Coronial
QLD2010-04-15

Millard, Allan Clive

63y · Male·ischaemic heart disease due to coronary atherosclerosis

…al examination on reception to two correctional facilities was appropriate and documented his significant smoking and alcohol history. Independent medical review confirmed adequate access to medical treatment and approp…

pathologyemergency medicine
VIChome2012-11-15

Finding into death of Audrey Joyce Svikers

73y · Female·Effects of fire

…—should be mandatory. Recommendations focused on smoke alarm installation, testing, and promotion of safe smoking practices including ashtrays. The case highlights vulnerability of elderly people living alone with disab…

system
NTcommunity2014-11-03

Inquest into the death of Francis Gaykamangu

27y · Male·Coronary atherosclerosis with 80% blockage of the left anterior descending coron…

…ough regular Adult Health Checks including cardiac risk assessment. Key risk factors (Aboriginal descent, smoking, family history of early cardiac disease) were not systematically identified or addressed. Had the blocka…

emergency medicinecardiologydiagnostic
VIChome2015-02-19

Finding into death of Daniel Paul Sheehy

18y · Male·Effects of fire (accidental)

… likely caused by a carelessly discarded or improperly extinguished cigarette on the bed while Daniel was smoking. Despite threats from individuals prior to the fire, forensic evidence excluded foul play or deliberate i…

forensic medicineemergency medicinemethamphetamine
VIChome2026-03-04

Finding into death of Ashleigh Peter Mills

57y · Male·Smoke inhalation

…n 31 August 2020. The fire started from a discarded cigarette in an armchair where his housemate had been smoking and drinking. Multiple preventable risk factors were present: hoarding and squalor at clutter level 6 blo…

emergency medicineforensic medicinesystemdelay
TAShospital2024-09-10

Coroner's Finding: Barnard, Ronald William

82y · Male·respiratory failure

…owed peri-arrest physiology; he was found to have type 2 respiratory failure with advanced emphysema from smoking. The coroner found treatment was entirely appropriate and of high standard. No systemic failings or preve…

respiratory medicineemergency medicineantibiotics
NT2012-07-13

Inquest into the death of Edward Brown

34y · Male·coronary atherosclerosis (heart attack)

…found his longstanding coronary artery disease was the result of years of poor diabetes control and heavy smoking. Prison staff responded appropriately and promptly. The brief medication delay did not affect prognosis. …

cardiologyemergency medicinemetformin
NThospital2013-09-30

Inquest into the death of Damien Hughes

28y · Male·Bronchopneumonia caused by metastatic lung cancer (adenocarcinoma)

…ll medical staff involved and made no criticisms of care or management. The sole recommendation addressed smoking prevention in Aboriginal communities.

respiratory medicinepalliative carehydromorphone
QLDcommunity2015-06-12

Wilson, Brad Maxwell

49y · Male·Coronary artery thrombosis due to coronary atherosclerosis

…t a polling booth on 7 September 2013. He had severe pre-existing triple-vessel coronary atherosclerosis, smoking history, and recent cannabis use. The coroner found the arrest was lawful and appropriate force was used.…

cardiologyemergency medicinecannabis
WAhome

Inquest into the death of Christine TURVILLE (aka NICHOLLS)

56y · Female·Bronchial asthma and emphysema

A 56-year-old woman with long-standing schizophrenia, COPD, emphysema, and heavy smoking died during overnight leave from psychiatric hospitalisation. She was granted leave to check on her cat a…

psychiatryrespiratory medicinedelaysystemolanzapine
TAShome2015-03-20

Coroner's Finding: Sterling, William John

60y · Male·Complications of chronic lung disease (emphysema, foreign body giant cell reacti…

…osclerotic coronary disease, and secondary pulmonary hypertension died at home. He had a history of heavy smoking, chronic back pain treated with morphine, alcohol abuse, and hepatic cirrhosis. Post-mortem examination r…

respiratory medicinecardiologymorphine
SAhospital2020-11-03

Coroner's Finding: MARSHALL Daryl Grant

61y · Male·hospital acquired pneumonia complicating aorto-femoral bypass surgery for periph…

A 61-year-old man with peripheral vascular disease, alcohol dependence, and heavy smoking history underwent aorto-femoral bypass surgery. Post-operatively he developed hospital-acquired pneumonia…

vascular surgeryintensive care
NSW2016-03-08

Inquest into the death of Allen BURKE

50y · Male·acute myocardial infarction due to coronary atherosclerosis

Allen Burke, a 50-year-old Aboriginal man in custody, died from acute myocardial infarction due to severe coronary atherosclerosis. On the morning of his death, he reported headache, vomiting, and sore throat. Nurse asse…

forensic medicineemergency medicinesalbutamol
WAhospital2025-02-21

Inquest into the Death of Fabian Alec COFFIN

51y · Male·complications of myocardial infarction in association with ischaemic heart disea…

…e cardiovascular risk factors (diabetes, hypertension, high cholesterol, chronic kidney disease, obesity, smoking) died on 5 February 2024 from myocardial infarction. He presented on 26 January with jaw and chest pain a…

cardiologycorrectional health
SAhospital2026-03-13

Coroner's Finding: Schlaefer, Norbert

69y · Male·disseminated urothelial carcinoma of the bladder (palliated), bilateral lung ade…

…elial carcinoma of the bladder, bilateral lung adenocarcinoma, and severe emphysema. He had a significant smoking history and prior asbestos exposure. His lung cancer was diagnosed in 2018 and treated with radiotherapy;…

oncologyrespiratory medicine
VIChome2026-03-03

Finding into death of Nigel Raymond Willoughby

74y · Male·Complications of burns sustained in a fire

… fire was caused by a carelessly discarded cigarette igniting an armchair in the lounge room while he was smoking and drinking. Contributing factors included severe hoarding and squalor (CIRS level 6) which blocked exit…

system
SA2014-11-28

Coroner's Finding: MAYGER John Christopher

58y · Male·Ischaemic and hypertensive heart disease

…hlights the importance of aggressive risk factor modification in high-risk cardiac patients, particularly smoking cessation, though sudden cardiac death can occur despite appropriate clinical management.

cardiologyemergency medicinerosuvastatin
NThome2008-01-02

Inquest into the death of John Russell Ralkurra Marika

43y · Male·Myocardial infarction secondary to coronary atherosclerosis

A 43-year-old Aboriginal man died from myocardial infarction secondary to severe coronary atherosclerosis. He was a heavy smoker with undiagnosed heart disease who attended health services regularly but had no recorded c…

cardiologypathologydiagnostic
VIChome2015-11-08

Finding into death of Saber Zakaria Sulieman

24y · Male·Effects of fire

…n a makeshift gazebo structure in a public housing common area. He was intoxicated (BAC 0.26 g/100ml) and smoking when a lit cigarette ignited the couch. The fire spread rapidly through the structure containing abundant…

forensic medicineemergency medicinesystemalcohol
QLD2014-12-17

Horace, Reynold David

51y · Male·Coronary atherosclerosis

…, with multiple heart attacks in 2011-2012, yet remained reluctant to engage with treatment and continued smoking despite medical advice. He was found unresponsive in his cell on 15 August 2012 and could not be resuscit…

cardiologypsychiatry

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