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SAhospital2024-09-13

Coroner's Finding: Zarrella, Dominic

88y · Male·aspiration pneumonia complicating vascular dementia and metastatic prostate canc…

An 88-year-old man with vascular dementia, metastatic prostate cancer, and chronic kidney disease died of aspiration pneumonia 15 days after admission to hospital under a Mental Health Act inpatient treatment order. He w…

oncologypsychiatry
SA2024-09-02

Coroner's Finding: Papworth, Jay Wyliam

23y · Male·blunt head and chest trauma

A 23-year-old male motorcyclist died from blunt head and chest injuries sustained in a collision with a bus while fleeing police on a stolen, unregistered motorcycle. Toxicology revealed significant methylamphetamine and…

methamphetamine
SAhome2024-09-02

Coroner's Finding: Woods, Travis John

36y · Male·hanging

Travis John Woods, 36, died by hanging while on home detention bail in South Australia on 10 February 2021, classified as a death in custody. He had a long history of methamphetamine dependence, unresolved trauma, PTSD, …

forensic medicinegeneral practicemethamphetamine
SAcommunity2024-08-29

Coroner's Finding: May, Kunmanara

23y · Female·stab wound of the chest

Kunmanara May, aged 23, was killed by her partner SK in a domestic violence homicide in 2015. Multiple agencies—South Australia Police, Families SA, Aboriginal Family Support Service, and Centacare—knew of escalating vio…

general practiceforensic medicinediagnosticcommunication
SA2024-08-08

Coroner's Finding: Howard, Peter Kevin

59y · Male·inhalation of products of combustion and effects of heat

Peter Howard, 59, a 27-year Orora packaging factory employee, died from inhalation of combustion products when his car caught fire outside the Athol Park site on 28 August 2018. After a workplace altercation with colleag…

general practicepsychiatrycommunicationdelay
SAhome2024-06-28

Coroner's Finding: Evans, Caleb

0y · Male·unascertained, in an unsafe sleeping environment, on a background of respiratory…

Baby Caleb, aged 2 months, died on 30 November 2018 in an unsafe sleeping environment while his mother co-slept with him on a fold-out sofa in a squalid home. He had a concurrent respiratory tract infection. The coroner …

paediatricsgeneral practicesystemcommunication
SAaged care2024-06-19

Coroner's Finding: Coom, William Cyril Denver

92y · Male·unascertained

A 92-year-old man with advanced dementia died in aged care following an unwitnessed fall on 3 December 2021. He deteriorated rapidly after a second fall at 11:45pm and died shortly after. The precise cause of death remai…

geriatric medicinegeneral practicecommunicationsystem
SAhospital2024-06-19

Coroner's Finding: Ferns, Patricia Dorothy

79y · Female·cardiogenic shock following repair of fractured right femur on a background of a…

Mrs Patricia Ferns, aged 79, died from cardiogenic shock following femur fracture repair, complicated by underlying aortic valve stenosis, atherosclerotic disease and hypertension. She fell at home and was admitted with …

cardiologyorthopaedic surgery
SAaged care2024-06-19

Coroner's Finding: Harmer, Valerie Fay

91y · Female·dementia complicated by subdural haemorrhage

A 91-year-old woman with advanced dementia under guardianship order died from dementia complicated by subdural haemorrhage. She sustained a fall at an aged care facility in July 2021, resulting in a 6mm subdural haematom…

neurosurgeryemergency medicine
SAhospital2024-06-19

Coroner's Finding: Kennedy, Beulah Laura

95y · Female·end-stage dementia and inanition complicated by fractured neck of femur (operate…

Mrs Beulah Kennedy, aged 95, died from end-stage dementia and inanition complicated by a fractured neck of femur. She was admitted to Royal Adelaide Hospital on 10 September 2021 with agitation and falls. An inpatient tr…

geriatric medicinepsychiatry
SAhospital2024-06-19

Coroner's Finding: Leane, Stewart Anthony

62y · Male·end stage renal failure complicating oxalate crystal nephropathy with contributi…

