Coronial
QLDhospital2009-10-07

Hildebrandt, Talisha

Female·meconium aspiration

… management even on a Sunday and stated earlier intervention would not have changed the outcome. Maternal smoking may have been a contributing factor. The coroner made no adverse findings against medical staff and recom…

obstetricsmidwifery
WA2016-10-10

Inquest into the Death of Hayder SAYED

30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…

…veloped a large anteroseptal myocardial infarction between 4-18 August 2010, likely precipitated by heavy smoking (60 cigarettes/day). He remained asymptomatic and collapsed on 21 August from ventricular fibrillation. E…

cardiologyemergency medicinemirtazapine
WAmental health2015-11-30

Inquest into the Death of Frances May COOPER

48y · Female·Head injury

…ack of formal risk assessments, poor family communication, gaps in community care, a Department of Health smoking prohibition policy forcing patients to leave the ward, and insufficient psychiatric continuity. The decis…

psychiatryemergency medicineproceduralsystemrisperidone
WAhospital2024-01-12

Inquest into the Death of Herbert William MACKAY

45y · Male·complications associated with metastatic adenocarcinoma of the lung, treated pal…

…e care capabilities, and endorsed the prison system's smoke-free initiative, though there was no evidence smoking directly caused his cancer.

oncologycardiothoracic surgery
TAShome2021-10-11

Coroner's Finding: Parsons, Anna Maree

53y · Female·Unintentional mixed prescription drug toxicity (morphine and diazepam) together …

…l mixed prescription drug toxicity (morphine and diazepam) combined with advanced lung disease from heavy smoking. She consumed morphine (Ordine) supplied by a friend without medical supervision, on top of her regular p…

general practiceemergency medicinemorphine
TAShome2015-03-20

Coroner's Finding: Davis, Ross James

56y · Male·Complications of intravenous drug use

…tions of intravenous opioid use. He had severe chronic obstructive pulmonary disease exacerbated by heavy smoking, chronic pain, and opioid addiction. Despite two prior presentations to hospital with cardiorespiratory a…

general practiceemergency medicinemorphine
VIChome2026-05-19

Finding into death of QRB QRB

32y · Female·Effects of fire

…ty legal requirements. The deceased had likely disabled the smoke alarms due to nuisance activations from smoking and burning candles/incense. The fire's origin was likely an electrical fault or ignition from combustibl…

methamphetamine
QLDcommunity2007-01-19

Tyssen, Mario Emmy

45y · Male·Coronary artery disease due to severe atherosclerosis; acute myocardial infarcti…

…ite multiple opportunities during medical assessments in 2004. He had uncontrolled risk factors including smoking, poorly controlled Type 2 diabetes, and hypercholesterolaemia. The coroner found no failure of duty of ca…

cardiologycorrectional healthmetformin
WA2022-07-06

Inquest into the Death of Paul Stephen KEATING

60y · Male·atherosclerotic heart disease (cardiac arrhythmia secondary to severe long-stand…

…about lifestyle modification and medication adherence, Keating frequently declined medications, continued smoking heavily, and refused routine health reviews. When he suffered cardiac arrest on 11 May 2020, prison nurse…

cardiologycorrectional healthamiodarone
VIChospital2022-03-09

Finding into death of Daniel McQuilken

68y · Male·Lung cancer

…astatic lung cancer. His lung cancer diagnosis was made while detained, likely related to his significant smoking history and prior asbestos and occupational exposure. Throughout his detention, Mr McQuilken received rea…

oncologyrespiratory medicinechemotherapy agents
QLDhospital2019-12-05

Skilton, Robert Douglas

73y · Male·Lung cancer (squamous cell carcinoma)

…, aged 73, died of advanced squamous cell carcinoma of the lung while in prison custody. He had a 59-year smoking history and consistently declined medical care throughout 43 years of incarceration, with up to 5-year ga…

respiratory medicineoncologysystemmorphine
TAShome2020-03-09

Coroner's Finding: MH

0y · Female·Suffocation due to unsafe sleeping environment with overlying and/or bedding ent…

…focation as the likely cause, either by overlying or bedding entanglement. Risk factors included maternal smoking despite safe sleep education at health assessments, poor home hygiene, and prematurity. The parents were …

paediatricsforensic medicinesystem
ACThospital2023-05-19

Inquest into the death of NICOLE LOUISE ABBOTT

43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…

…ations of morbid obesity (BMI 54.4) including progressive respiratory and cardiac failure, exacerbated by smoking and obstructive sleep apnoea. She was subject to a Psychiatric Treatment Order for schizophrenia at time …

psychiatrycardiologyzuclopenthixol
SAhome2020-07-16

Coroner's Finding: KEIPERT Mathew James

44y · Male·Ischaemic heart disease due to coronary atherosclerosis

…hile on home detention bail. He had significant cardiovascular risk factors including hypertension, heavy smoking (40 cigarettes daily for 30 years), and substance abuse history. In August 2018, he presented with bilate…

cardiologygeneral practicediagnosticdelaybuprenorphine
TAS2020-04-20

Coroner's Finding: Petterwood, Michael Lewis

59y · Male·atherosclerotic coronary vascular disease

…n weeks before death, occupational health screening identified cardiovascular risk factors (hypertension, smoking, high cholesterol) with a referral letter for GP follow-up, which he did not pursue. He collapsed during …

occupational and environmental healthcardiologydelay
TAS2018-09-14

Coroner's Finding: Ronald Grundy, Aaron Jeffrey and Ian Smith

Three separate cases: (1) Ronald Grundy - advanced atherosclerotic coronary vasc…

…is; his treatment was adequate and appropriate. Aaron Jeffrey (55) died of terminal lung cancer caused by smoking; palliative care was provided appropriately in the prison facility per his wishes. Ian Smith (46) died of…

cardiologyrespiratory medicineantibiotics
VIChospital2023-04-03

Finding into death of David Bramwell Van Vledder

48y · Male·Drowning

…nt clinicians could not recognise that his request for a cigarette was inconsistent with his reported non-smoking status, which may have alerted them to his true intent to abscond. Early assessment and management of nic…

emergency medicinepsychiatrydiagnosticcommunicationsertraline
NSW2022-11-22

Inquest into the death of Kai McEwan

25y · Male·Ruptured berry aneurysm and sequelae resulting in catastrophic subarachnoid and …

…morrhage with brain death ensuing. He had undiagnosed hypertension and significant risk factors including smoking and substance abuse. Although he had reported headaches in the preceding days and received aspirin treatm…

neurosurgeryintensive careaspirin
TAShospital2019-03-22

Coroner's Finding: Morris, Jason Simon

48y · Male·metastatic squamous cell carcinoma of the lung

Jason Simon Morris, a 48-year-old man with a history of heavy smoking and alcohol abuse, was diagnosed with stage four metastatic small cell lung cancer while imprisoned in Ju…

oncologypalliative care
VIChospital2011-10-26

Finding into death of John Threadgold

55y · Male·Cardiopulmonary arrest, respiratory failure and chronic obstructive airways dise…

…ion and Recovery Care unit. His condition deteriorated with worsening breathlessness exacerbated by heavy smoking. He was readmitted to the ED on 6 August 2010 with acute myocardial infarction and COAD exacerbation, dee…

psychiatryemergency medicinecommunicationsystemantipsychotic medications

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