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SAhospital2010-12-06

Coroner's Finding: GEORGE Irene Thelma

84y · Female·septicaemia secondary to septic arthritis of the left knee

An 84-year-old woman presented to hospital with acute left knee swelling and pain. Initial assessment at Ashford Hospital ED reasonably excluded septic arthritis based on borderline blood tests and absence of fever, thou…

emergency medicinegeneral medicinediagnosticcommunicationmorphine
SA2010-11-19

Coroner's Finding: PARKER Laura

40y · Female·hypoxic encephalopathy and epilepsy with diffuse fibrillary astrocytoma within t…

Laura Parker, a 40-year-old woman with a long history of epilepsy, borderline personality disorder, and recent seizures, died at the Royal Adelaide Hospital on 16 March 2008 from hypoxic encephalopathy caused by cardiac …

neurologypsychiatrydiagnosticcommunicationvigabatrin
SAcommunity2010-10-28

Coroner's Finding: WALLACE James William

39y · Male·rhabdomyolysis complicating cocaine toxicity against a background of atheroscler…

A 39-year-old man with undiagnosed atherosclerotic coronary artery disease died from rhabdomyolysis complicating cocaine toxicity. He exhibited cocaine-induced excited delirium with erratic dangerous driving and bizarre …

emergency medicineintensive caremedicationcocaine
SAhospital2010-10-26

Coroner's Finding: HASELGROVE Harvie Frederick

88y · Male·left ventricular failure complicating head and soft tissue injuries

An 88-year-old man died from left ventricular failure complicating head and soft tissue injuries sustained when struck by a truck-trailer combination while riding his motorised gopher across a pedestrian crossing. The co…

systemdelay
SAhospital2010-10-25

Coroner's Finding: CAMERON Louise Cherise

32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage

A 32-year-old woman with schizophrenia presented to the emergency department with chest pain radiating to both arms, profuse sweating, and vomiting black material for several days. She also reported black stools. The fir…

emergency medicinecardiologydiagnosticproceduralmorphine
SAhospital2010-10-18

Coroner's Finding: NATT Katherine Michelle

24y · Female·hepatic encephalopathy due to hepatic necrosis due to paracetamol toxicity

A 24-year-old woman died from paracetamol toxicity following intentional overdose. She had developed a severe poker machine addiction resulting in escalating financial debt exceeding $60,000, compounded by recent loss of…

emergency medicinehepatologyparacetamol
SA2010-10-06

Coroner's Finding: MILLER James William

68y · Male·end stage liver failure due to hepatitis C

James William Miller, aged 68, died of end-stage liver failure due to hepatitis C while an inmate at Yatala Labour Prison, admitted to Mary Potter Hospice for terminal care. He had multiple comorbidities including prosta…

palliative careoncologythiamine
SAhome2010-09-30

Coroner's Finding: Infant Co-Sleeping

Female·Multiple: undetermined consistent with overlaying (Naomi Kade); undetermined pos…

This inquest examined five infant deaths (aged 1 month to 10 months) occurring between July 2007 and November 2008, all involving co-sleeping with adults. Deaths were attributed to undetermined causes, possible overlayin…

forensic medicinepaediatricsamitriptyline
SAcommunity2010-09-27

Coroner's Finding: DALY Michael Barry

53y · Male·Burns to 75% of body surface area and severe lower airway inhalation injury

Barry Michael Daly, 53, died from severe burns (75% BSA) and inhalation injury sustained in a deliberately-set house fire on 20 April 2008. He had been detained at Glenside Hospital on 10 April 2008 under the Mental Heal…

psychiatryemergency medicinecommunicationsystem
SAhospital2010-09-27

Coroner's Finding: ORMEROD Madison Hayley

4y · Female·consequences of incarcerated congenital left diaphragmatic hernia

Madison Ormerod, aged 4 years, died from incarcerated congenital left diaphragmatic hernia. Over 3 months before death, she presented with persistent vomiting and abdominal pain to her GP and paediatrician. The paediatri…

general practicepaediatricsdiagnosticdelay
SAhome2010-08-30

Coroner's Finding: VASIC Radisav

72y · Male·ischaemic heart disease

A 72-year-old man with a history of hypertension, diabetes, hypercholesterolaemia, and prior myocardial infarction died of ischaemic heart disease. He was under regular management by his GP who had recently arranged an e…

general practicecardiologyatenolol
SAhospital2010-08-18

Coroner's Finding: STORRIE Victor James

38y · Male·terminal respiratory failure due to chronic obstructive lung disease on a backgr…

