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SAhospital2006-11-13

Coroner's Finding: SALMON Daniel Brindley

27y · Male·Airway obstruction due to sublingual and submandibular cellulitis (Ludwig's angi…

A 27-year-old man died from airway obstruction due to Ludwig's angina (bilateral sublingual and submandibular cellulitis) following a tooth extraction. Critical failures included: delayed treatment with inadequate timely…

emergency medicinedentistrycommunicationdiagnosticparacetamol/codeine
NThospital2006-11-10

Inquest into the death of Wendy Walangitj Garmu

45y · Female·hypoxic brain injury following hemopneumothorax resulting from a stab wound to t…

Aboriginal woman stabbed in October 2004, discharged from hospital after initial stab wound assessment without chest X-ray or admission for observation. Wound to posterior chest was explored and stitched by Dr W. but pne…

emergency medicinesurgerydiagnosticprocedural
NTcommunity2006-10-23

Inquest into the death of Jodie Palipuaminni

27y · Female·Intracranial haemorrhage with associated blunt head, chest and abdominal trauma

A 27-year-old Aboriginal woman was killed by her violent partner while he was on parole with conditions explicitly prohibiting contact with her. Despite documented escalating domestic violence over 12 years (including bo…

correctional healthforensic medicinesystemcommunication
SA2006-10-18

Coroner's Finding: TURNER Barry Michael and GLENNIE Troy Michael

Neck compression due to hanging (self-inflicted)

Two men, Barry Michael Turner (35) and Troy Michael Glennie (28), died by hanging in Adelaide Remand Centre while on remand. Both had expressed suicidal ideation and were being monitored via 'yellow sheet' daily nursing …

psychiatrycorrectional healthsystemcommunicationquetiapine
QLD2006-09-27

Mulrunji

36y · Male·intra-abdominal haemorrhage due to rupture of liver and portal vein

Mulrunji (Cameron Francis Doomadgee), a 36-year-old Aboriginal man, died from intra-abdominal haemorrhage due to liver rupture following an encounter with Senior Sergeant Christopher Hurley at Palm Island Police Station …

forensic medicineemergency medicinediagnosticprocedural
SA2006-09-25

Coroner's Finding: BROOKS Neil James and FOSTER Tracy Jayne

43y · Male·suffocation by plastic bag (Neil Brooks); neck compression due to strangulation …

Two deaths investigated in joint inquest: Tracy Jayne Foster died by strangulation in December 2002; Neil James Brooks, her partner charged with her murder, died by suffocation while on remand in May 2003. The coroner id…

psychiatrycorrectional healthcommunicationsystemzopiclone
SAhospital2006-09-25

Coroner's Finding: McCARTHY Elly Sarahnia

13y · Female·cerebral oedema and infarction secondary to extensive subdural empyema

Elly McCarthy, a 13-year-old girl, died from cerebral oedema and infarction secondary to subdural empyema. She developed fever, headache and neurological symptoms on 24 January 2004 and was initially seen at a GP and Noa…

paediatricsemergency medicinediagnosticcommunicationtrimethoprim
SAhospital2006-09-25

Coroner's Finding: McLEOD Peter Malcholm

28y · Male·Acute Dopamine Imbalance Syndrome

A 28-year-old man with first-episode psychosis presented with command auditory hallucinations after a motor vehicle accident. An EEG ordered to exclude organic causes showed very abnormal findings suggestive of partial s…

psychiatryneurologycommunicationdiagnosticrisperidone
QLDmental health2006-09-08

Robinson, Terence James

54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus

Terence James Robinson, 54, died from status epilepticus causing global cerebral hypoxic injury after 16 days at Belmont Private Hospital. He was admitted following a violent altercation with police and attempted suicide…

psychiatryneurologydiagnosticcommunicationparoxetine
NT2006-09-08

Inquest into the death of Hector Martin

36y · Male·Cerebrovascular accident (stroke) - massive intracranial haemorrhage

An Aboriginal man with chronic alcoholism and cirrhosis died from a massive stroke (cerebrovascular accident) while in prison custody. He presented with non-specific symptoms including vomiting on 9 March 2005 and was pl…

general practicecorrectional healthcommunicationsystemdiazepam
SAhospital2006-08-22

