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QLD2022-10-20

Shaw, Alan Macklin- non-inquest findings

86y · Male·Traumatic Subdural Haemorrhage

An 86-year-old man died from traumatic subdural haemorrhage after being struck by a malfunctioning roller door at his apartment complex. While attempting to push a bin into the garage, the remotely-controlled door descen…

system
TAS2022-10-19

Coroner's Finding: EL de-identified

32y · Male·Blast injuries including extensive subarachnoid haemorrhage and pulmonary haemor…

A 32-year-old experienced mechanic died from blast injuries sustained when a damaged truck tyre he was inflating exploded under pressure. The tyre had pre-existing sidewall damage from previous impact and was being infla…

proceduralsystem
VIChospital2022-10-18

Finding into death of Heather Jean Lucas

80y · Female·Anaphylaxis complicating chemotherapy for the treatment of metastatic fallopian …

Ms Heather Jean Lucas, 80-year-old woman with metastatic fallopian tube cancer, died from anaphylaxis during her third carboplatin chemotherapy infusion. She had experienced a documented Grade 2 hypersensitivity reaction…

oncologyemergency medicinemedicationcommunicationcarboplatin
VIChospital2022-10-18

Finding into death of Warren Douglas Frazer

45y · Male·Complications of VATS procedure for locally advanced right upper lobe lung adeno…

A 45-year-old man died from complications following VATS lobectomy for lung adenocarcinoma. During initial surgery, the tumour invaded the T6 vertebral body. The surgeon, faced with incomplete tumour resection or vertebr…

cardiothoracic surgeryneurosurgerydiagnosticdelay
VICaged care2022-10-14

Finding into death of Beryl Eileen Brindley

74y · Female·Diabetic ketoacidosis

A 74-year-old woman with Type 1 diabetes died from diabetic ketoacidosis (DKA) in an aged care facility. Between 7-10 December 2016, her blood glucose levels remained persistently elevated (>33 mmol/L) despite escalating…

general practiceendocrinologydiagnosticcommunicationinsulin
NSWhospital2022-10-14

Inquest into the death of Malouvailoa Tafau

20y · Male·cardiac arrest due to complications of infective endocarditis against a backgrou…

Maluovailoa Tafau, a 20-year-old man in custody, died from cardiac arrest due to infective endocarditis complicated by rheumatic heart disease. He had submitted two patient self-referral forms (September 2016 and Februar…

cardiologyinfectious diseasesdiagnosticcommunicationflucloxacillin
TASaged care2022-10-13

Coroner's Finding: Krushka, Robert

66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion

A 66-year-old man with severe dementia and multiple comorbidities died from sepsis following bacteraemia after a routine indwelling urinary catheter change at a nursing home. The catheter insertion was traumatic, resulti…

geriatric medicineemergency medicineproceduralsystem
VICcommunity2022-10-13

Finding into death of Krystal Fraser

23y · Female·Death by homicide; medical cause unable to be determined due to body not being l…

Krystal Lee Fraser, 23 years old and nine months pregnant, disappeared from Pyramid Hill, Victoria on 20 June 2009 and has never been found. The coroner concluded she died on or shortly after 21 June 2009 near Leitchvill…

obstetricscommunicationsystemcannabis
NSWcommunity2022-10-13

Inquest into the death of Harvey McGlinn

0y · Male·positional asphyxia

Harvey McGlinn, a 3-week-old infant, died from positional asphyxia while being carried in a Boba Wrap fabric sling in an incorrect position on 8 April 2019. The sling was positioned horizontally and low across his mother…

paediatricsneonatologysystemparacetamol
NSW2022-10-12

Inquest into the death of Brenden Montgomery

36y · Male·Hypoxic Ischaemic Encephalopathy

Brenden Montgomery, aged 36, died from hypoxic ischaemic encephalopathy after hanging himself on 30 December 2019 while police were present outside his home. He had a long-standing history of depression and anxiety, prev…

communicationsystemescitalopram
NSW2022-10-12

Inquest into the death of ZH

29y · Male·Hanging

ZH, a 29-year-old man serving a 9-year sentence for drug supply, died by hanging in his minimum-security cell at Parklea Correctional Centre on 11 August 2021. The coroner found his death was self-inflicted. Key clinical…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VIC2022-10-10

