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WAcommunity2019-09-23

Inquest into the Death of Sean MORGAN-SMITH

45y · Male·Abdominal injuries from being struck by reversing front-end loader

Sean Morgan-Smith, a 45-year-old Australia Post delivery worker, was struck by a reversing front-end loader while delivering mail on a residential footpath in Huntingdale, Western Australia on 24 June 2015. He sustained …

emergency medicinetrauma surgerysystemdelay
WAhospital2019-09-23

Inquest into the Death of Dylan James RILEY

16y · Male·pulmonary embolism secondary to nephrotic syndrome

Dylan Riley, a 16-year-old with steroid-responsive minimal change nephrotic syndrome, died from a massive pulmonary embolism (PE) on 1 August 2015. He presented to Rockingham Hospital with dyspnoea, hypoxia, tachycardia …

nephrologyintensive caredelayenoxaparin
WA2019-09-05

Inquest into the Death James CLARKE

63y · Male·undetermined

James Clarke, a 61-66 year old man institutionalised for approximately 30 years at Whitby Falls Hospital in Western Australia, disappeared on 18 May 1966 and was presumed dead. The coroner established death beyond reason…

psychiatrysystem
WA2019-09-05

Inquest into the Death of David CULLEN

69y · Male·Unable to determine—death established but manner and cause unknown (natural caus…

David Cullen, aged 69, disappeared on 14 January 1972 while walking to a watering hole on the Fortescue River in remote Western Australia. He was last seen wearing only khaki shorts, intending to swim. His dogs returned …

WA2019-09-05

Inquest into the Death of John Patrick MAHER

24y · Male·Drowning following accidental immersion in the sea

A 24-year-old New Zealand national with no sea experience fell overboard from a fishing vessel in rough seas while sorting prawns. He initially surfaced and appeared responsive to crew directions to swim toward a life bu…

WA2019-09-05

Inquest into the Death of Francis Joseph NEWBY

52y · Male·drowning

Francis Joseph Newby, a 52-year-old fishing vessel skipper with significant pre-existing health conditions including tuberculosis with lung fibrosis (effectively single lung), was swept overboard from the fishing vessel …

WA2019-09-05

Inquest into the Death of Peter John Edward SETTREE

45y · Male·Drowning

Peter John Edward Settree, an able seaman, disappeared from the bulk carrier Tambo River anchored off Port Hedland, Western Australia on 19 September 1979. He was last seen in the early morning hours after consuming alco…

alcohol
WA2019-09-03

Inquest Finding into the Death of David John PIETRALA

34y · Male·multiple injuries sustained in motorcycle crash

A 34-year-old experienced motorcycle rider died from multiple injuries sustained in a crash while evading police. Officers initiated a brief 60-second pursuit after observing speeding on residential roads. The deceased a…

diazepam
WAhospital2019-08-30

Inquest into the Death of James Ronald CHI

69y · Male·Chronic obstructive pulmonary disease and coronary artery atherosclerosis

James Ronald Chi, aged 69, died from chronic obstructive pulmonary disease and coronary artery atherosclerosis at Broome Hospital. He was an involuntary mental health patient with treatment-resistant bipolar disorder and…

psychiatryemergency medicineclozapine
WA2019-08-20

Inquest into the Death of Judy Sonia BOLTON

44y · Female·acute myocardial infarction due to coronary thrombosis

A 44-year-old Aboriginal woman died from acute myocardial infarction (heart attack) due to coronary thrombosis while in custody at Bandyup Women's Prison in Western Australia. She had multiple cardiovascular risk factors…

cardiologyemergency medicinediagnosticsystemmetoprolol
WA2019-08-20

Inquest into the Death of Daniel Paul HILDER

36y · Male·multiple injuries sustained in motor vehicle crash

36-year-old man died from multiple injuries sustained when his car crashed into a brick wall while evading police. He was driving a defective vehicle (worn front tyres, inoperative handbrake) at excessive speed (>100 km/…

methamphetamine
WAcommunity2019-08-15

Inquest into the Death of Clinton Edward ROGERS

39y · Male·multiple injuries

Clinton Edward Rogers, aged 39, died from multiple injuries sustained when he lost control of a powerful motorcycle during a police pursuit and crashed into a brick wall. The deceased was riding at excessive speed whilst…

methamphetamine
WAPodcast2019-08-14

Inquest into the Death of Anita Jade BOARD

8y · Female·complications of multiple injuries sustained in motor vehicle crash

Eight-year-old Anita Board died from catastrophic brain injury sustained in a motor vehicle crash at Perth Motorplex on her first junior drag racing licensing attempt. Her dragster failed to slow adequately after the fin…

emergency medicineintensive caresystemprocedural
WAhospital2019-08-02

Inquest into the Death of Timothy James CHANDLER

52y · Male·multiple organ failure and pulmonary thromboemboli complicating generalised seps…

A 52-year-old man with longstanding refusal of medical care presented with severe cellulitis, sepsis, and previously undiagnosed heart failure secondary to sleep apnoea. He lacked capacity to consent to treatment due to …

emergency medicinegeneral medicine
WAcommunity2019-08-01

Inquest into the Death of Matthew James BALE

38y · Male·Unascertained; death in the waters of the Indian Ocean off Rottnest Island

Matthew James Bale, a 38-year-old man, disappeared from Rottnest Island on 21 March 2016 while on holiday with his wife and parents. He had a history of depression, alcohol and drug addiction, and recent drug-induced psy…

psychiatryaddiction medicinecitalopram
WA2019-07-31

Inquest into the Death of Rhett Samuel McALPINE

24y · Male·Multiple injuries sustained in motor vehicle crash

Rhett McAlpine, aged 24, died from multiple injuries sustained when his vehicle crashed into a power pole while evading police on a rural road. He was highly intoxicated (BAC 0.232%) after drinking throughout the evening…

WAhospital2019-07-30

Inquest into the Death of Child KT (Name Subject to Suppression Order)

7y · Male·cardiorespiratory failure in a child with cerebral palsy and epilepsy, with acut…

Child KT (Vinnie), age 7, died of cardiorespiratory failure from cerebral palsy and epilepsy after a prolonged hospital admission. He had complex medical needs including chronic respiratory disease, requiring PEG feeding…

paediatricsintensive caresystemmorphine
WAhome2019-07-23

Inquest into the Death of Stephen Thomas OXLEY

52y · Male·atherosclerotic and hypertensive heart disease

Stephen Thomas Oxley, a 52-year-old man with schizoaffective disorder managed on a Community Treatment Order, died of atherosclerotic and hypertensive heart disease. He had multiple modifiable cardiovascular risk factors…

psychiatrygeneral practiceflupenthixol
WAcommunity2019-07-23

Inquest into the Death of Andrew Michael WATSON

46y · Male·immersion in the Indian Ocean

Andrew Michael Watson, a 46-year-old elevator technician, disappeared on 11 May 2013 after leaving a nightclub in Northbridge, Perth. His car was found at a dog beach carpark near the ocean. Notes in his car indicated su…

psychiatryemergency medicinesystem
WAhospital2019-07-22

Inquest into the Death of Arthur James BONNEY

59y · Male·ischaemic heart disease in the context of acute-on-chronic kidney failure associ…

Arthur James Bonney, a 59-year-old prisoner with advanced cardiac disease, chronic kidney disease, and diabetes, underwent a CT scan with iodinated contrast on 30 July 2015 at Fiona Stanley Hospital. Critical failures oc…

radiologycardiologydiagnosticproceduraliodinated contrast medium
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