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WAhospital2004-11-12

Inquest into the Death of Mortensen

60y · Female·Aspiration of food in a woman with cerebral atrophy

Jytte Mortensen, a 60-year-old woman with multi-infarct dementia and schizoaffective disorder, died at Graylands Hospital from aspiration of food. She had documented dysphagia requiring a pureed diet and one-to-one super…

psychiatryspeech pathologycommunicationsystem
WAhome2004-10-28

Inquest into the Death of Kelly

33y · Female·Combined drug toxicity, with thioridazine as the principal component, in the con…

Lou Ann Kelly, aged 33, died on 3 April 2003 at Royal Perth Hospital ICU from combined drug toxicity, primarily thioridazine, after consuming large quantities of prescription medications with alcohol. She collapsed at he…

general practicepsychiatrysystemthioridazine
WAcommunity2004-10-08

Inquest into the Death of Morgan

31y · Male·Lymphocytic Myocarditis in association with Acute Pericarditis (viral origin, ae…

Norman John Morgan, aged 31, died at Carnarvon Airport on 21 December 2001 from lymphocytic myocarditis with acute pericarditis (viral origin). He presented to Carnarvon Regional Hospital on 20 December with chest and sh…

general medicineemergency medicinecommunicationsystemceftriaxone
WAhospital2004-08-16

Inquest into the Death of Gregory Andrew Furniss

25y · Male·cerebral craniopharyngioma

Gregory Andrew Furniss, a 25-year-old male with a history of asthma and congenital cataracts, presented to Swan District Hospital on 11 August 2002 with a persistent headache. He was seen by Dr H. (registrar) who diagnos…

emergency medicinegeneral practicediagnosticdelayterbutaline
WAhospital2004-07-19

Inquest into the Death of Michael John Herrick

44y · Male·cardiac arrhythmia in a man with liver failure due to cirrhosis and focal corona…

Michael John Herrick, a 44-year-old prisoner with end-stage liver cirrhosis secondary to hepatitis C and alcohol abuse, died from cardiac arrhythmia at Sir Charles Gairdner Hospital. He had been receiving aggressive trea…

gastroenterologygeneral medicinecommunicationproceduralcaffeine
SAcommunity2004-07-16

Coroner's Finding: DINSDALE Cheree Ann and KLINGNER Peter James

20y · Unknown·Traumatic brain damage complicating gunshot wound to the head

Two young adults aged 20 died from gunshot wounds to the head on 29-30 May 2001 in what appears to be a murder-suicide involving Peter Klingner and his girlfriend Cheree Dinsdale. Klingner had paranoid schizophrenia with…

psychiatryemergency medicinediagnosticcommunicationolanzapine
NThospital2004-07-02

Inquest into the death of John Colbert

55y · Male·Head injury from a fall, contributed to by chronic alcoholism and cirrhosis, res…

John Henry Colbert, a 55-year-old man with chronic alcoholism, Wernicke's encephalitis and cirrhosis, was admitted to Royal Darwin Hospital's ICU following a seizure. He was transferred to Ward 4A on 14 October 2002 and …

neurosurgeryemergency medicinesystemdelaydiazepam
WAhospital2004-06-17

Inquest into the Death of Edmiston

41y · Female·Peritonitis following surgical procedure to the urinary bladder, due to infected…

Cheryl Lee Edmiston, a healthy 41-year-old woman, died of peritonitis and sepsis following minor bladder procedures (cystoscopy, hydrodilatation, and biopsy) at Joondalup Health Campus on 14 February 2003. The biopsies w…

urologygeneral surgerydiagnosticmedicationamoxicillin
SAhospital2004-04-30

Coroner's Finding: YOUNG Iris Patricia

60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…

A 60-year-old woman with metastatic breast cancer and COAD died from haemorrhagic shock due to right-sided haemothorax complicating thoracentesis. The procedure was appropriately performed to drain a pleural effusion on …

oncologyrespiratory medicinediagnosticcommunicationheparin
WAcommunity2004-03-11

Inquest into the Death of Warren Bradley Jack

29y · Male·Head Injury

Warren Bradley Jack, 29-year-old fisherman, died from severe head injury after falling from a fishing vessel during a refuelling operation. On 24 April 2000, after returning from a fishing trip, he consumed approximately…

emergency medicineintensive carealcohol
NThospital2004-02-11

Inquest into the death of Robert Dalgleish

57y · Male·Multiple organ failure in consequence of peritonitis resulting from complication…

