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SAhospital2015-08-13

Coroner's Finding: ABINETT Murray Lawrence

81y · Male·Aspiration pneumonia complicating end stage fronto-temporal dementia on a backgr…

Murray Lawrence Abinett, aged 81, died of aspiration pneumonia complicating end-stage fronto-temporal dementia with chronic obstructive lung disease, ischaemic heart disease and chronic renal failure. He was detained und…

psychiatrygeriatric medicinediagnosticrisperidone
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

A 79-year-old man died from multi-organ failure secondary to voluntary starvation in the context of severe depression following his wife's death. He was admitted after police found him malnourished following 30 days of i…

psychiatrygeneral medicine
SAhospital2015-08-13

Coroner's Finding: HILL John George Charles

71y · Male·acute pyelonephritis with contributing ischaemic heart disease

A 71-year-old male prisoner died from acute pyelonephritis with contributing ischaemic heart disease at Flinders Medical Centre. He had advanced metastatic gastric cancer diagnosed in February 2011 after presenting with …

colorectal surgerygeneral surgery
SAaged care2015-08-13

Coroner's Finding: TESTER Ernest Robert

91y · Male·Severe heart failure secondary to ischaemic cardiomyopathy

Ernest Robert Tester, a 91-year-old man with ischaemic cardiomyopathy and severe heart failure, died in an aged care facility. He experienced chest tightness and difficulty breathing at 2am, treated appropriately by nurs…

geriatric medicinecardiologyoxazepam
SAhospital2015-08-13

Coroner's Finding: TRENGOVE Ivy Mavis

87y · Female·acute intracranial haemorrhage

An 87-year-old woman with dementia, hypertension, and DVT died from acute intracranial haemorrhage while an inpatient at a general hospital under a Mental Health Act detention order. She was on warfarin for DVT managemen…

cardiologypsychiatrywarfarin
SAhospital2015-07-17

Coroner's Finding: ASTON Marjorie Irene

86y · Female·right subdural haematoma due to blunt head trauma with contributing excessive wa…

An 86-year-old woman died from subdural haematoma following a minor head injury, complicated by excessive warfarin anticoagulation. She was started on warfarin by a cardiologist on 19 December 2012 for atrial fibrillatio…

cardiologygeneral practicecommunicationsystemwarfarin
SAhospital2015-07-17

Coroner's Finding: SPIERO Marcel Edward

53y · Male·Sepsis from infected ascites (E. coli) in a man with cirrhosis of the liver, hep…

A 53-year-old male prisoner died of sepsis from E. coli-infected ascites complicated by cirrhosis, hepatocellular carcinoma, and diffuse B-cell lymphoma. He was admitted to hospital in septic shock with acute abdominal p…

infectious diseaseshepatologymorphine
SA2015-06-24

Coroner's Finding: HARDING-ROOTS Jeremy Godfrey

47y · Male·Toxic effects of phosphine gas

Jeremy Harding-Roots died from phosphine gas toxicity after deliberately exposing himself to the pesticide fumigant aluminium phosphide (Fumitoxin) during a siege at his former girlfriend's residence. Key clinical and pr…

psychiatrygeneral practicediagnosticsystemoxazepam
SA2015-06-11

Coroner's Finding: PAYNE Mark William

28y · Male·neck compression due to hanging

Mark Payne, 28, a remand prisoner at Yatala Labour Prison, hanged himself in his cell on 2 June 2011 using a canvas smock. He had made recent threats of self-harm and was placed under camera observation in G Division. Th…

correctional healthpsychiatrysystemcommunication
SA2015-05-06

Coroner's Finding: BLUNDEN Shane Rene

18y · Male·acute neck compression due to hanging

Shane Blunden, aged 18, died by hanging in Yatala Labour Prison on 19 September 2011. He was a remanded prisoner with an extensive history of self-harm, including cutting, swallowing batteries and razors, and a previous …

correctional healthemergency medicinediagnosticcommunicationcannabis
SAcommunity2015-04-24

