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SA2003-01-17

Coroner's Finding: HOWARD Brendon Alan and SNEATH Lois Creama

Multiple severe traumatic injuries sustained in motor vehicle accident

Two people died when a car lost control on a recently resealed rural road with loose aggregate still present. The female driver was traveling at approximately 90 km/h on a straight sealed section, but lost control about …

systemdelay
SAmental health2003-01-10

Coroner's Finding: MYNHART Johann George

77y · Male·bilateral pulmonary emboli complicating deep vein thrombosis (left calf)

A 77-year-old man with dementia died from bilateral pulmonary emboli complicating deep vein thrombosis of the left calf. He was hospitalised for dehydration and diabetes management, then returned to psychiatric care. On …

psychiatryemergency medicinecommunicationdelay
WAcommunity2002-12-20

Inquest into the Death of Lauren Jay Kitching

5y · Female·Head and neck injuries sustained in collision with utility vehicle while operati…

Lauren Jay Kitching, age 5, died on 5 July 2000 from head and neck injuries sustained in a go-kart collision at the Pauline Matika netball courts in Newman, Western Australia. She was participating in a holiday program f…

diagnosticsystem
NT2002-12-17

Inquest into the death of Skeletal Remains

28y · Male·Undetermined - cause of death could not be established in all cases

This Northern Territory coronial finding addresses five separate sets of skeletal remains spanning many decades, reflecting the challenges of identifying historical remains. The cases include: unidentified remains from P…

forensic medicinepathology
SAcommunity2002-12-04

Coroner's Finding: HYDE Justin Reny Edward

18y · Male·left haemopneumothorax due to traumatic rupture of the lower lobe of the left lu…

An 18-year-old male riding a motorcycle died when the vehicle crashed into a culvert while being pursued by police. The deceased was riding whilst disqualified from holding a licence and fled from police at moderate spee…

emergency medicineparamedicinecannabis
SAhospital2002-11-29

Coroner's Finding: RICHARDSON Corey Shane

21y · Male·Cardiorespiratory arrest associated with butane abuse by inhalation

A 21-year-old detained psychiatric patient died from cardiorespiratory arrest following deliberate butane inhalation in a hospital wardrobe. He was admitted to an open mental health ward following acute psychosis, with d…

psychiatryforensic medicinesystemcommunicationbutane
VIChospital2002-11-29

SULLIVAN Peter

42y · Male·Pulmonary thromboembolism

Peter Sullivan, a 42-year-old carpenter, died from pulmonary embolism on 6 July 1998, three days after surgery at Box Hill Hospital to remove a nail from his left thigh sustained in a work-related nail gun injury. He dev…

orthopaedic surgeryanaesthesia
VIC2002-11-15

Coroner's Finding: Peter Brubeck Wilson; John Francis Lowery

Male·Injuries sustained in gas explosion and fire following brittle fracture of heat …

On 25 September 1998, an explosion and fire at Esso's Longford Gas Plant 1 killed two workers and injured eight others. The direct cause was brittle fracture of a heat exchanger after cooling to -48°C due to loss of lean…

system
SAhome2002-11-06

Coroner's Finding: JERICHO Patricia Susanne

43y · Female·neck compression due to hanging

A 43-year-old woman with longstanding depression and previous suicidal ideation presented to Emergency Department twice within 14 days and was referred to psychiatric services. She had persistently refused antidepressant…

general practicepsychiatrycommunicationsystemaurorix
SAcommunity2002-10-09

Coroner's Finding: WANGANEEN Grant Andrew

36y · Male·Large calibre gunshot wound to the chest

A 36-year-old Aboriginal man died from a gunshot wound to the chest inflicted by police during a confrontation while attempting to enforce a restraining order. After the deceased fled from police, he attacked a police of…

methamphetamine
WAhospital2002-10-04

Inquest into the Death of Eric Clarence Moody

67y · Male·Aspiration of vomit associated with alcohol intoxication in a man with ischaemic…

