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SAhospital2007-02-07

Coroner's Finding: ROBBINS Amy Louise

16y · Female·intra-abdominal haemorrhage due to ruptured spleen

A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital,…

trauma surgeryemergency medicinesystemdelay
NTcommunity2006-06-29

Inquest into the death of Clifford Brown

58y · Male·Multiple injuries occasioned in a motor vehicle accident (broken neck, ruptured …

Clifford Brown, an Aboriginal man aged 58, died from multiple injuries sustained in a motor vehicle accident on 18 December 2004 at Barrow Creek, NT. The central clinical issue was the inadequate emergency assessment and…

emergency medicineparamedicinediagnosticcommunication
SA2006-05-22

Coroner's Finding: GEORGE Patricia Nina

81y · Female·aspiration pneumonia, exacerbation of chronic obstructive airways disease (emphy…

Patricia Nina George, an 81-year-old woman detained under mental health legislation at Glenside Campus, died from aspiration pneumonia, COPD exacerbation and congestive heart failure. A critical ambulance transfer delay …

psychiatryemergency medicinecommunicationsystemsalbutamol
NT2006-03-03

Inquest into the death of Muhammad Heri

37y · Male·Coronary Atherosclerosis

Muhammad Heri, a 37-year-old Indonesian fisherman, died from coronary atherosclerosis while detained in Darwin Harbour on 28 April 2005. He had been held on his fishing vessel for 7 days without medical examination follo…

forensic medicineemergency medicinesystemdelay
NT2005-10-31

Inquest into the death of Angus Lawrence

25y · Male·acute heat stroke

Trooper Angus Lawrence, a 25-year-old soldier, died from acute heat stroke on 10 November 2004 during a military training exercise at Mount Bundey, NT. He collapsed during a patrol and despite rapid evacuation and intens…

paramedicineoccupational and environmental healthdiagnosticcommunication
QLD2005-10-14

Liddington, Craig; Eva, Stewart; Carpenter, Andrew

31y · Male·Injuries sustained as a consequence of helicopter crash into water

Three emergency service personnel—pilot Andrew Carpenter (31), paramedic Craig Liddington (31), and crewman Stewart Eva (31)—died in a helicopter crash on 17 October 2003 during a night VFR flight to retrieve a patient w…

emergency medicineaviation medicinediagnosticcommunication
NTcommunity2005-07-19

Inquest into the death of Carlene Coombe

43y · Female·stab wound to the chest; contributing factors were aspiration of stomach content…

A 43-year-old Aboriginal woman died from a stab wound to the chest in circumstances that remain unclear. She had a complex history of depression, alcohol dependence, and family crisis (children removed from her care). Sh…

forensic medicinegeneral practicealcohol
NThome2005-03-29

Inquest into the death of Marshall Yantarrnga

37y · Male·Coronary artery thrombosis resulting from coronary atherosclerosis with contribu…

Marshall Yantarrnga, a 37-year-old Aboriginal man with significant cardiac history (prior mitral valve replacement in 1996), presented with chest and right-sided pain, fever, and was assessed by ambulance officers on 29 …

emergency medicineparamedicinediagnosticcommunicationwarfarin
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
SAcommunity2004-09-03

Coroner's Finding: EUSTICE Dean Stanley

73y · Male·ischaemic heart disease due to coronary atherosclerosis

A 73-year-old man found a purse at a shopping centre and attempted to leave his details with the information desk rather than hand it in directly. A security officer, believing him suspicious, confronted, accused him of …

cardiologyemergency medicineproceduralcommunication
NThome2004-08-05

Inquest into the death of Stephen Power

35y · Male·left lower lobe pneumonia

Stephen John Power died of left lower lobe pneumonia on 5 September 2003 after two failed emergency calls requesting ambulance assistance. On Thursday 4 September, dispatcher Coralie Holland failed to send an ambulance d…

emergency medicineparamedicinecommunicationsystemflucloxacillin
WAhome2004-06-04

Inquest into the Death of Paul John Long

37y · Male·Acute Aspiration Pneumonitis following on Quetiapine Ingestion

Paul John Long, a 37-year-old man with chronic schizoaffective disorder and alcohol dependence, died on 4 November 2002 from acute aspiration pneumonitis following quetiapine overdose. After presenting to Avro Clinic in …

psychiatrygeneral practicecommunicationsystemquetiapine
NT2004-03-19

Inquest into the death of Mansur La ibu

20y · Male·Undetermined cause (seizure-like episode with rapid death, epilepsy ruled out on…

Mansur La Ibu, a 20-year-old Indonesian fisherman, died suddenly on 26 February 2003 while detained on the fishing vessel Yamdena moored at Darwin Harbour. He experienced a seizure-like episode while confined in a small …

paramedicineemergency medicinesystemcommunication
SA2000-12-04

Coroner's Finding: NOBELS Laurens Adrian Keith

29y · Male·hanging

A 29-year-old man remanded in custody at Adelaide Remand Centre died by hanging on 15 January 2000. At admission, he denied self-harm risk and psychiatric history; no warning signs were identified. He was found hanging f…

forensic medicineemergency medicinecommunicationsystem
NTcommunity1998-09-02

Inquest into the death of Esky Muller

14y · Male·Loss of blood arising from incised wound to the left arm (cubital fossa)

A 14-year-old Aboriginal petrol sniffer brought to a remote outstation (Ilpurla) without pre-arrangement died from massive haemorrhage following a self-inflicted laceration to his arm. Clinical lessons: petrol sniffers i…

emergency medicineaddiction medicinediagnosticsystempetrol
VICcommunity

Finding into death of Alfred Norman Avage

79y · Male·head injuries sustained in a fall from a bicycle

A 79-year-old man died from head injuries sustained in a bicycle fall on a rural road. While riding at approximately 40 km/h on a descent, he swerved to avoid mud and debris on the road surface, struck another cyclist's …

neurosurgeryemergency medicinecommunicationsystem
WAhome

Inquest into the death of Nicole Emily BICKNELL

18y · Female·Acute Alcohol Toxicity with Early Pneumonia and Aspiration

An 18-year-old female, a naive drinker, consumed approximately 19-21 standard drinks over a few hours at her birthday party, including vodka cruisers, a full-strength Midori drinking game, and Polmos (95% alcohol). She r…

toxicologyemergency medicinedelaysystemalcohol
WAhome

Inquest into the Death of Anthony William KUSTER

44y · Male·Ligature compression of the neck and methylamphetamine effect

Anthony William Kuster, a 44-year-old man, died from ligature compression of the neck combined with methylamphetamine toxicity. He applied a tourniquet around his neck while heavily intoxicated with methylamphetamine aft…

toxicologyforensic medicinedelaymethamphetamine
VIChome

Finding into death of E H

51y · Male·Complications of chronic ethanol use

EH was a 51-year-old man with chronic alcohol dependence, liver cirrhosis, and recent hip fracture complications who died at home on 1 November 2022 whilst waiting for an ambulance. He had self-discharged from St Vincent…

emergency medicineorthopaedic surgerysystemdelayalcohol

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