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WAmental health2018-07-16

Inquest into the Death of Stanley KING

45y · Male·Cardiorespiratory arrest due to coronary artery disease, severe psychosis requir…

Stanley King, a 45-year-old man with severe psychosis, coronary artery disease, and obesity, died from cardiorespiratory arrest triggered by antipsychotic-induced laryngeal dystonia. Admitted involuntarily for acute psyc…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
WAcommunity2018-07-12

Inquest into the Death of Shane Christopher FLANDERS

29y · Male·unknown, probably immersion

Shane Flanders, a 29-year-old man with a complex psychiatric history including personality disorder, substance abuse, previous suicide attempt, and drug-induced psychosis, disappeared on 28 January 2016 after being relea…

psychiatryemergency medicinediagnosticcommunicationdextroamphetamine
WAhome2018-06-27

Inquest into the Death of Brook Damian CAIN

39y · Male·ligature compression of the neck (hanging)

A 39-year-old man with schizoaffective disorder and substance abuse died by suicide following arrest for criminal damage. While treated under a Community Treatment Order, he had poor medication compliance and ongoing dru…

psychiatryemergency medicinecommunicationsystemquetiapine
WAcommunity2018-06-22

Inquest into the Death of Isiah Duane KEARING

20y · Male·ligature compression of the neck (hanging)

Isiah Kearing, a 20-year-old Aboriginal man, died by hanging approximately 3 hours after being arrested by police for disorderly conduct at a community hall. He had expressed anger and humiliation about being arrested, f…

forensic medicineemergency medicinesystemalcohol
WAcommunity2018-05-30

Inquest into the Death of Lachlan James MITCHELL

2y · Male·Hypoxic brain injury following immersion (drowning)

Lachlan Mitchell, a 2-year-old with global developmental delay and hypermobility, drowned in a swimming pool at a family day care home on 9 November 2015, suffering fatal hypoxic brain injury. While swimming pools were n…

emergency medicineintensive caresupervisionsystem
WA2018-04-30

Inquest into the Death of John Robert BORRADAILE

26y · Male·Neck injury from falling glass crate

A 26-year-old labourer died from severe neck trauma when a 1.4-tonne glass crate fell on him during container unloading at a small glass import business. The crate became destabilized while being dragged from a sea conta…

occupational and environmental healthemergency medicinesystemcommunication
WAcommunity2018-03-23

Inquest into the Death of Ali Mohammad SOLTANI

30y · Male·Drowning

A 30-year-old male drowned at Salmon Holes, Western Australia after being swept off rocks into the ocean while rock fishing. He was not wearing a life jacket. Although he initially surfaced and attempted to swim back to …

emergency medicineforensic medicinesystem
WAhospital2018-03-22

Inquest into the Death of Steven John COLLOFF

47y · Male·Organ failure following use of synthetic cannabinoids and consequent hyperthermi…

A 47-year-old man died from organ failure following synthetic cannabinoid use and consequent heat stroke. After smoking synthetic cannabinoids (AB-CHMINACA and 5F-AMB), he became confused and dehydrated in a hot environm…

toxicologyintensive careab-chminaca
WAhome2018-03-22

Inquest into the Death of Aileen Helen QUARTERMAINE

60y · Female·effects of fire in a woman with alcohol effect

A 60-year-old woman with chronic paranoid schizophrenia died in a domestic fire on 26 July 2014. The day before, her son sought help from police and mental health services after noticing signs of mental health deteriorat…

psychiatryemergency medicinecommunicationdiagnosticpaliperidone
WAcommunity2018-03-16

