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TAShome2022-02-18

Coroner's Finding: FL de-identified

17y · Unknown·hypoxic brain damage from out of hospital cardiac arrest

FL was a 17-year-old with complex medical needs including short bowel syndrome and dependence on total parenteral nutrition (TPN) via central vascular access device. In June 2020, he became severely unwell with deteriora…

paediatric surgerygastroenterologydiagnosticdelay
TAShome2022-02-18

Coroner's Finding: Gardiner, Timmothy Matthew

29y · Male·Gunshot wound to the chest

Timothy Matthew Gardiner, aged 29, died from a gunshot wound to the chest sustained when he accidentally dropped a homemade firearm he was carrying while bending to collect belongings at a friend's unit. The firearm, con…

forensic medicineemergency medicinemethamphetamine
TAShome2021-07-30

Coroner's Finding: Fitz-gerald, Peter John

56y · Male·Combined effects of head injuries and aspiration from head and facial injuries, …

Peter John Fitz-gerald, aged 56, died from combined head injuries, facial injuries with aspiration, and acute alcohol intoxication following a violent assault by Anthony Colin Finnegan on 1 December 2016 at Summerhill, T…

forensic medicineemergency medicinealcohol
TAScommunity2021-06-18

Coroner's Finding: Bryers, Wallace Edgar

61y · Male·Anaphylactic reaction to bee venom

Wallace Edgar Bryers, aged 61, died from anaphylaxis following a bee sting while participating in beekeeping activities at Isis Farm on 5 January 2018. The coroner found Bryers was a worker under the Work Health and Safe…

emergency medicineoccupational and environmental healthproceduralsystemadrenaline/epinephrine
TAShospital2021-06-07

Coroner's Finding: RA

17y · Male·massive head injury sustained in a fall from height (approximately 3.5 metres th…

A 17-year-old male died from massive head injury sustained in a fall from approximately 3.5 metres through a shade sail at a primary school. He landed on concrete at 10:30 pm after the sail tore under his weight while ju…

emergency medicineneurosurgerysystem
TAShome2021-05-06

Coroner's Finding: Bowerman, Valerie Joy

80y · Female·acute subdural haematoma following a fall while on warfarin for atrial fibrillat…

Mrs Bowerman, aged 80, fell at home on warfarin anticoagulation and sustained a minor head injury with no initial neurological signs. Paramedic Turnbull assessed her as requiring no transport (TNR), despite her anticoagu…

paramedicineemergency medicinediagnosticcommunicationwarfarin
TAShome2020-05-15

Coroner's Finding: Hunter, Feryne Gaylene

75y · Female·Airway obstruction due to aspiration occluding a permanent tracheostomy

Feryne Gaylene Hunter, aged 75, died from airway obstruction due to aspiration into her permanent tracheostomy. She had a history of subglottic stenosis, asthma, and gastro-oesophageal reflux disease with a hiatus hernia…

paramedicinegeneral practicecommunication
TAShospital2020-04-23

Coroner's Finding: Hyde, Zachary Tyler

20y · Male·diffuse hypoxic brain injury complicating exsanguination and cardiac arrest seco…

Zachary Tyler Hyde, aged 20, died from diffuse hypoxic brain injury following exsanguination and cardiac arrest caused by a stab wound to the left femoral artery inflicted during an altercation. This case highlights the …

trauma surgeryintensive care
TAS2020-04-20

Coroner's Finding: Petterwood, Michael Lewis

59y · Male·atherosclerotic coronary vascular disease

Michael Lewis Petterwood, a 59-year-old zinc smelter worker with 32 years at his employer, collapsed suddenly at work and died of atherosclerotic coronary vascular disease. Autopsy revealed severe coronary stenosis (80% …

occupational and environmental healthcardiologydelay
TAShome2020-03-23

Coroner's Finding: Szemes, Kim Leonie Maree

59y · Female·Unable to determine - body too decomposed at autopsy

Mrs Szemes, a 59-year-old woman with longstanding mental health issues living alone, was found deceased after an interval of approximately 5 months. On 28 May 2018, police attended her home after welfare concerns and cal…

paramedicinepsychiatrycommunicationsystem
TAShome2020-01-03

Coroner's Finding: Combes, Margot Janeece

47y · Female·pulmonary thromboembolus

A 47-year-old nurse suffered a workplace fall resulting in a left ankle fracture requiring below-knee immobilisation. She was managed conservatively with a temporary cast for one week, then a permanent plaster cast appli…

orthopaedic surgerygeneral practice
TAShospital2019-10-29

Coroner's Finding: Holmes, Julie Anne

71y · Female·pneumonia following cervical spine fracture sustained in motor vehicle collision

Julie Anne Holmes, aged 71, died of pneumonia following a cervical spine fracture sustained in a motor vehicle accident that was not diagnosed during her hospital admission. Critical clinical lessons include: (1) paramed…

emergency medicinegeneral surgerydiagnosticprocedural
TAShome2018-10-02

Coroner's Finding: Davis, Alby Fox

3y · Unknown·hypoxic brain injury as a result of asphyxia from choking on a rubber ball

A 3-year-old boy died from hypoxic brain injury after aspirating a small rubber bouncy ball at home. The ball was purchased online for his upcoming birthday party and arrived with appropriate choking hazard warnings for …

paediatricsemergency medicine
TAShome2018-03-05

Coroner's Finding: Bunn, Lauren Elizabeth

25y · Female·mixed drug toxicity

Lauren Elizabeth Bunn, aged 25, died by voluntary ingestion of mixed drugs in October 2016. She had a longstanding history of serious mental illness with multiple documented suicide attempts and police welfare checks in …

psychiatryemergency medicinecommunicationsystem
TAShospital2016-12-16

Coroner's Finding: Harrison, Jason Keith

34y · Male·sepsis due to extensive small bowel infarct caused by bowel incarceration within…

Jason Keith Harrison, aged 34, died from sepsis due to extensive small bowel infarction caused by bowel incarceration within a congenital mesenteric hernia. He presented to West Coast District Hospital with epigastric pa…

emergency medicinegeneral practicediagnosticdelay

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