Coronial

30 results for prone positioning

QLD2010-07-09

Mataia, Tofia Josen

32y · Male·Cardiac arrest as a result of the combined effects of severe coronary atheroscle…

…ricornia Correctional Centre following restraint after assaulting officers. He collapsed during a 2-minute prone restraint by five officers. The autopsy revealed severe coronary atherosclerosis but the coroner concluded…

psychiatryemergency medicinediagnosticcommunicationsodium valproate
QLDcommunity2019-06-10

Coolwell, Shaun Charles

33y · Male·cardiorespiratory arrest during restraint, involving a predisposition to cardiac…

…sturbance. Mr Coolwell sustained injuries while in acute methamphetamine-induced psychosis, was restrained prone by police, and deteriorated clinically showing signs of respiratory compromise before paramedics administe…

emergency medicinepharmacologydiagnosticcommunicationmethamphetamine
VIC2023-10-13

Finding into death of Jarryd Robert Liddicoat

32y · Male·Methamphetamine toxicity in a man with ischaemic heart disease

… methamphetamine levels and significant underlying coronary artery disease with myocardial fibrosis. While prone positioning during restraint can theoretically contribute to cardiac arrest, the short duration of restrai…

forensic medicineemergency medicinemethamphetamine
VIChospital2010-04-13

Finding into death of Gary Allan Carrick

45y · Male·Bronchopneumonia

Gary Carrick, a 45-year-old man with Down syndrome and severe progressive cervical myelopathy, died from bronchopneumonia. He experienced rapid functional decline from January 2008, including loss of mobility, incontinen…

neurologypalliative caredelaystaphylex
VIChome2021-02-24

Finding into death of AAC

29y · Male·Combined drug toxicity (pregabalin, dihydrocodeine, tramadol, temazepam, lorazep…

…y verified; the additive CNS depressive effects of multiple sedating medications combined with obesity and prone positioning created a lethal scenario. Better prescriber vigilance, identity verification, awareness of ga…

general practicetoxicologydiagnosticsystempregabalin
QLD2025-10-29

Inquest into the death of Selesa Tafaifa

44y · Female·Cardiac arrest in the context of several contributory factors (physical exertion…

Selesa Tafaifa, a 44-year-old woman with Samoan heritage, died in custody at Townsville Women's Correctional Centre on 30 November 2021 during physical restraint by correctional officers, including application of a safet…

forensic medicineemergency medicineproceduralsystemmixtard 30/70 insulin
NSW2021-12-22

Inquest into the death of Jack LOH

Male·Unrecognised pulmonary hypertension in a setting of unsafe sleeping conditions

…ed pulmonary hypertension while in unsafe sleeping conditions at a family day care centre. Jack was placed prone (face down) in an undersized bassinet with loose bedding material, fully clothed, in a poorly ventilated r…

cardiologypathologysystemdelay
WAmental health2019-05-22

Inquest into the Death of Pamela Edith ASHLEY

64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…

A 64-year-old woman with bipolar disorder, severe obstructive sleep apnoea, obesity and diabetes presented with acute psychotic relapse following stress and sleep deprivation. Initially admitted to ED where she was sedat…

psychiatryemergency medicinecommunicationsystemchlorpromazine
TAShome2018-12-17

Coroner's Finding: Pitchford, Rhiannon Pearl Vanessa

0y · Female·Sudden infant death whilst bed-sharing with risk factors including unsafe sleepi…

…e and methamphetamine, remained nearby. The autopsy revealed no obvious cause, but documented face-down positioning, respiratory infection, passive smoking exposure, and unsafe sleep environment. Critical failures by Ch…

paediatricsforensic medicinesystemdelaymorphine
VIChospital2024-05-24

Finding into death of Jacob William Kennedy

36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…

Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He was administered multiple s…

psychiatryaddiction medicinemedicationproceduralmethadone

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