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WAmental health2000-08-18

Inquest into the Death of Wendy Anne Eadie

29y · Female·asphyxiation due to ligature compression of the neck (hanging)

Wendy Anne Eadie, 29, died by suicide in Graylands Hospital's Frankland Centre on 1 November 1998 while detained following charges of unlawful wounding against her parents. She had a longstanding history of depression, c…

psychiatryforensic medicinecommunicationsystemparoxetine
SA2000-08-04

Coroner's Finding: COPPINS Trevor Wayne

41y · Male·closed chest injuries (ruptured hemi-diaphragm with displacement of abdominal co…

Trevor Coppins, a 41-year-old plant operator, died from closed chest injuries sustained when a road roller he was operating failed to brake while reversing down a steep hill and overturned. Investigation revealed the bra…

trauma surgeryemergency medicinesystemmaintenance
WAcommunity2000-08

Inquest into the Death of Emma Anne Motteram

17y · Female·Neck injury sustained when struck by a motor vehicle (Toyota Celica Hatch Regist…

Emma Anne Motteram, aged 17, died from a neck injury sustained when struck by a motor vehicle on Roe Highway, High Wycombe, Western Australia on 22 March 1998. She had been walking with four companions on the central med…

system
SAhospital2000-07-21

Coroner's Finding: DRESCHLER Michelle Lee

27y · Female·Aspiration of gastric contents associated with persistent vomiting following gas…

A 27-year-old woman died from aspiration of gastric contents following a vertical-banded gastroplasty performed for morbid obesity. The surgeon created a stoma (opening) of 4-5mm diameter using a 27 French bougie, smalle…

general surgerygeneral practiceproceduralcommunicationdiazepam
SAhospital2000-07-21

Coroner's Finding: HOWIESON Julie Ann

43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…

43-year-old woman died from sepsis and necrotising fasciitis following small bowel perforation during laparoscopic tubal ligation. She was at high risk due to previous abdominal surgeries and adhesions. A 4-5mm perforati…

gynaecologyanaesthesiadiagnosticdelay
SAhome2000-07-07

Coroner's Finding: EDGELL Debby

39y · Female·neck compression due to hanging

A 39-year-old woman with bipolar disorder, depression, substance abuse (alcohol and cannabis), and multiple past suicide attempts died by hanging at home on 11 February 1998. She had been discharged from psychiatric hosp…

psychiatryemergency medicinesystemvenlafaxine
NSWPodcast2000-06-29

Report of inquest into the deaths arising from the Thredbo landslide

Unknown·Traumatic injuries caused by the collapse of the Alpine Way fill embankment trig…

On 30 July 1997, a landslide at Thredbo Village killed 18 of 19 people in two lodges. The Alpine Way embankment, constructed in the 1950s as a temporary construction road, was marginally stable and had a history of lands…

systemdelay
SA2000-06-16

Coroner's Finding: CARTER Marshall Freeland

19y · Male·heroin toxicity

Marshall Carter, 19, died in custody from heroin toxicity at Yatala Labour Prison. He had a long history of drug abuse starting from age 14 and was an intravenous heroin user. Critical failures included: inadequate trans…

forensic medicineemergency medicinediagnosticcommunicationheroin
SA2000-06-16

Coroner's Finding: CURREN Michael Andrew

38y · Male·neck compression due to hanging

Michael Andrew Curren, a 38-year-old prisoner at Mobilong Prison, died by hanging on 10 June 1998. He had been assaulted five days earlier and attended medical review on the day of death, but presented as being in good s…

communicationsystemparacetamol
SAmental health2000-06-16

Coroner's Finding: FERN Edmund James

30y · Male·cardiac arrhythmia due to therapeutic clozapine use

Edmund James Fern, aged 30, died at a psychiatric institution (James Nash House) on 4 September 1997, nine days after septoplasty for nasal obstruction. He was on multiple medications including clozapine 350mg nightly, c…

psychiatryENT surgerymedicationsystemclozapine
SAhospital2000-06-16

Coroner's Finding: WANGANEEN Fallon

26y · Male·neck compression due to hanging

A 26-year-old Aboriginal man with longstanding borderline personality disorder, substance abuse, and multiple suicide attempts died by hanging in a psychiatric ward whilst detained under a Mental Health Act order. Key cl…

psychiatryemergency medicinediagnosticcommunicationparacetamol/codeine
NT2000-06-14

