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QLDhospital2008-07-22

Shelley, Chloe Louise

20y · Female·Head injuries due to or as a consequence of motor vehicle accident

Chloe Louise Shelley, aged 20, died from head injuries sustained in a motor vehicle crash on 9 February 2007, succumbing to her injuries on 5 April 2007. The driver, Ms Angela Connor, was travelling faster than the speed…

emergency medicinetrauma surgery
SAmental health2008-07-17

Coroner's Finding: TARNOWSKI Marek Tomasz

33y · Male·Respiratory failure due to mixed drug toxicity (amitriptyline, oxycodone, morphi…

A 33-year-old man with chronic back pain, depression, morbid obesity and sleep apnoea died in psychiatric custody from respiratory failure due to mixed drug toxicity and probable aspiration. He was heavily medicated with…

psychiatryemergency medicinesystemamitriptyline
QLD2008-06-06

Irwin, Ross Frederick

49y · Male·Drowning resulting from capsizing of commercial fishing vessel

Ross Irwin, a 49-year-old experienced fishing skipper, died when his trawler Lauryn G capsized after nets snagged an underwater obstruction off Noosa Heads. Critical factors contributing to his death were: inadequate cre…

occupational and environmental healthemergency medicineproceduralsystem
VIChome2008-06-04

Finding into death of Kath Bergamin

37y · Female·unlawful killing

Kath Bergamin, a 37-year-old woman, disappeared from her home in Wangaratta, Victoria on 18 August 2002. She had recently left her husband John following years of psychological and physical abuse, obtaining intervention …

psychiatrygeneral practicesystemcommunicationcitalopram
QLD2008-05-23

Mosby, Phillemon Edward

55y · Male·Drowning following fall into the sea during pilot transfer operations

Phillemon Mosby, a 55-year-old deckhand on the pilot vessel Alert, was lost at sea on 27 October 2004 while transferring a pilot's luggage during vessel-to-vessel operations. He fell from the narrow port side deck while …

occupational and environmental healthemergency medicinesystemcommunication
NTcommunity2008-05-12

Inquest into the death of Kenny Malthouse

12y · Male·accidental suffocation secondary to the inhalation of vapour from Opal fuel

Kenny Malthouse, 12-year-old Aboriginal boy, died from accidental suffocation following inhalation of Opal fuel vapour on 13-14 April 2007 in Hermannsburg, Northern Territory. He had a known history of petrol sniffing si…

pathologytoxicologysystemopal fuel
VIChome2008-05-10

Finding into death of David Mario Mulvaney

58y · Male·85% Burns and Explosion

David Mulvaney, aged 58, died on 28 July 2007 from 85% thermal burns sustained in a drum explosion while cutting an empty 44-gallon drum containing thinners in his home shed. The drum, obtained from his workplace, retain…

emergency medicineintensive care
NTschoolPodcast2008-05-02

Inquest into the death of Aidan Bott

9y · Male·head injury

Nine-year-old Aidan Bott was fatally struck by a falling branch from an African Mahogany tree in the school courtyard on 22 August 2006, sustaining fatal head injuries. The death was preventable through regular tree main…

emergency medicineneurosurgerysystemdelay
NTcommunity2008-05-02

Inquest into the death of Darryll Stuart Davis

38y · Male·electrocution from contact with live electrical wiring during repair of solar ho…

Darryll Stuart Davis, a 38-year-old self-employed electrician, was electrocuted on 30 June 2006 while working on a solar hot water service in Ngukurr Community, NT. He was working live on exposed electrical wiring withou…

occupational and environmental healthemergency medicineproceduralsystem
QLDhome2008-04-10

Bond, Jakai Ryan

0y · Male·Positional asphyxia contributed to by bronchopneumonia and head injuries

Jakai Ryan Bond, a 10-week-old infant, died from positional asphyxia on 25-26 May 2006 while in his father's care. The father fell asleep holding the baby in a lounge chair; the infant was found face down on his father's…

paediatricsforensic medicinedelaycannabis
VIChospital2008-03-20

Finding into death of Julie Stephens

54y · Female·sepsis

Ms Julie Stephens, aged 54, was admitted to Frankston Hospital on 5 December 2008 with a chest infection and multiple comorbidities including cardiac failure, respiratory failure, and obesity. She deteriorated with septi…

intensive carerespiratory medicinemedicationsystemmorphine
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
SAcommunity2008-03-14

Coroner's Finding: STEHBENS Jarrod David

23y · Male·injuries sustained in a shark attack

A 23-year-old research assistant died from injuries sustained in a Great White shark attack while conducting a University of Adelaide diving expedition in the Gulf of St Vincent. The inquest examined whether risk assessm…

occupational and environmental healthemergency medicinesystemcommunication
WAcommunity2008-02-25

Inquest into the Death of Kimberley Coronial Report

Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…

This coronial inquiry examined 22 deaths of Aboriginal people in the Kimberley region of Western Australia between 2000 and 2007. Seventeen were self-harm deaths, with four additional accidental deaths and one homicide. …

public healthpsychiatrysystemdelayalcohol
NThome2008-02-13

Inquest into the death of Billy Martin

33y · Male·accidental drowning

Billy John Martin, a 33-year-old man, drowned in a residential swimming pool while heavily intoxicated (blood alcohol 0.370%), having sustained recent head trauma. He had visited a doctor five days prior with post-concus…

general practiceemergency medicinesystemalcohol
QLDmental health2008-01-31

Hauff-Green, Edward Thomas

32y · Male·Systemic sarcoidosis with severe steatosis and acute myocardial infarction

A 32-year-old man with schizophrenia died at a mental health unit shortly after receiving emergency intramuscular sedation (haloperidol 10mg and midazolam 10mg) for acute agitation and refusal of oral medication. While t…

psychiatryemergency medicinediagnosticcommunicationhaloperidol
NSWcommunity2008-01-24

Coroner's Finding: Vanessa Ann Anderson

16y · Female·Respiratory arrest due to the depressant effect of opiate medication

Vanessa Anderson, 16, suffered a depressed skull fracture from a golf ball strike and was admitted to Royal North Shore Hospital. She died from respiratory arrest due to opioid-induced respiratory depression, which was e…

neurosurgeryanaesthesiamedicationcommunicationoxycodone
NThome2008-01-02

Inquest into the death of John Russell Ralkurra Marika

43y · Male·Myocardial infarction secondary to coronary atherosclerosis

A 43-year-old Aboriginal man died from myocardial infarction secondary to severe coronary atherosclerosis. He was a heavy smoker with undiagnosed heart disease who attended health services regularly but had no recorded c…

cardiologypathologydiagnostic
QLDhospital2008

Maggable, Kenneth

70y · Male·Acute coronary occlusion due to extensive coronary atherosclerosis

Kenneth Maggable, a 70-year-old man with chronic obstructive pulmonary disease, asthma, and prostate cancer, presented twice to Cairns Base Hospital on 8 August 2005 with respiratory complaints. After discharge at 4:50 A…

emergency medicinegeneral practicecommunicationsystemprednisone
SAcommunity2007-12-12

Coroner's Finding: BAUMANIS Bronislawa Sonia

84y · Female·ischaemic heart disease

An 84-year-old woman with dehydration, fever, and confusion initially refused hospital admission due to fears of nursing home placement. Her GP appropriately obtained a Mental Health Act detention order when she refused …

general practiceemergency medicineadrenaline

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