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QLD2011-12-16

Thompson, Grace

75y · Female·Haemorrhage due to chest and abdominal injuries sustained in motor vehicle colli…

Grace Thompson, 75, died from haemorrhage due to chest and abdominal injuries sustained in a head-on motor vehicle collision on 29 June 2010. The crash occurred when Ms Tanya Smith, driving under the influence of alcohol…

emergency medicinetrauma surgeryalcohol
NThospital2011-10-14

Inquest into the death of Kerisha Slim

8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma

An 8-year-old Aboriginal girl died from chronic myocarditis following chemotherapy for sialoblastoma (salivary gland cancer). She had completed chemotherapy and surgery with good response when complications arose. During…

oncologypaediatricsdiagnosticepirubicin
NTcommunity2011-07-27

Inquest into the death of Marilyn Lalara

48y · Female·acute myocarditis resulting from systemic viral infection

A 48-year-old Aboriginal woman with chronic diseases (diabetes, COPD, ischaemic heart disease) presented with ongoing chest infection symptoms across multiple clinic visits between 30 March and 4 April 2010. Despite five…

emergency medicinecardiologydiagnosticdelayantibiotics
VIChospital2011-05-18

Finding into death of Hannah Paige Pain Fowler

11y · Female·Sepsis due to acute peritonitis secondary to perforated gangrenous acute appendi…

Hannah Fowler, aged 11, died from sepsis secondary to perforated gangrenous acute appendicitis. She presented with progressive abdominal pain, vomiting, anorexia and malaise over four days before sudden deterioration and…

paediatricsemergency medicinediagnosticdelayparacetamol
VIChome2010-11-05

Finding into death of Veronica Therese Campbell

38y · Female·complications following a ruptured ectopic pregnancy

Veronica Campbell, age 38, died on 31 December 2008 from complications of a ruptured ectopic pregnancy. She presented to Cobram District Hospital with severe pain and was diagnosed with a possible ectopic pregnancy requi…

emergency medicineobstetricscommunicationdelaymorphine
NSWhospital2010-07-22

Finding helanisirianni257 08 dscmitchell

Female·Hypoxic ischaemic encephalopathy following hypovolaemic shock and multi-organ fa…

Helani Sirianni, born 8 February 2008, died less than 3 days later from subgaleal haemorrhage and multi-organ failure. She was delivered by vacuum extraction after labour complicated by fetal distress. The vacuum extract…

obstetricsmidwiferydiagnosticcommunication
VICcommunity2010-04-12

Finding into death of Veronica Campbell

23y · Female·complications of ruptured ectopic pregnancy with massive intra-abdominal haemorr…

A 23-year-old woman with a ruptured ectopic pregnancy at a rural hospital required urgent transfer to a tertiary centre. The initial response was classified as routine, and the first ambulance crew arrived late without a…

emergency medicineobstetricscommunicationsystemmorphine
NSW2010-02-16

Coroner's Finding: Shannon Abby-Rose Rankin

11y · Female·Drowning following entrapment on the active main drain of the spa pool

An 11-year-old girl drowned in a spa pool at a residential apartment complex after becoming entrapped on an active main drain filter. The drain had been completely blocked during construction by cement, aggregate, and ot…

intensive careretrieval medicineproceduralsystem
WAhospital2009-09-11

Inquest into the Death of Gordon

1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)

Jezelle Lisa Gordon, a 1-year-old child, died of staphylococcal pneumonia on 26 February 2006 in Port Hedland, Western Australia. She presented to Halls Creek Hospital on 25 February with fever, elevated respiratory rate…

general practiceemergency medicinediagnosticdelayparacetamol
QLDhospital2008-09-12

Neville, Elise Susannah

10y · Female·Head injuries due to fall from a bunk bed

Elise Neville, aged 10, fell from a non-compliant bunk bed and sustained a head injury. At her first ED presentation to Caloundra Hospital at 3:25am, Dr D.—a junior house officer 19 hours into a 24-hour shift—failed to p…

emergency medicineneurosurgerydiagnosticcommunicationmannitol
NTcommunity2008-09-01

