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QLDcommunity2006-02-23

Bismark, Lex Robert

Male·Avulsion of the brain stem and upper cervical spinal cord suffered when struck b…

Lex Robert Bismark died after being struck by a motor vehicle on the Barkly Highway in Mt Isa during NAIDOC week celebrations on 12–13 July 2002. Following a fight at the Barkly Hotel, a large group spilled onto the high…

general practiceophthalmologycommunicationsystemserapax
SAcommunity2006-02-22

Coroner's Finding: SINCLAIR-SPAAN Christopher James

21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…

A 21-year-old man died from massive internal bleeding into the pelvis and retroperitoneum following a motor vehicle collision with a stobie pole in rural South Australia. He was trapped for over 2 hours before extricatio…

intensive caretrauma surgerycommunicationsystem
QLD2006-02-13

Sperling, Karl Peter

13y · Male·Drowning

Karl Peter Sperling, aged 13, died by drowning during an Army Cadet orienteering exercise at Bjelke-Peterson Dam on 18 November 2000. While wading into water to retrieve an orienteering clue, he became entangled in thick…

systemprocedural
QLD2006-02-03

Crossman, Troy Samuel

33y · Male·Self-inflicted hanging

Troy Crossman, a 33-year-old prisoner at Borallon Correctional Centre, died by hanging in his cell on 17 March 2004. He had an extensive documented history of depression, suicidal ideation, and previous suicide attempts.…

psychiatrycorrectional healthcommunicationsystem
QLDmental health2006-02-03

Muckan, David Jones

49y · Male·Obstructive sleep apnoea, contributed to by the sedating effects of therapeutic …

David Muckan, a 49-year-old man with schizophrenia, was admitted to a psychiatric unit in April 1998 with suspected obstructive sleep apnoea (OSA). He was sedated with benzodiazepines (Midazolam, Diazepam) and other psyc…

psychiatryrespiratory medicinemedicationmonitoringthioridazine
SAhospital2006-01-25

Coroner's Finding: RAPHAEL Glenn Howard

74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…

Glenn Howard Raphael, 74-year-old admitted for infected ischaemic toe secondary to diabetes mellitus. During his 17-day hospital stay, he developed acute renal failure leading to cardiac arrest and death. Critical failur…

vascular surgerygeneral medicinemedicationcommunicationgentamicin
NThospital2006-01-18

Inquest into the death of David Mather

67y · Male·undetermined; likely exposure and dehydration

David William Mather, a 67-year-old homeless man, was admitted to Royal Darwin Hospital on 29 September 2003 with a displaced compound fracture of the left humerus. He left the ward on 4 October 2003 in hospital pyjamas,…

orthopaedic surgeryemergency medicinecommunicationsystem
SAhospital2006-01-12

Coroner's Finding: EVANS Shaun Michael

22y · Male·Mixed Diflunisal and Buproprion (Zyban) toxicity

A 22-year-old man presented to Royal Adelaide Hospital's Emergency Department after taking approximately 110 Zyban (bupropion) tablets as a suicide attempt. Unknown to treating staff, he had also ingested a potentially l…

emergency medicinetoxicologydiagnosticcommunicationbupropion
WAhospital2005-12-13

Inquest into the Death of Peter Daryl Samson

20y · Male·Pelvic Injury

Peter Daryl Samson, a 20-year-old Aboriginal male, died from a pelvic fracture sustained in a motor vehicle rollover on 22 September 2003. He was brought to Derby Regional Hospital where he was assessed briefly by nursin…

emergency medicinegeneral practicediagnosticdelayalcohol
WAhospital2005-12-09

Inquest into the Death of Laura Marguerite Sinclair

31y · Female·Post-partum Haemorrhage associated with Amniotic Fluid Embolism and Uterine Hypo…

