Coronial
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SAhospital2022-03-29

Coroner's Finding: Davies, Allen William Harold

85y · Male·aspiration pneumonia due to dysphagia in a man with multiple spinal fractures an…

Allen William Harold Davies, 85, died of aspiration pneumonia due to dysphagia in the setting of multiple spinal fractures and dementia. He had collapsed at a hotel on 12 June 2019, was admitted to Lyell McEwin Hospital,…

neurosurgerygeriatric medicinehaloperidol
SAhospital2021-11-25

Coroner's Finding: Ansink, Matthew Wade

32y · Male·Subarachnoid haemorrhage due to rupture of basilar artery aneurysm

Matthew Wade Ansink, 32, died at Glenside Hospital on 28 June 2019 from subarachnoid haemorrhage due to ruptured basilar artery aneurysm. He was found collapsed in the shower while an inpatient on an Inpatient Treatment …

psychiatryemergency medicinealprazolam
SAhospital2021-11-25

Coroner's Finding: Cannell, Peter Tasman

48y · Male·Multi-organ failure from acute gastrointestinal haemorrhage associated with oeso…

Peter Tasman Cannell, aged 48, died in Flinders Medical Centre from multi-organ failure due to acute gastrointestinal haemorrhage from oesophageal varices on a background of liver cirrhosis. He had a medical history of h…

gastroenterologyhepatology
SA2021-11-25

Coroner's Finding: Clark, Murray Eric

81y · Male·valvular heart disease with cardiac amyloidosis

Murray Eric Clark, 81-year-old prisoner with extensive cardiac history including aortic stenosis, sick sinus syndrome with pacemaker, and recent TAVI procedure, collapsed and died in prison infirmary on 20 September 2019…

cardiologyemergency medicineanticoagulants
SAhospital2021-11-16

Coroner's Finding: Kresevic, Ivanka

74y · Female·acute myocardial infarction due to coronary artery thrombosis

74-year-old woman presented to emergency department with chest pain on 6 January 2017. She was diagnosed with gastro-oesophageal reflux disease and discharged after 53 minutes. She died of acute myocardial infarction due…

emergency medicinecardiologydiagnosticcommunication
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

Theo Papageorgiou, a 27-year-old man with a history of psychotic and manic symptoms since November 2014, was briefly detained under a mental health order in November 2015 but discharged after only six days despite contin…

psychiatrygeneral practicediagnosticcommunicationolanzapine
SAhospital2021-06-30

Coroner's Finding: MAZMANIDIS Kiriakos Jack

83y · Male·respiratory failure due to chronic obstructive lung disease

An 83-year-old man with chronic obstructive pulmonary disease, suspected mesothelioma, and recurrent respiratory infections presented with type 2 respiratory failure and delirium secondary to hypoxia and lower respirator…

respiratory medicineintensive carehaloperidol
SA2021-06-02

Coroner's Finding: DUFFIELD Clinton John

35y · Male·unascertained - multifactorial cardiorespiratory arrest

A 35-year-old male died in police custody following arrest for dangerous driving and property damage. He displayed acute psychotic behaviour with paranoia, aggression, and 'super-strength' during restraint. Post-mortem e…

forensic medicineemergency medicinecannabis
SA2021-06-02

Coroner's Finding: MORTIMER-SHEARER Lochlan Brodie

18y · Male·unascertained cause; possibly drowning, hypothermia, cold water immersion, or ca…

Lochlan Mortimer-Shearer, 18 years old, died of unascertained cause after fleeing police in a stolen vehicle on 21 June 2016. He was evading apprehension after breaching bail conditions and curfew. Following a brief poli…

forensic medicineemergency medicinemethamphetamine
SA2021-05-28

Coroner's Finding: GIBSON Ian Keith

46y · Male·congestive cardiac failure due to cardiomyopathy and coronary artery atheroscler…