Coroner's Finding: BYRNE Philip John and WEAVER Jacqueline

Philip Byrne: pulmonary thromboembolism due to right calf deep vein thrombosis; …

Two patients died from pulmonary thromboembolism caused by undiagnosed deep vein thrombosis (DVT). Mr Byrne presented with right calf pain in February 2012; two GPs excluded DVT on clinical examination alone without orde…

general practicephysiotherapydiagnosticcommunicationwarfarin
SAhome2015-04-09

Coroner's Finding: VALENTINE Chloe Lee

4y · Female·closed head injury with contributing extensive subcutaneous and intramuscular ha…

Chloe Lee Valentine, aged 4 years 5 months, died on 20 January 2012 from closed head injury with extensive subcutaneous and intramuscular haemorrhage. The fatal injuries resulted from repeated trauma inflicted during a p…

paediatricsforensic medicinediagnosticsystemmethamphetamine
SAcommunityPodcast2015-04-02

Coroner's Finding: GADD David Russell and GUJARI Kamran Bimal and ANWARI Nasir Ali

Male·Salt water drowning

Three young men drowned in rips at Encounter Bay beaches (Depps Beach and Petrel Cove) in South Australia between February 2012 and December 2014. David Gadd (28), Kamran Gujari (19), and Nasir Anwari (18) all lacked ful…

systemcommunication
SAhospital2015-03-06

Coroner's Finding: SIMOS Theodoras Joannas

48y · Male·undetermined

A 48-year-old man with schizoaffective disorder, poorly controlled diabetes, sleep apnoea, obesity and cardiomegaly died unexpectedly at a rural hospital following acute psychotic agitation. He had absconded from a menta…

psychiatrygeneral practicesystemdelayhaloperidol
SAhome2015-01-30

Coroner's Finding: GIBSON Justin Lee

30y · Male·mixed butane, isobutane and propane toxicity

Justin Lee Gibson, a 30-year-old Indigenous man on home detention bail, died from inhalation of butane/propane causing fatal cardiac arrhythmia. He had a documented history of substance abuse (alcohol, cannabis, and buta…

emergency medicineforensic medicinecommunicationsystembutane
SAPodcast2015-01-12

Coroner's Finding: POSNAKIDIS John

42y · Male·multiple injuries sustained when struck by a semi-trailer truck

A 42-year-old truck driver (John Posnakidis) was fatally struck by an uncontrolled semi-trailer at high speed (approximately 124 km/h in a 60 km/h zone) on the South-Eastern Freeway descent in South Australia. The driver…

proceduralsystem
SAcommunity2015-01-12

Coroner's Finding: VENNING James William

41y · Male·blunt head trauma sustained in motor vehicle collision

James William Venning, aged 41, died when his fully loaded semi-trailer crashed at the base of the South-Eastern Freeway, Adelaide, after becoming uncontrollable during descent. His gearbox was in neutral, forcing relian…

systemdelay
SAhospital2014-11-28

Coroner's Finding: ANDERSON Joel Kenneth

50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…

Joel Kenneth Anderson, aged 50, died from hepatic encephalopathy secondary to advanced liver cirrhosis complicated by hepatitis C and hepatocellular carcinoma. He presented to hospital with end-stage liver disease, ascit…

gastroenterologyhepatologyspironolactone
SAhospital2014-11-28

Coroner's Finding: BLAIN Kathleen Olive Florence

79y · Female·acute myocardial infarction and acute pulmonary oedema

A 79-year-old woman with stroke and cardiac history was admitted for rehabilitation but developed treatment-resistant depression. Despite comprehensive multidisciplinary management including medication trials (mirtazapin…

psychiatrycardiologymirtazapine
SAhome2014-11-28

Coroner's Finding: DAVIDSON Ian John

60y · Male·stab wound of chest (self-inflicted)

Ian John Davidson, aged 60, died from a self-inflicted stab wound to the chest while police attended his partner's home to enforce bail conditions requiring him to stay away from her. Six days earlier, psychiatric assess…

psychiatryemergency medicine
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