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TAScommunity2025-06-03

Coroner's Finding: Brown, Teresa & Brown, Jim

51y · Female·Multiple (head, trunk and limb) injuries due to motor vehicle crash

Two deaths resulted from a motor vehicle collision on Brinktop Road, Tasmania on 10 May 2022. Teresa Anne Brown (51) and her son Jim Royden Brown (16) were killed when their vehicle was struck by a vehicle driven by Cass…

proceduralnitrazepam
VIChome2025-06-02

Finding into death of Christina Lackmann

32y · Female·Caffeine toxicity

32-year-old woman died from caffeine toxicity after ingesting caffeine tablets. She called 000 at 7:49 pm reporting dizziness and numbness but was triaged as non-urgent Code 3. Unable to connect with a secondary triage p…

emergency medicinetoxicologytriagesystemcaffeine
QLDhospital2025-06-02

Non-inquest findings into the death of Mr B.

42y · Male·Multiple organ failure due to iatrogenic phenol overdose due to metastatic pancr…

A 42-year-old man with metastatic pancreatic cancer died from multiple organ failure caused by iatrogenic phenol overdose during a celiac plexus block for pain management. The radiologist administered 40ml of 80% phenol …

radiologyintensive carediagnosticmedicationphenol 80%
VIChome2025-05-30

Finding into death of Maxwell Brett Lawson

35y · Male·Stab wound to the back

Maxwell Brett Lawson, age 35, died from a stab wound to the back inflicted by Luke Blanchfield during an altercation at Blanchfield's home in Belgrave on 10 March 2024. Lawson attended the property to confront Blanchfiel…

forensic medicineemergency medicinemethamphetamine
VIC2025-05-29

Finding into death of Sharon O'Neill

65y · Female·Head and neck injuries sustained in a motor scooter incident

Sharon O'Neill, a 65-year-old novice rider, died from head and neck injuries sustained during a motorcycle training course at HART in Somerton, Victoria. While practicing acceleration and turning drills on an unfamiliar …

systemtemazepam
NSWhospital2025-05-28

Inquest into the Death of Garry Small

71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …

A 71-year-old man with diabetes, ischaemic heart disease and osteomyelitis presented with fever and hypoglycaemia. He met Red Zone sepsis criteria (lactate 4.5mmol/L) but antibiotics were significantly delayed—ceftriaxon…

emergency medicinegeriatric medicinemedicationdelayceftriaxone
NThospital2025-05-27

Inquest into the death of Child MS

4y · Male·Haemophilus influenzae septicaemia with superimposed respiratory tract infection

A 4-year-old previously healthy male presented to Katherine Regional Hospital on 10 September 2023 with fever and eye pain. He was examined, found to have tachycardia (HR 156) and fever (39.2°C), and diagnosed with viral…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
VIChospitalPodcast2025-05-26

Finding into death of Nancy Doreen Hay

99y · Female·Chest injuries in the setting of a tram incident (pedestrian)

A 99-year-old woman with dementia and reduced mobility was struck by a tram while crossing at a roundabout intersection in Essendon, Victoria. She sustained severe chest injuries including bilateral pneumothoraces, haemo…

emergency medicinetrauma surgerysystem
TASaged care2025-05-26

Coroner's Finding: de-identified GJ

94y · Male·aspiration pneumonia due to stroke following surgery to repair fracture of neck …

A 94-year-old man with dementia died from aspiration pneumonia following a stroke after hip surgery. The stroke and hip fracture resulted from being pushed by another resident with Alzheimer's dementia at an aged care fa…

geriatric medicineorthopaedic surgerysystemdelayoxazepam
VICaged care2025-05-21

Finding into death of Lorraine Joy Wight

77y · Female·Airways obstruction by tissue paper

A 77-year-old woman with depression, anxiety, and chronic pain died from airway obstruction by tissue paper at an aged care facility. She had expressed suicidal ideation, attempted self-harm, and was found with tissues i…

geriatric medicinepsychiatrycommunicationsystemoxycodone
VIChome2025-05-21

Finding into death of Phillip Henry Reidy

27y · Male·Cyanide toxicity

Phillip Reidy, 27, died from cyanide toxicity after ingesting sodium cyanide during police arrest for a family violence incident. He had purchased 250g of sodium cyanide online from Bacto Laboratories using false informa…

forensic medicineemergency medicinecommunicationsystemsodium cyanide
VIChospital2025-05-21

