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QLDhome2014-11-26

Smith, Rachel Danielle - Non-inquest findings

25y · Female·mixed drug toxicity

Rachel Smith, a 25-year-old woman with chronic migraines and depression, died from mixed drug toxicity after consuming multiple prescription medications including oxycodone, codeine, tramadol, diazepam, amitriptyline and…

general practiceneurologydiagnosticsystemoxycodone
QLDhome2014-07-28

Copeland, Alison Ruth - Non-inquest findings

55y · Female·Plastic bag suffocation

Alison Copeland, aged 55, died by plastic bag suffocation after living with severe physical disability and depression since suffering a subarachnoid haemorrhage in 1995. She had made multiple suicide attempts over 16 yea…

psychiatryneurologysystemdelaytemazepam
VIChome2014-02-13

Finding into death of Daniel Malcolm John Anderson

33y · Male·toxic effects of oxycodone

A 33-year-old man died from oxycodone toxicity after his general practitioner prescribed escalating doses of the opioid for intermittent migraines over 14 months (5-30mg daily), despite a prior rejection of a pethidine a…

general practicepsychiatrydiagnosticmedicationoxycodone
VIChospital2014-01-30

Finding into death of Kerri Louise Gunn

41y · Female·Intracerebral haemorrhage secondary to Posterior Reversible Encephalopathy Syndr…

Kerri Gunn, a 41-year-old woman five days post-caesarean delivery, presented to emergency with frontal headache, elevated blood pressure, proteinuria, abnormal liver function and lower limb oedema. She was admitted under…

emergency medicinegeneral medicinediagnosticdelayparacetamol
WAhome- 12 September 2014

Inquest into the Death of Shionah Violet Teneille CARTER

26y · Female·Unlawful Homicide - positional asphyxia during violent assault and sexual attack

A 26-year-old Aboriginal woman died from positional asphyxia during a violent assault and sexual attack by her intimate partner. She sustained traumatic brain injuries causing concussion/unconsciousness, rendering her vu…

pathologyneurologysystemcommunicationmethamphetamine
QLD2013-10-04

Hempel, Barry Ian; Lovell, Ian Ross

Male·Multiple injuries from aircraft crash; underlying cause - epileptic seizure suff…

Two men died when a Yak-52 aircraft piloted by Barry Hempel crashed into the Pacific Ocean. Evidence suggests Hempel suffered an epileptic seizure mid-flight, rendering him incapacitated and unable to control the aircraf…

neurologyaviation medicinediagnosticcommunicationcarbamazepine
SAhome2013-06-13

Coroner's Finding: LAMBERT Judith Ann

69y · Female·left pontine haemorrhage with re-bleeding associated with hypertensive vascular …

A 69-year-old woman died from left pontine haemorrhage with re-bleeding. On 2 February 2010, her GP referred her for a CT head scan after she reported two weeks of slurred speech. The scan on 11 February revealed a ponti…

general practiceradiologycommunicationdelay
VICcommunity2013-05-27

Finding into death of Nikos Vourdoulidis

46y · Male·Myocardial fibrosis in a man with epilepsy

Nikos Vourdoulidis, a 46-year-old man with intellectual disability and epilepsy, died from myocardial fibrosis in the setting of epilepsy. He collapsed in a shower in November 2008 and was found several hours later. Crit…

general practiceneurologycommunicationsystemcarbamazepine
VIChospital2013-03-15

Finding into death of Rolden Ablis

5y · Male·Brainstem encephalitis (viral)

Rolden Ablis, aged 5, presented to Frankston Hospital Emergency Department with fever, vomiting, and dehydration on 10 December 2007. He was diagnosed with gastroenteritis and admitted for fluid resuscitation. Despite cl…

paediatricsemergency medicinediagnosticdelayparacetamol
WAhome2013

Inquest into the Death of Stevens, Malachi Isaac and Stevens, Lochlan James

10y · Male·Unascertainable

Two young children, Malachi (10 months) and Lochlan (2 years), died on 7-8 November 2008 in their mother's home en suite, with cause of death unascertainable. The mother claimed to have blacked out for approximately 10 h…

paediatricsforensic medicinesystemdelay
SAaged care2012-12-13

Coroner's Finding: Kruger Mary Patricia

69y · Female·bronchopneumonia complicating intracranial tumour (meningioma with obstructive h…

