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WAhospital2019-12-20

Inquest into the Death of Child TJW

7y · Female·aspiration pneumonia leading to multi-organ failure in a female child with compl…

A child with severe cerebral palsy, hypoxic ischaemic encephalopathy, microcephaly and seizure disorder died of aspiration pneumonia leading to multi-organ failure. Born with severe perinatal brain injury, she had comple…

paediatricsneurologymorphine
NSWhome2019-12-20

Inquest into the deaths of TC and SN

Female·Hanging

This finding concerns the deaths of TC, a young mother, and SN, her 17-month-old daughter, who died by hanging on 21 September 2015 in Campsie, NSW. SN had significant life-limiting medical conditions including bilateral…

paediatricspsychiatrycommunicationsystem
NSWaged care2018-09-25

Inquest into the death of Melissa STANDEN

13y · Female·Hanging

Melissa Standen, a 13-year-old with profound physical and cognitive disabilities (mosaicism), died from hanging at Westmead Children's Hospital after falling from a hospital bed at Allowah respite facility. She became en…

paediatricsoccupational therapydiagnosticsystem
VIC2018-07-30

Finding into death of June Shirley Dangerfield

88y · Female·Multiple injuries (neck, chest, abdomen)

June Shirley Dangerfield, 88 years old, died from multiple injuries after a motor vehicle collision on 22 November 2016. She had been declared unfit to drive by her GP following pneumonia and sepsis in early 2016, but su…

emergency medicinegeneral practicesystemcommunicationketamine
VIChome2018-06-06

Finding into death of Rohan Grindrod

41y · Male·Sudden unexpected death in epilepsy (SUDEP)

Rohan Grindrod, a 41-year-old man with acquired brain injury and epilepsy following a 2007 motor vehicle accident, died of Sudden Unexpected Death in Epilepsy (SUDEP) at his home on 16-17 November 2011. He had a Personal…

neurologyoccupational therapysystemcommunicationcarbamazepine
QLDhospital2018-05-11

Orton, David - Non-inquest findings

41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…

David Orton, a 41-year-old man with cerebral palsy, intellectual disability, and severe kyphoscoliosis, died from cerebral hypoxia and bronchopneumonia complicated by toxic megacolon and Salmonella infection. Over 18 mon…

general medicinegastroenterologydiagnosticcommunicationmovical
WAmental health2017-06-22

Inquest into the Death of Annette SILVER

47y · Female·Multiple injuries from being struck by a train

A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital for psychiatric t…

psychiatrypsychologysupervisionsystemcitalopram
VIChospital2016-12-30

Finding into death of Shirley Goodall

66y · Female·Pneumonia in a woman with multiple medical comorbidities

Shirley Goodall, 66, with intellectual disability, bipolar disorder, and aortic valve regurgitation, died of pneumonia in November 2016. She had been admitted to hospital in late September with upper respiratory tract in…

general practicecardiology
QLDcommunity2016-12-21

Capps, Ruth

75y · Female·multiple injuries due to or as a consequence of motor vehicle collision

Ruth Capps, 75, died in a motor vehicle collision after drifting into oncoming traffic. She had multiple medical conditions including diabetes, sleep apnoea, chronic back pain, osteoarthritis, and recurrent falls. Despit…

general practiceoccupational therapydiagnosticcommunicationnitrazepam
WAhome2016-11-28

Inquest into the Death of JBA (Subject to Suppression Order)

17y · Male·bronchopneumonia following epileptic seizure in a boy with a history of cerebral…

A 17-year-old boy with severe cerebral palsy, global developmental delay, and epilepsy died of bronchopneumonia following an epileptic seizure at home in Western Australia. Born in 1997 with congenital brain stem abnorma…

general practiceorthopaedic surgerysodium valproate
NSWhome2015-10-09

Inquest into the deaths of Geoffrey Francis Hunt, Kim Jeanine Hunt, Fletcher Austin Hunt, Mia Isobel Hunt, Phoebe Amelia