Stewart Anthony Leane, 62, died from end-stage renal failure due to oxalate crystal nephropathy with contributing head injury. He had complex medical needs including dialysis-dependent kidney failure, schizophrenia, and …

nephrologyneurology
SAhome2024-06-19

Coroner's Finding: Muller, Simon David

46y · Male·acute neck compression due to hanging

Simon David Muller, aged 46, died by hanging at his home on 10 June 2021 while on home detention bail. He had been unemployed since 2017 and had no known previous mental health diagnoses or suicide attempts. Drug testing…

communicationdelayamphetamine
SAaged care2024-06-19

Coroner's Finding: Murphy, Phillip Robin

76y · Male·right lower lobe pneumonia on a background of frontotemporal dementia, chronic o…

A 76-year-old man with frontotemporal dementia, COPD, and osteoporosis died of right lower lobe pneumonia following multiple falls causing pelvic and rib fractures at a nursing home. He was admitted to hospital on 9 Febr…

geriatric medicinepalliative care
SAaged care2024-06-19

Coroner's Finding: Perkins, Ann

77y · Female·general inanition on a background of dementia, chronic subdural haematoma and ri…

Mrs Ann Perkins, aged 77, died from general inanition with dementia, chronic subdural haematoma, and fractured neck of femur as contributing factors. She sustained an unwitnessed fall at her aged care facility in Decembe…

geriatric medicineorthopaedic surgery
SAaged care2024-06-19

Coroner's Finding: Saberton, Linda Eileen

73y · Female·fractured neck of femur (operated) on a background of Alzheimer's dementia

Linda Eileen Saberton, aged 73, died from complications of a fractured neck of femur sustained in a fall at her aged care facility, on a background of advanced Alzheimer's dementia. She had suffered two hip fractures wit…

geriatric medicineorthopaedic surgerymedicationrisperidone
SAaged care2024-06-19

Coroner's Finding: Whelan, Brian John

84y · Male·head and pelvic injuries with contributing ischaemic and valvular heart disease …

An 84-year-old man under guardianship with dementia, cardiac disease, and on anticoagulation suffered an unwitnessed fall at an aged care facility and sustained head and pelvic injuries. Following the fall, a registered …

geriatric medicineemergency medicinesystemcommunicationanticoagulation medication
SAaged care2024-05-22

Coroner's Finding: Donato, Anthony

85y · Male·blunt craniocerebral trauma following a fall

Anthony Donato, aged 85, died from blunt craniocerebral trauma following an unwitnessed fall at an aged care facility. He had dementia, hypertension, sleep apnoea, and previous falls. He was assessed as medium fall risk …

geriatric medicineemergency medicine
SAaged care2024-05-22

Coroner's Finding: Feldstein, Victoria

87y · Female·General inanition complicating mixed vascular and Alzheimer's dementia on a back…

Victoria Feldstein, 87, died of general inanition complicating mixed vascular and Alzheimer's dementia following a left humeral fracture sustained in aged care. She fell on 16 August 2020, initially managed conservativel…

geriatric medicineorthopaedic surgery
SAaged care2024-05-22

Coroner's Finding: Hough, Robert John

72y · Male·asphyxia due to upper airway obstruction due to choking on food

A 72-year-old man with acquired brain injury, seizure disorder, and dysphasia died from asphyxia due to choking on food while eating eggs and ham on toast at a disability care facility. He had no documented swallowing di…

neurologygeriatric medicine
SAaged care2024-05-22

Coroner's Finding: Kaczaniw, Iwan

93y · Male·general inanition on a background of cognitive impairment, congestive cardiac fa…

A 93-year-old man with dementia, heart failure, and chronic renal disease died of general inanition following a hip fracture sustained in a fall at an aged care facility. He was under a guardianship order with special po…

geriatric medicineorthopaedic surgery
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