Robert Douglas Dalgleish died from multiple organ failure due to peritonitis resulting from complications of gastric banding surgery. He presented to the ED on 18 July 2002 with abdominal pain and vomiting. Dr B. appropr…

surgerygeneral surgerydiagnosticcommunication
SAhospital2003-12-19

Coroner's Finding: HAWKE Anne Elizabeth

33y · Female·Raised intracranial pressure secondary to thrombosis of the superior sagittal, t…

A 33-year-old woman presented with acute neurological symptoms (headaches, weakness, slurred speech, seizures) on 26 August 2000. Initial CT imaging showed focal haemorrhage with oedema; repeat CT after 50 minutes showed…

neurosurgeryradiologydiagnosticcommunicationoral contraceptive pill
NTmental health2003-12-19

Inquest into the death of Sarah Higgins

19y · Female·hypoxic encephalopathy as a result of attempted hanging

A 19-year-old woman with psychosis and depression died from hypoxic encephalopathy following attempted hanging while in involuntary psychiatric admission. She was on R15 (15-minute) observation status due to suicide risk…

psychiatrygeneral practicesystemcommunicationhaloperidol
NThospital2003-12-03

Inquest into the death of Owen King

33y · Male·lobar pneumonia (Streptococcus pneumonia with septic shock)

Owen King, a 33-year-old Aboriginal man, died of lobar pneumonia on 24 June 2002 at Alice Springs Hospital following brief police custody for alleged intoxication. He was apprehended twice on 23 June under protective cus…

emergency medicineintensive carediagnosticsystempenicillin
SAhospital2003-09-18

Coroner's Finding: NEWTON Ronald Luke

7y · Male·Hypoxic-ischaemic encephalopathy due to reflex cardiac arrest triggered by blunt…

A 7-year-old boy died from hypoxic-ischaemic encephalopathy following a motor vehicle collision. He was seated on an unanchored booster seat and wearing an adult seatbelt. During the collision, the unsecured booster seat…

intensive careemergency medicinesystem
VICcommunity2003-08-19

Nguyen Cindy

2y · Female·irreversible cerebral anoxia and terminal inhalation bronchopneumonia resulting …

Cindy Nguyen, a 2-year-old girl, drowned at Footscray Swimming Centre on 10 November 2000 and died from irreversible cerebral anoxia and inhalation bronchopneumonia on 15 November 2000. The coroner found that the death r…

emergency medicineparamedicinesystemcommunication
WAhospital2003-08

Inquest into the Death of Richard Christopher Jankowski

39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…

Richard Christopher Jankowski, a 39-year-old man, died from hypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment with antibiotics, …

anaesthesiageneral surgeryproceduralcommunicationpropofol
SAhospital2003-05-08

Coroner's Finding: PRATT Shirley May

66y · Female·acute necrotising haemorrhagic mediastinitis

Mrs Pratt, aged 66, underwent elective gastroscopy at Kapunda Hospital. During the procedure she heaved, and blood was noted at the gastro-oesophageal junction. She was discharged the same afternoon with pain, only to re…

surgerygeneral surgerycommunicationsystemfentanyl
NThospital2003-04-10

Inquest into the death of Eric Gaykamangu

37y · Male·primary intracerebral haemorrhage, contributed to by acute alcohol intoxication

Eric Gaykamangu, a 37-year-old Aboriginal man, died of primary intracerebral haemorrhage whilst in hospital ICU, nine days after initial presentation. He was found intoxicated outside Centrelink on 7 December 2001 with m…

neurosurgeryemergency medicinealcohol
VIChome2003-04-07

DISKIN Eliana

5y · Female·disseminated candidiasis secondary to protein-energy malnutrition

Eliana Diskin, aged 5 months, died from disseminated candidiasis secondary to severe protein-energy malnutrition. After ceasing breastfeeding in late October 2000, her parents fed her exclusively with unfortified rice mi…

emergency medicinegeneral practicedelay

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