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TAScommunity2024-09-27

Coroner's Finding: Roberts, Leigh Ronald

56y · Male·coronary atherosclerosis

Leigh Ronald Roberts, 56-year-old male, died from coronary atherosclerosis with severe stenosis affecting all three main coronary arteries. He presented to his GP on 17 and 21 February 2020 with respiratory symptoms (cou…

general practicecardiologydiagnosticcommunicationamoxicillin
VIChospital2024-09-26

Finding into death of FH C

11y · Male·Sepsis

An 11-year-old boy with autism spectrum disorder (ASD level 3), ADHD, and obesity died from sepsis on 20 June 2022. He presented to Rosebud Hospital ED on 14 June with fever, vomiting, and low blood pressure, was dischar…

emergency medicinepaediatricsdiagnosticcommunicationrisperidone
QLDhospital2024-09-20

Non-inquest findings into the death of HK, a five year old boy

5y · Male·Septic shock due to Influenza A infection and bacterial co-infection with Staphy…

A 5-year-old boy died from septic shock complicating influenza A with bacterial co-infection (Staphylococcus aureus or Group A Streptococcus). He presented to the ED on 22 May 2022 with fever, abdominal pain, and vomitin…

emergency medicineinfectious diseasesdiagnosticcommunication
VICPodcast2024-09-19

Finding into death of George Diamond

18y · Male·complications of acute on chronic subdural haemorrhage (operated) in the setting…

George Diamond, 18, died from acute-on-chronic subdural haemorrhage sustained during boxing sparring on 18 February 2019. He had suffered a head injury during sparring on 25 October 2018, presenting with headache, nausea…

general practiceemergency medicinediagnosticdelayparacetamol
NSW2024-09-17

Inquest into the death of Robert Phair

37y · Male·Cardiomegaly giving rise to lethal cardiac arrhythmia in the setting of drug tox…

37-year-old Robert Phair died in Parklea Correctional Centre from cardiomegaly causing lethal cardiac arrhythmia in the setting of drug toxicity. He was placed in detoxification requiring four-hourly clinical observation…

addiction medicineemergency medicinediagnosticcommunicationheroin
ACThospital2024-09-16

Inquest Into The Death Of Sharyn Kaine

73y · Female·Multi organ failure due to adhesions related bowel perforation (surgically treat…

Sharyn Kaine, a 73-year-old woman, died from multi-organ failure due to adhesions-related bowel perforation and paracetamol-induced liver failure. She was prescribed intravenous paracetamol 1g four times daily post-opera…

general surgeryanaesthesiamedicationtranscriptionparacetamol
NSWPodcast2024-09-12

Inquest into the death of Andrew Seton

24y · Male·multiple injuries

Andrew Seton, an experienced 24-year-old backcountry skier, died on 3 September 2022 following an accidental fall while skiing alone at Watsons Crags in Kosciuszko National Park in icy conditions. He was not reported mis…

systemcommunication
WAhome2024-09-11

Inquest into the Death of Stephen Kenneth SHERWOOD

31y · Male·ligature compression of the neck (hanging)

Stephen Sherwood, a 31-year-old Aboriginal man with untreated mental health issues and history of methylamphetamine use, died by suicide on 13 April 2022. He had attempted suicide by wrist-cutting on 30 March 2022 and th…

psychiatryemergency medicinecommunicationmethamphetamine
ACThospital2024-09-11

Inquest Into The Death Of Baby X

0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…

Baby X, born at Canberra Hospital after a prolonged labour, died at age 2 days from injuries sustained during birth. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged …

obstetricsneonatologydiagnosticcommunication
VIC2024-09-05

Finding into death of Russell Leslie James Hewat

33y · Male·Aspiration pneumonia in the setting of recent COVID-19 infection

Russell Hewat, a 33-year-old man with autism, Down syndrome, intellectual disability, and dysphagia, died from aspiration pneumonia following COVID-19 infection. He was discharged from Frankston Hospital on 1 November 20…

