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SAhospital2016-08-25

Coroner's Finding: ISSACSON David Jacob

52y · Male·disseminated carcinoma of the gallbladder

David Issacson, 52 years old, died from disseminated gallbladder carcinoma at Royal Adelaide Hospital while detained under the Mental Health Act. He presented on 2 April with abdominal pain and was initially discharged f…

general practiceemergency medicinediagnostic
SAhospital2016-08-25

Coroner's Finding: KENNEDY Brian

70y · Male·general inanition on a background of advanced frontotemporal dementia

Brian Kennedy, aged 70, died of general inanition on a background of advanced frontotemporal dementia while subject to a Mental Health Act inpatient treatment order. He was admitted to Flinders Medical Centre in January …

psychiatrygeriatric medicine
SAhospital2016-08-25

Coroner's Finding: SMITH Colin Peter

51y · Male·respiratory failure and cardiac failure on a background of chronic obstructive l…

Colin Peter Smith, aged 51, died of respiratory and cardiac failure from acute pulmonary oedema and pneumonia on a background of chronic obstructive lung disease and ischaemic heart disease. He presented to the Royal Ade…

emergency medicinepsychiatryglyceryl trinitrate
SAaged care2016-08-22

Coroner's Finding: SCHULZ Bertha Anna

89y · Female·Multiple organ failure with cachexia on a background of chronic lower limb ulcer…

An 89-year-old woman with chronic venous leg ulcers complicated by squamous cell carcinoma died of multiple organ failure in a nursing home. She had been under guardianship following hospitalization in January 2013 for d…

geriatric medicinegeneral medicine
SAaged care2016-08-22

Coroner's Finding: WAY Dennis Martin

88y · Male·general inanition on a background of advanced dementia and a fractured patella (…

An 88-year-old man with advanced Alzheimer's dementia died from general inanition following a patella fracture sustained in a fall at a residential care facility. He was under a guardianship order requiring residential p…

geriatric medicineorthopaedic surgery
SAaged care2016-08-19

Coroner's Finding: CLAYTON James Edmund

59y · Male·ischaemic heart disease due to coronary atherosclerosis; acute myocardial infarc…

A 59-year-old man with ischaemic heart disease, paranoid schizophrenia, unstable type 2 diabetes, peripheral vascular disease and chronic renal failure died of acute myocardial infarction while residing in aged care. He …

cardiologypsychiatrydiagnosticdelay
SAcommunity2016-08-18

Coroner's Finding: KELLETT Samuel Zachary

28y · Male·Injuries sustained in a shark attack

Samuel Zachary Kellett, aged 28, died on 8 February 2014 following a shark attack at Goldsmith Beach, Edithburgh, South Australia while spear-fishing. He was part of a diving group preparing for a competition when increa…

SAhospital2016-08-04

Coroner's Finding: CAILES Kevin Arnold

53y · Male·sepsis due to spontaneous bacterial peritonitis on a background of end stage liv…

Kevin Arnold Cailes, 53, died from sepsis due to spontaneous bacterial peritonitis on a background of end-stage liver failure. He had cirrhosis diagnosed in 2011 with alcoholism as the likely cause, and despite repeated …

hepatologyinfectious diseasesdiuretics
SAaged care2016-08-04

Coroner's Finding: CRAFTER Lorraine

88y · Female·General inanition on a background of advanced dementia and chronic renal failure

An 88-year-old woman with advanced dementia and chronic renal failure died of general inanition at an aged care facility 14 days after admission. She had been under guardianship orders and transferred from hospital to re…

geriatric medicine
SAhome2016-08-04

Coroner's Finding: KALME Dearne Lee

51y · Female·undetermined - either citalopram toxicity or ischaemic heart disease

A 51-year-old woman died at home on 15 October 2013 while on home detention bail. She had been hospitalized in July 2013 following suspected drug overdose/withdrawal, during which she developed secondary kidney and heart…

psychiatrycardiologycitalopram
SA2016-08-04

Coroner's Finding: MADDERN Raymond Oliver

90y · Male·bronchopneumonia complicating blunt head and neck trauma and ischaemic and valvu…

