Coronial
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TAShome2024-04-30

Coroner's Finding: Mason, Geoffrey

38y · Male·gunshot wound to the left side of the neck resulting in basal skull fracture, su…

Geoffrey Russell Mason, aged 38, died from a gunshot wound to the neck fired by Constable Mitchell during a police response to a domestic incident on 17 February 2020 in Tasmania. Mason was intoxicated, had a long histor…

general practiceemergency medicinesystemalcohol
TAShospital2024-04-16

Coroner's Finding: Smith, Lance Royal

62y · Male·Advanced atherosclerotic and hypertensive coronary vascular disease

Lance Royal Smith, aged 62, died from advanced atherosclerotic coronary vascular disease following a motorcycle crash on 4 November 2023. He was riding an unregistered, mechanically defective Harley Davidson at high spee…

emergency medicinetrauma surgerycannabis
TAScommunity2024-04-11

Coroner's Finding: SR

58y · Male·drowning

A 58-year-old man died by drowning while hookah diving off the Tasmanian coast. He was using second-hand equipment purchased online that had multiple safety deficiencies: inadequate filtration allowing contaminants and r…

diving medicinehyperbaric medicineequipment selectionprocedural
TAScommunity2024-04-10

Coroner's Finding: AW

57y · Male·cerebral arterial gas embolism (CAGE)

A 57-year-old experienced commercial diver died from cerebral arterial gas embolism (CAGE) while recreational hookah diving near St Helens Island, Tasmania on 24 December 2021. His diving equipment had multiple critical …

diving medicinehyperbaric medicineproceduralsystem
TAShospital2024-03-27

Coroner's Finding: Leary, Kane

17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…

Kane Mathew Leary, 17, died from a stroke (left middle cerebral artery infarction) following a motorbike collision. The critical clinical lesson involves a missed diagnosis of left internal carotid artery dissection on i…

emergency medicineneurosurgerydiagnosticcommunicationmorphine
TAS2024-03-26

Coroner's Finding: Knight, Daniel Thomas

43y · Male·Crush injuries (chest and abdominal injuries and chest compression) sustained in…

Daniel Thomas Knight, aged 43, died from crush injuries sustained while attempting to clear a blockage in a wastepaper compactor (model TCU 660) at a printing business. The compactor had never functioned correctly due to…

occupational and environmental healthforensic medicinesystemproceduralantiepileptic drugs
TAShome2024-03-07

Coroner's Finding: Dorothy Jean Atkins

83y · Female·meningitis with sepsis with the likely source of infection being a large and dee…

Dorothy Jean Atkins, aged 83, died on 9 July 2017 from meningitis and sepsis secondary to a large stage 4 sacral decubitus ulcer. Autopsy revealed severe malnutrition (24.5kg, BMI 13), poor hygiene with faecal soiling un…

geriatric medicinepathologydiagnosticcommunicationirbesartan
TAShospital2024-03-07

Coroner's Finding: Menz, Michelle Joy

58y · Female·pulmonary thromboembolism due to deep venous thrombosis following pelvic trauma

Michelle Joy Menz, aged 58, died from pulmonary thromboembolism secondary to deep vein thrombosis following pelvic trauma sustained in a motor vehicle crash on 17 January 2023. She was admitted to Royal Hobart Hospital w…

trauma surgeryemergency medicine
TASmental health2024-02-08

Coroner's Finding: de-identified PU

45y · Male·hanging

A 45-year-old man with a history of depression, suicidal ideation, and alcohol misuse was admitted to Spencer Clinic following a medication overdose suicide attempt. During his six-day admission, he improved clinically, …

psychiatrygeneral practice
TAScommunity2024-01-30

Coroner's Finding: Ryan, Robert John

35y · Male·Multiple organ failure—cause not determined to requisite standard

Robert John Ryan, a 35-year-old senior stockman, collapsed suddenly on 7 January 2015 at a farm gate near his workplace at Malahide in Tasmania, while driving his work utility during a normal workday. He presented with s…

