Coronial

324 results for forensic examination

QLDcommunity2024-11-18

Inquest into the death of Ashley Charles Washington

31y · Male·Undetermined

…psychological stress, sedation). Paramedics failed to conduct adequate vital signs assessment, hands-on examination, or continuous monitoring pre-arrest. They mistook his rapid decline for expected sedation effect rathe…

emergency medicineparamedicinediagnosticcommunicationmethamphetamine
WAhome2023-11-10

Inquest into the Death of Child ML (Name Subject to Suppression Order)

7y · Female·Pneumonia complicating a viral respiratory illness with acute combined drug effe…

Child ML, aged 7, died of pneumonia complicating viral respiratory illness with acute combined drug effect. She had severe cerebral palsy with complex care needs including PEJ tube feeding and multiple medications. At th…

paediatricsrespiratory medicinemedicationsystemcodeine
QLD2011-11-03

Currie, Sheldon Douglas

18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…

An 18-year-old remand prisoner died from acute liver failure secondary to Hepatitis B and C infection. He presented with fever and malaise on 15 February but was assessed only for boils and not thoroughly evaluated. Clin…

general practicegastroenterologydiagnosticcommunicationflucloxacillin
QLD2008-03-17

Waite, Thomas Dion; Huynh, Mieng; Jacobs, James Henry; Gear, James Michael

gunshot wounds; multiple deaths during police interventions with mentally ill in…

Between October 2003 and February 2006, Queensland police shot and killed four young men suffering from severe mental illness during crisis situations. In all four cases, the shootings were legally justified as the offic…

psychiatryemergency medicinediagnosticcommunicationantipsychotic medications
QLD2012-05-31

Perry, Anthony Mark

41y · Male·Respiratory depression caused by alcohol and morphine poisoning

Anthony Mark Perry, aged 41, died in police custody at Rockhampton watch house on 23 March 2010 from respiratory depression due to morphine and alcohol. He was arrested for breaching a domestic violence order after drink…

forensic medicineemergency medicinediagnosticsystemmorphine
TAS2013-11-06

Coroner's Finding: Sullivan, Craig

18y · Male·rupture of a left frontal cerebral abscess

An 18-year-old male detainee at Ashley Youth Detention Centre died from rupture of a left frontal cerebral abscess likely caused by sinus infection. Craig was admitted on remand in early October 2010 and presented with i…

infectious diseasesneurosurgerysystemdelay
VIChospital2011-07-11

Finding into death of Cara Grace Zambelli

0y · Female·Hypoxic ischaemic encephalopathy due to true knot in umbilical cord

A term infant died from hypoxic ischaemic encephalopathy caused by a true knot in the umbilical cord. The mother presented in labour with spontaneous rupture of membranes and had a prolonged second stage. Foetal heart ra…

obstetricsneonatologycommunicationsystemadrenaline
QLD2009-09-10

Blee, Jason George Elliott

33y · Male·Pelvic crush injury sustained while working at an underground coal mine

Jason Blee, a 33-year-old experienced miner and trainer at Moranbah North Mine in Queensland, was fatally crushed on 9 April 2007 when a shuttle car pinned him against a rib (wall) in a narrow underground heading. Follow…

occupational and environmental healthemergency medicinesystemdelay
WA2013-05-30

Inquest into the Death of Mcdonald, Charles Edward

38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia

A 38-year-old remand prisoner with schizophrenia on clozapine died suddenly in prison from acute drug toxicity (clozapine-induced cardiac arrhythmia). He had been transferred from psychiatric hospital to prison on 20 Jul…

psychiatrypharmacologycommunicationsystemclozapine
QLD2019-11-21

Gavenor, Ashley Glenfield

48y · Male·Coronary atherosclerosis and minor trauma

Ashley Glenfield Gavenor, a 48-year-old Indigenous man with coronary artery disease, hypertension, diabetes, and bipolar affective disorder, died in Townsville Correctional Centre following a brief altercation with anoth…

cardiologypsychiatryaspirin
QLDhospital2009-08-13

Duggan, David John

60y · Male·Hypertensive heart disease with chronic fatty liver as other significant conditi…

