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VIChome2025-06-02

Finding into death of Christina Lackmann

32y · Female·Caffeine toxicity

32-year-old woman died from caffeine toxicity after ingesting caffeine tablets. She called 000 at 7:49 pm reporting dizziness and numbness but was triaged as non-urgent Code 3. Unable to connect with a secondary triage p…

emergency medicinetoxicologytriagesystemcaffeine
QLDhospital2025-06-02

Non-inquest findings into the death of Mr B.

42y · Male·Multiple organ failure due to iatrogenic phenol overdose due to metastatic pancr…

A 42-year-old man with metastatic pancreatic cancer died from multiple organ failure caused by iatrogenic phenol overdose during a celiac plexus block for pain management. The radiologist administered 40ml of 80% phenol …

radiologyintensive carediagnosticmedicationphenol 80%
NSWhome2025-05-30

Inquest into the Death of K.P.

3y · Male·unascertained

KP was a 3-month-old with intrauterine growth restriction born to a mother with documented mental health issues and cannabis use. Despite referral to SAFE START and child protection involvement, care coordination and fol…

paediatricspsychiatrysystemcommunicationcannabis
VIC2025-05-29

Finding into death of Sharon O'Neill

65y · Female·Head and neck injuries sustained in a motor scooter incident

Sharon O'Neill, a 65-year-old novice rider, died from head and neck injuries sustained during a motorcycle training course at HART in Somerton, Victoria. While practicing acceleration and turning drills on an unfamiliar …

systemtemazepam
NSWhospital2025-05-28

Inquest into the Death of Garry Small

71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …

A 71-year-old man with diabetes, ischaemic heart disease and osteomyelitis presented with fever and hypoglycaemia. He met Red Zone sepsis criteria (lactate 4.5mmol/L) but antibiotics were significantly delayed—ceftriaxon…

emergency medicinegeriatric medicinemedicationdelayceftriaxone
NThospital2025-05-27

Inquest into the death of Child MS

4y · Male·Haemophilus influenzae septicaemia with superimposed respiratory tract infection

A 4-year-old previously healthy male presented to Katherine Regional Hospital on 10 September 2023 with fever and eye pain. He was examined, found to have tachycardia (HR 156) and fever (39.2°C), and diagnosed with viral…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
VIChospitalPodcast2025-05-26

Finding into death of Nancy Doreen Hay

99y · Female·Chest injuries in the setting of a tram incident (pedestrian)

A 99-year-old woman with dementia and reduced mobility was struck by a tram while crossing at a roundabout intersection in Essendon, Victoria. She sustained severe chest injuries including bilateral pneumothoraces, haemo…

emergency medicinetrauma surgerysystem
TASaged care2025-05-26

Coroner's Finding: de-identified GJ

94y · Male·aspiration pneumonia due to stroke following surgery to repair fracture of neck …

A 94-year-old man with dementia died from aspiration pneumonia following a stroke after hip surgery. The stroke and hip fracture resulted from being pushed by another resident with Alzheimer's dementia at an aged care fa…

geriatric medicineorthopaedic surgerysystemdelayoxazepam
VIChome2025-05-23

Finding into death of Shirley Annette Kidd

67y · Female·Head injuries

Shirley Kidd, aged 67, died from head injuries inflicted by her grandson Hayden during a cannabis-induced psychosis. Hayden had experienced severe childhood abuse by his stepfather and subsequently developed mental healt…

psychiatrygeneral practicesystemcannabis
VICaged care2025-05-22

Finding into death of Veronica Lesley Roberts

75y · Female·Ischaemic heart disease in the setting of unstable type 2 diabetes mellitus and …

Veronica Roberts, 75, died from ischaemic heart disease complicated by unstable diabetes and a medication error. On 4 October 2020, her insulin dose was increased to 20 units daily, but due to Electronic Medical Record (…

geriatric medicinegeneral medicinemedicationsystemglargine insulin
VIChome2025-05-21

