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TAShospital2020-04-03

Coroner's Finding: Hargraves, Audrey Doreen

80y · Female·sudden cardiac arrest due to multiple post-operative complications including myo…

An 80-year-old woman died from multiple post-operative complications following reversal of a Hartmann's procedure for diverticulitis. She had undergone a complex 8-hour surgery complicated by extensive adhesions (frozen …

colorectal surgerycardiologydiagnosticmedicationerythromycin
VIChospital2020-03-16

Finding into death of Matteo Geminian

34y · Male·Haemopericardium due to dissecting thoracic aortic aneurysm

A 34-year-old man with a bicuspid aortic valve presented to ED twice on 5 September 2017 with chest pain. On both occasions, the ED was at full capacity ('Access Block'). He left without being seen both times, before a c…

emergency medicinecardiologysystemdelayparacetamol
NSWhospital2020-02-28

Inquest into the death of Peter ROBIN

56y · Male·Pulmonary embolism with deep vein thrombosis an antecedent cause; coronary arter…

Peter Robin, a 56-year-old man with a medical history of hypercholesterolaemia, hypertension, obesity, and depression, underwent elective dental surgery on 28 October 2015 to remove four wisdom teeth and resect a cyst. H…

oral and maxillofacial surgeryanaesthesiacommunicationsystemoxycodone
VIChome2020-02-25

Finding into death of Laurie Henry Cartledge

44y · Male·Heroin toxicity in the setting of ischaemic heart disease

Laurie Cartledge, a 44-year-old man with intellectual disability and acquired brain injury, died from heroin toxicity complicated by severe coronary artery atherosclerosis just one day after release from prison. He had b…

forensic medicineaddiction medicinesystemcommunicationheroin
WAhospital2020-02-20

Inquest into the Death of Eric WUMBIE

37y · Male·valvular and ischaemic heart disease

Eric Wumbie, a 37-year-old Aboriginal male prisoner, died from valvular and ischaemic heart disease on 13 April 2016 following intraoperative cardiac arrest during planned cardiothoracic surgery at Fiona Stanley Hospital…

cardiologycardiothoracic surgerysystemcommunication
NSWhospital2020-02-14

Inquest into the death of Tristan Naudi

23y · Male·Acute cardiac arrhythmia in 3,4-methylenedioxymethylamphetamine (MDMA) intoxicat…

Tristan Naudi, 23, died from acute cardiac arrhythmia during MDMA intoxication while being restrained prone at hospital. Police appropriately placed him in a police vehicle after finding him violently agitated at home. A…

emergency medicinetoxicologysystemdelayMDMA
VIC2020-02-11

Finding into death of Ian Chamberlain

65y · Male·Multiple injuries sustained in a light plane incident

A Piper PA-28 aircraft crashed into the Bass Strait in January 2016, killing four occupants including pilot Ian Chamberlain. The aircraft departed Moorabbin Airport in deteriorating weather conditions unsuitable for visu…

aviation medicinecardiologydiagnosticsystem
WAmental health2019-12-20

Inquest into the Death of Jason James Sutherland MALLETT

46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis

Jason Mallett, a 46-year-old man with bipolar affective disorder and schizo-affective disorder, died from cardiac arrhythmia secondary to coronary arteriosclerosis and myocarditis while an involuntary psychiatric patient…

psychiatrycardiologysystemcommunicationquetiapine
NSWhospital2019-12-17

Inquest into the death of Alan BUGDEN and Amaru BESTRIN

Unknown·Alan Bugden: pulmonary thromboembolism after stroke. Amaru Bestrin: combined dru…

