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WAcommunityPodcast2016-08-22

Inquest into the Death of Ewan Louis WILLIAMSON

14y · Male·severe heatstroke complicating a recent viral illness with focal myocarditis

A 14-year-old boy from Scotland died of severe heatstroke with myocarditis while hiking in extreme heat (40°C+) at Cape Range National Park. He had recently recovered from a viral illness. His father made navigation erro…

emergency medicineparamedicinecommunicationdelay
WA2016-08-19

Inquest into the Death of Sara-Lee DAVEY

21y · Female·unascertained

This coroner's inquest examined the 1997 disappearance and presumed death of Sara-Lee Davey, a 21-year-old Aboriginal woman from One-Arm Point, Western Australia. She was last seen on 14 January 1997 at Broome Wharf afte…

diagnosticdelay
WAhome2016-07-21

Inquest into the Deaths of Jessica Rose CUZENS and Jane Lesley Margaret CUZENS and Heather GLENDINNING

46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…

Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court proceedings, killed her daughters Jane and Jessica on 5 December 2011, then took her o…

psychiatrygeneral practicecommunicationsystemcannabis
WAhome2016-07-21

Inquest into the Deaths of Heather GLENDINNING and Jessica Rose CUZENS and Jane Lesley margaret CUZENS

46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…

This tragic case involved a mother with severe untreated psychosis who killed her two daughters and then herself. Ms Glendinning had a longstanding history of paranoid delusions, cannabis use, and mental health difficult…

psychiatrypsychologycommunicationsystemcannabis
WAhospital2016-06-28

Inquest into the Death of Geoffrey Mark REID

23y · Male·combined drug toxicity (methadone, clozapine, quetiapine, diazepam, chlorpromazi…

Geoffrey Reid, 23, died from combined drug toxicity while hospitalised for schizophrenia management. He was re-inducted onto methadone at 30mg with 10mg daily increments to 50mg over four days, escalated more rapidly tha…

psychiatryaddiction medicinecommunicationdiagnosticmethadone
WAaged care2016-06-23

Inquest into the Death of Brian Keith WOOD

84y · Male·upper airway obstruction in a man with a clinical history of dementia

Brian Keith Wood, 84, died from upper airway obstruction due to choking on softened toast while residing in an aged care facility. He had advanced dementia and was unable to make healthcare decisions. The food provided w…

geriatric medicineemergency medicine
WA2016-06-03

Inquest into the Death of Elizabeth Francisca ALLEN

60y · Female·multiple injuries from being run over by boat trailer

Elizabeth Allen, age 60, died from multiple crush injuries when run over by a boat trailer near Muchea, Western Australia in November 2012. She was a passenger in a vehicle being driven by her husband. The coroner found …

amitriptyline
WAcommunity2016-05-30

Inquest into the Death of Aaron GENOVESE

29y · Male·fracture dislocation of the upper cervical spine

Aaron Genovese, 29, died after his motorcycle collided with a Toyota Prado at an intersection during a police pursuit. The collision caused a fracture dislocation of the upper cervical spine with complete spinal cord tra…

emergency medicineforensic medicinemethamphetamine
WAhome2016-05-25

Inquest into the Death of Mahdi ARJOMAND

Male·Mahdi Arjomand: unsurvivable head injury incurred at time of motor vehicle crash…

Three men died in a single-vehicle motor vehicle crash in Western Australia on 15 October 2012. All three were significantly intoxicated with methylamphetamine and other drugs at the time of the crash. The driver (Arjoma…

forensic medicinepharmacologymethamphetamine
WAcommunity2016-05-25

Inquest into the Death of William Craig DEAN

Male·Motor vehicle crash injuries; Arjomand—head injury; Hiron—chest and abdominal in…

Three men died in a high-speed motor vehicle crash while intoxicated with methylamphetamine and other drugs. The driver (Arjomand) sustained a non-survivable head injury; the rear seat passenger (Hiron) sustained severe …

pathologytoxicologymethamphetamine
WA2016-05-25

Inquest into the Death of Andrew Sinclair GRAHAM

32y · Male·unascertained; either drowning at sea or lost in jungle

Andrew Sinclair Graham, a 32-year-old employee assistance program counselor, disappeared on 27 September 2014 while visiting Winifred Beach on Christmas Island. He had been repeatedly warned about Christmas Island's haza…

WA2016-05-25

Inquest into the Death of Kyal Peter HIRON

Male·Motor vehicle crash injuries; Arjomand: unsurvivable head injury; Hiron: chest a…

Three men died in a single-vehicle motor vehicle crash in rural Western Australia while under the influence of methamphetamine and other drugs. The driver (Arjomand) sustained a non-survivable head injury; the passengers…

forensic medicinetoxicologymethamphetamine
WAhospital2016-05-20

Inquest into the death of Sebastian Keith PARMAN

6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…

Sebastian Parman, a 6-year-old boy, died from pneumonia complicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an inf…

emergency medicinepaediatricsdiagnosticcommunicationpenicillin
WAhospital2016-05-18

Inquest into the Death of Janice May SAULYS

69y · Female·multi-organ failure due to sepsis of unknown origin

A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydration, and …

emergency medicinegeneral practicesystemdelay
WA2016-05-04

Inquest into the Death of TP (a child) (Subject to a Suppression Order)

15y · Female·Seizure disorder (epilepsy) with associated vomit aspiration; Sudden Unexpected …

A 15-year-old girl with refractory epilepsy and intellectual disability died from a seizure with vomit aspiration at a special needs holiday camp on the second night of attendance. She had known epilepsy managed with mul…

neurologyemergency medicinecommunicationsystemsodium valproate
WAcommunity2016-04-21

Inquest into the Death of Susanne VAN DER SCHOOT

20y · Female·Multiple injuries sustained in motor vehicle crash at Murray Road/South West Hig…

A 20-year-old Dutch tourist died in a motor vehicle crash at a hazardous intersection between Murray Road and the South West Highway in Western Australia. The intersection had long-standing visibility problems with inade…

systemdelay
WAhospital2016-04-13

Inquest into the Death of Stephen Kenneth RYAN

62y · Male·bronchopneumonia on background of chronic obstructive pulmonary disease

Stephen Kenneth Ryan, a 62-year-old man with treatment-resistant schizophrenia and severe COPD from lifelong smoking, died of bronchopneumonia on 12 August 2013 at Bentley Hospital. He had been an involuntary psychiatric…

psychiatryrespiratory medicinepalliperidone
WAhome2016-04-11

Inquest into the Death of TPL (a child Subject to a Suppression Order)

0y · Unknown·bronchopneumonia and hypoxic brain injury following immersion (near-drowning)

A six-month-old infant died from bronchopneumonia and hypoxic brain injury following immersion in a shower. The child was placed unsupervised in a Bumbo seat in a running shower while the mother attended to other tasks f…

system
WAhospital2016-03-24

Inquest into the Death of Jesse Richard DELLAR

17y · Male·ligature compression of the neck (hanging)

Jesse Dellar, a 17-year-old with a history of ADHD, learning disability, depression, and childhood sexual abuse, was admitted to Albany Regional Hospital on 23 November 2010 after intentionally overdosing on his ADHD med…

psychiatrygeneral practicediagnosticsystematomoxetine
WAcommunity2016-03-18

Inquest into the Death of David Davidson LAWSON

41y · Male·unascertained

David Davidson Lawson, a 41-year-old Aboriginal man with chronic alcohol use disorder and a history of psychotic symptoms during withdrawal, disappeared from a remote homestead on the Dampier Peninsula in October 2010. H…

psychiatryemergency medicinesystemcommunicationolanzapine
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