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WAcommunity2018-09-20

Inquest into the Death of Scott Andrew BLANCHARD

45y · Male·Gunshot injury to the chest (self-inflicted)

Scott Andrew Blanchard, a 45-year-old Detective Sergeant with the Western Australian Police Gang Crime Squad, died from a self-inflicted gunshot wound while on duty near Kalgoorlie. In June 2015, following a trip to Thai…

psychiatryemergency medicinecommunication
WAhome2017-09-15

Inquest into the Death of Mary Josephine Van der WALT

28y · Female·ligature compression of the neck

Mary Van Der Walt, a 28-year-old with depression, anxiety, and borderline personality disorder, died by hanging on 21 April 2014. Two police officers responding to her initial '000' call found her unresponsive and pulsel…

emergency medicineintensive carediagnosticcommunicationdesvenlafaxine
WAcommunity2017-06-12

Inquest into the Death of Wendy BEARFOOT

45y · Female·multiple organ failure following thermal injuries (severe burns)

Wendy Bearfoot, a 45-year-old DEC (Department of Environment and Conservation) employee, died from multiple organ failure following severe thermal burns (80% of body) sustained in a bushfire burnover on 12 October 2012. …

emergency medicineplastic and reconstructive surgerycommunicationdiagnostic
WA2017-03-07

Inquest into the Death of Barry Matt STUART

49y · Male·ligature compression of the neck (hanging)

Barry Matt Stuart, a 49-year-old prisoner at Hakea Prison, died by suicide via ligature compression of the neck in November 2013. Critical clinical lessons include: (1) maintaining psychiatric continuity of care is essen…

psychiatrygeneral practicemedicationsystemolanzapine
WAhospital2016-11-16

Inquest into the Death of Shannon Elizabeth MURPHY

33y · Female·Methylamphetamine intoxication leading to agitated delirium and extreme exertion…

A 33-year-old female with a history of methylamphetamine use consumed the drug and became acutely intoxicated, exhibiting agitated delirium and bizarre behaviour searching for her son. She was violently assaulted by resi…

emergency medicinetoxicologymethamphetamine
WAcommunityPodcast2016-08-22

Inquest into the Death of Ewan Louis WILLIAMSON

14y · Male·severe heatstroke complicating a recent viral illness with focal myocarditis

A 14-year-old boy from Scotland died of severe heatstroke with myocarditis while hiking in extreme heat (40°C+) at Cape Range National Park. He had recently recovered from a viral illness. His father made navigation erro…

emergency medicineparamedicinecommunicationdelay
WAaged care2016-06-23

Inquest into the Death of Brian Keith WOOD

84y · Male·upper airway obstruction in a man with a clinical history of dementia

Brian Keith Wood, 84, died from upper airway obstruction due to choking on softened toast while residing in an aged care facility. He had advanced dementia and was unable to make healthcare decisions. The food provided w…

geriatric medicineemergency medicine
WAcommunity2016-05-25

Inquest into the Death of William Craig DEAN

Male·Motor vehicle crash injuries; Arjomand—head injury; Hiron—chest and abdominal in…

Three men died in a high-speed motor vehicle crash while intoxicated with methylamphetamine and other drugs. The driver (Arjomand) sustained a non-survivable head injury; the rear seat passenger (Hiron) sustained severe …

pathologytoxicologymethamphetamine
WAhome2015-06-08

Inquest into the Death of Baby P

0y · Male·intrapartum hypoxia due to placental abruption

A second twin boy was born at home despite medical advice that twin pregnancies require hospital care. The mother, who strongly preferred home birth, disengaged from hospital when her preferences for birth management (va…

obstetricsmidwiferycommunicationdelay
WAhome- 12 September 2014

Inquest into the Death of Shionah Violet Teneille CARTER

26y · Female·Unlawful Homicide - positional asphyxia during violent assault and sexual attack