Laura Marguerite Sinclair, 31-year-old primigravida, died from post-partum haemorrhage associated with amniotic fluid embolism (AFE) and uterine hypotonia. She underwent emergency caesarean section for foetal distress at…

obstetricsanaesthesiadiagnosticcommunicationpethidine
WAhome2005-12

Inquest into the Death of Jake Willem Dunne-Heynis

15y · Male·Ligature Compression of the Neck (Hanging)

Jake Dunne-Heynis, a 15-year-old Year 11 student at Exmouth District High School in rural Western Australia, died by suicide on 23 June 2004, two days after hanging himself at home. Jake had motor coordination difficulti…

communicationsystem
WAcommunity2005-12

Inquest into the Death of Jandakot Aircrash

Male·Haralampos Protoolis: Incineration with Smoke Inhalation. Steven Paul Warriner: …

Two men died in an aircraft crash on 11 August 2003 at Jandakot Airport, Perth. The Cessna C404 experienced right engine failure shortly after takeoff due to seizure of the engine-driven fuel pump, itself caused by galli…

systemdiagnostic
WAhospital2005-11-25

Inquest into the Death of Waretini

46y · Male·Upper airway obstruction due to acute tonsillitis with laryngeal oedema and haem…

A 46-year-old man with acute tonsillitis complicated by upper airway obstruction died at Cunderdin District Hospital. He presented with severe pharyngitis on 5 September 2002, was admitted to Kellerberrin Memorial Hospit…

general practiceemergency medicinecommunicationsystempenicillin
QLD2005-11-18

Croft, Penelope Ann

54y · Female·Head injuries due to or as a consequence of a motor vehicle accident

Penelope Ann Croft, an experienced 54-year-old cyclist, was struck fatally on the back of her head by an open engine compartment door of a bus travelling on Mt Cotton Road, Queensland in March 2004. The bus's right rear …

systemdelay
QLDhome2005-11-16

Perry, Jye Conrad (a child)

3y · Male·fatal stab wounds to the heart inflicted by his aunt Natalia Perry during an app…

A 3-year-old child was fatally stabbed by his aunt, Natalia Perry, a forensic patient with schizophrenia on limited community treatment (LCT), shortly after being discharged from emergency department. Perry had jumped fr…

psychiatryemergency medicinediagnosticcommunicationrisperidone
SAhospital2005-11-15

Coroner's Finding: DAMIANOU Dimitra

79y · Female·cardio-respiratory arrest consequent upon the aspiration of food

A 79-year-old woman with post-stroke dysphagia died from aspiration of food while hospitalised. A speech pathologist prescribed a minced diet after an unsuccessful soft diet trial, but the patient received a soft diet me…

speech pathologyneurologycommunicationsystem
NTcommunity2005-11-11

Inquest into the death of Damien Wayne

25y · Male·blunt head trauma occasioned when the deceased was thrown from a motor vehicle h…

Damien Wayne, an Aboriginal male aged 25, died from blunt head trauma sustained during a motor vehicle accident while being pursued by Northern Territory Police. After failing to stop at a random breath testing station d…

emergency medicineforensic medicineproceduralcommunicationalcohol
SAhospital2005-11-10

Coroner's Finding: LAZOPOULOS Christopher

34y · Male·multi-organ failure with right-sided tension pneumothorax

A 34-year-old man with a ruptured spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admissi…

emergency medicineintensive carediagnosticsystem
QLDmental health2005-11-09

Community Mental Health Patient

20y · Male·hanging

A 20-year-old male with major depressive disorder and melancholic features was admitted to psychiatric hospital on 4 June 2003 under an indefinite involuntary treatment order by consultant psychiatrist Dr P.. The next da…

psychiatrygeneral practicediagnosticcommunicationsertraline
WAcommunity2005-11-04

Inquest into the Death of Sheridan Troy Hilton

42y · Female·Ligature compression of the neck (hanging)

Sheridan Troy Hilton, a 42-year-old woman with a history of depression and substance abuse, died by suicide on 31 August 2003 while in an unwell mental state. She experienced significant psychosocial stressors including …

general practicepsychiatrycommunicationsystemmirtazapine

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