Mary Patricia Kruger, aged 69, died of bronchopneumonia complicating a massive subfrontal meningioma with obstructive hydrocephalus. Her death was preventable. During a November 2006 hospital admission for urinary tract …

general practiceneurologydiagnosticcommunicationcarbidopa
NSWhospital2012-11-01

Inquest into the death of Michelle McILQUHAM

28y · Female·undiagnosed acute streptococcus pneumonia meningitis with left-sided otitis medi…

28-year-old Michelle McIlquham with mild intellectual disability presented to Bankstown Hospital ED with fever, headache, ear infection and first-ever seizure. A junior doctor diagnosed simple otitis media with behaviour…

emergency medicineinfectious diseasesdiagnosticcommunicationerythromycin
QLDhospital2012-10-18

Plumb, Joshua Jai

7y · Male·Joshua died due to a combination of physical entrapment of his head which occlud…

Joshua, a 7-year-old boy with spastic quadriplegia, epilepsy, and neurological impairment, died following entrapment of his head between hospital bed rails covered with bed bumpers while in hospital for gastroenteritis. …

paediatricsemergency medicinecommunicationsystembaclofen
SAhospital2012-09-19

Coroner's Finding: STEAD Kenneth Alfred

79y · Male·delirium due to aspiration pneumonia complicating advanced metastatic non-small …

A 79-year-old man with metastatic lung cancer suffered multiple strokes causing confusion and behavioural disturbance. He was detained under Mental Health Act. On the night shift, nursing staff found him unresponsive and…

oncologygeriatric medicinecommunicationsystem
SAaged care2011-08-08

Coroner's Finding: BURNS John Arthur

63y · Male·cerebral infarction

John Arthur Burns, a 63-year-old man with frontotemporal dementia and motor neurone disease, died from cerebral infarction on 17 September 2006 while in Westminster Aged Care Facility after only 12 days of residence. Des…

general practicegeriatric medicinemedicationcommunicationhaloperidol
VIChospital2011-07-29

Finding into death of Marlene Kenny

64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…

Marlene Kenny, 64, presented to Orbost Hospital on 8 January 2007 with chest tightness, breathing difficulties and low oxygen saturation (83-86%). A doctor diagnosed panic attack and discharged her without investigation.…

emergency medicinegeneral practicediagnosticcommunicationdiazepam
WAcommunity2010-12-21

Inquest into the Death of Njana

24y · Male·left intracerebral haemorrhage and consequential brain bleeding resulting from h…

Hendrick Njana, a 24-year-old Aboriginal male, was assaulted on 27 December 2008 by Shaun Steven Midd at a service station in Broome, suffering a strike to the head causing unconsciousness, kicks to the head with steel-c…

emergency medicineintensive carecommunicationdelayalcohol
SA2010-11-19

Coroner's Finding: PARKER Laura

40y · Female·hypoxic encephalopathy and epilepsy with diffuse fibrillary astrocytoma within t…

Laura Parker, a 40-year-old woman with a long history of epilepsy, borderline personality disorder, and recent seizures, died at the Royal Adelaide Hospital on 16 March 2008 from hypoxic encephalopathy caused by cardiac …

neurologypsychiatrydiagnosticcommunicationvigabatrin
QLDhospital2010-10-29

Spence, Samantha Rose

12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…

Samantha Rose Spence, 12 years old, died two days after spinal fusion surgery for severe scoliosis. She had a pre-existing, asymptomatic Chiari type 1 malformation detected on pre-operative MRI of her spine. A paediatric…

orthopaedic surgeryneurologydiagnosticcommunicationmorphine
VICcommunity2010-10-11

Finding into death of Scott Peoples

20y · Male·multiple injuries sustained in a motor vehicle accident (cyclist)

A 20-year-old elite cyclist was struck from behind and killed by a motor vehicle driven by a 73-year-old man with previously undiagnosed hemianopia (loss of peripheral vision to the left). The driver had struck another c…

forensic medicineneurologydiagnosticcommunicationwarfarin

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