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SAhospital2006-11-13

Coroner's Finding: SALMON Daniel Brindley

27y · Male·Airway obstruction due to sublingual and submandibular cellulitis (Ludwig's angi…

A 27-year-old man died from airway obstruction due to Ludwig's angina (bilateral sublingual and submandibular cellulitis) following a tooth extraction. Critical failures included: delayed treatment with inadequate timely…

emergency medicinedentistrycommunicationdiagnosticparacetamol/codeine
NThospital2006-11-10

Inquest into the death of Wendy Walangitj Garmu

45y · Female·hypoxic brain injury following hemopneumothorax resulting from a stab wound to t…

Aboriginal woman stabbed in October 2004, discharged from hospital after initial stab wound assessment without chest X-ray or admission for observation. Wound to posterior chest was explored and stitched by Dr W. but pne…

emergency medicinesurgerydiagnosticprocedural
SAhospital2006-10-30

Coroner's Finding: GORDON Sally Anne

20y · Female·Cerebral anoxia consequent upon a severe acute asthmatic event

Sally Anne Gordon, a 20-year-old with a 14-year history of severe brittle asthma, presented to Mount Gambier Hospital on 26 November 2000 with acute severe asthma unresponsive to initial treatment. After appropriate emer…

emergency medicineanaesthesiamedicationproceduralsalbutamol
QLD2006-10-27

Blockley, Michael Gary; Watson, Stevie Lee; Teske, Neil Lackland; Donaldson, Michael Bruce; and Nugent, Christopher John

Multiple fatal injuries sustained in motor vehicle accident; for driver (Blockle…

Five young workers died in a motor vehicle accident on 7 April 2006 when the driver, aged 20, was travelling at 150-160 km/h and attempted an unsafe overtaking maneuver on the Toowoomba-Cecil Plains Road. The driver lost…

forensic medicineemergency medicinesystem
NThospital2006-10-02

Inquest into the death of Freddie Peterson

30y · Male·diffuse alveolar damage, a complication of bacterial endocarditis

Freddie Peterson, a 30-year-old Aboriginal man from Papunya, died in custody from bacterial endocarditis complicated by diffuse alveolar damage. He was imprisoned for nine months and presented to the prison medical centr…

cardiologyinfectious diseasesranatidine
QLD2006-09-27

Mulrunji

36y · Male·intra-abdominal haemorrhage due to rupture of liver and portal vein

Mulrunji (Cameron Francis Doomadgee), a 36-year-old Aboriginal man, died from intra-abdominal haemorrhage due to liver rupture following an encounter with Senior Sergeant Christopher Hurley at Palm Island Police Station …

forensic medicineemergency medicinediagnosticprocedural
SAhospital2006-09-25

Coroner's Finding: McLEOD Peter Malcholm

28y · Male·Acute Dopamine Imbalance Syndrome

A 28-year-old man with first-episode psychosis presented with command auditory hallucinations after a motor vehicle accident. An EEG ordered to exclude organic causes showed very abnormal findings suggestive of partial s…

psychiatryneurologycommunicationdiagnosticrisperidone
SAhospital2006-09-25

Coroner's Finding: McCARTHY Elly Sarahnia

13y · Female·cerebral oedema and infarction secondary to extensive subdural empyema

Elly McCarthy, a 13-year-old girl, died from cerebral oedema and infarction secondary to subdural empyema. She developed fever, headache and neurological symptoms on 24 January 2004 and was initially seen at a GP and Noa…

paediatricsemergency medicinediagnosticcommunicationtrimethoprim
QLDhospital2006-09-13

Rawson, Robert Donald

68y · Male·Internal haemorrhage due to coagulopathy and upper gastrointestinal varices, cir…

Robert Donald Rawson, a 68-year-old man with end-stage cirrhosis and multiple comorbidities, died hours after undergoing intercostal catheter insertion for pleural effusion drainage at Rockhampton Hospital. While the pro…

general surgeryrespiratory medicinesystemproceduralfresh frozen plasma
NT2006-09-08

