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VICcommunity2012-12-10

Finding into death of Benjamin Jason Pappas

28y · Male·consistent with drowning

Benjamin Pappas, a 28-year-old with a history of substance abuse, depression, borderline personality disorder, and suicidal ideation, died by drowning on approximately 4 March 2007, following the discovery that his partn…

general practicepsychiatrysystemcommunicationheroin
VICcommunity2012-12-10

Finding into death of Lynette May Phillips

27y · Female·neck compression

27-year-old Lynette Phillips died from neck compression (strangulation) at the hands of her intimate partner Benjamin Pappas in February 2007. Lynette had a documented history of family violence, drug dependency, and was…

general practicepsychiatrycommunicationsystemheroin
SAcommunity2012-11-15

Coroner's Finding: Edgar Lauren Michelle

28y · Female·Multi-organ failure due to Clostridium perfringens myonecrosis complicating lipo…

Lauren Edgar, a 28-year-old woman, died of multi-organ failure from Clostridium perfringens myonecrosis (gas gangrene) following a liposuction procedure performed by Dr K. on 5 March 2008. She presented to hospital on 8 …

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpanadol/paracetamol
WAhospital2012-10-05

Inquest into the Death of Rasmussen vaughn

15y · Male·Cerebral ischaemia in a young man with a blocked ventricular peritoneal shunt an…

Vaughn Richard Rasmussen, a 15-year-old boy with congenital abnormalities and a ventricular-peritoneal (VP) shunt, died from cerebral ischaemia caused by acute blockage of his VP shunt on 17 November 2009. Between 12-16 …

general practicegeneral medicinediagnosticcommunicationlamotrigine
NSW2012-09-27

Inquest into the deaths of James UNICOMBE, Michael POOLE, Grace YATES

Three deaths with different primary causes: James Unicomb - acute toxicity due t…

Combined inquest into three deaths at Psyche South Clinic involving treatment failures: James Unicomb (22, 2005) from multi-drug overdose after naltrexone implant; Michael Poole (48, 2008) from ruptured aneurysm post-Rap…

addiction medicinegeneral practicediagnosticmedicationnaltrexone
VICcommunity2012-09-20

Finding into death of Jason Kenneth Chapman

31y · Male·gunshot wounds to chest

Jason Chapman, a 31-year-old man with schizophrenia, was fatally shot by police on 13 October 2004 after behaving erratically and threatening, armed with a knife. The coroner found police acted lawfully in self-defence w…

psychiatrygeneral practicecommunicationsystemantipsychotic medication
QLDcommunity2012-09-14

Isles, MIchael

58y · Male·gunshot wounds

Senior Sergeant Michael James Isles, a 58-year-old Queensland police officer with 34 years of service, disappeared on 23 September 2009. He was the subject of corruption allegations (which proved unfounded), stood down f…

general practicepsychiatrysystemcommunicationfluoxetine
QLDhome2012-09-13

CMC

36y · Female·Excited delirium

A 36-year-old woman died from excited delirium during a physical altercation with her 16-year-old son. She had longstanding alcohol and cannabis use, borderline personality disorder with features of post-traumatic stress…

psychiatryforensic medicinesystemdelayalcohol
VIChospital2012-09-11

Finding into death of Robert Anderson

50y · Male·Complications of right buttock necrotising fasciitis secondary to chronic right …

50-year-old male with chronic pain from jockey injuries became dependent on morphine. General practitioner prescribed intramuscular (IM) morphine for self-administration at home from 2005–2007 at doses of 120–240mg daily…

general practicepsychiatrydiagnosticmedicationmorphine sulphate
NSWcommunity2012-09-05

Inquest into the death of Lynda Vanessa CLIFFORD

29y · Female·respiratory depression as a result of the interaction of prescribed medications

A 29-year-old woman with mental illness and substance use was admitted to hospital with psychosis and suicidality. She was discharged on six CNS-depressant medications including three antipsychotics, an antidepressant, a…

psychiatrygeneral practicecommunicationsystemclozapine
WAhospital2012-08-31

Inquest into the Death of Stone

62y · Female·Multiple injuries sustained from jumping from rocks at Torndirrup National Park …

Pamela Stone, a 62-year-old woman with a complex history of trauma, depression and relationship difficulties, presented to Albany Regional Hospital ED on 26 March 2009 after a violent altercation at home, having been sed…

emergency medicinegeneral practicesystemcommunicationmidazolam
VIChospital2012-08-24

Finding into death of Cameron Yeates

31y · Male·Acute colonic pseudo-obstruction; death certificate amended to 'unascertained' -…

Cameron Yeates, a 31-year-old man with intellectual disability (IQ 64) and longstanding gastrointestinal issues, died from acute colonic pseudo-obstruction with underlying malnourishment. Key clinical lessons: (1) severe…

gastroenterologygeneral practicecommunicationsystemwarfarin
VIChome2012-08-23

Finding into death of Shane Anthony Jarrett

29y · Male·Mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) in a morbidly …

Shane Jarrett, a 29-year-old with schizophrenia and substance abuse history, died from mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) complicated by morbid obesity. During psychiatric hospitalization, …

psychiatrygeneral practicesystemdelayheroin
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following susp…

emergency medicinegeneral practicediagnosticdelaymorphine
QLD2012-08-07

Bucknall, David John

41y · Male·Hanging

A 41-year-old male prisoner with a history of depression died by suicide while incarcerated at Wolston Correctional Centre. He was appropriately assessed as low-risk for suicide on arrival and received psychiatric care a…

psychiatrygeneral practicesystemdelaymirtazapine
VIChomePodcast2012-08-06

Finding into death of Margaret Grace McCreddan

59y · Female·Incised wound to right thigh and exsanguination

Mrs Margaret Grace McCreddan, a 59-year-old widow with multiple health conditions including limited mobility and frequent falls, died from exsanguination following an incised wound to her right thigh sustained in a fall …

general practicegeriatric medicinesystemdelaymorphine
VIChome2012-07-18

Finding into death of Joshua Meloury_Kaup

15y · Male·Mixed drug toxicity (morphine, 7-aminoclonazepam, fluoxetine, sertraline)

Joshua Meloury-Kaup, a 15-year-old boy with ADHD, anxiety disorder, and chronic sleep disturbance, died from mixed drug toxicity after ingesting his grandmother's medications (morphine, benzodiazepine, sertraline) while …

paediatricspsychiatrysystemcommunicationmorphine
QLDcommunity2012-07-05

Patient A

49y · Male·Hanging

A 49-year-old man with bipolar affective disorder and recurrent depression experienced a relapse while in Tasmania and was referred to a community-based Acute Care Team in Queensland in November 2009. Despite his partner…

psychiatrygeneral practicediagnosticcommunicationsertraline
WAhome2012-06-29

Inquest into the Death of Operation Lantana

Toxicity from intravenous caesium, DMSO, and other substances administered as pa…

In May 2005, the Kathi Preston Memorial Health Centre (KPMHC) operated an unproven cancer therapy clinic from Dr B.'s home in Perth, Western Australia, administering intravenous treatment containing caesium, DMSO, and La…

general practiceoncologydiagnosticproceduralcaesium chloride
ACTcommunity2012-06-25

Inquest Into The Death Of Nathan Doherty

27y · Male·Gunshot wound to the chest fired by Sergeant Matthew Gale of the Australian Fede…

Nathan Doherty, aged 27, died from a gunshot wound inflicted by AFP Sergeant Matthew Gale during a mental health crisis. Nathan had a long history of depression, anxiety, and alcohol abuse, with two prior suicide attempt…

psychiatryemergency medicinecommunicationsystemolanzapine
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