Inquest into the death of Robert Hodgkinson

23y · Male·Incineration from motor vehicle accident (collision with tree)

A 23-year-old man who had experienced multiple suicide attempts and depression deliberately drove his stolen vehicle into a tree after police attempted to intercept him. He died from incineration. The coroner concluded t…

general practicepsychiatrysertraline
SAhospital2000-05-31

Coroner's Finding: DELLATORRE Natale

54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…

A 54-year-old man with chronic schizophrenia and intellectual disability died from respiratory failure and acute renal failure secondary to rhabdomyolysis following a crush injury to his left thigh sustained while attemp…

emergency medicinepsychiatrydiagnosticadrenaline
SAhospital2000-05-31

Coroner's Finding: ZURMUHL Ervin Les

29y · Male·left cerebrovascular accident (stroke) due to thromboembolism in the middle cere…

A 29-year-old male bodybuilder died from left cerebrovascular accident (stroke) caused by thromboembolism. He had a history of anabolic steroid use and presented after a minor motor vehicle accident on 6 April 1999. Imag…

neurologyendocrinologyanabolic steroids
WAcommunity2000-05-18

Inquest into the Death of Syoko Tsubaki

24y · Female·Immersion (drowning due to hypoxic brain injury)

Syoko Tsubaki, a 24-year-old Japanese tourist and inexperienced recreational diver, died from drowning on 31 December 1998 after a scuba diving incident at Rottnest Island on 27 December. During an afternoon dive, the di…

diving medicineemergency medicinecommunicationprocedural
SAhospital2000-05-12

Coroner's Finding: COPPING Leslie Walter

84y · Male·severe head injuries (fracture of skull on right side, subarachnoid haemorrhage,…

An 84-year-old man with severe respiratory disease, cardiac failure, poor vision and confusion fell from a first-floor hospital window, sustaining fatal head injuries. The coroner found the death was not deliberately sel…

emergency medicinegeneral practicesystemcommunication
WAhome2000-05-08

Inquest into the Death of Kaitlin Alyce Gubanyi

4y · Female·Immersion (drowning)

Kaitlin Alyce Gubanyi, a healthy 4-year-old girl who could swim, drowned in a backyard swimming pool on 30 March 1999. While being supervised by a neighbour, Mrs Vicki Parr, the child was discovered face down in the pool…

emergency medicineintensive carecommunicationsystem
SAhospital2000-04-28

Coroner's Finding: SODY Caleb

20y · Male·ruptured heart and aorta due to fall from a height

A 20-year-old male with newly diagnosed disorganised schizophrenia died by suicide from a fall from the 5th floor of a hospital maternity building while detained under the Mental Health Act. He had been admitted to the C…

psychiatryemergency medicinesystemdelayolanzapine
WA2000-04-28

Inquest into the Death of Dean Kieran Lauder

22y · Male·Ligature Compression of the Neck (Hanging)

Dean Kieran Lauder, aged 22, died on 31 May 1998 at Canning Vale Prison by ligature strangulation (hanging) while in a punishment cell. He was serving a 7-day sentence for cannabis possession offences. He had a history o…

psychiatrygeneral practicecannabis
SAcommunity2000-04-14

Coroner's Finding: McTYE Alice Louise

34y · Female·hypoxic brain damage complicating fresh water drowning

Alice Louise McTye, a 34-year-old woman with severe intellectual disability and epilepsy, died from hypoxic brain damage following fresh water drowning in a bath at a disability services residence. The coroner found she …

neurologyintensive carecommunicationsystemcarbamazepine

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