David Duggan, a 60-year-old man with hypertensive heart disease and cardiomegaly, was admitted to Caloundra Hospital on 10 January 2007 for management of severe acute back pain caused by a suspected L3/4 disc herniation …

emergency medicinegeneral medicinesystemcommunicationoxycodone
VIChome2015-11-27

Finding into death of Sherry Ann Robinson

38y · Female·multiple stab injuries to the chest and abdomen

A 38-year-old woman was fatally stabbed by her former partner, Bradley Carolus, in May 2010. Three days before the homicide, Carolus had been apprehended by police under mental health legislation following a volatile epi…

psychiatryemergency medicinecommunicationsystemquetiapine
QLD2017-10-20

Anthony William Young, Shaun Basil Kumeroa, Edward Wayne Logan, Laval Donovan Zimmer and Troy Martin Foster

Male·Police use of lethal force; coroner found in each case the officers acted approp…

This multi-death inquest examined five police shootings in Queensland (2013-2014) where all deceased had mental health histories. The coroner found officers acted appropriately in each case but made 19 recommendations to…

emergency medicinepsychiatrysystemcommunicationmethamphetamine
QLD2013-05-27

Hussain, Meqdad

19y · Male·Hanging

Meqdad Hussain, a 19-year-old Afghan asylum seeker, died by hanging in an immigration detention centre (Scherger IDC, Queensland) on 17 March 2011. He had a history of self-harm evident from scars on his forearms, noted …

psychiatrygeneral medicinesystemcommunicationmirtazapine
NSWprison2021-11-19

Inquest into the death of Danny Whitton

25y · Male·Multiple organ failure due to acute paracetamol poisoning

Danny Whitton, a 25-year-old Aboriginal prisoner at Junee Correctional Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November 2015 with vomiting …

emergency medicinetoxicologydiagnosticcommunicationparacetamol
QLDcommunity2009-04-21

Kay, Brendan Scott

0y · Male·Sudden Infant Death Syndrome (SIDS) against a background of sub-glottic stenosis…

Brendan Scott Kay, a 104-day-old ex-premature infant with sub-glottic stenosis from prolonged neonatal intubation, died suddenly in his parents' car during transfer home from Brisbane to Tully. The stenosis had been inve…

neonatologyENT surgerycommunicationsystemdexamethasone
VIChospital2013-06-20

Finding into death of Thomas James Brigham

38y · Male·metastatic lung carcinoma

Thomas Brigham, a 38-year-old prison inmate, died from metastatic lung carcinoma after a delayed diagnosis. Over three months, he presented repeatedly with back pain, weight loss, poor appetite, and a persistent cough. D…

general practiceemergency medicinediagnosticcommunication
QLDhospital2020-08-26

Baby C - non-inquest findings

0y · Male·meconium aspiration syndrome complicated by persistent pulmonary hypertension

Baby C was born at 41 weeks and 2 days covered in thick meconium with respiratory distress. Key clinical failures included: (1) failure to respond to mother's request for induction at term+6 days; (2) failure to investig…

neonatologyobstetricsdiagnosticproceduralmorphine
SAcommunity2005-03-14

Coroner's Finding: Ryan Kunmanara

Unknown·Multiple; Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposu…

Four Aboriginal individuals died on Anangu Pitjantjatjara Lands between May 2003 and March 2004. Ward (19) and Ryan (25) died by hanging with evidence of petrol intoxication. Ken (35) died from exposure after wandering a…

psychiatryemergency medicinedelaysystempetrol
QLD2016-07-06

Mickelo, Garnett Allan

48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)

Garnett Mickelo, aged 48, died from myocardial infarction due to coronary atherosclerosis while in custody at Woodford Correctional Centre on 24 November 2012, shortly after discharge from Princess Alexandra Hospital fol…

cardiologycardiothoracic surgerymedicationcommunicationisosorbide mononitrate

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