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SAhospital2005-11-10

Coroner's Finding: LAZOPOULOS Christopher

34y · Male·multi-organ failure with right-sided tension pneumothorax

A 34-year-old man with a ruptured spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admissi…

emergency medicineintensive carediagnosticsystem
WAcommunity2005-11-04

Inquest into the Death of Sheridan Troy Hilton

42y · Female·Ligature compression of the neck (hanging)

Sheridan Troy Hilton, a 42-year-old woman with a history of depression and substance abuse, died by suicide on 31 August 2003 while in an unwell mental state. She experienced significant psychosocial stressors including …

general practicepsychiatrycommunicationsystemmirtazapine
NT2005-10-31

Inquest into the death of Angus Lawrence

25y · Male·acute heat stroke

Trooper Angus Lawrence, a 25-year-old soldier, died from acute heat stroke on 10 November 2004 during a military training exercise at Mount Bundey, NT. He collapsed during a patrol and despite rapid evacuation and intens…

paramedicineoccupational and environmental healthdiagnosticcommunication
QLD2005-10-14

Liddington, Craig; Eva, Stewart; Carpenter, Andrew

31y · Male·Injuries sustained as a consequence of helicopter crash into water

Three emergency service personnel—pilot Andrew Carpenter (31), paramedic Craig Liddington (31), and crewman Stewart Eva (31)—died in a helicopter crash on 17 October 2003 during a night VFR flight to retrieve a patient w…

emergency medicineaviation medicinediagnosticcommunication
SAcommunity2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

John Matthew Murray, aged 35, died from pulmonary thromboembolism caused by deep vein thrombosis following a severe motorcycle accident that resulted in pelvic and leg fractures. He was treated surgically at Royal Adelai…

orthopaedic surgeryemergency medicinemedicationsystemheparin
QLD2005-10-12

Dell, Maren Lyndsey

23y · Female·Pulmonary barotrauma due to or as a consequence of a scuba diving accident

Maren Lyndsey Dell, 23, died during a resort dive at Agincourt Reef from pulmonary barotrauma caused by rapid ascent from 9 metres. She panicked when unable to clear water from her mask and ascended quickly without expel…

emergency medicineoccupational and environmental healthsystemdelayepinephrine
NThome2005-10-10

Inquest into the death of Kumanjay Presley, Kunmanara Coulthard and Kunmanara Brumby

Male·Suffocation as a result of acute petrol vapour inhalation

Three Aboriginal males died from acute petrol vapour inhalation while sniffing in remote Northern Territory communities. Napthan Presley (14 years, Willowra), Wallace Coulthard (21 years, Mutitjulu), and Trevor Brumby (3…

public healthaddiction medicinesystemdelaypetrol
QLDcommunity2005-10-07

Irwin, Perry James; Coates, Damien Lawrence

Male·Gunshot wounds sustained when Damien Coates shot Perry Irwin and then shot himse…

This inquest examined the deaths of Senior Sergeant Perry Irwin (killed by gunshot) and Damien Coates (suicide by gunshot) on 22 August 2003 in Caboolture, Queensland. The coroner found the death preventable, resulting f…

emergency medicinecommunicationsystem
QLD2005-10-07

Creegan, Thomas

47y · Male·Myocardial ischaemia as a result of undiagnosed coronary artery disease; cerebra…

Thomas Creegan, a 47-year-old UK tourist, died during a second introductory resort dive at the Great Barrier Reef after becoming separated from his instructor and ascending rapidly to the surface. He lost consciousness s…

diving medicineemergency medicinecommunicationprocedural
QLDhospital2005-10-06

Fernandez, Adam Anthony

33y · Male·Aspiration due to alcoholic intoxication; coronary atherosclerosis contributed

Adam Anthony Fernandez, aged 33, died from aspiration of food contents while acutely intoxicated (blood alcohol 0.276%) following police attendance at his home on 4 December 2001. After police used capsicum spray to safe…

emergency medicineanaesthesiasedatives
SA2005-09-27

Coroner's Finding: COOK Damian John

24y · Male·consequences of hanging

Damian John Cook, aged 24, died by hanging in his cell at Adelaide Remand Centre after 5 months in custody. His suicidal ideation on the day of death (following difficult phone calls with his ex-partner regarding access …

emergency medicineintensive carediagnosticsystem
WAhospital2005-09

Inquest into the Death of Vicki Anne Greaves

36y · Female·Pneumonia complicating combined drug effect

Vicki Anne Greaves, 36, died on 18 March 2004 at Royal Perth Hospital Emergency Department from pneumonia complicating combined drug effect. She was subject to an Intensive Supervision Order for drug-related offences. On…

addiction medicinepsychiatrycommunicationsystemheroin
WAhospital2005-09

Inquest into the Death of Maria Donatelli

72y · Female·Peritonitis due to perforated diverticulum in transverse colon

Maria Donatelli, a 72-year-old woman with cardiac and renal disease, presented to Peel Health Campus with abdominal pain and vomiting. She was initially managed conservatively with a provisional diagnosis of pancreatitis…

general surgeryemergency medicinediagnosticcommunicationtramadol
NThospital2005-08-31

Inquest into the death of Marcellus Tipiloura

26y · Male·Suicidal cut throat

A 26-year-old Aboriginal male, Marcellus Tipiloura, died from a self-inflicted cut throat while police and emergency services were attending. He had made threats to kill himself and his wife after consuming alcohol and c…

emergency medicineforensic medicinemidazolam
SAhospital2005-08-30

Coroner's Finding: O'BRIEN Barbara Ann

57y · Female·right bronchopneumonia following hypoxic brain damage secondary to cardiac arres…

A 57-year-old woman with chronic schizophrenia and non-insulin dependent diabetes was admitted to a psychiatric ward after detention under the Mental Health Act. She was found in cardiac arrest on 8 December 2001 and suf…

psychiatryemergency medicinediagnosticcommunicationclozapine
NTprison2005-08-26

Inquest into the death of Warren Maminyamanja

34y · Male·Septicaemia resulting from Melioidosis

Warren Maminyamanja, a 34-year-old Aboriginal man, died from melioidosis septicaemia on 13 June 2004 whilst in custody at Darwin Correctional Centre. Clinical assessment for melioidosis was not considered, though expert …

emergency medicineintensive caresystemdelayibuprofen
NTmental health2005-08-26

Inquest into the death of Dale Vincent

27y · Male·multiple injuries after a fall from a height

Dale Vincent, a 27-year-old man with schizophrenia, absconded from Cowdy Ward mental health facility on 6 October 2004 while an involuntary patient under a 7-day detention order. He had been admitted following an assault…

psychiatryemergency medicinesystem
NThospital2005-08-26

Inquest into the death of Sampson Paii

35y · Male·Disseminated Lymphoblastic Lymphoma

A 35-year-old Aboriginal man died from disseminated lymphoblastic lymphoma while in prison custody. He presented with progressive symptoms including oedema, shortness of breath, and difficulty walking. Dr J. appropriatel…

haematologycardiologycommunicationdiagnostic
QLDhospital2005-08-24

Sabadina, Kathryn Marnie

28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…

A 28-year-old woman died during routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe respiratory distress immediately after inducti…

anaesthesiadentistrydiagnosticproceduralpropofol
NTcommunity2005-07-19

Inquest into the death of Carlene Coombe

43y · Female·stab wound to the chest; contributing factors were aspiration of stomach content…

A 43-year-old Aboriginal woman died from a stab wound to the chest in circumstances that remain unclear. She had a complex history of depression, alcohol dependence, and family crisis (children removed from her care). Sh…

forensic medicinegeneral practicealcohol

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