Coroner's Finding: DENNIS Jessica-Lee

16y · Female·consequences of acute asthma with hypoxic encephalopathy

Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheezing over six weeks starting September 2001, with significant family h…

general practicerespiratory medicinediagnosticcommunicationsalbutamol
SAhospital2006-08-18

Coroner's Finding: CAMPANELLA Cosmo Joseph

20y · Male·anoxic brain injury following cardio-respiratory arrest caused by hypoxia result…

A 20-year-old male died from anoxic brain injury following cardiac arrest caused by hypoxia resulting from tracheostomy tube occlusion. After motor vehicle trauma, he underwent surgery and was eventually transferred to a…

intensive careneurosurgerysystemcommunicationmannitol
QLDhospital2006-07-28

Zimitat, Vivian Bexley

68y · Male·pulmonary embolism secondary to immobilisation as a result of subdural haemorrha…

A 68-year-old man with cardiac history presented to Rockhampton Hospital after a fall with head trauma, found unconscious with alcohol intoxication. CT scanning revealed a right subdural haematoma and skull fracture. Con…

neurosurgeryneurologycommunicationsystem
SAhospital2006-07-17

Coroner's Finding: HERBERT Raelene Vicki

29y · Female·respiratory depression caused by morphine intoxication on a background of upper …

A 29-year-old woman with infectious mononucleosis and severe sore throat died from respiratory depression caused by morphine intoxication with concurrent upper airway narrowing. A GP administered 30mg intramuscular morph…

general practiceemergency medicinemedicationdiagnosticmorphine
QLDcommunity2006-06-30

Ioane, Andrew Penetito

17y · Male·Head and chest injuries sustained in a car accident following a police pursuit

Andrew Ioane, aged 17, died when the stolen car he was driving crashed during a 19 km police pursuit lasting 13 minutes through Brisbane suburbs. The pursuit was initiated on suspicion of drink-driving when Ioane stalled…

proceduralcommunication
NTcommunity2006-06-29

Inquest into the death of Clifford Brown

58y · Male·Multiple injuries occasioned in a motor vehicle accident (broken neck, ruptured …

Clifford Brown, an Aboriginal man aged 58, died from multiple injuries sustained in a motor vehicle accident on 18 December 2004 at Barrow Creek, NT. The central clinical issue was the inadequate emergency assessment and…

emergency medicineparamedicinediagnosticcommunication
SAhospital2006-06-22

Coroner's Finding: MERRITT Christopher Simon

24y · Male·0.22 calibre gunshot wound to the head (self-inflicted)

Christopher Merritt, a 24-year-old man with a history of reactive depression triggered by relationship breakdowns, presented to his GP Dr W. on 30 June 2003 with acute tearfulness, suicidal ideation, and dangerous reckle…

general practiceemergency medicinediagnosticcommunicationcitalopram
WAhospital2006-05-31

Inquest into the Death of nilon

67y · Female·Pneumonia (streptococcus pneumoniae) in a woman receiving treatment for carcinom…

Peggy Anne Nilon, 67, died from pneumonia (streptococcus pneumoniae) at St John of God Hospital Bunbury on 25 February 2003. Her small cell lung cancer had achieved remission following chemotherapy and radiotherapy. A cr…

oncologygeneral practicediagnosticcommunicationcisplatin
SA2006-05-22

Coroner's Finding: GEORGE Patricia Nina

81y · Female·aspiration pneumonia, exacerbation of chronic obstructive airways disease (emphy…

Patricia Nina George, an 81-year-old woman detained under mental health legislation at Glenside Campus, died from aspiration pneumonia, COPD exacerbation and congestive heart failure. A critical ambulance transfer delay …

psychiatryemergency medicinecommunicationsystemsalbutamol
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…

cardiologycardiothoracic surgerydiagnosticproceduralramipril

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