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WA2023-03-13

Inquest into the Death of Frank ALBERT

46y · Male·atherosclerotic heart disease

Frank Albert, a 46-year-old Aboriginal man, died from atherosclerotic heart disease while incarcerated at West Kimberley Regional Prison. Although his death was caused by severe coronary artery disease unrelated to medic…

cardiologyemergency medicinesystemcommunicationquetiapine
QLD2023-03-10

Rasmussen, Hayward

45y · Male·Intra-abdominal haemorrhage due to ruptured spleen due to splenomegaly due to ci…

Hayward Rasmussen, a 45-year-old man with cirrhosis and severe splenomegaly, died from intra-abdominal haemorrhage due to ruptured spleen while in custody. He collapsed in prison after sustaining possible rib injuries fr…

emergency medicinegastroenterologycommunicationsystemtramadol
VIChospital2023-03-10

Finding into death of Armin Andrew Schaefer

63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…

Armin Schaefer, a 63-year-old man with schizophrenia, cardiac risk factors, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 A…

psychiatryemergency medicinediagnosticcommunicationdiazepam
SAhospital2023-03-01

Coroner's Finding: Coats, Beverley Joy and West, Heather Maud and DSouza, Lorna Margaret

Female·haemopericardium due to aortic dissection (all three cases)

Three elderly women died from acute aortic dissection at Queen Elizabeth Hospital, South Australia. Beverley Coats (73) presented three times in July 2016 with back pain, nausea and vomiting; her known aortic dilatation …

emergency medicinecardiologydiagnosticcommunication
NSWprison2023-03-01

Inquest into the death of William Haines

37y · Male·Pulmonary thromboembolus due to left leg deep vein thrombosis

A 37-year-old Aboriginal man died of pulmonary thromboembolism due to deep vein thrombosis while incarcerated. He presented to hospital on his birthday with lethargy, shortness of breath, and tachycardia. Initial assessm…

emergency medicinecardiologydiagnosticsystemenoxaparin
VIChospital2023-02-28

Finding into death of Mrs K

81y · Female·Cardiac tamponade secondary to dissection of ascending aorta

An 81-year-old woman with hypertension and hypercholesterolaemia presented to the ED with sudden-onset central chest pain radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrom…

emergency medicinecardiologydiagnosticdelayaspirin
VIChospital2023-02-23

Finding into death of Antony John Howard

59y · Male·Aspiration pneumonia and non-ST elevation myocardial infarction in a man with in…

A 59-year-old man with intellectual disability, autism, and visual impairment died from aspiration pneumonia and non-ST elevation myocardial infarction complicated by COVID-19. He presented to the ED febrile with elevate…

general medicinecardiology
TAS2023-02-20

Coroner's Finding: Calabrese Vincenzo

70y · Male·head injury

A 70-year-old man with ischaemic heart disease and cardiomyopathy collapsed at work after experiencing dizziness, striking his head on a brick wall. He died from severe head injury and brain swelling. The coroner found a…

emergency medicineneurosurgery
TAShospital2023-02-17

Coroner's Finding: Hanslow, Rodney James

86y · Male·progressive cognitive decline/decompensation and gastrointestinal haemorrhage

An 86-year-old man with Parkinson's disease and long-standing gastro-oesophageal reflux disease (GORD) sustained a traumatic brain injury from a fall at home on 3 July 2021. He was admitted to hospital on 6 July 2021 wit…

general medicinegastroenterologymedicationdiagnosticproton pump inhibitor
ACThospital2023-02-15

Inquest into the Death of Patricia (Jill) Croxon

79y · Female·medication related cardiac arrest (verapamil and propranolol) in a patient with …

Mrs Patricia Croxon, a 79-year-old admitted with community-acquired pneumonia, died from medication-related cardiac arrest caused by verapamil and propranolol. The verapamil was charted in immediate release form when she…

emergency medicinerespiratory medicinemedicationsystemverapamil
NSWhospital2023-02-10