Eric Clarence Moody, a 67-year-old man with diabetes, chronic alcoholism, and ischaemic heart disease, died on 6 December 1999 after aspirating vomit while heavily intoxicated with methylated spirits. He presented to Nor…

emergency medicinegeneral practicediagnosticcommunicationmethylated spirits
SAhome2002-09-06

Coroner's Finding: HUNT Kunmanara

25y · Female·inhalation of petrol (hydrocarbon inhalation)

This is a complex coroner's inquest into three Aboriginal deaths from petrol inhalation on the Anangu Pitjantjatjara Lands. Kunmanara Hunt, age 25, died on 27 January 2001 after inhaling petrol fumes while lying face-dow…

toxicologyforensic medicinesystemdelaypetrol
SAhome2002-09-06

Coroner's Finding: KEN Kunmanara (2)

27y · Male·hydrocarbon inhalation

This inquest involved three deaths from petrol inhalation (1999-2001) on the Anangu Pitjantjatjara Lands. All three deceased were chronic sniffers (10+ years) who died from respiratory depression/asphyxia with distinctiv…

forensic medicinetoxicologysystemdelaypetrol
SAhome2002-09-06

Coroner's Finding: THOMPSON Kunmanara

29y · Male·inhalation of petrol (hydrocarbon inhalation) causing respiratory depression wit…

Three Aboriginal men aged 25-29 years died from petrol inhalation in identical circumstances over 1999-2001, each found face-down in bed with a shaped petrol can sealed to their face. All were chronic sniffers (>10 years…

toxicologyforensic medicinesystemdelaypetrol
VIChome2002-08-30

CARRIGG Yvonne

Female·Dothiepin toxicity

Yvonne Carrigg, a woman with recurrent post-natal depression, died from dothiepin overdose three days after psychiatric discharge. Critical clinical failures included: prescribing dothiepin (a cardiotoxic tricyclic antid…

psychiatrygeneral practicediagnosticmedicationdosulepin
VIChome2002-08-30

SMEETON Debra

34y · Female·Dothiepin toxicity in a setting of post-natal depression

Debra Smeeton, 34, died on 12 November 1999 from dothiepin toxicity following intentional overdose at home, eight days after giving birth. She had severe post-natal depression after her first child in 1996, requiring hos…

psychiatryobstetricscommunicationmedicationdosulepin
NT2002-08-13

Inquest into the death of Graham Murrurkuwuy

49y · Male·cor pulmonale and chronic bronchitis and emphysema

Graham Murrurkuwuy, a 49-year-old Aboriginal man, died of cor pulmonale and chronic bronchitis/emphysema while imprisoned at Darwin Correctional Centre. He had a long history of smoking and substance abuse. Medical staff…

general practiceemergency medicinedelay
WAcommunity2002-07-23

Inquest into the Death of Daren Cheng Lim Tan

23y · Male·Thermal injury in association with electrocution

Daren Cheng Lim Tan, a 23-year-old graduate electrical engineer in Western Power's training program, died on 19 January 2000 from thermal injury and electrocution at the Coolgardie substation in Western Australia. While …

systemcommunication
SAhome2002-07-11

Coroner's Finding: TAYLOR Yutta

47y · Female·serotonin syndrome due to combined toxicity of moclobemide and paroxetine

A 47-year-old woman with a long history of prescription drug abuse died from serotonin syndrome caused by combined toxicity of moclobemide (MAOI) and paroxetine (SSRI). She had experienced multiple previous overdoses and…

general practicepsychiatrydiagnosticmedicationmoclobemide
SAhospital2002-07-05

Coroner's Finding: BARBER Jason Troy

20y · Male·Closed head injury

Jason Troy Barber, aged 20, died from severe closed head injuries sustained in a motor vehicle collision on 3 October 2000. He had been driving a stolen vehicle recklessly at high speed through Adelaide, intoxicated with…

trauma surgeryneurosurgeryalcohol

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