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QLDcommunity2010-09-16

Petersen, David Robert

35y · Male·intra-abdominal haemorrhage caused by ruptured spleen

A 35-year-old man with chronic liver disease, cirrhosis, hepatitis C and other comorbidities presented to his GP on 24 January 2007 with acute severe chest pain, profuse sweating, shaking, vomiting and a history of passi…

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
VICaged care2010-09-08

Finding into death of Joan Hendrickson

78y · Female·Aspiration pneumonia, epistaxis, and trauma to the face

Joan Hendrickson, a 78-year-old with vascular dementia, was assaulted by a co-resident at an aged care facility in April 2006, sustaining facial trauma and epistaxis. She died from aspiration pneumonia 10 days later. The…

general practicegeriatric medicinecommunicationsystem
VICmental health2010-09-08

Finding into death of Brian O'Connor

73y · Male·Acute on chronic subdural haematoma due to recent head trauma in the context of …

Brian O'Connor, a 73-year-old man with vascular dementia, was admitted to a mental health inpatient unit following aggressive behaviour. He was placed on 15-minute observations due to Level 3 falls risk. Over several wee…

psychiatryneurosurgerydiagnosticsystemfluphenazine
QLDcommunity2010-09-07

Simpson-Willson, John Douglas

56y · Male·head injuries inflicted by blunt force trauma

56-year-old John Douglas Simpson-Willson was fatally assaulted in Brisbane's Botanical Gardens on 3 June 2005 by Daniel Pattel, released from prison five days earlier. Pattel had expressed clear intentions to kill someon…

psychiatrycorrectional healthdiagnosticcommunication
NSW2010-09-03

Speering monica trent findings

40y · Male·Self-inflicted gunshot wound to the head

Trent Speering, a 40-year-old NSW paramedic, shot and killed his mother Monica, then shot himself on 11 June 2008. The coroner found that Trent suffered untreated paranoid personality disorder and depression. Despite mul…

psychiatrypsychologydiagnosticcommunication
NSWhospital2010-09-03

Woodcock 2011 06 14 12 49 10 862

Male·Myocardial failure resulting from excessive pulmonary blood flow and consequenti…

One-month-old Liam Woodcock, born extremely prematurely at 27.5 weeks gestation weighing approximately 1 kilogram, died from myocardial failure secondary to excessive pulmonary blood flow in the context of severe congeni…

neonatologyintensive caremedicationproceduralpropofol
NSWhospital2010-09-02

Coxell 2011 06 14 12 32 04 475

61y · Male·cardiac tamponade caused by aortic dissection due to hypertension

Harry Coxell, a 61-year-old man with hypertension, presented to Blacktown Hospital with severe sudden-onset chest pain on 31 October 2006. The Emergency Department doctor, Dr H., assessed him as intermediate risk for isc…

emergency medicinecardiologydiagnosticproceduralglyceryl trinitrate
VICaged care2010-08-28

Finding into death of Patricia Mary Cook

85y · Female·Complications of subdural haematoma (evacuated), secondary to fall, contributed …

Patricia Cook, 85, died from complications of a subdural haematoma following a fall at a supported residential service (SRS) while on warfarin for atrial fibrillation. She fell on 30 September 2007, striking her head. Pe…

geriatric medicineneurosurgerycommunicationsystemwarfarin
QLD2010-08-27

Clumpoint, Thomas Andrew

40y · Male·Laryngeal stenosis caused by laryngeal oedema due to squamous cell carcinoma of …

Thomas Andrew Clumpoint, 40-year-old Aboriginal man, died from laryngeal stenosis caused by squamous cell carcinoma of the head and neck while imprisoned. He had undergone surgery and chemo-radiation for tonsillar cancer…

ENT surgeryradiation oncologycommunicationsystemmorphine
VICaged care2010-08-26

Finding into death of Chris Christodoulou

82y · Male·Intracranial haemorrhage secondary to blunt force trauma (fall)