Inquest into the death of Hector Martin

36y · Male·Cerebrovascular accident (stroke) - massive intracranial haemorrhage

An Aboriginal man with chronic alcoholism and cirrhosis died from a massive stroke (cerebrovascular accident) while in prison custody. He presented with non-specific symptoms including vomiting on 9 March 2005 and was pl…

general practicecorrectional healthcommunicationsystemdiazepam
QLDmental health2006-09-08

Robinson, Terence James

54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus

Terence James Robinson, 54, died from status epilepticus causing global cerebral hypoxic injury after 16 days at Belmont Private Hospital. He was admitted following a violent altercation with police and attempted suicide…

psychiatryneurologydiagnosticcommunicationparoxetine
SAhospital2006-08-22

Coroner's Finding: DENNIS Jessica-Lee

16y · Female·consequences of acute asthma with hypoxic encephalopathy

Jessica-Lee Dennis, aged 16, died from acute asthma with hypoxic encephalopathy on 7 May 2004. She presented with progressive nocturnal cough and wheezing over six weeks starting September 2001, with significant family h…

general practicerespiratory medicinediagnosticcommunicationsalbutamol
QLDhospital2006-08-10

Casey, Lenard John

39y · Male·Coronary thrombosis caused by coronary atherosclerosis

Lenard Casey, a 39-year-old Aboriginal man with severe coronary artery disease, died of acute coronary thrombosis while in custody. Arrested for assault on his partner, he developed chest pain at the police station and w…

cardiologyemergency medicinecommunicationmorphine
QLDpolice custody2006-08-09

Bee, Calvin Wayne

42y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)

Calvin Wayne Bee, a 42-year-old Aboriginal man with chronic alcohol abuse, died from sudden unexpected death in epilepsy (SUDEP) while in police custody in Normanton, Queensland. He was sentenced to six months imprisonme…

emergency medicineforensic medicinediagnosticsystemalcohol
QLDhome2006-07-28

Vidler-Cumming, Liam Richard

0y · Male·Global hypoxic brain necrosis as a result of non-accidental violent shaking of t…

Liam Richard Vidler-Cumming, a three-month-old, died from global hypoxic brain necrosis resulting from non-accidental violent shaking (shaken baby syndrome). He was examined by a neurosurgeon, Dr C., at 9:30am and appear…

paediatricsneurosurgery
SAhospital2006-07-17

Coroner's Finding: HERBERT Raelene Vicki

29y · Female·respiratory depression caused by morphine intoxication on a background of upper …

A 29-year-old woman with infectious mononucleosis and severe sore throat died from respiratory depression caused by morphine intoxication with concurrent upper airway narrowing. A GP administered 30mg intramuscular morph…

general practiceemergency medicinemedicationdiagnosticmorphine
NTcommunity2006-06-29

Inquest into the death of Clifford Brown

58y · Male·Multiple injuries occasioned in a motor vehicle accident (broken neck, ruptured …

Clifford Brown, an Aboriginal man aged 58, died from multiple injuries sustained in a motor vehicle accident on 18 December 2004 at Barrow Creek, NT. The central clinical issue was the inadequate emergency assessment and…

emergency medicineparamedicinediagnosticcommunication
SAhospital2006-06-22

Coroner's Finding: MERRITT Christopher Simon

24y · Male·0.22 calibre gunshot wound to the head (self-inflicted)

Christopher Merritt, a 24-year-old man with a history of reactive depression triggered by relationship breakdowns, presented to his GP Dr W. on 30 June 2003 with acute tearfulness, suicidal ideation, and dangerous reckle…

general practiceemergency medicinediagnosticcommunicationcitalopram
SAhospital2006-06-16

Coroner's Finding: SMITH Ian Myles

2y · Male·morphine toxicity

A 2-year-old boy died from morphine toxicity approximately 35 hours after suspected ingestion of up to 7 Kapanol (slow-release morphine) capsules accessed from his father's medication left unguarded in the home. Hospital…

emergency medicinepaediatricssystemdelaymorphine
SA2006-06-16

Coroner's Finding: HODSON Lawrence John

63y · Male·complications from carcinoma of the lung

Lawrence John Hodson, a 63-year-old man detained in custody at Glenside Campus under the Criminal Law Consolidation Act, died from complications of lung cancer. He had been diagnosed with cancer in 2003 and was receiving…

oncologyrespiratory medicinesalbutamol

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