Inquest into the Deaths of Chunjun LI and Jiaolong ZHANG

42y · Male·Drowning

Two fishermen drowned after being swept into rough seas while rock fishing at Salmon Holes. Neither wore life jackets despite dangerous wave conditions. One man was retrieved deceased; the other was never found. Autopsy …

emergency medicineanaesthesiasystem
WAcommunity2018-03-16

Inquest into the Deaths of Jiaolong ZHANG and Chunjun LI

42y · Male·drowning from immersion in rough ocean waters

Two fishermen, aged 42 and 38, drowned after being swept from rocks into rough ocean at Salmon Holes near Albany, WA. Neither wore life jackets despite dangerous conditions and warning signs. Expert evidence demonstrated…

emergency medicineanaesthesia
WAhospital2018-03-15

Inquest into the Death of Roderick Leslie CARTER

63y · Male·Atherosclerotic Heart Disease

A 63-year-old farmer presented to a small rural hospital with atypical chest pain symptoms (also reporting indigestion, shivering, and numbness). Although a registered nurse appropriately triaged him as ATS 2 (high prior…

cardiologyemergency medicinecommunicationsystemaspirin
WA2018-03-08

Inquest into the Death of Moses SOKIRI

31y · Male·bronchopneumonia and hypoxic brain injury following ligature compression of the …

31-year-old Moses Sokiri died on 26 October 2014 from bronchopneumonia and hypoxic brain injury following suicide by hanging at Greenwood train station on 12 October 2014. The deceased was in acute mental health crisis w…

psychiatryemergency medicinecommunicationsystemvenlafaxine
WAhospital2018-03-07

Inquest into the Death of William Scott BARTLETT

36y · Male·hypoxic brain injury and myocardial ischaemia following cardiac arrest during re…

A 36-year-old man with methylamphetamine intoxication was restrained by civilians and police following a property damage incident. He experienced cardiac arrest during restraint and died from hypoxic brain injury and myo…

emergency medicineintensive caremethamphetamine
WAhome2017-09-15

Inquest into the Death of Mary Josephine Van der WALT

28y · Female·ligature compression of the neck

Mary Van Der Walt, a 28-year-old with depression, anxiety, and borderline personality disorder, died by hanging on 21 April 2014. Two police officers responding to her initial '000' call found her unresponsive and pulsel…

emergency medicineintensive carediagnosticcommunicationdesvenlafaxine
WAcommunity2017-09-06

Inquest into the Death of Mamadou Hady DIALLO

39y · Male·multiple injuries from motor vehicle collision

A 39-year-old man with chronic paranoid schizophrenia on a Community Treatment Order died by suicide in a head-on motor vehicle collision. He had been appropriately managed on depot antipsychotic medication with generall…

psychiatrygeneral practicecommunicationdiagnosticrisperidone
WAcommunity2017-09-06

Inquest into the Death of James Michael Chee Ming YUNG

42y · Male·Multiple injuries sustained in motor vehicle crash

A 42-year-old man with schizoaffective disorder subject to a Community Treatment Order died in a single-vehicle motor crash in rural Western Australia. He had poor insight, chronic medication non-adherence, and a pattern…

psychiatryemergency medicinedelaysystempaliperidone depot
WA2017-07-14

Inquest into the Death of Maung PU

49y · Male·bronchopneumonia

49-year-old male seaman died of bronchopneumonia with secondary pericarditis on a cargo vessel 30 nautical miles off Port Hedland. He developed acute abdominal pain and vomiting on 29 September 2012 and deteriorated rapi…

emergency medicineretrieval medicinediagnosticdelayparacetamol
WAhospital2017-07-11

Inquest into the Death of Beasley (also known as Graeme Leslie Syme)

49y · Male·Complications of penetrating sharp force injuries through the chest and abdomen …

Graeme Leslie Syme (Beasley), a 49-year-old male on parole with methamphetamine use history, died from penetrating chest and abdominal stab wounds he self-inflicted. Key clinical lessons: his case involved self-harm foll…

emergency medicinetrauma surgerysystemdelaymethamphetamine
WAmental health2017-06-22

Inquest into the Death of Annette SILVER

47y · Female·Multiple injuries from being struck by a train

A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital for psychiatric t…

psychiatrypsychologysupervisionsystemcitalopram
19101120

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