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VIChospital2024-08-12

Finding into death of Heather Maree Smith

64y · Female·Complications of hospital acquired pneumonia and COVID-19 infection

Heather Maree Smith, a 64-year-old woman with severe cerebral palsy and multiple comorbidities residing in specialist disability accommodation, died from complications of hospital-acquired pneumonia and COVID-19 infectio…

general practiceemergency medicineantibiotics
TAShome2024-08-09

Coroner's Finding: Mansell-Moore, Codie

17y · Male·epileptic seizure complicating idiopathic epilepsy

17-year-old Codie Mansell-Moore died from epileptic seizures on 10 December 2018. An ambulance was called at 6:09am while he was seizing, but paramedics staged around the corner and did not enter his home for 48 minutes …

emergency medicineparamedicinecommunicationsystemlevetiracetam
VIChospital2024-08-08

Finding into death of Alan Edward Stewart

70y · Male·haemoperitoneum and ruptured spleen following colonoscopy

Alan Stewart, aged 70, died from a ruptured spleen about 24 hours after an elective colonoscopy at Royal Melbourne Hospital. The splenic injury resulted from mechanical trauma during the procedure—an extremely rare compl…

gastroenterologyemergency medicinediagnosticcommunication
VIChome2024-08-08

Finding into death of Alan Edward Stewart

70y · Male·haemoperitoneum secondary to ruptured spleen following colonoscopy

Alan Edward Stewart, aged 70, died from haemoperitoneum due to splenic rupture following routine colonoscopy at Royal Melbourne Hospital on 15 August 2018. The splenic injury was caused by mechanical trauma from the colo…

gastroenterologyemergency medicinecommunicationsystemparacetamol
VIChospital2024-08-06

Finding into death of Noah Andrew Souvatzis

1y · Male·acute meningitis from Streptococcus pneumoniae, associated with diffuse brain sw…

Noah Souvatzis, a 19-month-old boy, died from Streptococcus pneumoniae meningitis on 31 December 2021 after presenting to Northeast Health Wangaratta ED on 29 December. Critical failures in his first ED presentation incl…

emergency medicinepaediatricsdiagnosticproceduralondansetron
TAShospital2024-08-05

Coroner's Finding: Whitney, David Ian

73y · Male·sepsis due to ischemic gut due to occlusion of the superior mesenteric artery

A 73-year-old man presented with acute severe abdominal pain caused by superior mesenteric artery (SMA) occlusion. Initial CT angiogram at 12:30am was reported as normal; the SMA occlusion was not identified until 4:45am…

emergency medicineradiologydiagnosticcommunication
VIChospital2024-08-02

Finding into death of Kevin Arthur Stanton

76y · Male·Urosepsis in a man with spastic quadriplegia, cerebral palsy, epilepsy and chron…

Kevin Arthur Stanton, a 76-year-old man with spastic quadriplegia, cerebral palsy, epilepsy, and chronic kidney disease living in supported disability accommodation, died from urosepsis. He was admitted to Austin Hospita…

general medicineemergency medicine
WAhome2024-07-31

Inquest into the Death of Joseph Charles ABELA

34y · Male·Gunshot injuries to chest and left shoulder

Joseph Abela, a 34-year-old with chronic paranoid schizophrenia and polysubstance use, died from gunshot wounds inflicted by police during a mental health welfare check on 25 October 2021. Critical clinical failures prec…

psychiatrycorrectional healthdiagnosticsystemhaloperidol
QLDhospital2024-07-30

PATELESIO, Etevise

29y · Female·Hypoxic-ischaemic encephalopathy due to cardiac arrest of undetermined cause

A 29-year-old woman with multiple comorbidities (Turner syndrome, type 1 diabetes, end-stage renal disease) presented to the ED in acute behavioural disturbance, requiring physical and chemical restraint. She received 5m…

emergency medicineintensive caremonitoringsystemdroperidol
VICcommunity2024-07-30