Finding into death of Phillip Henry Reidy

27y · Male·Cyanide toxicity

Phillip Reidy, 27, died from cyanide toxicity after ingesting sodium cyanide during police arrest for a family violence incident. He had purchased 250g of sodium cyanide online from Bacto Laboratories using false informa…

forensic medicineemergency medicinecommunicationsystemsodium cyanide
VIChospital2025-05-21

Finding into death of Nazlou (Helen) Danilidis

94y · Female·Complications of a fractured neck of femur sustained in an unwitnessed in-hospit…

A 94-year-old woman with significant cardiopulmonary comorbidities died from complications of a fractured femur sustained in an unwitnessed hospital fall. Despite identification as high falls risk and implementation of f…

geriatric medicinecardiologysystemcommunicationlorazepam
VIC2025-05-20

Finding into death of Jessica Anne Katgert

41y · Female·Cardiomegaly

Jessica Katgert, aged 41, died in custody at Dame Phyllis Frost Centre from cardiomegaly. She had a history of MSSA infective endocarditis treated in 2021 with echocardiographic changes including dilated left ventricle a…

cardiologyinfectious diseasessystembuprenorphine
VIChome2025-05-20

Finding into death of CDE

33y · Female·Sharp force neck and chest injuries

A 33-year-old woman was fatally assaulted by her intimate partner in July 2019 following a two-year relationship marked by documented family violence and his untreated mental health conditions. The perpetrator had a hist…

psychiatryemergency medicinesystemcommunicationsynthetic marijuana
VIChospital2025-05-20

Finding into death of Michael Philip Young

67y · Male·Complications of pressure ulcers in the setting of a thoracic vertebral fracture…

Michael Young, 67, died from pressure ulcer complications following a spinal injury sustained during a CT scan on 3 January 2023. He had fallen from his wheelchair at home and presented to ED with hypotension and back pa…

emergency medicineintensive carediagnosticproceduralhydromorphone
SA2025-05-20

Coroner's Finding: Pham, Duy Ngoc

35y · Male·multiple organ failure due to out-of-hospital circulatory arrest due to perforat…

35-year-old male died from multiple organ failure following out-of-hospital cardiac arrest caused by perforated duodenum. He was in police custody for drug-related charges and diagnosed with opioid withdrawal. Critical d…

emergency medicinegeneral practicedelaycommunicationmethamphetamine
SAcommunity2025-05-20

Coroner's Finding: Raines, Edward John

86y · Male·multiple injuries from motor vehicle collision

An 86-year-old man died in a head-on motor vehicle collision after driving unsafely on a highway. Three weeks prior, police observed him driving dangerously, unable to judge distances or perceive traffic, and submitted a…

systemdelay
VICmental health2025-05-19

Finding into death of Anna Lee

70y · Female·Asphyxia due to airway obstruction

Anna Lee, a 70-year-old retired psychiatric nurse, died from asphyxia due to airway obstruction while an inpatient in a mental health unit. She was admitted with first-episode mania with psychotic features, triggered by …

psychiatrygeriatric medicinesystemolanzapine
NSWcommunityPodcast2025-05-16

Inquest into the death of Harri Tapani Jokinen

56y · Male·Multiple injuries sustained in a motor vehicle collision

Harri Jokinen, aged 56, died following a head-on motor vehicle collision on the Monaro Highway when a stolen Commodore being pursued by NSW police crossed into his lane. Clinical lessons: This was a non-medical death but…

systemcommunicationalcohol
NSW2025-05-14

Inquest into the Disappearance and Suspected Death of Ashley McKellar

43y · Male·undetermined - body not recovered

Ashley McKellar, a 43-year-old engineer, went missing on 14 June 2023 while operating his vessel near Swansea, NSW. His unmanned boat was found 30 nautical miles east of Swansea the following day. Despite extensive searc…

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