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WAmental health2013

Inquest into the Death of Ibbotson, Graeme Ross

57y · Male·Ischaemic Heart Disease

A 57-year-old man with extensive medical history including ischaemic heart disease, hypertension, hypercholesterolaemia and chronic airways disease died of acute myocardial infarction whilst being transferred by ambulanc…

psychiatrycardiologyprednisolone
WAhospital2013

Inquest into the Death of Kerr, William

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

An 86-year-old man with atrial fibrillation, ischaemic heart disease and hypertension underwent left inguinal hernia repair under general anaesthesia at a regional hospital. He experienced a small acute myocardial infarc…

anaesthesiageneral surgerycommunicationdiagnosticglyceryl trinitrate
WA2013

Inquest into the Death of Kaniva Vessel

24y · Male·Immersion (drowning)

This coronial finding concerns 17 deaths from drowning following the sinking of the vessel Kaniva in international waters north of Christmas Island on 21 June 2012. The vessel, carrying approximately 212 asylum seekers a…

communicationsystem
WA2013

Inquest into the Death of Lewis, Leslie Graham

57y · Male·Unable to be determined; circumstances suggest drowning in Mekong River or relat…

Leslie Graham Lewis, a 57-year-old Australian registered nurse, died in Thailand on 24 February 2011 in circumstances that remain unclear. He had been admitted to hospital in Nong Khai with severe alcohol intoxication an…

emergency medicinegeneral medicinedischargesystemalcohol
WA2013

Inquest into the Death of Linden, Benjamin Charles

24y · Male·injuries sustained from an attack by a white shark

Benjamin Charles Linden, a 24-year-old fit surfer, died from injuries sustained in a great white shark attack while surfing near Wedge Island in Western Australia on 14 July 2012. He and a friend entered the water and we…

WAhome2013

Inquest into the Death of Mack, Ah Bee

54y · Female·Unlawful homicide - cause undetermined (body not recovered)

Ah Bee Mack, a 54-year-old woman of Chinese-Malaysian origin, disappeared between 18-29 December 2008 from her home in Mount Hawthorn, Western Australia. Her son Brent was convicted of her murder in 2012 based on circums…

WAhospital2013

Inquest into the Death of Mackenzie, Alexander Ronald

60y · Male·Pneumonia in a man with advanced metastatic angiosarcoma

A 60-year-old prisoner serving a life sentence died of pneumonia complicated by advanced metastatic angiosarcoma. He had two rare medical conditions: epithelioid angiosarcoma (diagnosed 2007) and aortitis. A significant …

haematologyallergy and immunologydiagnosticsystem
WA2013

Inquest into the Death of Mcmahon, Sarah Anne

20y · Female·Unlawful Homicide

This is a coronal finding into the suspected death of Sarah Anne McMahon, a 20-year-old who disappeared on 8 November 2000 and was never found. The coroner determined beyond reasonable doubt that she died on or about tha…

amphetamine
WA2013

Inquest into the Death of Melfi, Luke

Male·Drowning in the ocean off the cliffs at Steep Point

Luke Melfi, an occasional fisherman, was one of five men washed off rocks at Steep Point while fishing in rough sea conditions on 27 September 2012. Unlike the four other men who were rescued after five and a half hours …

WAhomePodcast2013

Inquest into the Death of Murphy, Sean Gordan Peter

3y · Male·Entrapment in an airtight environment (washing machine drum) resulting in suffoc…

Sean Murphy, aged 3 years 6 months, died on 20 September 2010 after becoming trapped in an airtight LG front-loading washing machine at his home in Hilton, Western Australia. He died from suffocation due to entrapment in…

emergency medicinepathologysystemoxycodone
WAhome2013

Inquest into the Death of Muse, Barkad Ahmed

18y · Male·Crush Asphyxiation

An 18-year-old Somali refugee died from crush asphyxiation when an LPG gas explosion destroyed his home in Albany, Western Australia. The explosion was caused by a gas leak from a faulty Stockbrands bolted compression co…

systemdiagnostic
WAhome2013

Inquest into the Death of Osborne, Wendy Elaine

Female·early bronchopneumonia complicating combined drug toxicity (fentanyl overdose)

Wendy Osborne, a woman with a history of substance abuse and psychiatric issues, died from bronchopneumonia complicating fentanyl overdose. Her GP prescribed fentanyl patches (50mcg/h, increased to 75mcg/h) after one wee…

general practicepharmacologymedicationcommunicationfentanyl
WA2013

Inquest into the Death of Phillips, Dennis John

51y · Male·Seizure consistent with alcohol withdrawal complicated by naturally occurring ca…

Dennis John Phillips, 51, died from a seizure triggered by alcohol withdrawal while in police custody. He had chronic health issues including diabetes-related amputations requiring daily medication, but police were unawa…

emergency medicinecardiologycommunicationalcohol
WAhospital2013

Inquest into the Death of Poole, Raymond Thomas

48y · Male·Gunshot wound to the head

A 48-year-old man died from a gunshot wound to the head during a police siege after having barricaded himself in a property. He had confronted the property owner with a sawn-off rifle, claimed to have wired explosives, b…

communicationsystemamphetamine
WAhome2013

Inquest into the Death of Roll, Robert

75y · Male·Unascertainable due to advanced decomposition; likely lung cancer

Robert Roll, a 75-year-old socially isolated pensioner with terminal lung cancer, discharged himself from Royal Perth Hospital on 6 July 2009 against planned palliative care arrangements. Although Silver Chain Hospice ar…

palliative caregeriatric medicinecommunicationsystem
WA2013

Inquest into the Death of Roulston, Bradleigh Michael and Kean, Daniel Joseph

23y · Male·Multiple injuries sustained in mid-air collision between aircraft

Two aircraft collided mid-air during goat culling operations in February 2008: a Piper Super Cub (pilot Bradleigh Roulston, age 23; spotter Daniel Kean, age 39) and a Robinson R44 helicopter. Both occupants of the Super …

aviation medicineoccupational and environmental healthcommunicationsystem
WAhome2013

Inquest into the Death of Stevens, Malachi Isaac and Stevens, Lochlan James

10y · Male·Unascertainable

Two young children, Malachi (10 months) and Lochlan (2 years), died on 7-8 November 2008 in their mother's home en suite, with cause of death unascertainable. The mother claimed to have blacked out for approximately 10 h…

paediatricsforensic medicinesystemdelay
WAhospital2013

Inquest into the Death of Trinh, Anh Thuy

55y · Female·Traumatic brain injury

This finding concerns a fatal motor vehicle accident resulting in traumatic brain injury. A 55-year-old woman was struck by a vehicle while crossing the street after exiting a bus. She suffered catastrophic brain injurie…

emergency medicineneurosurgeryhydroxychloroquine
WAhospital2013

Inquest into the Death of Van Vegten, Phillip

65y · Male·Pneumonia in a man with chronic pulmonary disease (COPD and emphysema), with asp…

Phillip Van Vegten, a 65-year-old sentenced prisoner with longstanding COPD, emphysema, and lung cancer, died of pneumonia complicated by aspiration of vomit (Wilkes Syndrome) at Royal Perth Hospital. The coroner found m…

respiratory medicinegeneral medicine
WAmental health2013

Inquest into the Death of Vos, Glenis June

60y · Female·Focal pneumonia in a woman with emphysema and ischaemic heart disease

A 60-year-old woman with long-standing schizophrenia/bipolar disorder, emphysema, and ischaemic heart disease died of focal pneumonia at Graylands Hospital. She had been an involuntary patient with multiple prior respira…

psychiatrygeneral medicinetemazepam
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