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SAhospital2024-09-13

Coroner's Finding: Icke, Frances Veronica

74y · Female·Intracranial haemorrhages (non-operated) on a background of dementia

Frances Veronica Icke, aged 74, died from intracranial haemorrhages on a background of dementia. She fell at home on 31 December 2021 and was admitted to hospital with two brain bleeds. Neurosurgery determined she was no…

geriatric medicineneurosurgerycommunication
TAShospital2024-09-12

Coroner's Finding: Chapman, Jane Ann

74y · Female·Post-operative exacerbation of delirium and terminal functional deterioration du…

Jane Ann Chapman, 74, presented to hospital with delirium, fever and suspected urinary tract infection. She fell from an Emergency Department trolley bed, sustaining a neck of femur fracture requiring surgery. Post-opera…

emergency medicineorthopaedic surgeryproceduralsystem
WAhome2024-09-11

Inquest into the Death of Stephen Kenneth SHERWOOD

31y · Male·ligature compression of the neck (hanging)

Stephen Sherwood, a 31-year-old Aboriginal man with untreated mental health issues and history of methylamphetamine use, died by suicide on 13 April 2022. He had attempted suicide by wrist-cutting on 30 March 2022 and th…

psychiatryemergency medicinecommunicationmethamphetamine
TAShospital2024-09-10

Coroner's Finding: Barnard, Ronald William

82y · Male·respiratory failure

Ronald William Barnard, an 82-year-old male prisoner, died from respiratory failure following a three-day illness. He presented to hospital on 20 January with shortness of breath and chest pain, was diagnosed with pneumo…

respiratory medicineemergency medicineantibiotics
VIChospital2024-09-10

Finding into death of Ms N

64y · Female·COVID-19 and aspiration pneumonia in a woman with cerebral palsy

Ms N, a 64-year-old woman with cerebral palsy, dysphagia, and recurrent aspiration pneumonia, died from COVID-19 complicated by aspiration pneumonia. She presented with fever and hypoxia, tested positive for COVID-19, an…

emergency medicineinfectious diseasesremdesivir
VIC2024-09-05

Finding into death of Russell Leslie James Hewat

33y · Male·Aspiration pneumonia in the setting of recent COVID-19 infection

Russell Hewat, a 33-year-old man with autism, Down syndrome, intellectual disability, and dysphagia, died from aspiration pneumonia following COVID-19 infection. He was discharged from Frankston Hospital on 1 November 20…

emergency medicineintensive carecommunicationsystem
WA2024-09-05

Inquest into the Death of Robert Fredrick PARNELL

29y · Male·butane and propane toxicity from inhalation of canola oil spray propellants

Robert Parnell, aged 29, died from butane and propane toxicity after inhaling propellants from a can of canola oil spray in a prison kitchen toilet. He had a long history of polysubstance use including solvent sniffing d…

forensic medicineemergency medicinesystemsupervisionbutane
VIC2024-09-04

Finding into death of Jing Hui Chen

49y · Male·Traumatic head injury sustained in a fall from the roof of a work vehicle

A 49-year-old air conditioning contractor died from traumatic head injury sustained when he fell from the roof of his work van while securing equipment. He was working at height without a harness or fall protection, and …

emergency medicineintensive caresystem
NSWmental health2024-08-30

Inquest into the death of Corey SELBY

48y · Male·Gunshot wound to the chest during a police operation

Corey Selby, aged 48, died from a gunshot wound to the chest on 19 January 2023 outside Tenterfield Police Station after deliberately provoking police to shoot him. He had a complex mental health presentation comprising …

psychiatrygeneral practicesystemduloxetine
VICcommunity2024-08-29

Finding into death of Bridget Flack

28y · Female·compression of the neck and hanging

28-year-old Bridget Flack, a transgender woman experiencing complex mental health issues including depression, anxiety, borderline personality disorder and PTSD, died by suicide in December 2020 after becoming increasing…

psychiatrypsychologycommunicationsystemescitalopram
VIChome2024-08-29

Finding into death of Natalie Wilson

33y · Female·neck compression and hanging

Natalie was a 33-year-old transgender woman with a long history of mental health conditions including severe social anxiety, agoraphobia, borderline personality disorder and PTSD, with suicidal ideation since age 17 and …

psychiatrypsychologysystemescitalopram
WAmental health2024-08-28

Inquest into the Death of Peter Jonathon Rex BOLTON

36y · Male·ligature compression of the neck (hanging)