Finding into death of Nazlou (Helen) Danilidis

94y · Female·Complications of a fractured neck of femur sustained in an unwitnessed in-hospit…

A 94-year-old woman with significant cardiopulmonary comorbidities died from complications of a fractured femur sustained in an unwitnessed hospital fall. Despite identification as high falls risk and implementation of f…

geriatric medicinecardiologysystemcommunicationlorazepam
VIChome2025-05-20

Finding into death of CDE

33y · Female·Sharp force neck and chest injuries

A 33-year-old woman was fatally assaulted by her intimate partner in July 2019 following a two-year relationship marked by documented family violence and his untreated mental health conditions. The perpetrator had a hist…

psychiatryemergency medicinesystemcommunicationsynthetic marijuana
SA2025-05-20

Coroner's Finding: Pham, Duy Ngoc

35y · Male·multiple organ failure due to out-of-hospital circulatory arrest due to perforat…

35-year-old male died from multiple organ failure following out-of-hospital cardiac arrest caused by perforated duodenum. He was in police custody for drug-related charges and diagnosed with opioid withdrawal. Critical d…

emergency medicinegeneral practicedelaycommunicationmethamphetamine
SAcommunity2025-05-20

Coroner's Finding: Raines, Edward John

86y · Male·multiple injuries from motor vehicle collision

An 86-year-old man died in a head-on motor vehicle collision after driving unsafely on a highway. Three weeks prior, police observed him driving dangerously, unable to judge distances or perceive traffic, and submitted a…

systemdelay
VIChospital2025-05-20

Finding into death of Michael Philip Young

67y · Male·Complications of pressure ulcers in the setting of a thoracic vertebral fracture…

Michael Young, 67, died from pressure ulcer complications following a spinal injury sustained during a CT scan on 3 January 2023. He had fallen from his wheelchair at home and presented to ED with hypotension and back pa…

emergency medicineintensive carediagnosticproceduralhydromorphone
NSWcommunityPodcast2025-05-16

Inquest into the death of Harri Tapani Jokinen

56y · Male·Multiple injuries sustained in a motor vehicle collision

Harri Jokinen, aged 56, died following a head-on motor vehicle collision on the Monaro Highway when a stolen Commodore being pursued by NSW police crossed into his lane. Clinical lessons: This was a non-medical death but…

systemcommunicationalcohol
VIChospital2025-05-13

Finding into death of Baby W

0y · Male·subgaleal haematoma and subarachnoid haemorrhage complicating a prolonged labour

Baby W died within 40 minutes of birth from subgaleal haematoma and subarachnoid haemorrhage following a failed instrumental delivery for prolonged labour. The coroner identified critical missed opportunities in decision…

obstetricsneonatologydiagnosticproceduralclindamycin
VIC2025-05-12

Finding into death of Aileen Mary McLeish

54y · Female·Pulmonary thromboembolism complicating left calf deep venous thrombosis in the s…

54-year-old woman with frontotemporal dementia and Parkinson's disease died from pulmonary thromboembolism complicating deep venous thrombosis. She fell during the night at a disability accommodation facility and was fou…

geriatric medicineemergency medicinecommunicationsystemnordiazepam
VICcommunity2025-05-09

Finding into death of Takamasa Takeda

31y · Male·Head injuries - horse rider struck by a motor vehicle

A 31-year-old Japanese horse rider died from head injuries after being struck by a motor vehicle while crossing a public road with horses at dawn. Low light conditions (approximately 6:40 am, still dark) impeded the driv…

systemcannabis

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