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WAhospital2021-11-29

Inquest into the Death of Miss T (Name Subject to Suppression Order)

16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…

A 16-year-old Aboriginal girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdominal pa…

emergency medicinegeneral practicediagnosticsystemcannabis
WAhome2021-11-29

Inquest into the Death of Ly Minh TONG

38y · Male·Multiple gunshot wounds

A 38-year-old man with a history of methamphetamine use and mental health issues, subject to a violence restraining order, assaulted his father at home. The father reported to police that his son was armed with a knife, …

psychiatrytoxicologycommunicationsystemmethamphetamine
WA2021-11-03

Inquest into the Suspected Death of Peter JOHNSON

71y · Male·undetermined - likely injuries sustained from fall at The Gap, but cannot exclud…

Peter Johnson, a 71-year-old man with metastatic prostate cancer, disappeared on 17 October 2019 from The Gap in Torndirrup National Park, Albany. He had previously told family and friends he would end his life rather th…

oncologygeneral practicecommunication
WAprison2021-11-01

Inquest into the Death of Joseph Thomas ROE

50y · Male·subarachnoid and intracerebral haemorrhage in association with a ruptured berry …

Joseph Thomas Roe, age 50, died from a ruptured berry aneurysm causing subarachnoid and intracerebral haemorrhage. He was a prisoner at Casuarina Prison when he called for medical assistance on the night of 17-18 Septemb…

emergency medicineneurosurgerycommunicationsystem
WAmental health2021-10-22

Inquest into the Death of Russell David BROCKLISS

38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…

Russell Brockliss, a 38-year-old Aboriginal man with severe treatment-resistant schizoaffective disorder and significant cardiovascular risk factors (obesity, smoking, focal coronary atherosclerosis), died from acute car…

psychiatryemergency medicinedelaysystemrisperidone depot
WAcommunity2021-10-12

Inquest into the Deaths of Christopher Mervyn DRAGE and Trisjack Preston SIMPSON

17y · Male·immersion (drowning)

Two Aboriginal teenagers, Trisjack Simpson (17) and Christopher Drage (16), drowned in the Swan River while attempting to swim across to evade police pursuit on 10 September 2018. Both had recently ingested cannabis. The…

systemcannabis
WAhospital2021-09-29

Inquest into the Death of Robert Charles CRAIG

73y · Male·Disseminated malignancy (advanced lung carcinoma and mouth carcinoma) in a man w…

Robert Craig, aged 73, died from disseminated malignancy (advanced lung and mouth carcinoma) while in prison custody. He received suboptimal cancer treatment at Fiona Stanley Hospital due to communication failures betwee…

oncologyradiation oncologydiagnosticcommunicationcetuximab
WAhospital2021-09-14

Inquest into the Death of Jeremy Michael SCOTT

63y · Male·metastatic rectal carcinoma

Jeremy Scott, a 63-year-old prisoner, died from metastatic rectal carcinoma on 3 July 2017. From 2015 onwards, he reported rectal and anal symptoms including pain, bleeding, and palpable masses, which were repeatedly att…

general surgerycolorectal surgerydiagnosticcommunication
WAhospital2021-09-10

Inquest into the Death of James David HECTOR

47y · Male·bronchopneumonia and upper airway obstruction in a man with end-stage oral cance…

James David Hector, a 47-year-old Aboriginal man, died of bronchopneumonia and upper airway obstruction related to end-stage oral cancer. He had a 13-year history of squamous cell carcinoma of the mouth with multiple rec…

palliative careoncologyoxycodone
WAhome2021-09-09

Inquest into the Death of Amy Lee WENSLEY

24y · Female·Shotgun injury to the head

Amy Wensley died from a shotgun wound to the head on 26 June 2014. Whether self-inflicted or inflicted by another remains undetermined. Detectives prematurely concluded suicide on the night of death without thorough inve…

forensic medicinetoxicologydiagnosticcommunicationcitalopram
WAprison2021-09-06

Inquest into the Death of Marshall Ruben EDGILL

38y · Male·combined effects of acute-on-chronic respiratory disease and cardiomegaly

