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TAShome2022-03-23

Coroner's Finding: Stephens, Vicki Lavinia

65y · Female·klebsiella pneumonia sepsis and rhabdomyolysis after a fall at home

A 65-year-old woman with multiple chronic conditions including COPD, ischaemic heart disease, and alcoholic hepatitis fell at home and remained on the floor for approximately 2 hours before ambulance arrival. She present…

emergency medicineintensive care
TAShospital2022-03-18

Coroner's Finding: Collis, Mary

73y · Female·pulmonary embolus

Mary Collis, a 73-year-old woman with bipolar disorder and type 2 diabetes, died from pulmonary embolus whilst an inpatient at Launceston General Hospital on 15 June 2020. She was admitted after becoming unconscious at h…

intensive carepsychiatry
VICcommunity2022-03-16

Finding into death of John Anthony Kamps

62y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …

John Kamps, a 62-year-old man with intellectual disability, autism, epilepsy, and dysphagia, died from hypoxic ischaemic encephalopathy following airway obstruction by food bolus. He choked on toast at breakfast despite …

speech pathologyemergency medicinesystemcommunication
VIChospital2022-03-15

Finding into death of Ann Leah Jones

87y · Female·Pulmonary artery rupture complicating pulmonary artery catheter insertion in a w…

Mrs Jones, an 87-year-old woman with severe ischaemic heart disease, died from pulmonary artery rupture during elective off-pump coronary artery bypass surgery. A Swan-Ganz pulmonary artery catheter (PAC) was inserted pr…

cardiothoracic surgeryanaesthesiaproceduralsystemfentanyl
TAScommunity2022-03-14

Coroner's Finding: PL

7y · Male·head injuries from ejection onto rocky riverbank during boating accident

A 7-year-old boy died from catastrophic head injuries after being ejected from a ski biscuit during a recreational boating accident on the Prosser River in Tasmania. The vessel operator was towing the child at excessive …

emergency medicineintensive careproceduralcommunication
TAS2022-03-10

Coroner's Finding: Cooper, Joanne Dulcie

41y · Female·Brain, chest, abdominal and pelvic injuries sustained in a motor vehicle collisi…

A 41-year-old woman died from catastrophic injuries sustained in a motor vehicle collision when her vehicle crossed into the opposite lane and struck a truck. Family members noted she appeared drowsy before driving. Toxi…

emergency medicineintensive careamitriptyline
VIChospital2022-03-09

Finding into death of Daniel McQuilken

68y · Male·Lung cancer

Daniel McQuilken, a 68-year-old man in immigration detention, died from metastatic lung cancer. His lung cancer diagnosis was made while detained, likely related to his significant smoking history and prior asbestos and …

oncologyrespiratory medicinechemotherapy agents
NSW2022-03-07

Inquest into the death of Ronald Reeves

70y · Male·The combined effects of the complications of ventilation associated pneumonia, a…

Ronald Reeves, a 70-year-old man on remand at Goulburn Correction Centre, was found unconscious on 22 April 2019 and transferred to Canberra Hospital where he died on 17 May 2019. The cause of death was complications of …

intensive careemergency medicinequetiapine
VIChospital2022-02-28

Finding into death of H YR

77y · Female·Haemoperitoneum following cholecystectomy

A 77-year-old woman died from haemoperitoneum (intra-abdominal bleeding) three days after elective laparoscopic cholecystectomy. Bleeding from the left inferior epigastric artery was a recognised surgical complication bu…

general surgeryintensive carediagnosticdelaywarfarin
TAShospital2022-02-23

Coroner's Finding: Attwood, Maurice

86y · Male·hospital acquired pneumonia

Maurice Attwood, 86 years old, died of hospital-acquired pneumonia following surgical repair of a femoral neck fracture sustained in a fall at home. He had significant comorbidities including dysphagia with aspiration ri…

orthopaedic surgeryintensive care
VIChospital2022-02-22

Finding into death of Matthew Lee Dongelmans

30y · Male·Complications of methylamphetamine toxicity

Matthew Dongelmans, aged 30, died from complications of methylamphetamine toxicity after being arrested for breaching a family violence intervention order. He consumed methylamphetamine prior to arrest, likely in panic w…

emergency medicineintensive caredelaysystemmethamphetamine
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
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
VIC2022-02-10

Finding into death of Elaine Betty Sime

72y · Female·multi-organ failure secondary to poly-trauma and likely bee-sting related toxidr…

Elaine Betty Sime, a 72-year-old fit and healthy woman, died from multi-organ failure following poly-trauma and bee sting toxidrome after a tree fell on her during a walk. The tree at Ruffey Lake Park Trail failed due to…

emergency medicinetrauma surgerysystem
TAShospital2022-02-08

Coroner's Finding: Bruinewoud, Brieley Joyce

36y · Female·Traumatic closed head injury

A 36-year-old theatre nurse died from traumatic closed head injury after jumping from a moving vehicle whilst heavily intoxicated. She had consumed most of a bottle of vodka over 12 hours at a party and had a blood alcoh…

neurosurgerytrauma surgeryalcohol
TAShospital2022-02-03

Coroner's Finding: Reed, Ian William McDonald

44y · Male·intracerebral haemorrhage due to vaccine-induced prothrombotic immune thrombocyt…

Ian William McDonald Reed, aged 44, died from an intracerebral haemorrhage caused by vaccine-induced prothrombotic immune thrombocytopenia (VIPIT) following AstraZeneca COVID-19 vaccination. He presented with a four-day …

neurosurgerypathologyastrazeneca covid-19 vaccine
NSWhospital2022-02-01

Inquest into the death of Ivan CHRISTOV

70y · Male·complications of chronic obstructive pulmonary disease and ischaemic heart disea…

A 70-year-old man with end-stage COPD, ischaemic heart disease, and obstructive sleep apnoea collapsed in his prison cell and was transferred to hospital in respiratory distress. Despite having documented 'not for resusc…

emergency medicinerespiratory medicinecommunicationdelay
TAShospital2022-01-28

Coroner's Finding: Mitchell, Gordon Arthur David

54y · Male·acute myocardial infarction

Gordon Arthur David Mitchell, 54 years old, died of acute myocardial infarction five days after successful stenting for an initial MI. He was discharged on 10 July 2019 despite presenting with chest pain, dyspnea, and co…

cardiologyemergency medicinediagnosticclinical decisionbeta-blocker
TAShospital2022-01-21

Coroner's Finding: de Wit, Pauline Catherine Marie

53y · Female·acutely decompensated congestive cardiac failure due to blunt traumatic injuries…

A 53-year-old woman with severe intellectual disability and scoliosis died from acute decompensated congestive cardiac failure following blunt traumatic injuries sustained in a five-vehicle motor vehicle crash. She was a…

emergency medicineintensive caresystemdelay
VIChospital2022-01-20

Finding into death of H I

49y · Female·Acute myocardial infarction secondary to giant-cell arteritis and atherosclerosi…

49-year-old woman died from acute myocardial infarction secondary to giant-cell arteritis of coronary arteries. On 26 November, she presented to her GP with left-sided chest pain described as atypical and unlikely ischae…

general practiceemergency medicinediagnosticsystemmetoclopramide
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