An 82-year-old man resident in a nursing home died from intracranial haemorrhage following a fall. He sustained two falls on 7 March 2009; the first was unwitnessed at 8.24am. When examined after a second fall at 7.35pm,…

geriatric medicinegeneral practicecommunicationsystem
NSWhome2010-08-26

Coroner's Finding: Kate Therese Bugmy

26y · Female·Streptococcal Sepsis resulting from Skin Ulceration and complications of Cerebra…

Kate Therese Bugmy, a 26-year-old woman with cerebral palsy, epilepsy, and intellectual disability, died on 28 June 2007 of Streptococcal sepsis from infected pressure ulcers. She was cared for at home by her mother Daph…

general medicineemergency medicinesystemcommunication
VIChome2010-08-23

Finding into death of PC

20y · Male·pulmonary oedema due to acute on chronic heart failure resulting from dothiepin …

A 20-year-old man died from pulmonary oedema due to acute-on-chronic heart failure resulting from dothiepin overdose. He had complex mental health and substance use issues dating back to age 16. He was prescribed dothiep…

general practicepsychiatrydiagnosticmedicationdosulepin
VIChome2010-08-13

Finding into death of Mr X

53y · Male·multiple large incised defects to the head and single stab wound to the chest

Mr X, aged 53, was killed by his son Mr A who was subject to a Community Treatment Order (CTO) supervised by Peninsula Health Mental Health Services. Mr A had a complex history of mental illness (schizophreniform paranoi…

psychiatryaddiction medicinesystemcommunicationdiazepam
SAcommunity2010-08-12

Coroner's Finding: BAIS Ricky James

38y · Male·ischaemic heart disease

Ricky James Bais, a 38-year-old man with paranoid schizophrenia and undiagnosed 75% left anterior descending coronary artery narrowing, died during police restraint. He had absconded from mental health detention at Noarl…

psychiatrygeneral practicesystemcommunicationdepot zuclopenthixol
VICcommunity2010-08-06

Finding into death of Lauren Katherine James

26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…

Lauren James, a 26-year-old woman, died from complications of elective liposuction surgery performed on 19 January 2007. She presented to the clinic on 22 January with severe pain and asymmetrical swelling of her left th…

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpethidine
WAcommunity2010-07-30

Inquest into the Death of Dingle

34y · Female·complications of metastatic rectal cancer

Penelope Dingle died of metastatic rectal cancer on 25 August 2005. She was diagnosed with localised rectal cancer in February 2003 when a potential surgical cure was possible. However, she rejected mainstream treatment …

colorectal surgerygeneral practicediagnosticcommunication
NSWhospital2010-07-22

Finding helanisirianni257 08 dscmitchell

Female·Hypoxic ischaemic encephalopathy following hypovolaemic shock and multi-organ fa…

Helani Sirianni, born 8 February 2008, died less than 3 days later from subgaleal haemorrhage and multi-organ failure. She was delivered by vacuum extraction after labour complicated by fetal distress. The vacuum extract…

obstetricsmidwiferydiagnosticcommunication
VIChome2010-07-21

Finding into death of MF

29y · Female·Multiple stab wounds to the neck

A woman was fatally stabbed 12 times in the neck by her husband during an escalating family violence situation. She had disclosed family violence to Victoria Police on multiple occasions and to her General Practitioner. …

general practiceforensic medicinecommunicationsystem
QLD2010-07-09

Mataia, Tofia Josen

32y · Male·Cardiac arrest as a result of the combined effects of severe coronary atheroscle…

Tofia Mataia, a 32-year-old male with schizophrenia, died in custody at Capricornia Correctional Centre following restraint after assaulting officers. He collapsed during a 2-minute prone restraint by five officers. The …

psychiatryemergency medicinediagnosticcommunicationsodium valproate
SAhospital2010-07-09

Coroner's Finding: STEMMER Jessica Lee and MAHAR Thomas William

Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…

Two neonates died from complications of subgaleal haemorrhage following ventouse extraction. Jessica Stemmer (7 hours old) died from disseminated intravascular coagulation after subgaleal haemorrhage. Thomas Mahar (8 day…

obstetricsneonatologydelaycommunication

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