Marshall Ruben Edgill, a 38-year-old Indigenous man, died in custody from acute-on-chronic respiratory disease and cardiomegaly. He had longstanding obstructive sleep apnoea (OSA), obesity, asthma, and hypertension. Crit…

respiratory medicinecardiologydiagnosticdelay
WAhome2021-08-26

Inquest into the Death of Baby E (Name Subject to Suppression Order)

0y · Male·Complications of VATER syndrome and sacrococcygeal teratoma

Baby E was a 7-month-old neonate with VATER syndrome and sacrococcygeal teratoma who died from complications of these conditions. He was born prematurely at 30 weeks, requiring intubation and ventilation, and remained in…

neonatologynephrology
WAcommunity2021-08-11

Inquest into the Suspected Death of Desmond Francis CARR

32y · Male·unknown cause, likely natural causes possibly complicated by accident in remote …

Desmond Carr, aged 32, disappeared on 2 August 1979 from a remote worksite near Thangoo Station, Broome, WA, while operating a steam roller for the Main Roads Department. He was in poor health with a history of seizures,…

systemdelayphenytoin
WAhome2021-08-10

Inquest into the Death of Scott William MARTIN

40y · Male·Penetrating wounds to the chest

Scott William Martin, aged 40, was fatally stabbed in his apartment in Halls Head, Western Australia in January 2017 by Damian Maxfield, who was experiencing a methamphetamine-induced psychotic episode. Maxfield had been…

emergency medicinepsychiatrycommunicationsystemmethamphetamine
WAhospital2021-08-06

Inquest into the Death of Alex Carl MILLS

76y · Male·Sepsis, with osteomyelitis and infective endocarditis

Alex Mills, a 76-year-old sentenced prisoner with complex medical history including atrial fibrillation, valvular heart disease, and rheumatoid arthritis, died from sepsis caused by osteomyelitis and infective endocardit…

infectious diseasescardiologydiagnosticdelayprednisolone
WAcommunity2021-08-06

Inquest into the Suspected Death of Willie PINCHER

Male·Unknown cause

Willie Pincher, an Aboriginal station worker in the Kimberley Region, disappeared in October or November 1965 while walking between stations. He was last tracked to the Sir John Range, an area with harsh terrain and stee…

WAhospital2021-08-06

Inquest into the Death of Lajos SZABO

64y · Male·metastatic adenocarcinoma of the lung (palliated)

Lajos Szabo, a 64-year-old prisoner, died from metastatic adenocarcinoma of the lung with brain metastases. He presented to prison medical services in November 2018 with neck swelling and fever, was promptly investigated…

general practicerespiratory medicine
WAhospital2021-08-06

Inquest into the Death of Hassan Mohamed YOUSSEF

60y · Male·Complications of gastrointestinal haemorrhage due to cirrhosis of the liver seco…

Hassan Mohamed Youssef, a 60-year-old sentenced prisoner, died from gastrointestinal haemorrhage complications secondary to cirrhosis from hepatitis B. He presented with multiple serious pre-existing conditions including…

gastroenterologyhepatology
WAhospital2021-07-30

Inquest into the Death of Chad RILEY

39y · Male·Cardiac arrhythmia following violent exertion necessitating physical restraint i…

39-year-old Chad Riley died from cardiac arrhythmia following violent exertion during physical restraint. He presented to hospital intoxicated with methylamphetamine, exhibiting drug-induced psychosis with agitation and …

emergency medicinepsychiatrysystemmethamphetamine
WAcommunity2021-07-23

Inquest into the Death of Dean Jesse GERRARD-LATHAM

24y · Male·Environmental exposure in a man with methylamphetamine effect

Dean Jesse Gerrard-Latham, a 24-year-old Indigenous man, died from environmental exposure while acutely intoxicated by methylamphetamine in bushland near Derby, WA. After evading police in a stolen vehicle, he and his co…

forensic medicineemergency medicinedelaymethamphetamine
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