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NSWcommunity2022-02-18

Inquest into the death of SP

36y · Male·hanging

A 36-year-old man died by hanging on 10 July 2018 after leaving his home in Blacktown, NSW. His partner called Triple Zero after 30 minutes, reporting concern for his welfare and that he was acting strangely, restless, a…

emergency medicineparamedicinecommunicationsystem
VICaged care2022-02-15

Finding into death of Melissa Cunningham

44y · Female·Complications of a lung abscess with contributing factors of Down's syndrome and…

Melissa Cunningham, a 44-year-old woman with Down's syndrome and severe obesity, died from complications of a lung abscess. She required a CPAP machine for sleep apnoea, prescribed and monitored by Western Health since 2…

respiratory medicinegeriatric medicinesystemcommunication
WAhospital2022-02-14

Inquest into the Death of Jeffrey Lee STRETTLES

52y · Male·complications in association with advanced malignancy (hepatocellular carcinoma)…

Jeffrey Lee Strettles, a 52-year-old prisoner, died from complications of advanced hepatocellular carcinoma, end-stage cirrhosis, and generalised sepsis. He had contracted Hepatitis C in the late 1980s and was diagnosed …

gastroenterologyoncologysystemledipasvir
NSWmental health2022-02-14

Inquest into the death of Janice GAUL

Female·Multiple injuries sustained when deceased placed herself in front of a moving tr…

On 2 July 1988, an unidentified woman died at Cabramatta railway station after deliberately placing herself in front of a moving train, sustaining multiple fatal injuries. She was identified through fingerprint analysis …

psychiatryforensic medicinesystem
VIC2022-02-11

Finding into death of Michelle Hughes

53y · Female·Ligature strangulation

Michelle Hughes, a 53-year-old woman serving her first prison sentence for assault committed during drug-induced psychosis, died by ligature strangulation in her cell at Dame Phyllis Frost Centre Women's Prison on 26 Jan…

psychiatrycorrectional healthdiagnosticprocedural
VIC2022-02-10

Finding into death of Elaine Betty Sime

72y · Female·multi-organ failure secondary to poly-trauma and likely bee-sting related toxidr…

Elaine Betty Sime, a 72-year-old fit and healthy woman, died from multi-organ failure following poly-trauma and bee sting toxidrome after a tree fell on her during a walk. The tree at Ruffey Lake Park Trail failed due to…

emergency medicinetrauma surgerysystem
WA2022-02-09

Inquest into the Suspected Death of Pei Yao CHEN

41y · Male·Drowning in the Indian Ocean near B-7 Anchorage Point approximately 13 miles fro…

Pei Yao Chen, a 41-year-old Bosun, fell overboard from the cargo ship Cape Splendor while fishing from an accommodation ladder during a lunch break in October 2014. Despite wearing work clothes and no lifejacket (contrar…

system
SA2022-02-09

Coroner's Finding: Curran, Michael Anthony

62y · Male·metastatic hepatocellular carcinoma

Michael Anthony Curran, a 62-year-old prisoner, died from metastatic hepatocellular carcinoma in 2015. He had been diagnosed with hepatitis C in 2005, which is a significant risk factor for liver cancer. A liver biopsy i…

hepatologygastroenterologydiagnosticsystemribavirin
NSWhome2022-02-07

Inquest into the death of Chatchaya ITTIVITHCHAI

1y · Female·blunt force injury of the head sustained when she fell from a third-floor window…

A 15-month-old girl died from blunt force head injury after falling from a third-floor apartment window lacking a safety lock. The building was governed by company title rather than strata title, meaning no child window …

system
WA2022-02-04

Inquest into the Death of Robert William ROMAN

55y · Male·Subdural haematoma in a man with diabetes mellitus and chronic kidney disease (r…

A 55-year-old Aboriginal man with end-stage renal disease, diabetes, ischaemic heart disease and COPD died from a spontaneous subdural haematoma while undergoing haemodialysis in prison custody. He presented with headach…

nephrologyemergency medicinesystemcommunicationaspirin
VIC2022-02-03

Finding into death of Wayne Myhill

54y · Male·Neck injuries sustained in a fall - fracture of the fifth cervical vertebra (car…

