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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
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
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
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
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
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
WAhospital2013

Inquest into the Death of Zappacosta, Palmerino

86y · Male·Sepsis associated with a pericolic abscess, complicated by terminal large intest…

An 86-year-old life-sentenced prisoner died from sepsis associated with a pericolic abscess complicated by terminal gastrointestinal haemorrhage. He had extensive comorbidities including bilateral amputations, cardiac fa…

emergency medicinegeneral medicinevenlafaxine
WAhospital2012-10-05

Inquest into the Death of Rasmussen vaughn

15y · Male·Cerebral ischaemia in a young man with a blocked ventricular peritoneal shunt an…

Vaughn Richard Rasmussen, a 15-year-old boy with congenital abnormalities and a ventricular-peritoneal (VP) shunt, died from cerebral ischaemia caused by acute blockage of his VP shunt on 17 November 2009. Between 12-16 …

general practicegeneral medicinediagnosticcommunicationlamotrigine
WAhospital2012-09-14

Inquest into the Death of dawkins

17y · Female·Acute Lymphocytic Meningitis and Focal Myocarditis

Amy Lee Dawkins, 17, presented twice to Rockingham General Hospital ED within two weeks with severe headaches, myalgias, and vomiting. On 28 December 2008, she was discharged with a diagnosis of viral upper respiratory t…

emergency medicinegeneral medicinecommunicationsystemcitalopram
WAhospital2012-05-31

Inquest into the Death of GARRETT

52y · Male·HIV infection complicated by basal and squamous cell carcinoma of the head and n…

Bruce Jason Garrett, a 52-year-old prisoner detained under the Dangerous Sexual Offenders Act, died at Royal Perth Hospital on 2 October 2010 from HIV infection complicated by basal and squamous cell carcinoma of the hea…

emergency medicineintensive careheparin
WAhospital2012-04-05

Inquest into the Death of Little

0y · Female·perinatal pneumonia in association with meconium aspiration

Baby Sharinka Patricia Little, born prematurely at 35 weeks at Dalwallinu Hospital on 20 March 2008, died from perinatal pneumonia with meconium aspiration the same day. Critical clinical failures occurred during her nin…

neonatologygeneral practicediagnosticcommunication
WAhospital2012-03

Inquest into the Death of Troy

63y · Female·Intra-cerebral bleed secondary to thrombocytopenia in a person with prolymphocyt…

Josephine Troy, 63, died on 14 February 2006 at Bunbury Regional Hospital from an intracerebral bleed secondary to thrombocytopenia (platelet count of 1) arising from prolymphocytic leukaemia. She had been in remission f…

haematologyintensive carecommunicationdelaychemotherapy
WAhospital2011-11-22

Inquest into the Death of Ashdown

27y · Male·cardiac arrhythmia during restraint; mechanism involved hypoxia and asphyxiation…

Warwick Andrew Ashdown, a 27-year-old male with severe treatment-resistant paranoid schizophrenia, died at Graylands Hospital on 12 October 2007 from cardiac arrhythmia during physical restraint. After assaulting another…

psychiatryintensive careproceduralsystemhaloperidol
WAmental health2011-04-21

Inquest into the Death of Barnes

50y · Female·acute heart failure in association with acute on chronic obstructive airways dis…

Donna Lillian Barnes, a 50-year-old woman with chronic schizophrenia and multiple physical comorbidities including morbid obesity, asthma, and poor mobility, died of acute heart failure associated with acute-on-chronic o…

psychiatrygeneral medicinecommunicationsystemantibiotics
WAcommunity2010-07-30

Inquest into the Death of Dingle

34y · Female·complications of metastatic rectal cancer

Penelope Dingle died of metastatic rectal cancer on 25 August 2005. She was diagnosed with localised rectal cancer in February 2003 when a potential surgical cure was possible. However, she rejected mainstream treatment …

colorectal surgerygeneral practicediagnosticcommunication
WAhospital2010-01

Inquest into the Death of West

8y · Male·Hypoxic Ischaemic Encephalopathy resulting from asphyxiation due to co-sleeping …

Nathaniel West, an 8-day-old Aboriginal newborn, died from hypoxic ischaemic encephalopathy following accidental asphyxiation due to co-sleeping (bed-sharing) with his mother at Kalgoorlie Regional Hospital on 4 May 2006…

neonatologyintensive caresystemcommunicationmetronidazole
WAhospital2009-08-25

Inquest into the Death of Partington

88y · Female·pneumonia and morphine toxicity in an elderly lady with a recent left leg and le…

Pauline Margaret Partington, an 88-year-old woman, suffered an unwitnessed fall at a residential aged care facility on 4 May 2008 and sustained a fractured left neck of femur, displaced fracture of the left humerus, and …

geriatric medicinegeneral medicinecommunicationsystemmorphine
WAhospital2009-08-13

Inquest into the Death of Greeuw

45y · Female·aspiration of vomitus with bowel obstruction due to faecal impaction

Vicki Margaret Greeuw, a 45-year-old woman with schizoaffective disorder, died on 13 May 2007 at Albany Regional Hospital from aspiration of vomitus secondary to bowel obstruction due to severe faecal impaction. She had …

psychiatrygeneral practicediagnosticcommunicationchlorpromazine
WAhospital2009-02-01

Inquest into the Death of Fox

62y · Male·Acute Gastrointestinal Haemorrhage in association with Acute on Chronic Peptic U…

Kenneth Charles Fox, 62, presented to Fremantle Hospital ED on 12 April 2006 with a gastrointestinal bleed after fainting. He was diagnosed with a massive bleed causing hypovolaemic shock and stabilized with fluid resusc…

emergency medicinegeneral surgerydiagnosticdelayaspirin

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