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WAhome2014-12-19

Inquest into the Death of Baby W

9y · Male·Sudden infant death in a boy with bronchitis and otitis media (cause unascertain…

A 9-week-old Aboriginal foster child died of sudden infant death (SUID) whilst in approved foster care. The baby was in the Department's care following removal from biological parents due to maternal health issues and pa…

paediatricsforensic medicinecommunicationparacetamol
WAhome2014-12-19

Inquest into the Death of Bethany

5y · Female·Epilepsy in association with Cerebral Palsy

A 5-year-old girl with severe cerebral palsy (GMFCS level 5) and intractable epilepsy died at home, likely from a seizure. She had multiple medical complexities including microcephaly, developmental delay, unsafe swallow…

paediatricsneurology
WAcommunity2014-12-15

Inquest into the Suspected Death of James Patrick TAYLOR

12y · Male·unascertained

A 12-year-old boy disappeared from a small Kimberley town in 1974 while running an errand to a local shop. His death has been established beyond reasonable doubt based on family evidence and investigative findings, but t…

WAhospital2014-11-21

Inquest into the Death of Robert James (aka Philip Kevin Luckie and Robert John Coughlin)

44y · Male·Early bronchopneumonia in a man receiving palliative medical care for liver fail…

Robert James, a 44-year-old prisoner with end-stage hepatitis C cirrhosis, died from early bronchopneumonia while receiving palliative care. He had been terminally ill for over a year, with progressively deteriorating li…

gastroenterologyhepatology
WAcommunity2014-11-07

Inquest into the Suspected Death of John Joseph Moran

69y · Male·unknown

John Joseph Moran, a 69-year-old man with a history of mental health problems including schizophreniform psychosis and organic delusional disorder following a stroke, disappeared in February 2006 while in a remote area o…

psychiatryneurology
WAhome2014-10-27

Inquest into the Death of Baby Xavier

Unknown·unascertained

An 8-week-old infant in out-of-home care died suddenly while asleep in a porta cot. Post-mortem examination revealed no infectious disease, injury, or toxicological abnormality. The cause remained unascertained despite e…

paediatricspathologyomeprazole
WAhospital2014-10-22

Inquest into the Death of Francis Robert Ward

90y · Male·Pneumonia in a man with traumatic brain injury

Francis Robert Ward, age 90, died of pneumonia following traumatic brain injury sustained from multiple falls while imprisoned. He had numerous comorbidities including hypertension, renal impairment, and age-related frai…

emergency medicineneurosurgerysystem
WAhome2014-10-17

Inquest into the Death of Ethan (Subject to a Suppression Order)

15y · Male·Ligature compression of the neck (hanging)

A 15-year-old Aboriginal boy in foster care died by suicide following apparent impulsive response to adolescent boundary conflicts. Despite stable, loving foster placement since age 4, Ethan remained neurologically vulne…

psychiatrypsychologymelatonin
WAhospital2014-10-17

Inquest into the Death of Gillian Hanson

62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …

A 62-year-old woman with chronic schizophrenia died from hyponatremia (sodium level 114mmol/L) resulting in seizure and aspiration during involuntary psychiatric admission. She had been on escitalopram (SSRI) for depress…

psychiatrygeneral practicediagnosticescitalopram
WAhospital2014-10-09

Inquest into the Death of Tamar Jemima Sabbath Stitt

10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …

Tamar, a 10-year-old girl diagnosed with advanced metastatic hepatoblastoma in August 2009, died from septic shock and multiorgan failure in El Salvador on 12 November 2009. Her treating oncologist Dr A. at Princess Marg…

oncologygeneral practicediagnosticcommunication
WAaged care2014-10-02

Inquest into the Death of Leon Caporn

86y · Male·head injury with acute subdural haemorrhage

Leon Caporn, 86-year-old resident at Bethanie Waters aged care facility, suffered an unwitnessed fall on 2 July 2010 striking his head, resulting in acute subdural haemorrhage. He was examined by nursing staff who found …

geriatric medicinegeneral practiceantibiotics
WAcommunity2014-09-26

Inquest into the Death of Benjamin Alfred Ware

15y · Male·Head Injury

Benjamin Alfred Ware, aged 15, died from unsurvivable head injuries following a motor vehicle crash on an unsealed road during a police pursuit. He was intoxicated with methylamphetamine (0.08 mg/L) at the time, a potent…

forensic medicinepharmacologymethamphetamine
WAhospital2014-08-29

Inquest into the Death of Daniel LAHENGKING

66y · Male·multiple organ failure associated with the combined effects of complications of …

Daniel Lahengking, a 66-year-old Indonesian visiting family in Esperance, was diagnosed with rheumatoid arthritis by locum GP Dr H. and prescribed methotrexate 5-10mg daily, a grossly excessive dose (normal: 7.5-20mg wee…

general practicepharmacydiagnosticmedicationmethotrexate
WAcommunity2014-08-04

Inquest into the Deaths of Ian Bradley Vincent and Kane Edwin Nelson

31y · Male·Immersion (drowning)

Two men drowned at Redgate Beach, WA on 8 December 2012 while body boarding in high-risk conditions. Dr B., a fit 31-year-old anaesthesiologist, and Kane Edwin Nelson, 22, entered the water unaware of the beach's inheren…

system
WAaged care2014-07-23

Inquest into the Death of Daniel

83y · Female·Complications following fracture and surgical repair of the left hip in an elder…

Nola Inez Daniel, 83, died from complications following a hip fracture and subsequent surgery at Bunbury Regional Hospital on 7 January 2010. She sustained a fractured left neck of femur during a fall at Regis Forrest Ga…

geriatric medicineorthopaedic surgerydiagnosticcommunication
WAhospital2014-07-22

Inquest into the Death of Adrian Bernard Williams

60y · Male·pneumonia in a man with underlying advanced metastatic cancer and chronic airway…

Adrian Bernard Williams, a 60-year-old man with advanced metastatic cancer, chronic obstructive airways disease, and ischaemic heart disease, died from pneumonia while in prison custody. He was appropriately classified a…

palliative carerespiratory medicinechemotherapy
WAcommunity2014-06-16

Inquest into the Death of William FRENCH

24y · Male·unknown

William Maddison French, a 24-year-old male, disappeared in December 1997 while travelling around Australia. He was last confirmed sighted on 17 December 1997 in Carnarvon. Extensive investigations, including police coll…

psychiatryemergency medicine
WAmental health2014-06-11

Inquest into the Death of Lynn Desmond Ernest CHURCH

64y · Male·plastic bag asphyxia

A 64-year-old man with long-standing depression, personality disorder, and chronic pain died by plastic bag asphyxiation in a psychiatric hospital open ward. He had been admitted involuntarily after expressing suicidal i…

psychiatryemergency medicinecommunicationtramadol
WAhome2014-06-11

Inquest into the Death of Daniel Jarvis COOK

3y · Male·smoke inhalation and burns

Daniel Cook-Hill, a 3-year-old boy in state care, died from smoke inhalation and burns when he and another child became trapped in a burning caravan at his grandmother's home on 12 October 2008. The child and a 2-year-ol…

WAmental health2014-04-11

Inquest into the Death of Rutherford Sarah

28y · Female·multiple injuries from deliberate fall from pedestrian bridge onto Mitchell Free…

Sarah Jane Rutherford, a 28-year-old woman with bipolar affective disorder and schizophrenia, died on 27 December 2009 after falling from a pedestrian bridge onto the Mitchell Freeway in Perth. She was an involuntary pat…

psychiatryintensive carerisperidone
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