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NT2003-03-28

Inquest into the death of Rita Dandy

38y · Female·Multiple injuries sustained in a motor vehicle accident in which the deceased wa…

Rita Dandy, a 38-year-old Aboriginal woman with chronic alcohol use disorder, died from multiple injuries after being struck by a motor vehicle while lying on the Stuart Highway near Darwin. She had been released from pr…

forensic medicineemergency medicinesystemdelayalcohol
SA2003-03-28

Coroner's Finding: ROGERS Justin Malcolm

27y · Male·propoxyphene toxicity

A 27-year-old man with schizophrenia died of propoxyphene toxicity while in police custody. He ingested a fatal dose of Doloxene capsules prescribed by Dr R. on 27 June 2000. The doctor prescribed 100 capsules to a patie…

general practicepsychiatrydiagnosticmedicationpropoxyphene
SA2003-03-28

Coroner's Finding: DISARIO Antonio

26y · Male·gastric aspiration

A 26-year-old remanded prisoner died from gastric aspiration at Adelaide Remand Centre. He was a heroin user experiencing withdrawal, having been offered but declined infirmary treatment and methadone on arrival. Cellmat…

correctional healthemergency medicineheroin
SAhospital2003-03-28

Coroner's Finding: BUTLER Irene

72y · Female·haemorrhage from penetrating duodenal ulcer

A 72-year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not properly acted upon by the a…

emergency medicinegeneral medicinediagnosticcommunicationaspirin
SAhospital2003-03-17

Coroner's Finding: DeIONNO Orazio

40y · Male·ischaemic heart disease due to coronary atherosclerosis

A 40-year-old man presented to an Emergency Department with chest pain lasting approximately a week and a half, presenting with symptoms including arm pain and associated cough. He was triaged as Category 3 (non-urgent) …

emergency medicinecardiologydiagnostictriage
SAhospital2003-03-14

Coroner's Finding: MOUSTAKOS Erini

53y · Female·infarction of the transverse colon due to mesenteric/retroperitoneal haemorrhage…

A 53-year-old woman with schizophrenia died from transverse colon infarction secondary to mesenteric/retroperitoneal haemorrhage and incisional abdominal hernia during anticoagulation therapy. She was admitted to hospita…

psychiatrygeneral medicinewarfarin
SAhospital2003-03-07

Coroner's Finding: GRAHAM Steven Barry

35y · Male·Cardiac arrest due to incessant ventricular fibrillation/ventricular tachycardia…

A 35-year-old previously healthy male sustained blunt chest trauma during an assault. He presented to ED with chest pain but was triaged as category 4. After collapse and retriage to category 3, he received an ECG at 1:0…

emergency medicinecardiologycommunicationsystemparacetamol/codeine
SAhospital2003-03-04

Coroner's Finding: VASSALLO Virginia

59y · Female·multiple cerebral infarction due to infective endocarditis

A 59-year-old woman with known mitral valve disease presented to the Emergency Department on 19 October 2000 with widespread body pain, severe back pain, and fever. She was undoubtedly suffering from staphylococcus aureu…

emergency medicinecardiologydiagnosticdelayparacetamol/codeine
SAmental health2003-01-10

Coroner's Finding: MYNHART Johann George

77y · Male·bilateral pulmonary emboli complicating deep vein thrombosis (left calf)

A 77-year-old man with dementia died from bilateral pulmonary emboli complicating deep vein thrombosis of the left calf. He was hospitalised for dehydration and diabetes management, then returned to psychiatric care. On …

psychiatryemergency medicinecommunicationdelay
SAcommunity2002-12-04

Coroner's Finding: HYDE Justin Reny Edward

18y · Male·left haemopneumothorax due to traumatic rupture of the lower lobe of the left lu…

