Coronial
WAhospital2023-03-30

Inquest into the Death of Hugh WARD

89y · Male·Complications of cerebrovascular accident (stroke); specifically a catastrophic …

Hugh Ward, an 89-year-old sentenced prisoner, died from complications of stroke following an embolic cerebrovascular accident at Sir Charles Gairdner Hospital. While incarcerated, Mr War…

neurologycardiologycommunicationsystemwarfarin
VIChome2024-12-16

Finding into death of Geoffrey Paul McConachy

82y · Male·Incised injury to right leg

Geoffrey McConachy, 82, died by suicide on 18 September 2023 following a stroke in late 2022 that caused speech impairment and severe depression. He explicitly expressed suicidal ideatio…

psychiatrygeneral practicecitalopram
SAhospital2020-07-02

Coroner's Finding: SWINGLER Yvonne Mary

86y · Female·multi-organ failure due to sepsis

An 86-year-old woman with dementia, recent stroke, and multiple comorbidities was admitted with acute delirium and paranoia, subsequently placed on an Inpat…

psychiatryemergency medicinemorphine
VIChospital2025-07-28

Finding into death of Ann Williams

71y · Female·Aspiration pneumonia complicating dysphagia and status epilepticus

…rogressive respiratory symptoms and was found to have pneumonia, atrial flutter, seizures, and evidence of stroke. She deteriorated despite treatment and was transitioned to end-of-life care, dying on 28 September 2024. …

emergency medicinerespiratory medicine
QLDhome2008-12-11

Fenner, Christine Maria

48y · Female·Unknown

…cumstances unknown. The case illustrates the importance of recognizing acute medical emergencies (possible stroke or serious systemic illness) and the need for family members or carers to seek emergency medical assistanc…

delaysystem
TAScommunity2022-07-22

Coroner's Finding: Fraser, Stella Joan

72y · Female·drowning

…ning in the Ouse River on 4 June 2021 after leaving the Lachlan Hotel in the evening. She had a history of stroke (2013) with resulting cognitive decline and mobility limitations, and dementia. The coroner found she most…

QLDhospital2023-01-24

Smith, David Frederick

45y · Male·Haemorrhagic transformation of cerebral infarction, due to bilateral internal ca…

…ssential thrombocytosis with bilateral internal carotid artery thrombosis. He developed an acute ischaemic stroke on 9 July 2019 whilst in custody at Woodford Correctional Centre and was transferred to tertiary care. Des…

haematologyneurologysystemrivaroxaban
VIC2026-03-24

Finding into death of Robert Walter Burnett

85y · Male·Aspiration pneumonia in the setting of ischaemic heart disease, type 2 diabetes …

… aspiration pneumonia in a prison healthcare setting while receiving palliative care. He had experienced a stroke two years prior resulting in cognitive decline and required assistance with all daily activities. On the e…

palliative caregeriatric medicinemetoclopramide
QLD2012-11-02

Lowe, George Robert

80y · Male·Multiple injuries due to motor vehicle collision (driver)

…. The coroner suspected Mr Lowe suffered a sudden undiagnosed health event (possible cardiac arrhythmia or stroke) that degraded his judgment and vehicle control, as his behaviour was completely out of character. The col…

VICaged care2013-06-12

Finding into death of Colin Frederick Toogood

66y · Male·Undetermined - natural causes; likely sudden cardiac arrhythmia

…good, a 66-year-old man with a long history of intellectual disability, epilepsy, brain injury, and remote stroke, died suddenly while using the toilet in residential care. He complained of neck soreness before the event…

forensic medicineneurologycarbamazepine
VIChospital2015-07-29

Finding into death of Beatrix Dammers

56y · Female·Intracranial haemorrhage whilst undergoing intravenous heparin therapy

…rivate Hospital with severe headache and eye symptoms on 16 June 2007. An ED physician diagnosed ischaemic stroke based on a subtle CT finding in the absence of focal neurological signs, which was not a reasonable diagno…

emergency medicineneurologydiagnosticmedicationenoxaparin
VICcommunity2016-06-07

Finding into death of Simon Mark Everill

55y · Male·Complications of right middle cerebral artery infarction

…g for Mr Everill were found to have acted diligently and professionally. The clinical lesson is that acute stroke symptoms can be difficult to distinguish from seizure activity in patients with epilepsy, particularly whe…

general practiceemergency medicinediagnosticcommunicationsimvastatin
TASaged care2025-05-26

Coroner's Finding: de-identified GJ

94y · Male·aspiration pneumonia due to stroke following surgery to repair fracture of neck …

A 94-year-old man with dementia died from aspiration pneumonia following a stroke after hip surgery. The stroke and hip fracture resulted from being pushed by another resident with Alzheim…

geriatric medicineorthopaedic surgerysystemdelayoxazepam
SAhospital2014-11-28

Coroner's Finding: BLAIN Kathleen Olive Florence

79y · Female·acute myocardial infarction and acute pulmonary oedema

A 79-year-old woman with stroke and cardiac history was admitted for rehabilitation but developed treatment-resistant depression. Despite …

psychiatrycardiologymirtazapine
WAhospital2015-10-08

Inquest into the Death of Charles William MAPP

82y · Male·Pneumonia in an elderly man with advanced lung cancer (squamous cell carcinoma)

…inflicted gunshot wound. In November 2013, he was diagnosed with terminal lung cancer and had a subsequent stroke increasing aspiration risk. He was deemed high-risk for aspiration and a nasogastric tube was not tolerate…

psychiatrypalliative care
SAhospital2020-10-12

Coroner's Finding: MANSVELDERS Henri Martinus Bernardus

79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…

… suicidal ideation. While detained, he suffered a massive right middle cerebral artery territory ischaemic stroke caused by atherosclerotic internal carotid artery occlusion. He was appropriately transferred to a tertiar…

psychiatryneurologymorphine
WAcommunity2025-07-09

Inquest into the Death of Travis Barry Mark Kimberly HART

33y · Male·Heat stroke (environmental exposure) in a man with methylamphetamine effect

Travis Hart, 33, died from heat stroke with methylamphetamine effect after abandoning a vehicle during a police intercept in bushland near Kalgoo…

emergency medicineforensic medicinedelaycommunicationmethamphetamine
WAcommunity2014-11-07

Inquest into the Suspected Death of John Joseph Moran

69y · Male·unknown

…of mental health problems including schizophreniform psychosis and organic delusional disorder following a stroke, disappeared in February 2006 while in a remote area of Western Australia. He had been found confused in O…

psychiatryneurology
VIChospital2024-12-12

Finding into death of BCA BCA

60y · Female·Complications of urinary tract disease in the setting of COVID pneumonitis on th…

A 60-year-old woman with complex comorbidities (diabetes, post-stroke paralysis, hypertension, ischaemic heart disease) residing in specialist disability accommodation tested p…

general practicegeneral medicineinsulin
WAhospital2018-03-22

Inquest into the Death of Steven John COLLOFF

47y · Male·Organ failure following use of synthetic cannabinoids and consequent hyperthermi…

A 47-year-old man died from organ failure following synthetic cannabinoid use and consequent heat stroke. After smoking synthetic cannabinoids (AB-CHMINACA and 5F-AMB), he became confused and dehydrated in a hot…

toxicologyintensive careab-chminaca

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