Coronial
TAS2021-11-26

Coroner's Finding: Roberts Henry Arthur

87y · Male·Blunt trauma of the head and chest

…after being overrun by his tractor on 16 March 2020. He had multiple serious health conditions including leukaemia, severe vision impairment from macular degeneration, near-total deafness, and previous cognitive impairm…

ophthalmologygeneral practice
WAhospital2012-03

Inquest into the Death of Troy

63y · Female·Intra-cerebral bleed secondary to thrombocytopenia in a person with prolymphocyt…

…m an intracerebral bleed secondary to thrombocytopenia (platelet count of 1) arising from prolymphocytic leukaemia. She had been in remission following chemotherapy in 2004 but relapsed in January 2006. On 12 February, …

haematologyintensive carecommunicationdelaychemotherapy
WAhospital2026-03-26

Inquest into the Death of Sandipan DHAR

1y · Male·Complications of acute lymphoblastic leukaemia

Sandipan Dhar, 21 months old, died from undiagnosed acute lymphoblastic leukaemia (ALL) complicated by sepsis and pneumonia on 24 March 2024. After three weeks of intermittent fever, he …

emergency medicinegeneral practicediagnosticcommunicationparacetamol
NT2017-07-21

Inquest into the death of Roy Melbourne

81y · Male·self-inflicted hanging

… of murder or sexual offences. This occurred after he cancelled his approved parole due to his brother's leukaemia diagnosis and anxiety about parole conditions. The coroner found the facility had classic hanging points…

systemprocedural
SA2021-01-15

Coroner's Finding: BALLARD Kenneth Frederick

75y · Male·cerebral metastatic malignancy (lung cancer with brain metastases)

…s. He died weeks later. The coroner found the lung cancer was likely a separate entity from his original leukaemia and may have been undiagnosed earlier, but Mr Ballard's own refusal to travel for specialist care and hi…

general practicehaematologydiagnosticdelay
SAhospital2018-06-01

Coroner's Finding: MCRAE Christopher, PINXTEREN Johanna, HIGHAM Bronte, BAIRNSFATHER Carol - Ruling

Unknown·Acute myeloid leukaemia (AML)

Four patients with acute myeloid leukaemia (AML) died following administration of chemotherapy consolidation therapy that was delivered according t…

haematologypharmacologymedicationsystemcytarabine
WAhospital2025-04-17

Inquest into the Death of Colin Stanley Francis NICHOLSON

69y · Male·septic shock with multi-organ failure in a man with neutropenic sepsis on a back…

Colin Nicholson, a 69-year-old man, died from septic shock with multi-organ failure due to acute myeloid leukaemia (AML). Missed opportunities occurred at multiple levels: the PathWest laboratory scientist failed to ref…

haematologygeneral practicediagnosticcommunicationparacetamol
WAhospital2023-04-17

Inquest into the Death of Edward Ivan AFRICH

64y · Male·bronchopneumonia and sepsis with chronic obstructive pulmonary disease in a man …

…with chronic obstructive pulmonary disease (emphysema) in the setting of advanced chronic myelomonocytic leukaemia and heart failure. Key clinical lessons include: (1) communication of medical information between facili…

respiratory medicinecardiologycommunicationsystemthiamine
VIChospital2021-05-31

Finding into death of Darin Lyndon Wheeldon

44y · Male·Acute myeloid leukemia

A 44-year-old man with acute myeloid leukemia died in St Augustine's secure ward at St Vincent's Hospital on 18 February 2020. He had been under treatment for refractory AML since June 2019, with disease progression desp…

haematologyoncology
NSWhospital2026-05-14

Inquest into the death of Meirion Thomas Morris

67y · Male·Complications of chronic obstructive pulmonary disease

A 67-year-old man with end-stage chronic obstructive pulmonary disease was serving a lengthy prison sentence in Corrective Services NSW custody at Long Bay Hospital's Aged Care and Rehabilitation Unit. In early October 2…

correctional healthpalliative caremorphine
VIChospital2022-10-05

Finding into death of Douglas Earnest Stott

72y · Male·Diffuse large B cell lymphoma

Douglas Stott, a 72-year-old prisoner with diffuse large B cell lymphoma, died of natural causes in hospital on 7 January 2021. He had been receiving telehealth oncology consultations while incarcerated but refused in-pe…

oncologyhaematologysystemdelayibrutinib
WAhospital2008-02

Inquest into the Death of Evans

45y · Female·Extensive retroperitoneal haemorrhage following bone marrow biopsy procedure wit…

… marrow biopsy at Royal Perth Hospital on 23 November 2004 to investigate her thrombocytosis and exclude leukaemia. The procedure was appropriate and indicated. A retroperitoneal haemorrhage developed post-procedure—a k…

haematologygeneral medicinewarfarin
VIChome2021-08-26

Finding into death of Mrs A

61y · Female·Ligature neck compression in the setting of blunt force head trauma

A 61-year-old woman of Bulgarian descent was fatally assaulted by her estranged husband in a domestic violence incident. She died from ligature neck compression following blunt force head trauma. The perpetrator had mult…

general practicepsychologycommunicationsystem
QLDhospital2024-11-20

Non-inquest findings into the death of Mr W

82y · Male·sepsis due to infected sacral ulcer with osteomyelitis and necrotising fasciitis

An 82-year-old man with multiple comorbidities developed a sacral pressure injury during admission to a private hospital for investigation of leg weakness. Despite being assessed as high-risk for pressure injury, he was …

general medicinegeriatric medicinediagnosticcommunicationendone 2.5mg
WAhome2012-06-29

Inquest into the Death of Operation Lantana

Toxicity from intravenous caesium, DMSO, and other substances administered as pa…

In May 2005, the Kathi Preston Memorial Health Centre (KPMHC) operated an unproven cancer therapy clinic from Dr B.'s home in Perth, Western Australia, administering intravenous treatment containing caesium, DMSO, and La…

general practiceoncologydiagnosticproceduralcaesium chloride

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.