Wayne Myhill, aged 54, died from a cervical spine fracture (C5 level) sustained in a fall at his group home in Ararat, Victoria. He had cerebral palsy, intellectual disability, Lennox-Gastaut syndrome with frequent seizu…

neurologygeneral practicesystemdelaylamotrigine
VIC2022-02-01

Finding into death of Travis Thomas Young

42y · Male·hanging

A 42-year-old prisoner with generalised anxiety disorder and chronic tinnitus causing significant distress died by suicide while incarcerated. In the months preceding his death, he presented repeatedly to health staff re…

psychiatrygeneral practicesystemdelaymethadone
NSWmental health2022-02-01

Inquest into the death of Camilla MARGOLIS

34y · Female·multiple blunt force injuries

Camilla Margolis, 34, died by suicide at Echo Point Lookout in the Blue Mountains hours after discharge from mental health inpatient care. She had complex borderline personality disorder with chronic suicidality across 2…

psychiatryemergency medicinecommunicationsystemmirtazapine
VIChome2022-01-31

Finding into death of Leeanne Matheson

52y · Female·Mixed drug toxicity (methadone, pregabalin, valproic acid, benzodiazepines)

A 52-year-old woman with chronic pain, epilepsy, and opioid dependence died from mixed drug toxicity after prescribed methadone, pregabalin, valproic acid, and benzodiazepines. She was admitted to Box Hill Hospital on 12…

addiction medicinegeneral practicemedicationcommunicationmethadone
TAShospital2022-01-28

Coroner's Finding: Mitchell, Gordon Arthur David

54y · Male·acute myocardial infarction

Gordon Arthur David Mitchell, 54 years old, died of acute myocardial infarction five days after successful stenting for an initial MI. He was discharged on 10 July 2019 despite presenting with chest pain, dyspnea, and co…

cardiologyemergency medicinediagnosticclinical decisionbeta-blocker
WAhospital2022-01-25

Inquest into the Death of Carole LIVESEY

54y · Female·unascertained

Carole Livesey, a 54-year-old woman with severe anorexia nervosa and major depression, absconded from Rockingham Hospital psychiatric unit on 3 October 2017 during an escorted walk in hospital grounds. She had been an in…

psychiatrygeneral medicinecommunicationproceduralfluoxetine
NThospital2022-01-25

Inquest into the death of Josef Lear

80y · Male·metastatic oesophageal cancer

Josef Lear, an 80-year-old prisoner, died of metastatic oesophageal cancer at the Royal Darwin Hospital Hospice on 7 March 2021. He presented with progressive dysphagia, cough, and weight loss in mid-2020, which was appr…

oncologygastroenterologycommunicationsystemibuprofen
QLDPodcast2022-01-25

Ofner, Johann

28y · Male·Gunshot wound to the chest causing cardiovascular collapse due to laceration, hy…

Johann Ofner, a professional stunt performer, died on 23 January 2017 after being shot with a shotgun during filming of a music video in Brisbane. He was believed to be using blank-fire ammunition; however, theatrical ar…

systemcommunicationopioid medication
TAShospital2022-01-21

Coroner's Finding: de Wit, Pauline Catherine Marie

53y · Female·acutely decompensated congestive cardiac failure due to blunt traumatic injuries…

A 53-year-old woman with severe intellectual disability and scoliosis died from acute decompensated congestive cardiac failure following blunt traumatic injuries sustained in a five-vehicle motor vehicle crash. She was a…

emergency medicineintensive caresystemdelay
VICcommunity2022-01-20

Finding into death of YLM

78y · Male·Ruptured abdominal aortic aneurysm

A 78-year-old man died from rupture of a previously undiagnosed 7.1cm abdominal aortic aneurysm. A CT scan ordered for suspected renal colic incidentally discovered the aneurysm and recommended vascular review. The GP ap…

general practiceradiologycommunicationsystem

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