emergency medicineintensive carecommunicationsystem
VICcommunity2024-08-29

Finding into death of Bridget Flack

28y · Female·compression of the neck and hanging

28-year-old Bridget Flack, a transgender woman experiencing complex mental health issues including depression, anxiety, borderline personality disorder and PTSD, died by suicide in December 2020 after becoming increasing…

psychiatrypsychologycommunicationsystemescitalopram
SAcommunity2024-08-29

Coroner's Finding: May, Kunmanara

23y · Female·stab wound of the chest

Kunmanara May, aged 23, was killed by her partner SK in a domestic violence homicide in 2015. Multiple agencies—South Australia Police, Families SA, Aboriginal Family Support Service, and Centacare—knew of escalating vio…

general practiceforensic medicinediagnosticcommunication
NSW2024-08-22

Inquest into the death of Russell Zaska

33y · Male·hanging

Russell Zaska, a 33-year-old man with a complex mental health history including probable methamphetamine dependence and recurrent drug-induced psychosis, died by hanging in custody at the Metropolitan Remand and Receptio…

psychiatrycorrectional healthsystemdelayolanzapine
QLDaged care2024-08-22

Non-inquest findings into the death of Malcolm Daniel Moriarty

87y · Male·Combined effects of sotalol toxicity on a background of severe valvular and athe…

An 87-year-old man with Alzheimer's disease died in a residential aged care facility after ingesting Sotalol, a cardiac medication not prescribed to him. The medication trolley was left unlocked and accessible despite fa…

geriatric medicinegeneral practicemedicationproceduralsotalol
ACT2024-08-22

Inquest Into The Death Of Luke Anthony Rich

27y · Male·suicide by hanging

Luke Anthony Rich, age 27, died by suicide by hanging in a prison cell in the Alexander Maconochie Centre (ACT) on 1 February 2022, one day after being remanded in custody on domestic violence allegations. The coroner fo…

psychiatrycorrectional healthsystemcommunicationcocaine
QLDcommunity2024-08-21

Inquest into the deaths of Charmaine, Aaleyn, Matilda, Wyatt, and Zaidok McLeod

Female·multiple injuries from motor vehicle collision (for all five deceased)

Charmaine McLeod died by intentionally driving her vehicle into an oncoming truck, killing herself and her four young children (aged 2-6). She had a longstanding history of complex mental health issues (Borderline Person…

psychiatryemergency medicinesystemcommunicationfluvoxamine
NSWhospital2024-08-20

Inquest into the death of Ricky Dougie Hampson

36y · Male·perforated duodenal ulcer

Ricky Douglas Hampson, a 36-year-old First Nations man, presented to Dubbo Base Hospital on 14 August 2021 with sudden onset severe abdominal pain and a reported sensation of something popping in his abdomen. He had two …

emergency medicinegastroenterologydiagnosticcommunicationmorphine
VIChospital2024-08-19

Finding into death of Matilda Ruby Armstrong

1y · Female·viral respiratory tract infection (Parainfluenza and Respiratory Syncytial Virus…

Matilda Armstrong, a 12-month-old previously well child, died from viral respiratory tract infection (Parainfluenza and RSV) complicated by Streptococcus pyogenes sepsis following recent COVID-19 infection. She presented…

emergency medicinepaediatricsdelaysystemparacetamol
VIChome2024-08-19

Finding into death of Siya Yogin Patel

0y · Female·hyperviscosity-related brain injury secondary to hypernatraemic dehydration

Siya Patel, a 23-day-old neonate, died from hyperviscosity-related brain injury secondary to severe dehydration caused by insufficient breastfeeding. Her family were recent emigrants without Medicare eligibility, creatin…

neonatologygeneral practicediagnosticcommunication
QLDaged care2024-08-15

Non-inquest findings into the death of Charlotte Paluszak

84y · Female·Complications associated with Diabetes Mellitus (likely hyperosmolar hyperglycae…

Mrs Charlotte Paluszak, 84, died at a residential aged care facility after rapid deterioration from complex dementia and diabetes. On 10 November 2017, she developed acute semiconsciousness and agitation. The clinical nu…

geriatric medicinepalliative caremedicationdiagnosticmorphine sulphate

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