Finding into death of Muhammad Jaffar Hassan

45y · Male·Plastic bag asphyxia

Muhammad Jaffar Hassan, aged 45, died in custody at Metropolitan Remand Centre by plastic bag asphyxia on 9 October 2018. He was remanded for murder following the death of his partner Ms Fatima Batool. Clinical assessmen…

psychiatryforensic medicinesystemcommunication
VIChome2022-10-10

Finding into death of Fatima Batool

39y · Female·ligature strangulation

Fatima Batool, a 39-year-old woman from Pakistan, was fatally strangled by her husband on 7 July 2018. She had experienced ongoing family violence including physical assault, controlling behaviour, surveillance, and isol…

general practicepsychologydiagnosticcommunicationavanza soltab
VIChospital2022-10-10

Finding into death of Oliver Vincent Paul Cronin

13y · Male·Hanging

Oliver Cronin, a 13-year-old boy, died by hanging at Royal Children's Hospital after a year-long escalation of gaming addiction and behavioural problems. He had become increasingly dependent on gaming platforms (Roblox, …

psychiatrypsychologydiagnosticsystem
WAhospital2022-10-07

Inquest into the Death of Justine PAINTER

51y · Female·Multiple injuries sustained from a fall from the top floor of a multi-storey car…

Justine Painter, aged 51, died from multiple injuries sustained jumping from a multi-storey carpark while an inpatient at Royal Perth Hospital (RPH). She had severe treatment-resistant schizoaffective disorder, command h…

gastroenterologypsychiatrycommunicationsystempaliperidone
TAShospital2022-10-07

Coroner's Finding: Willetts, Ernest Charles

80y · Male·aspiration pneumonia

Ernest Charles Willetts, 80, died from aspiration pneumonia following an appendectomy. On hospital day 3, he developed coffee-ground vomitus indicating gastrointestinal bleeding. A gastroscopy was performed that afternoo…

surgerygastroenterologycommunicationsystempariet
NSWcommunity2022-10-07

Inquest into the death of Charli Powell

17y · Female·Hanging

Charli Powell, 17, died by hanging at Freebody Oval on 11 February 2019 during an abusive relationship with Rohan Rosewarne. The coroner found her death was intentionally self-inflicted but occurred in the context of sig…

pathologypsychiatrysystemcommunicationcannabis
VIChome2022-10-06

Finding into death of Dannyll Ann Goodsell

33y · Female·Incised injuries to the neck

Dannyll Ann Goodsell, 33 years old, was murdered by her intimate partner Scott Cameron through multiple incised injuries to the neck causing exsanguination. Ms Goodsell had disclosed to friends that she was scared of Mr …

forensic medicinepsychiatrycommunicationsystemmethamphetamine
VIChome2022-10-06

Finding into death of Ozlem Karakoc

34y · Female·Drowning

Ozlem Karakoc, aged 34, died by drowning on 14 July 2017 at her home in Dandenong, Victoria. She was murdered by her former intimate partner, Murat Davsanoglu, who held her underwater in a bathtub. Ms Karakoc had mild in…

psychiatrygeneral practicecommunicationsystemvenlafaxine
VIChospital2022-10-06

Finding into death of Tracey Lee Cooke

55y · Female·aspiration pneumonia

Tracey Lee Cooke, a 55-year-old woman with severe intellectual disability, Parkinson's disease, and dysphagia, died from aspiration pneumonia at Footscray Hospital. She had five documented aspiration pneumonia episodes i…

respiratory medicinepalliative caresystemcommunication

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