A 36-year-old man with schizoaffective disorder, traumatic brain injury, and substance use disorder died by ligature while an involuntary inpatient in a locked mental health ward. He was on hourly observations and had re…

psychiatryemergency medicinehaloperidol
QLDaged care2024-08-22

Non-inquest findings into the death of Malcolm Daniel Moriarty

87y · Male·Combined effects of sotalol toxicity on a background of severe valvular and athe…

An 87-year-old man with Alzheimer's disease died in a residential aged care facility after ingesting Sotalol, a cardiac medication not prescribed to him. The medication trolley was left unlocked and accessible despite fa…

geriatric medicinegeneral practicemedicationproceduralsotalol
QLDcommunity2024-08-21

Inquest into the deaths of Charmaine, Aaleyn, Matilda, Wyatt, and Zaidok McLeod

Female·multiple injuries from motor vehicle collision (for all five deceased)

Charmaine McLeod died by intentionally driving her vehicle into an oncoming truck, killing herself and her four young children (aged 2-6). She had a longstanding history of complex mental health issues (Borderline Person…

psychiatryemergency medicinesystemcommunicationfluvoxamine
VIChospital2024-08-21

Finding into death of Hayley Michelle Impey

50y · Female·Aspiration pneumonia, with epilepsy with frequent seizures as contributory cause

Hayley Michelle Impey, aged 50, died from aspiration pneumonia complicated by epilepsy with frequent seizures. She presented with status epilepticus requiring intubation and transfer to a tertiary hospital. She was extub…

emergency medicineintensive careclonazepam
NSWhospital2024-08-20

Inquest into the death of Ricky Dougie Hampson

36y · Male·perforated duodenal ulcer

Ricky Douglas Hampson, a 36-year-old First Nations man, presented to Dubbo Base Hospital on 14 August 2021 with sudden onset severe abdominal pain and a reported sensation of something popping in his abdomen. He had two …

emergency medicinegastroenterologydiagnosticcommunicationmorphine
VIChospital2024-08-19

Finding into death of Matilda Ruby Armstrong

1y · Female·viral respiratory tract infection (Parainfluenza and Respiratory Syncytial Virus…

Matilda Armstrong, a 12-month-old previously well child, died from viral respiratory tract infection (Parainfluenza and RSV) complicated by Streptococcus pyogenes sepsis following recent COVID-19 infection. She presented…

emergency medicinepaediatricsdelaysystemparacetamol
VIChospital2024-08-14

Finding into death of Gayle Dianne Ireland

63y · Female·Sepsis with multiorgan failure in the setting of limb cellulitis complicating a …

A 63-year-old woman with multiple comorbidities (obesity, chronic lung disease, obstructive sleep apnoea, prior cerebrovascular disease with hemiparesis) sustained a 4cm laceration to her right shin from a motorised whee…

emergency medicineintensive carediagnosticdelayceftriaxone
QLDhospital2024-08-13

Non-inquest findings into the death of RJH

70y · Female·Heart failure due to paroxysmal atrial fibrillation treated with flecainide card…

A 70-year-old woman with complex cardiac history including heart failure, paroxysmal atrial fibrillation, and coronary atherosclerosis presented with urinary tract infection and atrial fibrillation on Christmas Day 2021.…

cardiologyemergency medicinediagnosticmedicationflecainide
VIC2024-08-12

Finding into death of Danielle Cadan

51y · Female·Methemoglobinemia in the context of lignocaine use

Danielle Cadan, 51, died from methemoglobinemia following a tooth extraction under lignocaine anaesthetic at a regional health service. The lignocaine was administered in normal therapeutic dose but triggered this rare l…

dentistryanaesthesiacommunicationsystemlidocaine

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