Male·Gunshot wound to the head

Five family members were killed by gunshot on the evening of 8 September 2014 at Watch Hill farm, NSW. Geoffrey Hunt shot his wife Kim and their three children (Fletcher aged 10, Mia aged 8, and Phoebe aged 6) before tak…

psychiatrypsychologycitalopram
VIChome2015-10-08

Finding into death of Edna May Pullen

93y · Female·Subdural haemorrhage in the setting of a fall (palliated)

A 93-year-old woman with a history of falls was discharged from hospital following treatment for subdural haematoma from a prior fall. Discharge planning included a home assessment by occupational therapy, during which t…

neurosurgerygeriatric medicine
VICmental health2015-09-24

Finding into death of Elaine Elizabeth Sykes

58y · Female·Multiple injuries sustained in collision with train (pedestrian)

Elaine Sykes, aged 58, was admitted to Dandenong Hospital with acute renal failure and severe mental health deterioration. After 47 days at Acacia Mental Health Unit, she demonstrated substantial improvement and was disc…

psychiatrygeneral medicinesystemcommunication
VIChome2015-08-28

Finding into death of Cheryl May Currie

39y · Female·smoke inhalation

Cheryl May Currie, 39, with complete paraplegia from a 1998 spinal cord injury, died from smoke inhalation in a bedroom fire on 12 June 2009. The fire was caused by smoking in bed. Investigation revealed critical systemi…

general practiceoccupational therapysystemcommunicationolanzapine
QLD2015-08-11

Garrels, Jason Jon

27y · Male·Electrocution causing cardiac arrest

A 27-year-old labourer, Jason Garrels, died from electrocution after contacting a metal construction switchboard with live 240V wiring on 27 February 2012. The coroner found critical failures in electrical safety complia…

occupational and environmental healthemergency medicinediagnosticprocedural
WAhome2015-07-22

Inquest into the Death of Armarnie-Bree ELLIOTT

2y · Female·pneumonia in a child with reported recent flu-like illness (multiple viral detec…

Armarnie-Bree Elliott, a 2-year-old with Angelman syndrome, died from pneumonia complicated by oxycodone toxicity. She developed flu-like symptoms in late April while at a women's refuge. On 2 May evening, appearing incr…

paediatricsgeneral practiceoxycodone
VIChome2015-07-20

Finding into death of Hazel Angela Bampton

67y · Female·Pulmonary thromboembolus secondary to deep vein thrombosis in the setting of con…

A 67-year-old woman with obesity (BMI 35.88), type 2 diabetes and hypercholesterolaemia fell from a ladder on 14 December 2011, sustaining a partial Achilles tendon rupture. She was immobilised in plaster and discharged …

emergency medicineorthopaedic surgerysystem
VIChome2015-05-08

Finding into death of Nilesh Sharma

36y · Male·Hanging (Mr Sharma); Homicide by smothering/suffocation or chloroform exposure (…

Nilesh Sharma, a 36-year-old Fiji Indian man, killed his wife Preetika, son Divesh (5 years old), and daughter Divya (3 years old) between 28-29 April 2012, then died by hanging. Evidence suggests he exposed them to chlo…

rehabilitation medicineneurologycommunicationsystemchloroform
SAhome2014-06-17

Coroner's Finding: KOLBIG Drew Robin

37y · Male·stab wound to the chest penetrating the heart

A 37-year-old man with schizophrenia and a history of command auditory hallucinations died by self-inflicted stab wound to the chest. Released from psychiatric hospital on 11 April 2011 on voluntary arrangements without …

psychiatryoccupational therapydiagnosticcommunicationquetiapine
NTcommunity2014-05-27

Inquest into the death of Benjamin Wilton

29y · Male·severe burns sustained in motor vehicle fire following collision

29-year-old Benjamin Wilton was killed in a horrific car fire following a rear-end collision with a vehicle driven by 67-year-old Robert Spencer on a Darwin highway. Spencer had suffered a stroke in 2003 with residual co…

neurologycardiologydiagnosticsystem

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