An 18-year-old male riding a motorcycle died when the vehicle crashed into a culvert while being pursued by police. The deceased was riding whilst disqualified from holding a licence and fled from police at moderate spee…

emergency medicineparamedicinecannabis
SAhome2002-11-06

Coroner's Finding: JERICHO Patricia Susanne

43y · Female·neck compression due to hanging

A 43-year-old woman with longstanding depression and previous suicidal ideation presented to Emergency Department twice within 14 days and was referred to psychiatric services. She had persistently refused antidepressant…

general practicepsychiatrycommunicationsystemaurorix
WAhospital2002-10-04

Inquest into the Death of Eric Clarence Moody

67y · Male·Aspiration of vomit associated with alcohol intoxication in a man with ischaemic…

Eric Clarence Moody, a 67-year-old man with diabetes, chronic alcoholism, and ischaemic heart disease, died on 6 December 1999 after aspirating vomit while heavily intoxicated with methylated spirits. He presented to Nor…

emergency medicinegeneral practicediagnosticcommunicationmethylated spirits
NThospital2002-09-27

Inquest into the death of Sylvester Nawirridj

24y · Male·multiple organ failure resulting from a closed head injury

A 24-year-old Aboriginal man died from multiple organ failure following a closed head injury sustained during a domestic violence incident. After an argument at a licensed club, the deceased and his wife returned home in…

emergency medicineintensive care
NT2002-08-13

Inquest into the death of Graham Murrurkuwuy

49y · Male·cor pulmonale and chronic bronchitis and emphysema

Graham Murrurkuwuy, a 49-year-old Aboriginal man, died of cor pulmonale and chronic bronchitis/emphysema while imprisoned at Darwin Correctional Centre. He had a long history of smoking and substance abuse. Medical staff…

general practiceemergency medicinedelay
SAhome2002-07-11

Coroner's Finding: TAYLOR Yutta

47y · Female·serotonin syndrome due to combined toxicity of moclobemide and paroxetine

A 47-year-old woman with a long history of prescription drug abuse died from serotonin syndrome caused by combined toxicity of moclobemide (MAOI) and paroxetine (SSRI). She had experienced multiple previous overdoses and…

general practicepsychiatrydiagnosticmedicationmoclobemide
SAcommunity2002-06-19

Coroner's Finding: HEATLEY Alan Forsyth

17y · Male·cranial and facial trauma

A 17-year-old male with acute schizophrenia died from cranial and facial trauma after running off a 15.6-metre cliff during a psychotic episode. Hours before, he had been seen by a trainee psychologist who failed to reco…

psychologypsychiatrydiagnosticcommunication
WAcommunity2002-06

Inquest into the Death of David Stanley William Poole

40y · Male·Complications following fracture of the pelvis

David Stanley William Poole, a 40-year-old crane operator, fell from a mobile crane carrier approximately 1.6 metres to the ground while attempting to correct the positioning of packing timbers on the crane deck on 5 Apr…

emergency medicineorthopaedic surgerysystemdelaymorphine
SAhospital2002-05-17

Coroner's Finding: MITTA Wilhelmina

88y · Female·sepsis of unknown origin

An 88-year-old woman with multi-infarct dementia and behavioural disturbance was detained under the Mental Health Act following assault of her GP. She presented with abdominal symptoms and deteriorating vital signs, tran…

geriatric medicinepsychiatrydiagnosticanti-psychotic medication
SAcommunity2002-05-17

Coroner's Finding: FEENEY Nigel Richard

42y · Male·salt water drowning

A 42-year-old man drowned at Gunyah Beach while attempting to rescue another adult in difficulty in a rip. Despite resuscitation efforts by bystanders, he could not be revived. The coroner identified inadequate warning s…

forensic medicineemergency medicinesystem
NT2002-05-09

Inquest into the death of David Pendergast

31y · Male·coronary occlusion contributed to by atheroma

David John Pendergast, a 31-year-old Aboriginal Australian prisoner at Alice Springs Correctional Centre, died from coronary occlusion contributed to by severe atheroma on 10 June 2001. He suffered a massive cardiac arre…

cardiologyemergency medicineolanzapine

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