Coronial
QLDcustody2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

Richard William Hobbs, aged 48, died from cardiac arrest in custody at Brisbane Correctional Centre on 21 November 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabet…

emergency medicinecardiologydiagnosticcommunicationaspirin
WAcommunity2013

Inquest into the Death of Harris, Mr

74y · Male·Ischaemic heart disease in association with coronary artery atherosclerosis

Mr Harris, a respected Aboriginal elder aged approximately 74 years, died of ischaemic heart disease with coronary artery atherosclerosis while travelling bush alone on 2 February 2010. He bogged his vehicle, attempted u…

emergency medicinecardiologycommunicationsystem
QLDcommunity2020-04-17

Russo, Matthew Anthony

37y · Male·Cardiac failure due to sepsis due to bilateral bronchopneumonia

…he medical treatment inadequate and inappropriate. Key clinical lessons: Dr M. misdiagnosed pneumonia as bronchitis despite documented lower lung crackles and blood-streaked sputum. Vital signs were not systematically as…

general practicerespiratory medicinediagnosticcommunicationamoxicillin
VICcommunity2014-01-30

Finding into death of Mihail Andrinopoulos

73y · Male·UNASCERTAINED

A 73-year-old man with significant medical comorbidities (hypertension, chronic renal failure, depression) was found deceased in Port Phillip Bay. He had recently commenced dialysis after years of progressive kidney dise…

general practicenephrology
VIChome2025-05-30

Finding into death of Maxwell Brett Lawson

35y · Male·Stab wound to the back

Maxwell Brett Lawson, age 35, died from a stab wound to the back inflicted by Luke Blanchfield during an altercation at Blanchfield's home in Belgrave on 10 March 2024. Lawson attended the property to confront Blanchfiel…

forensic medicineemergency medicinemethamphetamine
WAhospital2013

Inquest into the Death of Van Vegten, Phillip

65y · Male·Pneumonia in a man with chronic pulmonary disease (COPD and emphysema), with asp…

Phillip Van Vegten, a 65-year-old sentenced prisoner with longstanding COPD, emphysema, and lung cancer, died of pneumonia complicated by aspiration of vomit (Wilkes Syndrome) at Royal Perth Hospital. The coroner found m…

respiratory medicinegeneral medicine
TAShospital2022-09-21

Coroner's Finding: Brown, Sandra Anne

54y · Female·hypothermia, likely related to drug toxicity

Sandra Anne Brown, a 54-year-old woman with multiple chronic conditions including COPD, diabetes, bipolar disorder and epilepsy, died from hypothermia likely related to drug toxicity. She presented to the ED with breathi…

emergency medicinerespiratory medicinecommunicationsystemfluvoxamine
VIChome2026-01-13

Finding into death of Filippo Pignataro

52y · Male·Pulmonary thromboembolism

A 52-year-old man with autism, intellectual disability, and multiple comorbidities died from pulmonary thromboembolism at home. He developed respiratory symptoms on 24 March, was managed in primary care with telehealth a…

general practiceemergency medicineamoxicillin
VICcommunity2020-06-17

Finding into death of Pierino Taranto

65y · Male·Traumatic high cervical spine injury in the setting of frontal head impact in a …

A 65-year-old man with ankylosing spondylitis died from traumatic cervical spine injury after being arrested for public drunkenness by a single-officer police patrol. During arrest and transportation to the police vehicl…

emergency medicineforensic medicinealcohol
VICaged care2026-07-29

Finding into death of Mrs LV

78y · Female·medication error resulting in combined drug toxicity

Mrs LV, age 78, died at The Bays Aged Care facility on 2 January 2025 following a medication error four days earlier. An endorsed enrolled nurse (EEN), distracted by a phone call during her first shift, inadvertently adm…

general practicemedicationsystempregabalin
VIChospital2025-04-01

Finding into death of ZSQ

81y · Male·Community acquired pneumonia in a man with acute on chronic renal failure

