Coronial

21 results for significant intellectual impairment

VICcommunity2024-04-24

Finding into death of Leslie Wallace Taylor

61y · Male·head injury sustained on impact by a car

Leslie Wallace Taylor, a 61-year-old man with intellectual disability who could not communicate verbally, died from head injury sustained when struck by a motor v…

pholcodine
QLDcommunity2016-09-10

C, a child aged 14 - Non-inquest findings

14y · Female·Hypoxic-ischaemic encephalopathy due to choking on food, as a consequence of foe…

A 14-year-old girl with foetal alcohol syndrome, autism, and intellectual impairment died from hypoxic-ischaemic encephalopathy following choking on food during a community outi…

paediatricsemergency medicinesystemcommunication
VIChospital

Finding into death of Ella Felicity Hitchen

32y · Female·Aspiration pneumonia with severe cerebral palsy as underlying condition

Ella Hitchen was a 32-year-old woman with severe cerebral palsy, quadraplegia, intellectual disability, vision impairment, epilepsy and dysphagia who died from aspiration pneumonia. She had a PEG…

respiratory medicinegeneral medicine
VIChospital2015

Finding into death of Suzanne Laura McIllree

59y · Female·complications of sepsis due to cellulitis in a woman with multiple medical comor…

Suzanne McIllree, 59 years old with significant intellectual disability and primary lymphedema, died from sepsis secondary to cellulitis. She was admit…

emergency medicineinfectious diseases
VIC2026-02-05

Finding into death of H M

48y · Female·Unascertained; presumed sudden cardiac arrhythmia

A 48-year-old woman with cerebral palsy, intellectual disability, and multiple comorbidities died unexpectedly in residential care. Post-mortem examination s…

general practicepsychiatrymedicationsystemolanzapine
VIChospital2024-12-09

Finding into death of Peter A Keating

37y · Male·Pseudomonas pneumonia

Peter Keating, a 37-year-old man with cerebral palsy and intellectual disability living in supported accommodation, died from pseudomonas pneumonia following a month-long ho…

respiratory medicineinfectious diseasesantibiotics
WA2025-12-08

Inquest into the Death of Ashley James BROPHO

Male·Neck injury in a man with atherosclerotic heart disease

Ashley James Bropho, a vulnerable remand prisoner with intellectual impairment, schizophrenia, diabetes, previous myocardial infarction with stent, and atherosclerotic hea…

correctional healthsystem
VIChome2022-07-20

Finding into death of Brian Kevin Scurrah

75y · Male·Complications of multiple myeloma (palliated)

Brian Kevin Scurrah, a 75-year-old man with intellectual disability living in a supported residential service, died from complications of multiple myeloma. He w…

oncologypalliative careamiodarone
VIChospital2021-10-29

Finding into death of John Crabtree

69y · Male·Myocardial infarction secondary to coronary artery atherosclerosis in the settin…

Mr Crabtree, a 69-year-old man with intellectual disability, COPD, emphysema and heavy smoking history, presented to the ED with respiratory distress on…

emergency medicinegeneral practicediagnosticdelayamoxicillin/clavulanate
VIChome2017-06-22

Finding into death of Steven Pimblett

47y · Male·Pneumonia

Steven Pimblett, 47, with mild intellectual disability, died of pneumonia at home. A home care worker noticed significant health deterioration over…

general practicepublic healthcommunicationsystem
NSW2022-12-15

Inquest into the death of YAKAMURRO - Findings

15y · Male·Neck compression due to hanging

…ation; and inadequate support for non-Aboriginal foster carers. Yakamurro had complex trauma, PTSD, and intellectual/language difficulties. Years of institutional failures isolated him from family while he struggled with…

systemcommunication
VIChospital2015-09-07

Finding into death of Jay Dion Sykes

18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…

…ury sustained non-accidentally as an infant. He had severe cerebral palsy, tetraparesis, aphasia, visual impairment, intellectual disability, epilepsy, and gastro-oesophageal reflux. After transitioning to community care…

general medicineemergency medicinecommunicationesomeprazole
WAhospital2023-11-29

Inquest into the Death of Samuel Edward ASHBY

46y · Male·Aspiration pneumonia in an obese man with a history of diabetes mellitus, obstru…

…tion risk, particularly with untreated obstructive sleep apnoea; (4) support for patients with cognitive impairment to maintain medical devices (CPAP) is essential. Clinicians should monitor clozapine levels closely when…

psychiatrygeneral medicinediagnosticsystemclozapine
NSWcommunity2021-05-21

Inquest into the death of Pono Wairua Aperahama

17y · Male·Cardiac arrhythmia during restraint, with previous traumatic brain injury as a s…

Pono Aperahama, a 17-year-old with severe traumatic brain injury and moderate intellectual disability, died from cardiac arrhythmia during restraint at a swimming pool. His escalating behaviour …

neurologypsychiatrysystemcommunication
NSW2022-09-21

Inquest into the death of Trevor SAMUEL

35y · Male·hyponatraemia due to excessive consumption of water, against a background of psy…

…and can rapidly progress to life-threatening hyponatraemia; (2) treatment-resistant schizophrenia poses significant management challenges; (3) custodial environments prevent optimal psychiatric care despite staff compet…

psychiatrycorrectional healthsystemantipsychotic medications
ACThome2003-12-23

Inquest Into The Manner And Cause Of Death Of Neil Summerell

34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…

Neil Summerell, a 34-year-old man with intellectual disability, epilepsy, and vision/hearing impairment, died from acute gastric erosions following severe …

emergency medicinegeneral practicesystemcommunication
QLDhospital2010-10-29

Spence, Samantha Rose

12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…

Samantha Rose Spence, 12 years old, died two days after spinal fusion surgery for severe scoliosis. She had a pre-existing, asymptomatic Chiari type 1 malformation detected on pre-operative MRI of her spine. A paediatric…

orthopaedic surgeryneurologydiagnosticcommunicationmorphine
VIChospital2025-10-17

Finding into death of Rachel Frances Piskun

42y · Female·Pneumonia, underlying severe cerebral palsy

…ile the coroner could not establish direct causation between these errors and her death from pneumonia, significant gaps were identified in disability-competent care, pain management, and documentation. The coroner high…

emergency medicinegeneral medicinediagnosticmedicationmorphine
QLDcommunity2010-06-24

Child at Rockhampton

9y · Male·Drowning

A 9-year-old boy with poor swimming ability and mild intellectual impairment drowned at a waterpark after entering the deep end to use an inflatable device (Rocket), des…

systemcommunication
QLD2015-08-14

O'Connor, Scott Matthew

31y · Male·Hanging

Scott Matthew O'Connor, a 31-year-old male, died by suicide in the Maximum Security Unit of Arthur Gorrie Correctional Centre on 22 January 2013. He had been assessed as high-risk for self-harm and placed on 30-minute ob…

psychiatrypsychologydiagnosticproceduraltramadol

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.