Coronial

562 results for intellectual_disability

ACThome2012-09-24

Inquest Into The Death Of Stephen Moon

21y · Male·cardiac arrest caused by acute bilateral pneumonia

Stephen Moon, a 21-year-old with autism and intellectual disability, died following wisdom tooth extraction complicated by ventilator-acquired pneumonia. Although discharged early from ICU after 3 days, he developed bila…

anaesthesiaintensive caredelaycommunicationpropofol
VICcommunity2022-02-18

Finding into death of Roger David Batchelor

57y · Male·Hypoxic ischaemic encephalopathy secondary to prolonged downtime due to upper ai…

A 57-year-old man with intellectual disability and a documented history of choking died from hypoxic ischaemic encephalopathy following airway obstruction by food at a day activities program. Despite having a choking man…

general practicespeech pathologycommunicationsystempantoprazole
QLDcommunity, community, community2019-08-30

Nebauer, Talieha; Fowell, William and Whiticker, Caitlin Wilkinson

18y · Female, female, male·Caitlin: suicide by hanging; Talieha: suicide by hanging; William: suicide by tr…

Three adolescent patients (aged 18 at death) died by suicide within four months of the Barrett Adolescent Centre (BAC) closure in January 2014. Caitlin had complex mental health needs including bipolar affective disorder…

psychiatrypsychologycommunicationsystem
VIChospital2022-12-06

Finding into death of John Sloots

58y · Male·Aspiration pneumonia in a man with Down's syndrome and dementia

John Sloots, a 58-year-old man with Down's syndrome and dementia, died from aspiration pneumonia. He had a documented longstanding swallowing impairment that had been deteriorating, and was identified as high-risk for as…

general medicinerespiratory medicine
VIChospital2025-02-12

Finding into death of Alexander Cameron

40y · Male·Aspiration pneumonia

Alexander Cameron, a 40-year-old man with complex neurodevelopmental, neurological and psychiatric disorders including epilepsy, autism, and previous neuroleptic malignant syndrome (NMS), died from aspiration pneumonia f…

intensive caregeneral surgeryclozapine
VIChospital2019-06-06

Finding into death of J Y

24y · Female·injuries sustained in descent from height

A 24-year-old woman with intellectual disability and borderline personality disorder died from injuries sustained in descent from height from a sixth-floor balcony. She had threatened suicide from the same balcony on 8 M…

psychiatryemergency medicinecommunication
VIC2013-08-20

Finding into death of PETER MALLIA

47y · Male·Severe Community Acquired Pneumonia; Aspiration; Critical Care Neuropathy; Cereb…

Peter Mallia, a 47-year-old man with cerebral palsy and intellectual disability, died of severe community-acquired pneumonia, aspiration, and critical care neuropathy on 31 July 2011, while in intensive care at Northern …

general practicespeech pathologydiazepam
VIChospital2025-12-08

Finding into death of Graeme William Kenny

61y · Male·Right lower lobe pneumonia

Graeme William Kenny, a 61-year-old man with trisomy 21 and dementia, died from right lower lobe pneumonia on 25 December 2024 at Monash Medical Centre following palliative care. He developed upper respiratory symptoms o…

emergency medicinegeneral practicediagnosticdelayibuprofen
QLDhome2019-04-17

Davis, John

50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus

A 50-year-old man with acquired brain injury and intellectual disability died from hypoxic-ischaemic encephalopathy following aspiration of a food bolus during lunch at his disability care residence. The carer appropriat…

emergency medicineparamedicinediagnosticcommunicationmidazolam
VIChospital2022-06-06