A 46-year-old man with significant cardiac and medical comorbidities died of congestive cardiac failure due to cardiomyopathy and coronary artery atherosclerosis while in police custody. He was correctly categorized as H…

cardiologygeneral practiceproceduralcommunication
SAhome2021-04-15

Coroner's Finding: WOODFORD Gayle Elizabeth

56y · Female·multiple blunt force injuries deliberately inflicted

Gayle Elizabeth Woodford, a 56-year-old registered nurse working in Fregon, APY Lands, was abducted and murdered on 23 March 2016 by Dudley Davey, who had a long history of violent sexual offences dating back to age 14. …

occupational and environmental healthemergency medicinesystemcommunication
SA2021-01-15

Coroner's Finding: BALLARD Kenneth Frederick

75y · Male·cerebral metastatic malignancy (lung cancer with brain metastases)

Kenneth Ballard, aged 75, died in prison custody from cerebral metastatic lung cancer. He had been diagnosed with chronic lymphocytic lymphoma in 2012 and managed at Mount Gambier Prison. In late 2014, Mr Ballard refused…

general practicehaematologydiagnosticdelay
SAhospital2020-12-18

Coroner's Finding: ASTACHNOWICZ Maria

76y · Female·left lower lobe pneumonia complicating metapneumovirus infection

Maria Astachnowicz, aged 76, died from left lower lobe pneumonia complicating metapneumovirus infection at Lyell McEwin Hospital. She had extensive psychiatric history (schizoaffective disorder/bipolar) with chronic ment…

psychiatrygeriatric medicineclonazepam
SAhospital2020-12-18

Coroner's Finding: FROST Gary Desmond

57y · Male·Right acute subdural haematoma following a fall

Gary Desmond Frost, a 57-year-old man with intellectual disability, dementia, and schizophrenia, died from a right acute subdural haematoma following a fall while in supported residential care. He experienced multiple fa…

emergency medicineneurosurgery
SA2020-12-18

Coroner's Finding: SCHACHE Leon John

47y · Male·acute subarachnoid haemorrhage with contributing ruptured saccular aneurysm of t…

A 47-year-old male remand prisoner died from acute subarachnoid haemorrhage due to a ruptured basilar artery aneurysm while in custody at Adelaide Remand Centre. He presented with headache and dizziness on 6 November 201…

emergency medicineforensic medicineparacetamol
SAmental health2020-12-15

Coroner's Finding: BARTON Stephen John

43y · Male·blunt neck trauma from compression of the neck

Stephen John Barton, aged 43, died from blunt neck trauma inflicted by roommate Lindon Sekrst in a psychiatric ward. Both were detained patients under Mental Health Act orders. Sekrst, a 23-year-old with paranoid ideatio…

psychiatryemergency medicinediagnosticsystemrisperidone
SAhospital2020-11-03

Coroner's Finding: WHISKEY Louise Kitty

51y · Female·community acquired pneumonia

Louise Kitty Whiskey, a 51-year-old Aboriginal woman with chronic alcohol misuse, cirrhosis, and recurrent respiratory infections, died from community-acquired pneumonia at Royal Adelaide Hospital. She was admitted on 23…

intensive carepsychiatrysystemnoradrenaline
SAhospital2020-11-02

Coroner's Finding: BROWN Graham Douglas

79y · Male·combined cardiac, respiratory and renal failure as terminal events on a backgrou…

Graham Douglas Brown, a 79-year-old man with end-stage dementia, died at Noarlunga Hospital from combined cardiac, respiratory and renal failure. He was subject to a Level 2 Mental Health Act Inpatient Treatment Order at…

psychiatryemergency medicinemorphine
SAhospital2020-11-02

Coroner's Finding: DAVIES Brian

79y · Male·myocardial infarction

Brian Davies, 79, died of myocardial infarction while under an Inpatient Treatment Order for Alzheimer's dementia at Noarlunga Hospital. He presented with cognitive decline following his partner's death and developed agi…

geriatric medicinepsychiatrymedicationoxazepam
SAhospital2020-11-02

Coroner's Finding: HAUSLER Christopher Raymond

61y · Male·Creutzfeldt-Jakob disease

Christopher Raymond Hausler, a 61-year-old man, died from Creutzfeldt-Jakob disease (CJD) at the Royal Adelaide Hospital on 13 March 2018 while subject to a Level 2 Inpatient Treatment Order. He presented with rapidly pr…

general practiceneurologydiagnostic
134520

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