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WAcommunity2009-04-24

Inquest into the Death of Halford

17y · Female·Multi System Failure following acute onset (Acute Diabetic Ketoacidosis) Diabete…

Lee Rebecca Halford, a 17-year-old girl, died of acute diabetic ketoacidosis (DKA) following undiagnosed Type 1 diabetes. She initially presented to a GP with vomiting on 27 February 2007, diagnosed with gastroenteritis.…

general practiceemergency medicinediagnosticcommunicationmetoclopramide
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
SAhome2009-04-17

Coroner's Finding: PARROTT Jenisha Diandra (aka White)

7y · Female·streptococcus pneumoniae sepsis complicating retropharyngeal abscess

A 7-week-old infant died from streptococcus pneumoniae sepsis complicating retropharyngeal abscess. Three days before death, a report was made to child protection services alleging the father had shaken the infants. A ge…

general practiceemergency medicinediagnosticsystem
NTmental health2009-04-09

Inquest into the death of Paul Guarini

38y · Male·self-inflicted hanging

Paul James Guarini, a 38-year-old university student with a history of relationship difficulties, suicide attempts, and depression, died by hanging in Cowdy ward at Royal Darwin Hospital on 14 September 2007, within 10 m…

psychiatryemergency medicinediagnosticsystemparoxetine
SAcommunity2009-03-30

Coroner's Finding: DALLING Brian Terrance and SALOTTI Jack William and GRZYWACZ Richard John and SOBEY Brian Leslie

Male·acute myocardial infarction due to coronary artery disease (all four); specific …

Four rural South Australian men (aged 42-76 years) died from acute coronary syndrome in 2004-2006. All presented to country medical practitioners with symptoms suggestive of acute coronary syndrome but were not identifie…

general practiceemergency medicinediagnosticcommunicationaspirin
ACT2009-03-27

Inquest Into The Death Of Tania Pauline Lioulios Nee Chacos

42y · Female·Hypoxic ischemic encephalopathy with antecedent cause being self-caused near mis…

Tania Pauline Lioulios, a 42-year-old psychologist, died from hypoxic ischemic encephalopathy following a self-inflicted hanging in a Corrective Services transport vehicle on 4 July 2008. She had presented to mental heal…

psychiatryemergency medicinediagnosticcommunicationalprazolam
QLDhospital2009-03-20

Wright, Liam John and Powell, Charles Michael

Male·Multiple injuries due to train over-run (suicide by train)

Two separate suicides by train in July 2006 of young men admitted to Logan Hospital mental health services. Liam Wright (19) was transferred from the secure Acute Observation Area (AOA) to an open ward on 14 July 2006 de…

psychiatryemergency medicinediagnosticcommunicationolanzapine
SAcommunity2009-03-18

Coroner's Finding: WANGANEEN John Frederick

29y · Male·multiple drug toxicity (buprenorphine, oxazepam, diazepam, alprazolam, and methy…

John Frederick Wanganeen, a 29-year-old with documented heavy polysubstance use, died of multiple drug toxicity after injecting crushed buprenorphine tablets mixed with water while on home detention bail. Critical system…

toxicologyforensic medicinecommunicationsystembuprenorphine
SAhospital2009-03-18

Coroner's Finding: COX Ricky Glen

17y · Male·refractory status epilepticus caused by either a viral infection, an underlying …

Ricky Cox, a 17-year-old Aboriginal youth in juvenile detention, died from refractory status epilepticus triggered by either viral infection or underlying epilepsy. On 2 February 2006, he became febrile and unwell at Cav…

neurologyemergency medicinesystemcommunicationdicloxacillin
NThospital2009-02-20

Inquest into the death of Peter Jacobs

49y · Male·Acute bronchopneumonia as a consequence of recent intracranial and intra-cerebra…

