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VICcommunity2002-02-08

BEVERIDGE Graham

52y · Male·multiple injuries including right ventricular rupture

A 52-year-old volunteer race marshal was fatally struck by a detached Formula One race car wheel that passed through a gap in the debris fence at the 2001 Australian Grand Prix at Albert Park. The wheel was travelling at…

emergency medicineintensive caresystemdelay
SA2002-02-05

Coroner's Finding: FAZZARI Peter

56y · Male·stab wound to the brain

Peter Fazzari, aged 56, died from a stab wound to the brain while imprisoned at Cadell Prison Farm, South Australia, the day before his scheduled parole release. He was found in his unlocked cell on the morning of 29 Dec…

forensic medicinesystem
SA2002-02-05

Coroner's Finding: GREEN David Vance

42y · Male·small cell lung cancer

A 42-year-old man imprisoned for rape died from small cell lung cancer at a hospice after a brief four-hour leave from prison. Cancer was detected within days of imprisonment when he presented with a persistent cough. He…

palliative careoncologysystem
SAhospital2002-02-05

Coroner's Finding: TAYLOR Margaret Joyce

56y · Female·subarachnoid haemorrhage complicating berry aneurysm of the right middle cerebra…

Margaret Joyce Taylor, aged 56, died from subarachnoid haemorrhage due to rupture of a berry aneurysm on the right middle cerebral artery. She presented to three medical practitioners over 6 days with progressive occipit…

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
WA2002-01-11

Inquest into the Death of Leslie William Wesley

32y · Male·Ligature Compression of Neck (Hanging)

Leslie William Wesley, a 32-year-old Indigenous man, died by hanging on 7 May 2000 in Cell A10 of Unit 5, Casuarina Prison Complex, Western Australia. He was on remand awaiting trial for sexual assault charges. Wesley ha…

psychiatrycorrectional health
VIC2002-01-11

Coroner's Finding: Stuart Davidson (age 28), Garry Vredeveldt (age 47), Christopher Evans (age 27), Jason Thomas (age 25), Matthew Armstrong (age 17)

Male·Effects of Fire

Five volunteer firefighters (Stuart Davidson, Garry Vredeveldt, Christopher Evans, Jason Thomas, Matthew Armstrong, aged 17–47) from Geelong West died when their tanker was trapped and destroyed by fire during the Decemb…

proceduralcommunication
SAmental health2002-01-03

Coroner's Finding: PETTITT Randall John

34y · Male·neck compression due to hanging

A 34-year-old man with longstanding psychiatric illness died by hanging four days after discharge from psychiatric hospital. He had been admitted twice in August-September 1999 with active suicidal ideation and homicidal…

psychiatrygeneral practicecommunicationsystemfluoxetine
SAhome2002-01-03

Coroner's Finding: THOMSON Wayne Mark

47y · Male·neck compression due to hanging

Wayne Mark Thomson, aged 47, died by hanging on 14 February 2000. He made multiple attempts to seek help for suicidal ideation in the preceding three days, including visiting his GP, calling a crisis assessment service (…

general practicepsychiatrydiagnosticcommunicationfluoxetine
NT2001-12-19

Inquest into the death of Johnno Wurramarba

15y · Male·compression of the neck by hanging

A 15-year-old Aboriginal male, Johnno Wurramarrba, from Groote Eylandt died by hanging in Don Dale Juvenile Detention Centre on 10 February 2000, while serving a 28-day sentence for property offences. Key preventable fac…

paediatricspsychiatrydiagnosticproceduralcannabis
WAcommunity2001-12-19

Inquest into the Death of Martin Raymond Coffey

24y · Male·Aspiration of vomit associated with combined drug effect

Martin Raymond Coffey, 24, died from aspiration of vomit associated with combined drug effect while on home detention after serving a prison sentence for traffic offences. He had a history of depression (following the de…

psychiatrygeneral practicesystemcommunicationamitriptyline
SAhospital2001-12-14

Coroner's Finding: OVERLAND Harold Kelvin

74y · Male·myocardial infarction

A 74-year-old male aged care resident died of myocardial infarction while detained under the Mental Health Act at Royal Adelaide Hospital. He had presented with hypokalaemia and sigmoid volvulus, refusing initial treatme…

emergency medicinecardiologyproceduralcommunication
SA2001-11-21

Coroner's Finding: THATCHER Hayden Thomas

16y · Male·Traumatic rupture of the thoracic aorta

A 16-year-old male died from traumatic rupture of the thoracic aorta following a motor vehicle collision. The vehicle left the road and struck trees after the driver applied brakes while on gravel, causing severe lateral…

WA2001-11-19

Inquest into the Death of Adam Timothy Garner

18y · Male·Ligature Compression of Neck (Hanging)

Adam Timothy Garner, aged 18½, died by hanging in his prison cell at Canning Vale Prison Complex on 6 January 2000, approximately 24 hours after admission. He was on remand for a serious violent offence and was experienc…

correctional healthpsychiatrysystemcommunicationprescription medication for alcohol and drug withdrawal
SAhospital2001-11-09

Coroner's Finding: BALL Norman Samual Dean

35y · Male·neck compression from hanging

A 35-year-old man with a history of depression, substance abuse, and acquired brain injury from assault was admitted to a psychiatric ward after self-harm with suicidal ideation. He was detained under the Mental Health A…

psychiatrygeneral practicecommunicationsystemcarbamazepine
SAhospital2001-11-08

Coroner's Finding: STEWART Margaret May

77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…

A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surgery. While Fragmin anticoagulation was …

surgeryvascular surgerycommunicationsystemdalteparin
NTcommunity2001-11-02

Inquest into the death of Nathan Wade Brooks

20y · Male·Electrocution resulting in cardiac arrhythmia and cardiac arrest

Nathan Wade Brooks, a 20-year-old roofer, died from electrocution on 20 March 2000 at Royal Darwin Hospital. While working on a construction site, he and a colleague were moving a mobile scaffold that had been raised to …

occupational and environmental healthoccupational therapysystemprocedural
NTcommunity2001-10-19

Inquest into the death of Clive Henry Impu

25y · Male·coronary thrombosis resulting from coronary atherosclerosis

A 25-year-old Aboriginal man with undiagnosed coronary artery disease collapsed and died one hour after a consultation at an Aboriginal health clinic. The coroner found the medical examination by Dr M. was inadequate and…

general practiceemergency medicinediagnosticcommunicationanti-inflammatory medications
NT2001-10-16

Inquest into the death of Christopher Limerick

20y · Male·Unable to be determined. Death likely resulted from exposure following a fall wh…

Christopher Limerick, a 20-year-old Aboriginal man with alcohol dependency, was found dead at the bottom of Noble's Nob open-cut mine near Tennant Creek. Despite extensive investigation, the cause of death could not be d…

forensic medicineemergency medicinecommunicationsystem
NTPodcast2001-10-15

Inquest into the death of Bryan G (aka) Abell Dallos

25y · Male·multiple injuries sustained in aircraft crash

Bryan G (Abel Dallos), a 25-year-old man with longstanding paranoid schizophrenia and treatment resistance, died in an aircraft crash after stealing an unlocked Piper Warrior from Alice Springs Airport and attempting to …

psychiatryaviation medicinecommunicationsystemhaloperidol
NT2001-10-12

Inquest into the death of George Miller

40y · Male·multiple injuries sustained in a motor vehicle accident in which the deceased wa…

George Miller, a 40-year-old Aboriginal man with chronic alcohol dependence, was detained in protective custody at Katherine Police Station on 4 December 2000 after being found seriously intoxicated. After 7 hours detent…

emergency medicineforensic medicinealcohol

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