Finding into death of James Bradley Barella-Dick

35y · Male·head injury sustained in an electric unicycle accident

A 35-year-old experienced e-unicyclist died from catastrophic head injuries after crashing into a barrier post on a shared bicycle trail. He was riding at excessive speed (estimated 40km/h), riding on the wrong side of t…

forensic medicineemergency medicinealcohol
VIChospital2024-07-30

Finding into death of Jason Nicholas Hosie

48y · Male·Aspiration pneumonia in a man with Angelman syndrome

Jason Hosie, a 48-year-old man with Angelman syndrome and profound intellectual disability, died from aspiration pneumonia following a lung infection. He was residing in specialist disability accommodation. In December 2…

neurologyrespiratory medicine
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

Shane Pappas, a 54-year-old man with ischaemic heart disease, died from quetiapine toxicity after deliberately overdosing on multiple medications on 29 June 2021. He had experienced a recent relationship breakdown and pr…

psychiatryemergency medicinediagnosticcommunicationquetiapine
VICcommunity2024-07-29

Finding into death of Andrew David Berry

41y · Male·sympathomimetic syndrome

Andrew Berry, a 41-year-old man with a long history of methamphetamine use and criminal offending, died of sympathomimetic syndrome following arrest by police on 14 January 2020. He was arrested after attempting to break…

emergency medicineforensic medicinesystemdelaymethamphetamine
VIChome2024-07-26

Finding into death of Mr KE

36y · Male·Neck compression secondary to hanging

A 36-year-old man with a history of depression, anxiety, and alcohol dependence died by suicide during the COVID-19 pandemic following job loss. He presented to a psychotherapist with suicidal ideation, multiple risk fac…

general practicepsychologysystemcommunicationsertraline
ACThospital2024-07-25

Inquest Into The Death Of Katherine Aurelia Alexander

34y · Female·multiple drug toxicity

Katherine Alexander, a 34-year-old woman with chronic suicidality and complex mental health conditions including bipolar II disorder, borderline personality disorder, and PTSD, died from multiple drug toxicity on 7-8 Feb…

psychiatryemergency medicinecommunicationsystemdosulepin
TAShospital2024-07-25

Coroner's Finding: Briffa, Gennette Anne

73y · Female·sepsis due to breakdown of oesophageal/gastric anastomosis following laparoscopi…

A 73-year-old woman died from sepsis due to breakdown of oesophageal/gastric anastomosis following laparoscopic revision of gastric bypass surgery. She had complex medical history with multiple post-operative complicatio…

bariatric surgerygeneral surgerydiagnosticdelayapixaban
VIChospital2024-07-25

Finding into death of Nathan Ruan Roy Greenwood

18y · Male·Sodium nitrite toxicity

Nathan Greenwood, an 18-year-old with a history of anxiety and depression managed in primary care, died from sodium nitrite toxicity after intentionally consuming 30 grams of the substance. He had been under care at his …

general practicepsychiatrysystemdelaysodium nitrite
VIChospital2024-07-23

Finding into death of Laurence Maxwell Attwood

68y · Male·Ischaemic infarction of the right cerebral hemisphere and cerebellum due to thro…

A 68-year-old man died from ischaemic stroke (basilar artery and right posterior cerebral artery thrombosis) seven days after being struck by a motor vehicle while attempting to cross Warrigal Road, Hughesdale. The colli…

trauma surgeryneurosurgerysystem
WAmental health2024-07-19

Inquest into the Death of Phillip Benjamin VELTMAN

49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…

Phillip Veltman, 49, died of unascertained cause (likely cardiac arrhythmia with terminal aspiration) while an involuntary psychiatric patient at Bentley Mental Health Services. He presented to Royal Perth Hospital ED on…

psychiatryemergency medicinecommunicationsystemketamine
VIChospital2024-07-12

Finding into death of Wayne Duncan Miller

55y · Male·Multiorgan failure and septic shock complicating parasitic gastrointestinal infe…

A 55-year-old man with severe intellectual disability and multiple comorbidities died from multiorgan failure and septic shock due to parasitic gastrointestinal infection. He presented on 15 July with head banging and or…

general practiceemergency medicineparacetamol

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