Finding into death of Raymond Henry Dempster

64y · Male·Pneumonia in a man with Lennox-Gastaut syndrome

Raymond Dempster, a 64-year-old man with severe Lennox-Gastaut syndrome and dysphagia, died of pneumonia following aspiration. He had experienced recurrent aspiration pneumonia episodes over several years. Critical clini…

respiratory medicinepalliative caresystemmorphine
NSWmental health2019-10-25

Inquest into the death of T V

23y · Female·Arrhythmia of unknown aetiology

TV died on 1 November 2016 from arrhythmia of unknown aetiology whilst in MHICU at Prince of Wales Hospital. She was a 23-year-old with severe bipolar disorder, mild intellectual disability and borderline personality tra…

psychiatrycardiologyhaloperidol
VIChospital2019-08-01

Finding into death of Tyla Jade Hovenbitzer

18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…

An 18-year-old female with Down syndrome, autism spectrum disorder, and severe intellectual disability died from multiorgan failure complicating severe malnutrition, non-alcoholic fatty liver disease, and obesity. She pr…

paediatricsgeneral practicesystemdelaytemazepam
SA2011-12-22

Coroner's Finding: FRY Lindsay Allan

61y · Male·ischaemic heart disease with significant atherosclerotic narrowing of all three …

Lindsay Allan Fry, a 61-year-old prisoner with poorly controlled Type II diabetes, died of ischaemic heart disease while in custody at Yatala Labour Prison. Autopsy revealed marked coronary artery atherosclerosis, myocar…

cardiologyendocrinologymetformin
SAaged care2020-02-28

Coroner's Finding: NISCO Sophia Alessia

16y · Female·upper airway occlusion due to aspiration of a foreign body (disposable latex glo…

Sophia Nisco, a 16-year-old with severe cerebral palsy and intellectual disability, died from airway obstruction after aspirating a disposable latex glove at a respite care facility. She had documented oral fixation beha…

rehabilitation medicinesupervisionsystem
NSW2025-02-28

Inquest into the death of Cameron De Vries

20y · Male·Drowning precipitated by a seizure

Cameron De Vries, a 20-year-old man with severe autism spectrum disorder and global developmental delay, died by drowning precipitated by a seizure in a bathtub at a disability support home. He had experienced a seizure …

emergency medicineneurologydiagnosticsystemranitidine
VIC2023-08-04

Finding into death of Katrina Jane Cervasio

43y · Female·Complications of obesity including cardiomegaly

Katrina Jane Cervasio, a 43-year-old woman with intellectual disability, obesity, sleep apnoea, and cerebral palsy, died from complications of obesity including cardiomegaly while living in a disability services group ho…

respiratory medicinegeneral practicesystemdelayparacetamol
VIC2022-03-10

Finding into death of Joanne Callahan

43y · Female·choking on a food bolus

Joanne Callahan, a 43-year-old woman with intellectual disability and autism, died from choking on a food bolus while attending a disability day program. Critical failures in communication between her residential care pr…

speech pathologyparamedicinecommunicationsystem
VIC2018-11-13

Finding into death of Morgan Patrick MCCabe

42y · Male·Drowning

A 42-year-old man with Prader-Willi syndrome and obsessive-compulsive tendencies drowned at Phillip Island while on a supported holiday organised by Wesley Mission. The coroner found that planning for the four-client hol…

emergency medicinesystemproceduralfluoxetine
TAScommunity2020-11-05

Coroner's Finding: Marshall, Eric Craig

19y · Male·Chest and abdominal injuries sustained when a forklift rolled over and trapped h…

A 19-year-old farm worker with intellectual disability died when a forklift he was operating rolled over on a gravel laneway, trapping him beneath the roll cage. Mr. Marshall had received informal training in August 2014…

systemsupervision
NSWhospital2016-12-22

Inquest into the death of Shona Hookey

29y · Female·peritonitis caused by ischaemia of the bowel due to gastrointestinal torsion (tw…

Shona Hookey, a 29-year-old Aboriginal woman with severe intellectual disability and aphasia, died of peritonitis secondary to bowel torsion. Critical failures occurred at multiple levels: carers at her group home delaye…

emergency medicineparamedicinediagnosticcommunicationparacetamol
120212229

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