An 81-year-old man with chronic respiratory disease and renal failure died from community-acquired pneumonia complicated by acute-on-chronic renal failure. He presented to hospital on 25 April 2023 with respiratory failu…

intensive carerespiratory medicinediagnosticdelayadrenaline
VIChospital2012-02-20

Finding into death of Belle Bromley

1y · Female·Complex congenital heart disease (operated) and sepsis

Belle Bromley, a 13-month-old child with complex congenital heart disease (22q11 deletion syndrome causing pulmonary atresia with ventricular septal defect and major aorta-pulmonary collateral arteries), died from sepsis…

cardiologycardiothoracic surgery
QLDhospital2024-07-02

Non-inquest findings into the death of Child Q

2y · Female·Complications of bacterial chest infection (Staphylococcus aureus)

A 2-year-old Aboriginal and Torres Strait Islander girl died from complications of bacterial chest infection (Staphylococcus aureus) with concurrent Human metapneumovirus infection, presenting as left empyema and bilater…

emergency medicinepaediatricscommunicationamoxicillin
VIChospital2009-12-08

Finding into death of Timothy Jack Wood

1y · Male·Cerebral anoxia caused by cardiac arrest caused by bronchiolitis and bronchopneu…

Timothy Wood, a 19-month-old boy, died from cerebral anoxia following cardiac arrest caused by bronchiolitis and bronchopneumonia secondary to influenza A infection. He initially presented with croup symptoms on 15 July …

emergency medicineintensive carecommunicationsystemprednisolone
TAShome2021-12-17

Coroner's Finding: Tilley, Jennifer May

58y · Female·undetermined; possible mixed drug intoxication and/or adrenal insufficiency

Jennifer May Tilley, aged 58, died on 8 January 2018 with an undetermined cause, though mixed drug intoxication and adrenal insufficiency were potential contributors. She had complex medical conditions requiring chronic …

general practicerheumatologysystemcommunicationpethidine
NSWhome2018-05-25

Inquest into the death of J

<1y · Female·Unascertained

A four-month-old girl died in an unsafe sleeping environment while staying with relatives in Sydney. She was placed in a pram in her parents' bedroom and was found not breathing on the morning of 17 August 2014. The exac…

paediatricsgeneral practicesystemdelay
NSWmental health2011-09-02

Ang 2011 09 21 13 31 50 906

29y · Male·acute bronchopneumonia complicated by multi-drug toxicity

Nicholas Ang, aged 29, with schizoaffective disorder, died from acute bronchopneumonia complicated by multi-drug toxicity while in a psychiatric unit. Admitted 12 August 2005, he was on clozapine, valproic acid, and clon…

psychiatrygeneral medicinemedicationcommunicationclozapine
VICcommunity2014-12-17

Finding into death of Paul Kanis

38y · Male·Organizing pneumonia with loculated pleural effusion in the setting of drug use …

Paul Kanis, a 38-year-old man with schizoaffective disorder, drug dependency, diabetes, and asthma, died from organizing pneumonia with loculated pleural effusion in the setting of methadone and benzodiazepine use. The c…

general practiceaddiction medicinecommunicationsystemmethadone
SAcustody2005-05-31

Coroner's Finding: McLEOD Ian

45y · Male·bronchopneumonia and suppurative bronchitis complicating hypoxic brain damage

Ian McLeod, a 45-year-old lawyer with alcohol dependence and depression, died from hypoxic brain damage and bronchopneumonia following a hanging while in custody at Yatala Labour Prison. Multiple system failures contribu…

psychiatrycorrectional healthdiagnosticcommunicationdiazepam
QLDaged care2012-10-19

Anderson, Stanley Charles

86y · Male·coronary and cerebral atherosclerosis with significant conditions of fractured l…

Mr. Stanley Charles Anderson, aged 86, died at Gympie General Hospital from coronary and cerebral atherosclerosis, precipitated by injuries sustained in a fall at a nursing home. While transferring from a bath trolley to…

geriatric medicineoccupational and environmental healthsystemcommunication

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