Coronial
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately ingested benzodiazepines and p…

forensic medicinegeneral practicesystemdelaybenzodiazepines
TAShospital2019-03-22

Coroner's Finding: Glover, Gerald Samual

70y · Male·dilated cardiomyopathy with emphysema as a contributing factor

…ma as a contributing factor. He had severe heart failure diagnosed in 2017, complicated by type 2 diabetes, COPD, and heavy smoking history. Arrested in April 2018 on serious charges, he received ongoing medical care in …

cardiologygeneral medicine
SAaged care2016-05-05

Coroner's Finding: DANIELSON Jens Thomas

82y · Male·Pneumonia on a background of ischaemic and hypertensive heart disease

…h advanced dementia, hearing impairment, and multiple comorbidities (ischaemic heart disease, hypertension, COPD) died of pneumonia at a residential aged care facility. He had been under guardianship orders with detentio…

geriatric medicinepalliative carecefalexin
NTmental health2025-02-14

Inquest into the death of Pukumani

47y · Female·acute respiratory failure in the context of known underlying chronic obstructive…

…lure while an involuntary mental health patient in the Joan Ridley Unit. Her death was preventable. She had COPD, obesity, and received multiple high-dose antipsychotic and sedative medications. Critical failures include…

psychiatryemergency medicinediagnosticcommunicationketamine
VIC2026-03-19

Finding into death of Judith Gail Longhurst

74y · Female·Chronic obstructive pulmonary disease

… with cerebral palsy, dysphagia, and multiple comorbidities, died of chronic obstructive pulmonary disease (COPD) on 23 October 2024 at her Specialist Disability Accommodation residence. She had been admitted to hospital…

respiratory medicinegeneral practicesertraline
QLDaged care2024-10-10

Non-inquest findings into the death of Jean Alice Dowson

79y · Female·Chronic obstructive pulmonary disease

… Dowson, 79, died in an aged care facility after being commenced on end-of-life medications. She had severe COPD and was frail (29kg). On 10 April 2017, when she deteriorated with respiratory distress, a Clinical Nurse C…

general practicepalliative caremedicationdiagnosticmorphine
SAprison2023-11-10

Coroner's Finding: Trotta, Giovanni

58y · Male·acute bronchopneumonia

Giovanni Trotta, aged 58, died in custody from acute bronchopneumonia. He was a vulnerable prisoner with COPD, schizoaffective disorder, and profound deafness. Clinical lessons include: (1) hospital discharge summarie…

emergency medicinerespiratory medicinediagnosticcommunicationclozapine
VIChospital2025-04-11

Finding into death of QB T

64y · Male·Complications of congestive cardiac failure on a background of cardiac hypertrop…

QBT, a 64-year-old man with complex medical and psychiatric history including schizophrenia, COPD, and hypertension, was admitted to Bendigo Hospital on an Assessment Order after police concerns about ment…

psychiatrygeneral medicinediazepam
VICaged care2017-11-21

Finding into death of Sabri Saljiu

67y · Male·Complications of non small cell lung carcinoma in a man with ischaemic cardiomyo…

…cations of non-small cell lung carcinoma with multiple comorbidities including ischaemic cardiomyopathy and COPD. He was admitted to a palliative care unit in August 2016 after diagnosis of locally advanced lung cancer d…

palliative careoncologyoxycodone
SA2020-10-12

Coroner's Finding: KEIRL Dennis Frank

63y · Male·metastatic carcinoma of the lung (small cell neuroendocrine carcinoma with poorl…

A 63-year-old male prisoner died from metastatic small cell lung cancer with adenocarcinoma features. Cancer was incidentally discovered during investigation of a deep vein thrombosis in October 2018, leading to one mont…

oncologygeneral medicinewarfarin
SAhospital2017-04-19

Coroner's Finding: O'REILLY Raymond John

91y · Male·pneumonia on a background of chronic congestive cardiac failure and chronic obst…

A 91-year-old man with chronic cardiac failure, COPD and atrial fibrillation presented with confusion, agitation and dyspnoea. Admitted with pneumonia and delir…

geriatric medicineemergency medicineolanzapine
VIChospital2017-06-27

Finding into death of Clifford Norrie Wall

79y · Male·Aspiration pneumonia in the setting of small bowel obstruction

A 79-year-old man with intellectual disability and multiple comorbidities (atrial fibrillation, COPD, epilepsy) presented with vomiting on 9 June 2016. His GP was initially not concerned, but after a third vo…

general medicineemergency medicine
VIChospital2015-02-04

Finding into death of Joan Coutts

72y · Female·Pneumonia in the setting of multiple rib fractures and chronic obstructive pulmo…

A 72-year-old woman with COPD and diabetes presented to the emergency department on Good Friday with severe (9/10) right-sided chest pain…

emergency medicinegeneral practicediagnosticcommunication
NSWhospital2020-02-25

Inquest into the death of Kerry Curtis

78y · Male·multi-lobar pneumonia and pleural effusions on a background of urothelial carcin…

Kerry Curtis, a 78-year-old prisoner with multiple chronic conditions including COPD, bladder cancer, and cardiac disease, died of multi-lobar pneumonia and pleural effusions following chemoth…

oncologygeriatric medicine
SAhospital2018-04-26

Coroner's Finding: JEISMAN Leonie Faye

45y · Female·Type 2 respiratory failure and aspiration pneumonia on a background of end-stage…

Leonie Jeisman, a 45-year-old woman with chronic obstructive pulmonary disease (COPD), schizoaffective disorder, obesity, and obstructive sleep apnoea, died from Type 2 respiratory failure and…

respiratory medicinegeneral medicine
WAhospice2019-05-31

Inquest into the Death of Colin George GRAHAM

56y · Male·disseminated malignancy – known non-small cell carcinoma of lung

Colin George Graham, a 56-year-old Aboriginal man with severe COPD and lung cancer, died of disseminated non-small cell carcinoma while in prison custody receiving palliative…

respiratory medicineoncology
SAhospital2022-04-14

Coroner's Finding: Esposito, Pasquale

76y · Male·combined effects of acute myocardial infarction and urosepsis

…bined acute myocardial infarction and urosepsis. He had extensive cardiac history including prior MI, CABG, COPD, and recent stent placement. On 7 February 2020, he presented with chest pain, shortness of breath, fever, …

cardiologyinfectious diseasesantibiotics
QLD2016-07-28

Smallwood, Gregory Bert

53y · Male·Coronary atherosclerosis; chronic obstructive airways disease; chronic cholecyst…

Gregory Bert Smallwood, a 53-year-old prisoner with morbid obesity, hypertension, diabetes, and COPD, died from acute myocardial infarction due to severe coronary atherosclerosis. He called for help at 3:06am…

emergency medicinecardiologymorphine
VIChome2017-09-11

Finding into death of Nancy May Budge

83y · Female·Gunshot wound to the head

…d congestive heart failure diagnosed in 2016. Two hospital admissions in October 2016 for heart failure and COPD exacerbation resulted in good recovery, but she was informed further surgical intervention was not feasible…

cardiologyintensive care
SAhospital2020-12-22

Coroner's Finding: MAVRIDIS Emanuel

64y · Male·Heart failure secondary to alcohol related liver disease, coronary obstructive p…

Emanuel Mavridis, aged 64, died of heart failure secondary to alcohol-related liver disease, COPD, and ischaemic/alcoholic cardiomyopathy. He presented to Royal Adelaide Hospital hypotensive with metabolic…

intensive caregeneral medicine
134511

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