toxicologyintensive carediagnosticdelayparoxetine
TAScommunity2024-01-30

Coroner's Finding: Ryan, Robert John

35y · Male·Multiple organ failure - cause undetermined

Robert John Ryan, aged 35, a farm worker at Malahide, suffered a sudden severe medical collapse on 7 January 2015, presenting with vomiting, sweating, confusion, hypothermia and incontinence. Diagnosed as chemical poison…

general practiceemergency medicineparoxetine
TASaged care2023-12-18

Coroner's Finding: Reeve, Aubrey Charles

98y · Male·comminuted pertrochanteric fracture of left hip sustained in mechanical fall

A 98-year-old man with osteoporosis, dementia, and ischaemic heart disease sustained a comminuted pertrochanteric hip fracture in a fall at his residential aged care facility on 24 July 2023, dying four days later. He ha…

geriatric medicineemergency medicinesystemcommunication
TAScommunity2023-12-15

Coroner's Finding: Macpherson James Edward

29y · Male·blunt trauma of the chest

A 29-year-old male died from blunt chest trauma sustained in a mountain bike crash at Maydena Bike Park, Tasmania. He was an intermediate rider on an appropriate blue-trail track when he crashed, likely due to his front …

emergency medicineretrieval medicine
TAShome2023-12-14

Coroner's Finding: Drummond, Samuel Patrick

44y · Male·acute alcohol intoxication

Samuel Patrick Burke Drummond, aged 44, died from acute alcohol intoxication with blood alcohol level of 0.572g/100ml (above the lethal threshold of 0.4g/100ml), combined with methylamphetamine use. He had a longstanding…

toxicologypathologyalcohol
TAScommunity2023-12-07

Coroner's Finding: Rogers, Roy William

60y · Male·cervical spine fracture sustained in bicycle crash

Roy William Rogers, aged 60, died from a cervical spine fracture sustained in a bicycle crash on a public pathway in Burnie, Tasmania on 11 February 2022. He was riding downhill on a steep concrete path (24.3% gradient) …

forensic medicineemergency medicinecannabis
TAShospital2023-11-17

Coroner's Finding: Williams, Stewart

54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…

A 54-year-old male was assaulted in a nightclub with a single punch causing orbital and facial fractures and posterior epistaxis. He presented to the Royal Hobart Hospital ED with active bleeding. Critical deficits in hi…

emergency medicineoral and maxillofacial surgerydiagnosticcommunication
TAShome2023-11-14

Coroner's Finding: de-identified OV

1y · Male·hypoxic brain damage due to laryngeal obstruction from foreign body (metal screw…

An 11-month-old boy died from hypoxic brain damage following aspiration of a 2cm metal screw that lodged in his larynx. The child was left briefly unsupervised at home when he ingested the screw and began choking. Parent…

paediatricsemergency medicineadrenaline
TAShome2023-11-07

Coroner's Finding: Humphries, Leeanne Margaret

55y · Female·smoke inhalation from domestic fire caused by unextinguished cigarette

A 55-year-old woman with a prior stroke causing physical disability, intellectual disability, schizophrenia, epilepsy, diabetes and atrial fibrillation died from smoke inhalation in a domestic fire. She was a heavy smoke…

psychiatryneurologytapentadol
TAScommunity2023-11-02

Coroner's Finding: Mellor, Alyson Margaret

64y · Female·head injury sustained in a single motor vehicle accident

Mrs Alyson Margaret Mellor, aged 64, died from a head injury sustained in a single-vehicle motor accident on 30 April 2022. She had type 1 diabetes managed with an insulin pump, and on the day of the accident her husband…

endocrinologygeneral practiceinsulin
TAShome2023-10-25

Coroner's Finding: de-identified IY

54y · Male·Acute exacerbation of chronic obstructive pulmonary disease due to inhalation of…

A 54-year-old male with chronic obstructive pulmonary disease died from acute exacerbation triggered by inhalation of xylene during hobby spray-painting work. He was not wearing protective equipment despite warnings on p…

respiratory medicinecardiologytramadol
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