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VIChome2020-05-29

Finding into death of Ronald John Wood

68y · Male·Pulmonary thromboembolus secondary to deep vein thrombosis

Ronald Wood, a 68-year-old with complex medical history including prior pulmonary emboli, was treated for rectal cancer requiring chemotherapy and major surgery. Warfarin anticoagulation was appropriately ceased due to b…

colorectal surgerygastroenterologycommunicationsystemwarfarin
WA2020-05-28

Inquest into the Suspected Death of Michael PETA

36y · Male·Unknown – Open Finding

Michael Peta, a Papua New Guinean national employed in Western Australia, disappeared from the Catholic Presbytery in Broome on 15 January 1975 at age 36–37. The coroner established beyond reasonable doubt that he is dec…

communicationsystem
WAcommunity2020-05-27

Inquest into the Suspected Death of Sylvina TARI

72y · Female·Unknown - could be natural or accidental; no cause determined

Sylvina Tari, an elderly Aboriginal woman aged approximately 72, disappeared from Kalumburu Mission in Western Australia in August 1977. She was found to have died between late 1981 and early 1982, but her death was neve…

systemcommunication
VIChospital2020-05-27

Finding into death of Ms T

46y · Female·Hanging

A 46-year-old woman with a history of depression, anxiety, and alcohol dependence died by hanging. She was transported to Box Hill Hospital on 27 January 2016 under Mental Health Act section 351 following suicidal ideati…

emergency medicinepsychiatrycommunicationsystemalcohol
WAhospital2020-05-26

Inquest into the Death of Nualla Christine REILLY

74y · Female·Multiple injuries sustained when struck by train

A 74-year-old woman with borderline personality disorder, depression, anxiety and type 2 diabetes died by suicide after absconding from Fiona Stanley Hospital Emergency Department. She had been on extended psychiatric ad…

psychiatryemergency medicinecommunicationsystemamitriptyline
QLDhome2020-05-26

Mr M - Non-inquest findings

50y · Male·Stab wounds to chest and upper left limb

A 50-year-old man was stabbed to death by his partner's ex-partner, Mr F, in a premeditated attack at his home on 6 April 2015. The deceased and his partner had reported multiple threats and breaches of domestic violence…

diagnosticcommunication
VIChospital2020-05-25

Finding into death of Chris Perdios

42y · Male·Aspiration pneumonia in the setting of impacted large bowel in a man with intell…

Chris Perdios, a 42-year-old man with intellectual disability, autism, and chronic constipation, died from aspiration pneumonia complicated by an impacted large bowel. He was admitted to hospital on 12 October 2018 with …

intensive careemergency medicinecommunicationsystemquetiapine
VIC2020-05-24

Finding into death of Logan Saminathan

39y · Male·Drowning

Logan Saminathan, a 39-year-old beginner scuba diver, drowned at Mornington Pier during an open water training dive. The precise underwater events remain unclear, but he surfaced unconscious without his mask. Expert anal…

occupational and environmental healthemergency medicineproceduralsystem
QLD2020-05-22

McGuire, Paul Thomas

Male·Asphyxia, caused by the inhalation of severely oxygen-depleted air

Paul McGuire, an experienced mine electrician, died from asphyxiation after opening a partially sealed hatch door to a GOAF (worked-out coal area) containing severely oxygen-depleted air. The critical failure was the min…

systemcommunication
NSWcommunity2020-05-22

Inquest into the death of Brooke CARROLL

18y · Female·Multiple injuries to the head, thorax and limbs (fractures to skull, left clavic…

Brooke Carroll, 18, died in a motor vehicle collision on the Mitchell Highway near Dubbo when the vehicle she was a passenger in struck a telegraph pole. The driver, Scott Thompson, was affected by methamphetamine and tr…

communicationsystemmethamphetamine
VIChospital2020-05-21

Finding into death of Baby S

Female·Sepsis in the setting of a lotus birth

A premature female neonate born at 36+5 weeks via emergency caesarean section developed sepsis and died at 2 days of age. She had been delivered with lotus birth (cord left attached to placenta) and vaginal seeding (mate…

obstetricspaediatricscommunicationsystembenzylpenicillin
TAShome2020-05-19

Coroner's Finding: Adams, Christopher Neil

31y · Male·mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine …

Christopher Neil Adams, 31, died from mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine, diazepam) combined with advanced coronary atherosclerotic disease. He had a documented history of opi…

general practiceemergency medicinesystemmethadone
TAShome2020-05-19

Coroner's Finding: Steer, Marianne

56y · Female·combined drug toxicity (methadone, diazepam, amitriptyline and mirtazapine); pul…

Marianne Steer, 56, died from combined drug toxicity involving methadone, diazepam, amitriptyline, and mirtazapine. She had a long history of substance dependence and had voluntarily ceased methadone treatment five month…

general practiceaddiction medicinesystemmethadone
SAhome2020-05-15

Coroner's Finding: TRINH Crystal

2y · Female·global cerebral hypoxia due to drowning

Crystal Trinh, 19 months old, drowned in her aunt's home swimming pool on 11 January 2016 after entering through non-compliant double gates left open. A Salisbury Council inspector had identified the gates as non-complia…

systemcommunication
TAShome2020-05-14

Coroner's Finding: Cashion, Brett Matthew

48y · Male·combined drug intoxication from morphine and quetiapine

Brett Cashion, a 48-year-old man with chronic pain and mental health issues, died from combined morphine and quetiapine intoxication after injecting prescription morphine. He was receiving daily Subutex in Tasmania from …

general practicepain medicinecommunicationsystemmorphine
VICcommunity2020-05-14

Finding into death of Leonie Maree Hanson

40y · Female·Drowning

Leonie Hanson, an experienced diving instructor, drowned at Mornington Pier while attempting to rescue a student, Logan Saminathan, who surfaced unconscious during an open water training dive. The student likely panicked…

diving medicineoccupational and environmental healthdiagnosticcommunication
VICcommunity2020-05-11

Finding into death of Jolanta Boyd

48y · Female·Multiple injuries sustained when struck by a train

Jolanta Boyd, a 48-year-old woman with documented mental health conditions including suicidal ideation, alcohol use disorder, and anxiety, died by suicide on 18 June 2018 when she jumped in front of a train at Windsor ra…

psychiatryemergency medicinecommunicationsystemalcohol
QLDrural hospital2020-05-08

FD - Non-inquest findings

68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…

A 68-year-old woman with oculopharyngeal muscular dystrophy died from sepsis due to peritonitis following dislodgement of a PEG tube inserted on 27 February 2018. She presented to a rural hospital 5.5 hours post-discharg…

gastroenterologyemergency medicinediagnosticcommunicationaugmentin duo
QLDhome2020-05-06

T and P - Non-inquest findings

Female·Drowning

Two young sisters, aged 4 and 3 years, drowned in a residential swimming pool while unsupervised. Both parents were present in the home but inattentive—the mother was asleep in the bedroom while the father was using his …

paediatricsemergency medicinesupervisionsystem
NSW2020-05-06

Inquest into the death of Jonathon HOGAN

23y · Male·Neck compression as a result of hanging

Jonathon Hogan, a 23-year-old Aboriginal man of Wiradjuri, Ngiyampaa and Murrawarri descent, died by hanging at Junee Correctional Centre on 3 February 2018 while serving remand. He had longstanding schizophrenia with pr…

psychiatrygeneral practicediagnosticcommunicationolanzapine

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