A 26-year-old Aboriginal woman died from positional asphyxia during a violent assault and sexual attack by her intimate partner. She sustained traumatic brain injuries causing concussion/unconsciousness, rendering her vu…

pathologyneurologysystemcommunicationmethamphetamine
WA2013-03-08

Inquest into the Death of Thoms, Gemma Geraldine

17y · Female·Acute Methylenedioxymethylamphetamine (MDMA) toxicity

Gemma Thoms, a 17-year-old girl, died from acute MDMA toxicity after consuming three ecstasy tablets at the Big Day Out music festival on 1 February 2009. She collapsed and died on 2 February 2009. Key clinical lessons: …

emergency medicineintensive carediagnosticsystemMDMA
WAhospital2013

Inquest into the Death of Trinh, Anh Thuy

55y · Female·Traumatic brain injury

This finding concerns a fatal motor vehicle accident resulting in traumatic brain injury. A 55-year-old woman was struck by a vehicle while crossing the street after exiting a bus. She suffered catastrophic brain injurie…

emergency medicineneurosurgeryhydroxychloroquine
WAhospital2013

Inquest into the Death of Williams, Ronald Graham

52y · Male·Coronary Atherosclerosis

Ronald Graham Williams, a 52-year-old sentenced prisoner with known cardiovascular disease, previous myocardial infarction, dyslipidaemia, hypertension, and type 2 diabetes, died of coronary atherosclerosis at Swan Distr…

emergency medicinecardiology
WAcommunity2011-02-28

Inquest into the Death of Collins

0y · Male·cardiac arrhythmia associated with surgically corrected congenital heart disease

Edward Thomas Collins was a 3-month-old neonate with surgically corrected congenital heart disease (Total Anomalous Pulmonary Venous Drainage) who died on 14 January 2007 from cardiac arrhythmia. On 13 January 2007, he p…

emergency medicinegeneral practicediagnosticcommunication
WAcommunity2010-04-15

Inquest into the Death of Lynch

20y · Female·food-induced anaphylaxis, likely to peanut allergen

Kylie Lynch, a 20-year-old woman with chronic asthma and a known peanut allergy, died from anaphylaxis on 2 September 2007 in Coral Bay, Western Australia. She consumed desserts at Fin's Café after dining at a nearby hot…

emergency medicinegeneral practicedelaydiagnosticadrenaline
WAhome2004-10-28

Inquest into the Death of Kelly

33y · Female·Combined drug toxicity, with thioridazine as the principal component, in the con…

Lou Ann Kelly, aged 33, died on 3 April 2003 at Royal Perth Hospital ICU from combined drug toxicity, primarily thioridazine, after consuming large quantities of prescription medications with alcohol. She collapsed at he…

general practicepsychiatrysystemthioridazine
WAhome2004-06-04

Inquest into the Death of Paul John Long

37y · Male·Acute Aspiration Pneumonitis following on Quetiapine Ingestion

Paul John Long, a 37-year-old man with chronic schizoaffective disorder and alcohol dependence, died on 4 November 2002 from acute aspiration pneumonitis following quetiapine overdose. After presenting to Avro Clinic in …

psychiatrygeneral practicecommunicationsystemquetiapine
WApolice custody_and_home

Inquest into the Death of Desmond Richard KICKETT

34y · Male·multiple organ failure following cardiorespiratory arrest in a man with focal co…

A 34-year-old man died from cardiorespiratory arrest with multiple organ failure after methylamphetamine use combined with underlying focal coronary arteriosclerosis. He became unresponsive in police custody while being …

emergency medicinecardiologymethamphetamine
WAhome

Inquest into the death of Nicole Emily BICKNELL

18y · Female·Acute Alcohol Toxicity with Early Pneumonia and Aspiration

An 18-year-old female, a naive drinker, consumed approximately 19-21 standard drinks over a few hours at her birthday party, including vodka cruisers, a full-strength Midori drinking game, and Polmos (95% alcohol). She r…

toxicologyemergency medicinedelaysystemalcohol
WAhome

Inquest into the Death of Anthony William KUSTER

44y · Male·Ligature compression of the neck and methylamphetamine effect

Anthony William Kuster, a 44-year-old man, died from ligature compression of the neck combined with methylamphetamine toxicity. He applied a tourniquet around his neck while heavily intoxicated with methylamphetamine aft…

toxicologyforensic medicinedelaymethamphetamine

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