Coronial
NThospital2005-04-06

Inquest into the death of Peter Wiryal

48y · Male·Cerebrovascular Accident (stroke) caused by subdural haemorrhage, which resulted…

…as discharged from Royal Darwin Hospital on 4 April after initial assessment showed minor injuries (Glasgow Coma Score 13→15). However, he deteriorated over the following days and was admitted to Danila Dilba on 8 April …

emergency medicineneurosurgerydiagnosticcommunicationalcohol
VIChome2016-02-29

Finding into death of Yamini Bhadrayu Patel

48y · Female·Ischaemic brain injury secondary to toxicity to tramadol and temazepam

A 48-year-old woman died from ischaemic brain injury caused by overdose of tramadol and temazepam. She was found unresponsive at home on 10 October 2009 after consuming these medications. Her family and GP Dr D. failed t…

general practiceintensive carediagnosticdelaytramadol
VIChospital2014-01-21

Finding into death of Eddie Teck Chuan Lee

66y · Male·Intracerebral haemorrhage

A 66-year-old man with intracerebral haemorrhage and concurrent deep vein thrombosis died following an accidental tenfold heparin overdose. The patient received 20,000 units instead of 2,000 units due to a nurse misreadi…

neurosurgeryneurologymedicationsystemheparin
NSWmental health2025-03-28

Inquest into the death of NL

62y · Male·cardiac arrhythmia secondary to prolongation of the QT interval

NL, a 62-year-old man with schizoaffective disorder and hypothyroidism, died of cardiac arrhythmia secondary to QT prolongation while an involuntary mental health inpatient. He had a known history of non-compliance with …

psychiatryendocrinologydiagnosticcommunicationthyroxine
QLD2011-11-03

Currie, Sheldon Douglas

18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…

…tion from correctional officers about the severity or duration of symptoms. He was found in a hypoglycaemic coma the next morning and transferred to hospital where he died four days later from massive hepatic necrosis. K…

general practicegastroenterologydiagnosticcommunicationflucloxacillin
VICcustody2017-04-10

Finding into death of Michael John Darmody

51y · Male·Combined drug toxicity (methadone and benzodiazepines) in a man with coronary an…

Michael Darmody, 51, died in police custody from combined drug toxicity in the setting of underlying coronary and cerebrovascular disease. He was remanded overnight and found unconscious at 6.01am. Key clinical lessons: …

emergency medicineintensive carecommunicationdiagnosticmethadone
NThospital2026-01-09

Inquest into the death of C Guyula

49y · Female·Hypoxia due to complications following incision and drainage of a right buttock …

A 48-year-old woman with multiple comorbidities (diabetes, COPD, chronic kidney disease, ischaemic heart disease) died following complications of anaesthesia during incision and drainage of a buttock abscess. Critical fa…

anaesthesiasurgeryproceduralmedicationfentanyl
QLDcommunityPodcast2013-04-12

Maitland, Michelle

19y · Female·severe head injury due to fall during gymnastics on Tumbl Trak, striking uncover…

A 19-year-old female gymnast died from severe head injury after falling from a Tumbl Trak apparatus and striking exposed concrete flooring at a gymnastics club. She was performing a complex sequence involving a round-off…

neurosurgeryemergency medicinesystemcommunicationcannabis
QLD2012-12-14

Mitchell, Herbert John

50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…

…nce Service assessed him as medically fit to remain in custody after vital signs checked normal and Glasgow Coma Scale was 15/15. Despite ongoing monitoring by police, Mitchell suffered cardiorespiratory arrest at 3:21pm…

emergency medicineintensive carediagnosticsystemalcohol
WAcommunity2010-12-21

Inquest into the Death of Njana

24y · Male·left intracerebral haemorrhage and consequential brain bleeding resulting from h…

Hendrick Njana, a 24-year-old Aboriginal male, was assaulted on 27 December 2008 by Shaun Steven Midd at a service station in Broome, suffering a strike to the head causing unconsciousness, kicks to the head with steel-c…

emergency medicineintensive carecommunicationdelayalcohol
NSWhome2018-07-27

Inquest into the death of Alissa Campbell

26y · Female·Multiple drug toxicity

Alissa Campbell, aged 26, died from accidental drug overdose caused by multiple prescription medications—predominantly codeine and doxepin in combination with benzodiazepines. She had accessed prescription drugs from at …

general practiceaddiction medicinediagnosticmedicationcodeine
NSWcustody2021-11-19

Inquest into the death of Danny Whitton

25y · Male·Multiple organ failure due to acute paracetamol poisoning

…riate reliance on a doctor's physical attendance delayed hospitalisation. By 7 November Danny had a Glasgow Coma Scale of 11 indicating serious deterioration, yet was not transferred to hospital until afternoon despite c…

emergency medicinetoxicologydiagnosticcommunicationparacetamol

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