after neurosurgical intervention. Her estranged husband was later convicted of her murder. The coroner examined famil…

forensic medicineneurosurgerycommunicationsystem
NT2016-09-02

Inquest into the death of Marrianne Munkara

45y · Female·Bronchiectasis

A 45-year-old Aboriginal woman with severe bronchiectasis, COPD, and cor pulmonale died at a sobering-up shelter after police protective custody. She had 15 hospital admissions in 2015 for acute exacerbations related to …

respiratory medicineemergency medicinesystemcommunication
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