Inquest into the death of Peter Limbunya

78y · Male·pneumonia with dehydration and exposure to heat as contributing factors

Peter Limbunya, a 78-year-old Aboriginal elder, died from pneumonia complicated by dehydration and exposure after being left unattended at a remote airstrip following hospital discharge. He was not accompanied by a requi…

emergency medicinegeneral practicecommunicationsystem
WAhospital2008-07-28

Inquest into the Death of kidner

41y · Male·Head Injury in a Man with Acute Alcohol Intoxication; basal skull fracture with …

Ronald Gregory Kidner, 41, died from a basal skull fracture and severe head trauma on 25 October 2004, four days after falling at a recreation club while acutely intoxicated. He presented to Nickol Bay Hospital with sign…

emergency medicinegeneral medicinediagnosticcommunicationalcohol
QLD2007-11-28

Tanner, Marjorie Joyce

Female·Coronary atherosclerosis with ischaemic small bowel and Alzheimer's disease

Marjorie Joyce Tanner, an elderly woman with Alzheimer's disease, presented to Maryborough Hospital with a three-day history of abdominal pain, distension, and vomiting. Initially diagnosed with simple constipation and t…

general medicinesurgerydiagnosticsystemmetoclopramide
WAhospital2006-12-05

Inquest into the Death of Steele

63y · Male·ruptured abdominal aortic aneurysm

Norman Eric Keith Steele, 63 years old, collapsed at work on 28 May 2004 and was transported to Merredin District Hospital at 9:10am with a presenting complaint of severe abdominal pain (9/10) radiating to his back, dizz…

emergency medicinegeneral practicediagnosticdelayhyoscine butylbromide
SAhospital2006-05-10

Coroner's Finding: SLOAN Adam Edward John

15y · Male·right haemothorax due to lacerations of right lung

A 15-year-old male died from right haemothorax due to lung lacerations sustained in a high-speed motor vehicle collision. The vehicle, driven by an unlicensed 15-year-old driver with faulty brakes, crashed into a tree af…

emergency medicinecardiothoracic surgeryalcohol
NTcommunity2006-05-04

Inquest into the death of Cynthia Diane Ching

29y · Female·multiple organ failure following persistent sepsis occurring as a complication o…

Cynthia Diane Ching, a 29-year-old Canadian visitor, sustained severe burns (60% of body) on 15 April 2004 when aviation fuel from a makeshift lantern was spilled onto her by one of two helicopter pilots at Kings Creek S…

plastic and reconstructive surgeryintensive careproceduralsystemmorphine
SAcommunity2006-02-22

Coroner's Finding: SINCLAIR-SPAAN Christopher James

21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…

A 21-year-old man died from massive internal bleeding into the pelvis and retroperitoneum following a motor vehicle collision with a stobie pole in rural South Australia. He was trapped for over 2 hours before extricatio…

intensive caretrauma surgerycommunicationsystem
WAcommunity2004-10-08

Inquest into the Death of Morgan

31y · Male·Lymphocytic Myocarditis in association with Acute Pericarditis (viral origin, ae…

Norman John Morgan, aged 31, died at Carnarvon Airport on 21 December 2001 from lymphocytic myocarditis with acute pericarditis (viral origin). He presented to Carnarvon Regional Hospital on 20 December with chest and sh…

general medicineemergency medicinecommunicationsystemceftriaxone
NT2001-08-17

Inquest into the death of Blake Harvey

0y · Male·Burns from fire

A six-month-old child died from burns after a fire started at a roadhouse accommodation when his older sibling (5 years old) ignited a portable gas cooker with a cigarette lighter. The cooker was accessible in the room d…

emergency medicineretrieval medicineproceduralsystem
WAcommunity2000-05-18

Inquest into the Death of Syoko Tsubaki

24y · Female·Immersion (drowning due to hypoxic brain injury)

Syoko Tsubaki, a 24-year-old Japanese tourist and inexperienced recreational diver, died from drowning on 31 December 1998 after a scuba diving incident at Rottnest Island on 27 December. During an afternoon dive, the di…

diving medicineemergency medicinecommunicationprocedural

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