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VIC2022-07-27

Finding into death of Cameron James Ferry

34y · Male·Chest injuries sustained when crushed by tip truck

Cameron James Ferry, a 34-year-old earthmoving business owner, died when crushed by a tipper truck body while performing repair work. Following a previous incident where the tipper body detached due to overloading with s…

systemprocedural
VICaged care2022-07-25

Finding into death of Vasiliki Simopoulos

47y · Female·Probable sudden unexpected death in epilepsy (SUDEP)

Vasiliki Simopoulos, a 47-year-old woman with severe Lennox-Gastaut Syndrome living in residential care, was found unresponsive in the bathroom at 1:20am on 7 February 2019. Autopsy revealed probable sudden unexpected de…

neurologyemergency medicinesystemprimidone
WAprison2022-07-22

Inquest into the Death of Callum MITCHELL

26y · Male·ligature compression of the neck (hanging)

Callum Mitchell, aged 26, died by ligature compression of the neck (hanging) in his cell at Hakea Prison on 21 April 2019. He had a longstanding history of self-harm, severe personality disorders (borderline and antisoci…

psychiatrycorrectional healthsystemcommunicationtramadol
VIChospital2022-07-22

Finding into death of Gregory Roberts

37y · Male·Complications of electrocution and injuries sustained in a fall

Gregory Roberts, a 37-year-old builder, died from complications of electrocution and injuries sustained in a fall after inadvertently touching a 22,000-volt high-voltage aerial powerline with a metal tape measure while w…

emergency medicinetrauma surgerysystemproceduralmorphine
NSW2022-07-22

Inquest into the death of Daniel KING

33y · Male·multiple gunshot wounds to the head, trunk and limbs

Daniel King died following multiple gunshot wounds sustained during a police operation. He had acquired a firearm and attended three locations in western Sydney, discharging it before arriving at Penrith Police Station w…

psychiatryneurologysystemcocaine
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
NSWcustody2022-07-21

Inquest into the death of Richard Navarro

43y · Male·Hypoxic Ischaemic Encephalopathy due to out of hospital cardiac arrest, secondar…

Richard Navarro, a 43-year-old man with severe obstructive sleep apnoea (OSA), morbid obesity, hypertension, and recurrent pneumonia, died of hypoxic ischaemic encephalopathy following cardiac arrest while in custody at …

respiratory medicinecardiologysystem
WA2022-07-20

Inquest into the Death of Seth Gregory Victor YEEDA

19y · Male·Rheumatic heart disease (severe aortic valve regurgitation)

Seth Yeeda, 19-year-old Aboriginal male with rheumatic heart disease from childhood, died in custody from severe aortic valve regurgitation. He had required aortic valve replacement surgery since 2014. In December 2017, …

cardiologycardiothoracic surgerysystemcommunication
VIChome2022-07-19

Finding into death of Mr EZT

38y · Male·Toxicity to gamma hydroxybutyrate

A 38-year-old man with a long history of drug use and criminal offending died from gamma hydroxybutyrate (GHB) toxicity after consuming approximately 60mL of GHB whilst at home. He had been released from prison on 11 May…

toxicologyforensic medicinesystemdelaygamma hydroxybutyrate
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
TAShome2022-07-15

Coroner's Finding: Summers, Nicholas John

41y · Male·heart failure related to exsanguination due to traumatic rupture of an arteriove…

Nicholas Summers, a 41-year-old kidney transplant recipient, died from traumatic rupture of an arteriovenous fistula with massive hemorrhage on 16 February 2016. He had returned to Tasmania under nephrologist Dr M.'s car…

nephrologyvascular surgerysystemdelay
VIC2022-07-15

Finding into death of Wiki Raymond Lowe

35y · Male·hanging

Two inmates at Karreenga Correctional Centre died by hanging within four months of each other in 2017. Mr Lowe, aged 35, died on 7 March 2017 after learning he faced a longer prison sentence than expected. Mr Thomas, age…

psychiatrycorrectional healthcommunicationsystem
VIC2022-07-15

Finding into death of Noel Thomas

42y · Male·hanging

Two prisoners at Karreenga Correctional Centre died by suicide within four months of each other. Mr Lowe, aged 35, hanged himself on 7 March 2017 after learning his prison sentence would be longer than expected. Mr Thoma…

psychiatrycorrectional healthsystemcommunication
NSWcommunity2022-07-15

Inquest into the death of C S

5y · Male·Presumed drowning

CS, aged 5 years 9 months, died by presumed drowning on 2 March 2017 in the Murray River, Moama NSW. His mother LS, who was mentally unwell and using ice, forcibly held him underwater. Multiple agencies—FACS, NSW and Vic…

paediatricspsychiatrydiagnosticsystemmethamphetamine
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
QLDhome2022-07-12

Jack - Non-inquest findings

41y · Male·Stab wound to the chest

Jack, a 41-year-old man with extensive history of domestic violence perpetration across multiple relationships, died from a stab wound to the chest inflicted by his partner Sally during a domestic disturbance. Sally had …

forensic medicinecorrectional healthcommunicationsystemmethamphetamine
VICcommunity2022-07-12

Finding into death of Terry John Chandler

42y · Male·Drowning

Terry John Chandler, a 42-year-old inexperienced boater, drowned while fishing from a small recreational vessel in challenging sea conditions. He had consumed alcohol and cannabis before launching at night without a mari…

systemalcohol
VIC2022-07-11

Finding into death of Mladen Jovanoski

57y · Male·Consequences of multiple injuries (from fall from elevated walkway)

Mladen Jovanoski, a 57-year-old remand prisoner, died from head injuries sustained after falling from a prison walkway on 11 April 2018. He had suspected metastatic thyroid cancer requiring urgent biopsy at a tertiary ho…

endocrinologyoncologysystemcommunication
QLDhospital2022-07-08

R - Non-inquest findings

0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…

A 10-month-old boy died following elective cleft palate repair surgery complicated by post-operative respiratory distress and subsequent cardiorespiratory arrest. Initial laryngospasm led to suspected post-obstructive pu…

anaesthesiaintensive carediagnosticproceduralpropofol

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