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WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

Peter Martin Carroll, age 21, died on 8 June 2007 in the ICU at Royal Perth Hospital from acute hypoxic ischaemic encephalopathy and pneumonia following oxycodone overdose. He had been discharged that day (5 June) after …

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
WAhospital2013-01-17

Inquest into the Death of Wendy May Aslett

60y · Female·Multiple organ failure following haemorrhage from penetration of the femoral art…

A 60-year-old woman died from multiple organ failure caused by uncontrolled bleeding from an arterial puncture sustained during coronary angiography. Although the procedure itself was uncomplicated and an Angio-Seal devi…

cardiologygeneral practicediagnosticcommunicationaspirin
WAhospital2013-01-17

Inquest into the Death of Mckay-Hall, Julienne Maria

46y · Female·Complications following cardiorespiratory arrest in association with an air embo…

A 46-year-old woman died from air embolism during a gastroscopy to manage complications from bariatric surgery. The initial laparoscopic sleeve gastrectomy on 9 November 2007 had a staple misfire that was inadequately re…

general surgerybariatric surgerydiagnosticcommunicationmorphine
WAhospital2013-01-17

Inquest into the Death of Aslett, Wendy May

60y · Female·Multiple organ failure following hemorrhage from penetration of the femoral arte…

Wendy May Aslett, aged 60, died on 29 October 2010 from multiple organ failure following hemorrhage from a femoral artery puncture sustained during coronary angiography on 21 October 2010. An Angio-Seal device was used t…

cardiologyemergency medicinediagnosticcommunicationprasugrel
WA2013

Inquest into the Death of Banh, Bac Lam

54y · Male·Early bronchopneumonia complicating subarachnoid haemorrhage due to a ruptured b…

Bac Lam Banh, a 54-year-old prisoner at Walpole Work Camp, suffered a ruptured berry aneurysm while working on 4 September 2012. He received prompt first aid from prison staff and emergency responders, with transfer to A…

neurosurgeryemergency medicinediagnosticphenytoin
WA2013

Inquest into the Death of Bearup, Jake Preston

23y · Male·unable to determine conclusively; likely immersion/drowning

Jake Preston Bearup, a 23-year-old man, went missing from Exmouth, Western Australia in January 2010 after taking a company dinghy from the marina. He was found to have consumed significant alcohol on the day of disappea…

alcohol
WA2013

Inquest into the Death of Berwick, Daniel Peter

21y · Male·Consistent with Multiple Injuries

Daniel Peter Berwick, aged 21, died after being struck by an Australind passenger train at approximately 5:30am on 16 April 2011. He was found lying across railway tracks near Robertson Drive, Carey Park. The coroner cou…

cannabis
WAhome2013

Inquest into the Death of Blinkhorn, Leah Christine

29y · Female·Multiple Drug Toxicity (Lamotrigine, Doxylamine, Venlafaxine, Valproic Acid, Cod…

A 29-year-old woman with personality disorders and depression called Perth Clinic at 11:11pm reporting she had overdosed on multiple medications (lamotrigine, doxylamine, venlafaxine, valproic acid, codeine, morphine). S…

psychiatryemergency medicinediagnosticcommunicationlamotrigine
WAhome2013

Inquest into the Death of Box, James Gregory

3y · Male·Immersion (drowning)

A 3-year-old boy drowned in a backyard swimming pool after gaining unsupervised access through a malfunctioning sliding security door. The door was required by law to be self-closing but repeatedly jammed, prompting the …

systemcommunication
WAcommunity2013

Inquest into the Death of Bradanovich, Anthony John

35y · Male·exertional heat stroke

A 35-year-old truck driver, on his first day of employment with Cartwright Holdings, became lost en route to Jundee Mine site in remote Western Australia. After missing a turnoff on the Gunbarrel Highway and becoming bog…

occupational and environmental healthemergency medicinesystemcommunication
WA2013

Inquest into the Death of Brasier, Thomas

3y · Male·Consistent with Multiple Injuries

Thomas Michael Brasier, age 3, died from multiple injuries sustained when a brick pillar supporting a veranda roof at a holiday cottage collapsed while he was on a hammock. The pillar was built in 1975 without proper str…

systemdelay
WA2013

Inquest into the Death of Bropho, Robert Charles

81y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis

Robert Charles Bropho, an 81-year-old Aboriginal man imprisoned since 2008 with severe medical comorbidities including insulin-dependent diabetes, hypertension, chronic renal failure, and severe ischaemic heart disease, …

cardiologygeneral medicinecommunicationsysteminsulin
WA2013

Inquest into the Death of Coffey, Sean Riley and Weppner, Bryce James

Male·Sean Riley Coffey: unknown causes (likely drowning or shark attack); Bryce James…

Two men died in a boating accident off the Western Australian coast near Leeman on 9-10 August 2012. A fishing trip in a five-metre runabout boat at the Beagle Islands ended when a large wave capsized the vessel, throwin…

WA2013

Inquest into the Death of Ms D

39y · Female·Septic shock and nosocomial pneumonia secondary to pentobarbital (Nembutal) over…

A 39-year-old woman with major depression and Cluster B personality traits died by suicide in Mexico following a pentobarbital overdose on 28 April 2008, resulting in septic shock and nosocomial pneumonia. She had been a…

psychiatryintensive caresystemdelaypentobarbital
WAhospital2013

Inquest into the Death of Davies, Adriana Elise

46y · Female·brain swelling and dural venous thrombosis in association with low grade glioma …

Dr D., a 46-year-old medical practitioner, died from brain swelling and dural venous thrombosis associated with a low-grade glioma. She presented to Albany Hospital on 10 October 2005 with a severe, different headache ch…

general practiceneurosurgerydiagnosticcommunicationprochlorperazine
WAhome2013

Inquest into the Death of Deniro, Alen

28y · Male·Gunshot wound to the head

Alen Deniro died by suicide on 5 May 2011 after learning of his de facto partner's death from terminal lung cancer. Psychiatrists appropriately assessed him as high suicide risk and initiated involuntary detention proced…

psychiatrygeneral medicinecommunication
WAcommunity2013

Inquest into the Death of Graham, Michael Keith

46y · Male·Misadventure - death occurred in remote bushland, likely from injury, disorienta…

Michael Keith Graham, a 46-year-old part-time prospector from New South Wales, disappeared on 14 January 2013 from a remote prospecting camp near Menzies, Western Australia. He left his mobile phone and GPS in his vehicl…

oxycodone
WA2013

Inquest into the Death of Hale, David Maxwell

32y · Male·complications of metastatic pancreatic cancer

A 32-year-old male prisoner died from metastatic pancreatic cancer at a hospice. Pancreatic cancer was diagnosed shortly after incarceration when jaundice was detected. He received appropriate oncology treatment and pall…

oncologypalliative caredelaysystem
WAcommunity2013

Inquest into the Death of Harris, Mr

74y · Male·Ischaemic heart disease in association with coronary artery atherosclerosis

Mr Harris, a respected Aboriginal elder aged approximately 74 years, died of ischaemic heart disease with coronary artery atherosclerosis while travelling bush alone on 2 February 2010. He bogged his vehicle, attempted u…

emergency medicinecardiologycommunicationsystem
WAhome2013

Inquest into the Death of Hurley-Goodacre, Adam Michael

17y · Male·Ligature Compression of the Neck (Hanging) - Suicide

Adam Hurley-Goodacre, a 17-year-old Ward of the State since 1996, died by suicide on 20 February 2007, one week before his 18th birthday. He had a history of suicide attempts in October 2006 while experiencing emotional …

paediatricspsychiatrysystemalcohol
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