Peter Raymond Jacobs, a 49-year-old Aboriginal man with severe cirrhosis and chronic alcohol abuse, was apprehended by police on 5 April 2008 for intoxication. He fell twice before custody (hitting his head at Town Hall …

emergency medicinegeneral surgeryphenytoin
QLDcommunity2009-02-10

Lee-Chue, Allan Duncan

45y · Male·acute myocardial infarction due to coronary atherosclerosis

Allan Lee-Chue, a 45-year-old man with severe coronary atherosclerosis, suffered a fatal acute myocardial infarction while in police custody during transport to Mareeba police station. He collapsed suddenly in the police…

cardiologyemergency medicine
WAhospital2009-02-01

Inquest into the Death of Fox

62y · Male·Acute Gastrointestinal Haemorrhage in association with Acute on Chronic Peptic U…

Kenneth Charles Fox, 62, presented to Fremantle Hospital ED on 12 April 2006 with a gastrointestinal bleed after fainting. He was diagnosed with a massive bleed causing hypovolaemic shock and stabilized with fluid resusc…

emergency medicinegeneral surgerydiagnosticdelayaspirin
QLD2009-01-27

Scholl, Philip Henry

42y · Male·multiple injuries sustained in aircraft crash resulting from port side wing tip …

Philip Scholl, an inexperienced microlight pilot with only 20 hours flight training, died in a crash near Mareeba on 20 October 2005. The aircraft T2-2776 was airworthy unfit due to degraded wing fabric, corroded cables,…

aviation medicineemergency medicinediagnosticsystem
VIChospital2009-01-27

Finding into death of Zakaria Tartourssi

0y · Male·Respiratory insufficiency; interstitial fibrosis and low-grade pneumonitis of pr…

Zakaria Tartoussi died at age 43 days from respiratory insufficiency due to interstitial fibrosis and low-grade pneumonitis of probable viral aetiology. He presented for medical attention five times in six weeks with sym…

general practicepaediatricsdiagnosticcommunicationparacetamol
QLD2008-12-24

Trcka, Peter Joseph

54y · Male·Drowning after falling overboard from the Shanendale at Otter Reef

Peter Trcka, an experienced 54-year-old fisherman with an artificial leg and history of alcohol-related seizures, disappeared from a trawler anchored at Otter Reef on 1 March 2006. He was last seen at 4:30am appearing we…

emergency medicineneurologysystemdelay
NThospital2008-12-23

Inquest into the death of Jenissa Ryan

14y · Female·blunt force head injury

A 14-year-old Aboriginal girl with newly diagnosed idiopathic thrombocytopenic purpura (ITP) and critically low platelet count (5,000/mm³) absconded from Alice Springs Hospital on 27 January 2006. Hospital staff failed t…

infectious diseaseshaematologycommunicationsystemintragam
QLDhome2008-12-22

Plint, Hannah Isabella Alyson

2y · Female·Drowning in an above-ground swimming pool

Hannah Plint, a 2½-year-old, died from drowning after accessing an above-ground pool by dragging a chair to the gate and opening it unsupervised. Her mother was inside with a younger sibling. The pool fence and gate sepa…

emergency medicinepaediatricssystemdelay
SAcommunity2008-12-18

Coroner's Finding: EDWARDS Adrian Lee

31y · Male·haemorrhage due to incised wound to left arm with amphetamine toxicity as a poss…

A 31-year-old man with personality disorder, possible epilepsy, possible schizophrenia, and polysubstance abuse made a triple zero call suggesting self-harm. Police and ambulance crews found him with a deep laceration to…

emergency medicineforensic medicinedextroamphetamine
SAhome2008-12-15

Coroner's Finding: ESPOSITO Nicholas

1y · Male·hanging from curtain cord with neck compression

A 13-month-old boy died by hanging from a Roman blind cord in his bedroom cot. The child was able to stand and pull himself up, gaining access to the cord which hung into the cot. His father left him alone briefly while …

forensic medicinepaediatricssystem
QLDhospital2008-12-15

Harris, Robert

60y · Male·asphyxia sequential to hanging due to depression

Robert Harris, a 60-year-old man with depression, made two suicide attempts within 24 hours. After the first attempt on 27 June 2006, he was discharged from Cairns Base Hospital Emergency Department with a plan to attend…

psychiatryemergency medicinecommunicationdiagnosticfluvoxamine

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