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WAhome2007-07-27

Inquest into the Death of Chubby

64y · Female·Acute bronchopneumonia in a woman with liver failure

Patsy Chubby, 64, died from acute bronchopneumonia complicated by terminal liver failure and multiple chronic conditions (cardiac cirrhosis, heart failure, COPD, diabetes, pulmonary hypertension). Discharged from hospita…

general medicinecardiologycommunicationdiagnostic
SA2007-07-12

Coroner's Finding: SANSBURY Colin Craig

24y · Male·diffuse hypoxic ischaemic encephalopathy due to hanging

Colin Craig Sansbury, 24-year-old Aboriginal man, died by hanging while in police custody at Elizabeth Police Station. Critical failures in care included: (1) Inadequate psychiatric assessment at Lyell McEwin Hospital—he…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
SAhospital2007-07-02

Coroner's Finding: VINER Robert John

58y · Male·Hypoxic encephalopathy secondary to cardiac arrest due to cardiomegaly

Robert John Viner, a 58-year-old man with long-standing schizoaffective disorder, was detained under the Mental Health Act on 28 July 2006 following erratic behaviour and aggression towards family and his GP. He was admi…

psychiatryemergency medicineolanzapine
SAhospital2007-06-29

Coroner's Finding: COCKBURN Michael Philip

40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)

Michael Cockburn, a 40-year-old man with treatment-resistant schizophrenia and documented severe adverse reactions to antipsychotic medications, was admitted to Royal Adelaide Hospital from psychiatric detention for anae…

psychiatryemergency medicinemedicationcommunicationhaloperidol
QLDmental health2007-06-20

Eady, Graeme William Julian

25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia

Graeme Eady, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. Following an altercation with another patient, he was transferred to H Floor …

psychiatryemergency medicinesystemproceduralsertraline
QLDmental health2007-06-20

Liddell, Matthew John

28y · Male·hypoxic encephalopathy secondary to hanging

Matthew Liddell, a 28-year-old former Navy serviceman with severe post-traumatic stress disorder and depression following the 1998 HMAS Westralia fire, died by hanging in a psychiatric hospital. He had been admitted on 8…

psychiatryemergency medicinecitalopram
SAcommunity2007-06-08

Coroner's Finding: COOKE Rowan Douglas

37y · Male·dehydration/heat-related death

A 37-year-old man died from dehydration and heat-related illness after collapsing in a sweat lodge during a vision quest ceremony in remote South Australia. He remained unconscious after removal from the lodge, but the g…

emergency medicineintensive carediagnosticdelay
QLDmental health2007-06-01

Huntington, Sparka Isarva aka Huntington, James Philip

31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…

Sparka Huntington, a 31-year-old forensic mental health patient with a history of schizophrenia, violence, and drug use, died during physical restraint by hospital security officers and nursing staff on 14 December 2003.…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
QLDmental health2007-05-25

Mental Health patient

Female·multiple injuries due to a fall from height (suicide by jumping from multi-store…

A woman with major depressive disorder and psychotic features died by suicide at a shopping centre car park on 21 September 2004, six days after admission to Belmont Private Hospital under an involuntary treatment order.…

psychiatryemergency medicinecommunicationsystemmirtazapine
NThome2007-05-18

Inquest into the death of Erfinna Patricia Lay and John Weston Quirk

Unknown·Erfinna Lay: Aspiration resulting from Acute Multiple Drug Toxicity; John Quirk:…

Two young people died from acute multiple drug toxicity in 2005. Erfinna Lay (22, female) died from aspiration after ingesting chloral hydrate prescribed to her partner. John Quirk (27, male) died from doloxene overdose …

general practicepsychiatrymedicationcommunicationchloral hydrate
QLD2007-05-16

Davis, Jodie Maree

24y · Female·hypoxic brain damage due to cardiac arrest due to hanging

Jodie Maree Davis, aged 24, died by suicide in Townsville Correctional Centre in May 2002. She had a long history of self-harm dating from age 15, including multiple suicide attempts, and was assessed as high suicide ris…

psychiatrypsychologysystemcommunication
WAcommunity2007-05-11

Inquest into the Death of Robson

16y · Female·Adrenal insufficiency (Addison's Disease)