Two deaths occurred in hospital toilets due to undetected collapse in publicly accessible facilities. Alan Bugden, 66, suffered a stroke in an ambulatory care centre toilet at Royal North Shore Hospital and remained unde…

emergency medicineneurologysystemcommunicationheroin
VIC2019-12-05

Finding into death of Serafina Pirrottina

57y · Female·Complications of muscular dystrophy

A 57-year-old woman with longstanding muscular dystrophy and newly diagnosed cardiomyopathy died from complications of her underlying condition. She became acutely unwell overnight at her residential support facility wit…

respiratory medicineemergency medicinerosuvastatin
QLD2019-12-05

Harrison, Steven Leslie

61y · Male·Coronary atherosclerosis

Steven Harrison, aged 61, died of sudden coronary atherosclerosis while incarcerated at Wolston Correctional Centre. He had multiple cardiovascular risk factors including Type 2 diabetes, heavy smoking history, and intra…

cardiologygeneral practicediagnosticsystemmetformin
NSWmental health2019-11-22

Inquest into the death of David Dungay

29y · Male·cardiac arrhythmia

David Dungay, a 29-year-old Aboriginal man with chronic schizophrenia, type 1 diabetes, and obesity, died on 29 December 2015 in Long Bay Hospital's Mental Health Unit while in custody. The immediate trigger was his refu…

psychiatryemergency medicineproceduralcommunicationmidazolam
ACThospital2019-11-22

Inquest into death of JAMIE LAWRENCE MITCHELL

36y · Male·Septicaemia and cerebral artery air embolism, due to complications related to cl…

Jamie Lawrence Mitchell, 36, died from septicaemia and cerebral artery air embolism complicating radiofrequency ablation for atrial fibrillation. He developed an atrioesophageal fistula after cardiac ablation at Royal Ad…

cardiologycardiothoracic surgerydiagnosticdelay
QLD2019-11-21

Gavenor, Ashley Glenfield

48y · Male·Coronary atherosclerosis and minor trauma

Ashley Glenfield Gavenor, a 48-year-old Indigenous man with coronary artery disease, hypertension, diabetes, and bipolar affective disorder, died in Townsville Correctional Centre following a brief altercation with anoth…

cardiologypsychiatryaspirin
ACThospital2019-11-06

Inquest into death of THEADORA ZAAL

75y · Female·cardiac arrest in the context of aortic stenosis (moderate to severe), coronary …

A 75-year-old woman with significant cardiac history (aortic stenosis, coronary artery disease, left ventricular hypertrophy) underwent elective ankle ulcer debridement surgery. She developed refractory hypotension post-…

anaesthesiasurgerydiagnosticsystem
ACThospital2019-11-04

Inquest into death of JEFFREY BROWN

72y · Male·Haemopericardium due to anti-coagulation treatment for pulmonary thromboemboliti…

Jeffrey Brown, a 72-year-old with recent cardiac surgery (CABG), died from haemopericardium due to anticoagulation treatment for pulmonary thromboembolism. Post-mortem examination revealed fibrinous pericarditis (a known…

cardiothoracic surgerycardiologywarfarin
VICaged care2019-10-14

Finding into death of Grant White

65y · Male·Cardiomegaly

Grant White, a 65-year-old man with cardiomegaly and severe mitral regurgitation living in Department of Health and Human Services disability accommodation, died from cardiomegaly on 11 September 2017. Two days before hi…

cardiologygeneral practicesystemcommunicationhaloperidol
NSW2019-10-10

Inquest into the death of Jordan CRUICKSHANK

24y · Male·methamphetamine toxicity in the background of atrioventricular node artery dyspl…

Jordan Cruickshank, a 24-year-old Aboriginal man, died from methamphetamine toxicity with underlying atrioventricular node artery dysplasia while being pursued by police during an arrest operation. He collapsed in a back…

forensic medicinetoxicologymethamphetamine
NSWhospital2019-10-08

Inquest into the death of George Kimpton

80y · Male·Vasodilatory shock and multi-organ failure secondary to aspiration and cardiores…

George Kimpton, aged 80, died from vasodilatory shock and multi-organ failure secondary to aspiration pneumonia five hours after cardiopulmonary arrest in hospital following colorectal cancer surgery. He had developed a …

colorectal surgerygeriatric medicinecommunicationsystemmorphine
VIChome2019-10-02

Finding into death of Antonios Vitou

92y · Male·Ischaemic heart disease and cardiomegaly in the setting of a fall in a man with …

A 92-year-old C4 quadriplegic man with ischaemic heart disease and cardiomegaly died following a fall at home. Two scheduled disability support shifts (1:00pm and 8:30pm) failed on 31 January 2019 due to staff rostering …

cardiologyemergency medicinesystemcommunicationbisoprolol
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