Inquest into the death of Anzac Sullivan

38y · Male·Combined effects of coronary atherosclerosis and cardiomegaly, with methylamphet…

Anzac Sullivan, a 38-year-old Aboriginal man, died of a cardiac arrhythmia secondary to severe underlying cardiac disease (coronary atherosclerosis, cardiomegaly, and possible QT prolongation) while fleeing from police a…

cardiologyforensic medicinedelaymethamphetamine
WAcommunity2023-02-03

Inquest into the Suspected Death of Roly NIXON

44y · Male·Unascertained; presumed exposure

Roly Nixon, a 44-year-old man with significant medical comorbidities including rheumatic heart disease, diabetes, organic psychosis and seizure disorder, disappeared from Fitzroy Crossing, Western Australia on 28 January…

emergency medicinecardiologywarfarin
NSW2023-02-03

Inquest into the death of Roy Roberts

33y · Male·Prolonged epileptic seizure resulting in gastric content aspiration and cardiac …

Roy Roberts, a 33-year-old Aboriginal man, died at Long Bay Correctional Complex from a prolonged epileptic seizure resulting in aspiration and cardiac arrest. He had experienced three prior seizure-like episodes in Apri…

emergency medicinegeneral practicediagnosticcommunicationmethadone
NSW2023-02-01

Inquest into the death of Jay Lee Crich

41y · Male·Cardiomegaly and Coronary Artery Disease with significant contributing condition…

Jay Crich, a 41-year-old man in custody at Clarence Correctional Centre, died of cardiomegaly and coronary artery disease with emphysema and obesity as significant contributing conditions. He was discovered unresponsive …

cardiologyrespiratory medicinebuprenorphine
WAprison2023-01-31

Inquest into the Death of Cally GRAHAM

31y · Female·hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia comp…

Cally Graham, age 31, died from hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia complicating cardiorespiratory arrest associated with probable Takotsubo cardiomyopathy and methylamphetamine ef…

emergency medicineintensive caresystemcommunicationmethamphetamine
SAcommunity2023-01-31

Coroner's Finding: Bromage, Ronald

72y · Male·acute cerebral infarction complicating acute myocardial infarction

Ronald Bromage, aged 72, died from acute cerebral infarction complicating acute myocardial infarction. He presented with chest pain on 22 and 25 February 2016 to his GP, Dr P., who diagnosed costochondritis without perfo…

general practicecardiologydiagnosticdelayparacetamol/codeine
QLD2023-01-25

Civic, Mirko

70y · Male·Coronary atherosclerosis

Mirko Civic, a 70-year-old prisoner with a significant cardiac history including prior myocardial infarction, hypertension, and ischaemic heart disease, died of coronary atherosclerosis in September 2018. Critical clinic…

cardiologygeneral practicediagnosticmedicationaspirin
VIC2023-01-17

Finding into death of Aleksander Kojic

46y · Male·Cardiomegaly

Aleksander Kojic, 46 years old, collapsed at a supported residential service for people with intellectual disabilities and died from cardiomegaly (enlarged heart weighing 802g with biventricular dilation). The autopsy fo…

cardiologyemergency medicinechlorpromazine
VIC2023-01-16

Finding into death of Periklis Papadopoulos

75y · Male·Complications of multiple cardiac and respiratory comorbidities

A 75-year-old man with multiple cardiac and respiratory comorbidities died in prison from complications of his underlying conditions. He had pulmonary arterial hypertension, right ventricular failure, chronic lung diseas…

palliative carerespiratory medicinemorphine
WAhospital2023-01-11

Inquest into the Death of Colin Albert WINTER

71y · Male·End-stage chronic obstructive pulmonary disease and atherosclerotic heart diseas…

Colin Albert Winter, a 71-year-old prisoner who died from end-stage COPD and atherosclerotic heart disease, received comprehensive medical care during 33 years of incarceration at Casuarina Prison. Key clinical lessons i…

respiratory medicinecardiologycommunicationsystem
110111249

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