Victor James Storrie, a 38-year-old man with severe chronic schizophrenia, chronic obstructive lung disease, and ischaemic heart disease, died from terminal respiratory failure while detained under mental health legislat…

intensive carerespiratory medicine
SAcommunity2010-08-12

Coroner's Finding: BAIS Ricky James

38y · Male·ischaemic heart disease

Ricky James Bais, a 38-year-old man with paranoid schizophrenia and undiagnosed 75% left anterior descending coronary artery narrowing, died during police restraint. He had absconded from mental health detention at Noarl…

psychiatrygeneral practicesystemcommunicationdepot zuclopenthixol
SAhospital2010-07-09

Coroner's Finding: STEMMER Jessica Lee and MAHAR Thomas William

Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…

Two neonates died from complications of subgaleal haemorrhage following ventouse extraction. Jessica Stemmer (7 hours old) died from disseminated intravascular coagulation after subgaleal haemorrhage. Thomas Mahar (8 day…

obstetricsneonatologydelaycommunication
SA2010-06-07

Coroner's Finding: PETER Stanley Walter

55y · Male·dilated cardiomyopathy

Stanley Walter Peter, 55, died of dilated cardiomyopathy while in GSL custody at Port Adelaide Police Station. He had presented with alcohol intoxication (0.311% blood alcohol) on arrest and was transferred to GSL custod…

cardiologypathologysystemcommunicationalcohol
SA2010-06-07

Coroner's Finding: THOMPSON Kym Joseph Paul

45y · Male·sepsis with infective endocarditis, right lobar pneumonia (with abscess formatio…

A 45-year-old man with severe disability (wheelchair-bound following burn injury), borderline personality disorder, and chronic medical conditions including ischaemic heart disease, hypertension, diabetes, and recent pne…

emergency medicineinfectious diseasesmorphine
SAhome2010-06-04

Coroner's Finding: ARBUCKLE Claudia Anna Maria

44y · Female·mixed drug toxicity with aspiration of gastric contents

A 44-year-old woman with chronic back pain and depression died from mixed drug toxicity with aspiration of gastric contents. She had been prescribed multiple medications including amitriptyline, diazepam, codeine, and lo…

general practicepain medicineamitriptyline
SAhospital2010-06-04

Coroner's Finding: PRIDE Wilfred Thomas

93y · Male·ischaemic heart disease

A 93-year-old man with extensive cardiac history died of ischaemic heart disease while detained under the Mental Health Act. He presented with delirium likely secondary to urinary tract infection from an indwelling cathe…

cardiologypsychiatryheparin
SAhospital2010-06-03

Coroner's Finding: PROMNITZ Aileen Dawn

79y · Female·Sepsis due to urinary tract infection with Group B streptococci

A 79-year-old nursing home resident died of sepsis from urinary tract infection with Group B streptococci after waiting 6 hours in the Emergency Department without being seen by a doctor. She arrived at 8pm with normal v…

emergency medicineinfectious diseasesdelaysystem
SAaged care2010-05-14

Coroner's Finding: HUTTON Arthur John

87y · Male·asphyxia due to neck entrapment between bedpole and mattress

An 87-year-old man with dementia and a history of falls died from asphyxia when his neck became entrapped between a bedpole and the mattress after falling from bed in an aged care facility. The bedpole was positioned uno…

geriatric medicineoccupational therapysystemprocedural
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