Emma Louise Robson, a 16-year-old female, died on 29 September 2004 from adrenal insufficiency (Addison's Disease), a treatable autoimmune condition. She presented with progressive fatigue, weight loss (from 48–50 kg to …

general practiceemergency medicinediagnosticsupervision_issue
QLDhospital2007-05-04

Horsington, Margaret Isabel

83y · Female·cardiac arrest from severe triple vessel coronary artery disease complicated by …

Margaret Isabel Horsington, aged 83, died from cardiac arrest secondary to severe coronary artery disease, complicated by large bowel obstruction from rectal carcinoma. She presented to Roma Hospital with constipation an…

general surgeryemergency medicinediagnosticcommunicationfleet
WAcommunity2007-05-02

Inquest into the Death of Hasluck

69y · Male·Compound Head Injury sustained in motor vehicle crash

Norman John Hasluck, aged 69, died from a compound head injury sustained in a motor vehicle crash on 9 January 2004 at the intersection of Guildford Road and Eighth Avenue, Maylands. Hasluck's vehicle was struck by a Mit…

neurologyemergency medicinesystemcarbamazepine
QLD2007-04-18

Thorpe, Geoffrey

47y · Male·Myocarditis

Geoffrey Thorpe, a 47-year-old fitter, collapsed and died suddenly at work while testing solenoids with electrical equipment. Initial suspicion of electrocution was thoroughly investigated through expert electrical testi…

pathologygeneral practicesystemsertraline
QLDhospital2007-04-05

Smith, Arthur Lawrence

75y · Male·Acute cardiac failure due to mitral valve disease (surgically treated)

Arthur Lawrence Smith, 75, underwent successful mitral valve repair and coronary artery bypass grafts at TPCH on 2 August 2004 and was discharged 5 days later. On 19 August, his wife called TPCH reporting acute shortness…

cardiothoracic surgeryemergency medicinecommunicationdiagnosticadrenaline
SAhome2007-03-30

Coroner's Finding: LYND Darrell James

37y · Male·hypoxic ischaemic encephalopathy secondary to hanging

A 37-year-old man with depression, suicidal ideation, and antisocial personality disorder died from hypoxic ischaemic encephalopathy following hanging while on home detention bail. He had been arrested following a domest…

psychiatryemergency medicineantidepressant medication
QLD2007-03-21

Davis, Shane William

29y · Male·Multiple injuries from being struck by a tyre and rim assembly when attempting t…

Shane Davis, a 29-year-old truck driver, died from injuries sustained when attempting to remove a doughy tyre from a multi-piece rim on a coal haulage truck. The rim failed due to fatigue cracking, causing explosive rele…

occupational and environmental healthemergency medicinesystemcommunication
NThospital2007-03-16

Inquest into the death of Jason Donald

33y · Male·Multiple injuries sustained in a single vehicle crash, complicated by acalculous…

Jason Donald, a 34-year-old Aboriginal male, was involved in a high-speed police pursuit following allegations of breaching a domestic violence order. He was driving erratically and intoxicated (BAC 0.285) when police ac…

intensive caretrauma surgery
NThospital2007-03-12

Inquest into the death of Isabelle Manyita

31y · Female·Septicaemia following Acute Osteomyelitis following Fractures of the Left Leg

Isabelle Manyita, a 31-year-old Aboriginal woman, died from septicaemia following acute osteomyelitis complicating fractures of her left leg. She presented to Royal Darwin Hospital on 22 April 2005 with a tibial and fibu…

emergency medicineorthopaedic surgerymorphine

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