A 90-year-old man died from bronchopneumonia complicating blunt head and neck trauma and cardiac disease after a fall in a carpark. He was dropped by a taxi at an unsafe location (a no-standing zone on a steep roadway) r…

systemcommunication
SA2016-08-04

Coroner's Finding: REED William Matthew

45y · Male·aspiration pneumonia secondary to left middle cerebral artery infarct complicate…

William Matthew Reed, aged 45, a remanded prisoner, suffered a large left-sided middle cerebral artery stroke on 21 August 2013 at the Adelaide Remand Centre. His cellmate recognised stroke symptoms at approximately 6am,…

neurologyintensive caremethadone
SAhospital2016-08-03

Coroner's Finding: LAMBROPOULOS Andrea

34y · Male·hypoxic-ischaemic encephalopathy following laparoscopic bariatric surgery with i…

Andrea Lambropoulos, a 34-year-old man with morbid obesity, sleep apnoea, and ischaemic heart disease, died following sleeve gastrectomy. He was admitted to HDU rather than ICU post-operatively. In HDU, he experienced re…

bariatric surgeryanaesthesiacommunicationdelaymorphine
SAhospital2016-08-02

Coroner's Finding: SMITH Gordon Charles

91y · Male·Multi-organ failure due to inanition complicating prolonged delirium of uncertai…

Gordon Charles Smith, 91, died from multi-organ failure due to severe malnutrition (inanition) complicating prolonged delirium of unknown cause at Repatriation General Hospital on 30 July 2014. He had been admitted volun…

psychiatrygeneral medicinecommunicationsystemmirtazapine
SAaged care2016-08-01

Coroner's Finding: BOEHM Valma Mona

92y · Female·bilateral pulmonary thromboembolism with contributing right temple lobe haemorrh…

Valma Mona Boehm, aged 92, died from bilateral pulmonary thromboembolism with contributing right temporal lobe haemorrhage due to cerebrovascular amyloidosis at an aged care facility. She had been admitted following acut…

geriatric medicineemergency medicine
SAhome2016-08-01

Coroner's Finding: BRADLEY Dwayne Scott

25y · Male·hanging

A 25-year-old male on home detention bail died by hanging at his home. He had been on monitored supervision for 17 months awaiting trial on assault charges. His partner reported he became increasingly depressed following…

methamphetamine
SAcommunity2016-08-01

Coroner's Finding: ONG Hock An

58y · Male·ischaemic heart disease

Hock An Ong, 58-year-old Malaysian national, died of acute ischaemic heart disease while evading lawful apprehension during an immigration operation in rural South Australia. He had undiagnosed underlying cardiac disease…

perindopril
SAhospital2016-07-13

Coroner's Finding: NOAKES Geoffrey Scott

43y · Male·acute neck compression due to hanging

Geoffrey Noakes, a 43-year-old man with a long history of depression and suicide attempts, was detained under the Mental Health Act on 19 February 2013 after multiple suicide attempts (knife to throat, jumping from vehic…

psychiatryemergency medicinediagnosticcommunicationolanzapine
SA2016-06-30

Coroner's Finding: SAID David Patrick

38y · Male·multiple injuries

A 38-year-old man with chronic disorganised schizophrenia died from multiple injuries after jumping or falling from a dam wall while under police observation. He had been recently distressed following his family dog's de…

psychiatryforensic medicinerisperidone
SAmental health2016-06-09

Coroner's Finding: FALLON Peter John William

40y · Male·Unascertained; likely cardiac arrhythmia secondary to cardiomegaly and morbid ob…

Peter John William Fallon, aged 40, died in the psychiatric intensive care unit at Queen Elizabeth Hospital on 2 February 2013 of unascertained cause. He had bipolar affective disorder, was on antipsychotic therapy, and …

psychiatryintensive carecommunicationsystemrisperdal consta
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