Finding into death of Henry Francis Oakley
85y · Male·pneumonia
An 85-year-old man with multiple comorbidities (ischaemic heart disease, COPD, atrial fibrillation, dementia) died from pneumonia while in custody at Port Phillip Prison. He dev…
624 results for “pulmonary disease”
85y · Male·pneumonia
An 85-year-old man with multiple comorbidities (ischaemic heart disease, COPD, atrial fibrillation, dementia) died from pneumonia while in custody at Port Phillip Prison. He dev…
44y · Male·coronary artery disease superimposed upon chronic obstructive pulmonary disease …
John Benedict Munkara died at age 44 following cardiac arrest while in police custody after being found at Vestey's Beach. He had suffered severe, chronic alcohol abuse with multiple protective custody episodes. Critical…
52y · Male·Community acquired pneumonia in a man with myotonic dystrophy
Martin Beaty, a 52-year-old man with myotonic dystrophy and history of pulmonary embolism, presented to the ED with shortness of breath. He was initially discharged with mild pneumonia …
Unknown·Diane Michel: sharp force injuries to neck and wrists. John McCain: projectile i…
A married couple, both terminally ill with COPD and other serious conditions, died together at home in December 2016. Diane Michel (74) died from sharp force injuries to her neck and wrists; John McCain (76) died from se…
58y · Male·Metastatic colorectal cancer
…ut discontinued treatment in February 2012. He was readmitted to hospital in October 2012 with metastatic disease and received palliative care. He died from natural causes related to progressive metastatic colorectal ca…
83y · Male·end-stage Parkinson's disease (palliated)
Raymond John Blackney, an 83-year-old man with end-stage Parkinson's disease, died in custody at Port Phillip Prison from natural causes. He had complex medical needs including demen…
44y · Male·Ischaemic heart disease due to coronary atherosclerosis
Mathew James Keipert, age 44, died of ischaemic heart disease due to coronary atherosclerosis while on home detention bail. He had significant cardiovascular risk fact…
89y · Male·multi-organ failure on a background of advanced dementia and small cell lung can…
…y at Yatala Labour Prison. He entered prison aged 83 with complex medical needs including ischaemic heart disease, COPD, and diabetes. Over his six-year incarceration, he received regular medical care from prison medica…
68y · Female·Coronary heart disease
… mistakenly believed she had a cardiology appointment arranged. She re-presented 48 hours later in acute pulmonary oedema and died despite resuscitation. Clinical lessons: inadequate length of stay for diagnostic clarit…
72y · Male·Complications of small bowel obstruction in a man with multiple medical co-morbi…
…r-old man with intellectual disability, schizophrenia, recurrent DVT, cardiomegaly, COPD, ischaemic heart disease and hiatus hernia, presented to Austin Hospital with nausea, vomiting and decreased appetite. CT imaging …
58y · Male·Respiratory failure due to or as a consequence of Chronic Obstructive Pulmonary …
Geoffrey Hornby, a 58-year-old prisoner with significant COPD, ischemic heart disease, and multiple comorbidities, died from respiratory failure secondary to COPD. He was admitted to hospital…
54y · Male·metastatic small cell lung cancer
Manuel Katsaros, aged 54, died from metastatic small cell lung cancer while in custody at Prince of Wales Hospital Annex receiving palliative care. The coroner found no systemic deficiencies or clinical errors. The patie…
89y · Male·congestive cardiac failure due to ischaemic heart disease and aortic valve steno…
Ronald Thomas Robjohns, 89, died of congestive cardiac failure due to ischaemic heart disease and aortic valve stenosis while detained under the Mental Health Act at Glenside Hospital. He was admitte…
77y · Male·shock due to bowel ischaemia following massive blood loss due to bleeding of the…
Anthony George Bennett, a 77-year-old man with significant comorbidities including ischaemic heart disease, atrial fibrillation, peripheral vascular disease, and end-stage kidney disease, died from shock due to b…
59y · Male·disseminated carcinoma due to right lung carcinoma
… 59-year-old Aboriginal man with schizophrenia, alcohol-induced brain injury, chronic obstructive airways disease, and diabetes, died in custody from disseminated small cell lung carcinoma. He was transferred to hospita…
69y · Male·disseminated urothelial carcinoma of the bladder (palliated), bilateral lung ade…
…surethral resection and palliative radiotherapy. Following deterioration in December 2022 with metastatic disease, he received palliative care and died in hospital. The coroner found adequate medical treatment was provi…
73y · Female·coronary atherosclerosis
…ticoagulant dosing and medication choices were appropriate and necessary given her severe coronary artery disease and thrombotic risk. The haematoma was difficult to detect clinically and post-mortem analysis confirmed …
65y · Female·decompensated liver failure
…agnoses. The coroner found no systemic failures, though the family questioned delayed disclosure of liver disease severity. Her death from decompensated liver failure was ultimately related to end-stage cirrhosis and th…
84y · Male·Metastatic oesophageal carcinoma
An 84-year-old man died in prison from metastatic oesophageal carcinoma while receiving palliative care. He was found unresponsive in his hospital bed and pronounced deceased. The death was expected and attributed to nat…
75y · Male·End-stage renal disease, with hypertension, ischaemic heart disease, and diabete…
Edgar Hugh Sandow, a 75-year-old First Nations man, died from end-stage renal disease while incarcerated at Princess Alexandra Hospital Secure Unit. He had multiple comorbidities including he…
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