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QLDhospital2017-07-18

Stimpson, Reginald - Non-inquest findings

73y · Male·Acute intracranial haemorrhage, due to or as a consequence of coagulopathy, due …

Mr Stimpson, a 73-year-old man, died from massive intracerebral haemorrhage secondary to coagulopathy caused by inadvertent double administration of anticoagulants (Clexane and Xarelto). He developed bilateral pulmonary …

orthopaedic surgerygeneral medicinemedicationcommunicationenoxaparin
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…

A 36-year-old woman with congenital chest wall abnormality, scoliosis, and difficult intubation history presented to a rural hospital with community-acquired pneumonia and sepsis. She had multiple 'red flag' indicators o…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol
VIChospital2017-07-13

Finding into death of Michelle Louise Rosevear

41y · Female·Left middle cerebral artery territory ischaemic stroke

A 41-year-old registered nurse presented to the Emergency Department with altered consciousness on 28 May 2015. She was initially assessed as having a possible medication overdose rather than acute stroke, despite later …

emergency medicineneurologydiagnosticdelayquetiapine
WAhospital2017-07-11

Inquest into the Death of Beasley (also known as Graeme Leslie Syme)

49y · Male·Complications of penetrating sharp force injuries through the chest and abdomen …

Graeme Leslie Syme (Beasley), a 49-year-old male on parole with methamphetamine use history, died from penetrating chest and abdominal stab wounds he self-inflicted. Key clinical lessons: his case involved self-harm foll…

emergency medicinetrauma surgerysystemdelaymethamphetamine
TAShome2017-06-26

Coroner's Finding: Johnstone, BJay

0y · Male·Traumatic head injury

BJay Adam Johnstone, 45 days old, died from severe traumatic head injury inflicted by his father Simon Johnstone in a household environment. BJay suffered multiple episodes of violence including head trauma, rib fracture…

paediatricsemergency medicinediagnosticsystemcannabis
QLDhospital2017-06-22

Mead, Gwendoline

73y · Female·Multiple organ failure due to or as a consequence of sepsis due to or as a conse…

73-year-old woman died 12 days after elective colorectal surgery for synchronous caecal and rectal tumours. Post-operatively, she developed persistent low urine output and intermittent hypotension managed with repeated f…

colorectal surgerygeneral surgerydiagnosticdelay5-fluorouracil
VIChospital2017-06-22

Finding into death of Robert Andrew Brewster

50y · Male·Head injuries (extensive subarachnomial haemorrhage with cerebral oedema, cerebr…

Robert Brewster, a 50-year-old man, died from severe head injuries sustained when struck by a jetski while swimming in Port Melbourne. The operator, who had only recently obtained a recreational boat licence through theo…

emergency medicinetrauma surgerysystemmorphine
TAShospital2017-06-20

Coroner's Finding: Crosswell, Wendy

69y · Female·peritonitis due to dislodged percutaneous endoscopic gastrostomy (PEG) tube

A 69-year-old woman with pyelonephritis developed peritonitis and died after a percutaneous endoscopic gastrostomy (PEG) tube became dislodged. The tube dislodgement was suspected on 11 December 2015 when the patient was…

gastroenterologyradiologydiagnosticcommunication
TAShospital2017-06-19

Coroner's Finding: Nancarrow, Maurice Cecil

76y · Male·multiple organ failure due to large volume aspiration of gastric contents during…

Maurice Nancarrow, 76, died from multiple organ failure following aspiration of gastric contents during anaesthetic induction for cystoscopy on 15 August 2015. He had undergone colorectal surgery on 30 July with complica…

general surgeryurologydiagnosticcommunicationdiuretics
NThome2017-06-09

Inquest into the death of Baby S

0y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest as a consequence of…

A 7-month-old Aboriginal female, Baby S, died from hypoxic-ischaemic encephalopathy caused by respiratory viral infection and pneumonia with cardiac arrest. She was in care of Territory Families after removal from her mo…

paediatricsforensic medicine
NSWhome2017-06-07

Inquest into the death of Craig LEISHMAN

46y · Male·Complications of chronic alcoholism and hypertension

Craig Leishman, 46, died from complications of chronic alcoholism and hypertension. He had a 10-year history of heavy alcohol use, liver failure (identified February 2016), and completed rehabilitation. Two weeks before …

intensive carepathologyalcohol
NSWhospital2017-06-06

Inquest into the death of Helen Ashburn

46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…

Helen Ashburn, a 46-year-old woman with history of alcohol use, coagulopathy and seizures, died from prolonged effects of a severe head injury sustained on 25 October 2011. She presented to Kempsey Hospital with extensiv…

emergency medicineneurosurgerycommunicationdiagnostic
VICaged care2017-05-31

Finding into death of Nerilee Elizabeth Barfoot

30y · Female·Global cerebral ischaemic injury and bronchopneumonia following PEA arrest in a …

A 30-year-old woman with Lennox-Gastaut Syndrome, a severe treatment-resistant epilepsy, died following cardiac arrest at a disability residential care facility. She was found entangled in a swing seat armrest on 7 April…

neurologyemergency medicinesystemcarbamazepine
VIC2017-05-25

Finding into death of ED

42y · Male·Hypoxic/ischaemic encephalopathy; cardiac arrest; cardiomegaly

A 42-year-old man with schizophrenia died from hypoxic-ischaemic encephalopathy following an out-of-hospital cardiac arrest at a mental health community care unit. He had been admitted voluntarily for alcohol rehabilitat…

psychiatryemergency medicinerisperidone
QLDhospital2017-05-24

PG - Non-inquest findings

75y · Male·left retroperitoneal haemorrhage associated with lumbar spine surgery

A 75-year-old man with complex comorbidities including Parkinson's disease and cognitive impairment underwent two-stage lumbar spine surgery for degenerative disc disease with stenosis. Post-operatively, he developed a r…

neurosurgeryintensive carediagnosticdelayheparin
VIChospital2017-05-19

Finding into death of Jane Laura Gooding

39y · Female·multiorgan failure and probable sepsis

Jane Laura Gooding, a 39-year-old woman with cerebral palsy, epilepsy, and blindness living in residential care, presented to Knox Private Hospital with fever, shortness of breath, vomiting, abdominal pain, and hypotensi…

emergency medicineintensive care
VICmental health2017-05-18

Finding into death of Derek Hamilton

46y · Male·Cerebral ischaemia secondary to compression of the neck in circumstances of hang…

Derek Hamilton, a 46-year-old involuntary psychiatric patient with cluster B personality disorder and recurrent depression, died from cerebral ischaemia secondary to hanging while an inpatient at Northern Hospital Psychi…

psychiatryintensive caresystemcommunicationmirtazapine
TAShospital2017-05-08

Coroner's Finding: McCall, Pamela

45y · Female·Mixed drug and alcohol toxicity, primarily due to propranolol

Pamela McCall, aged 45, died from mixed drug and alcohol toxicity on 12 February 2013. Her de facto partner, Dr B., a general practitioner, had been prescribing propranolol and panadeine forte for her since 2008 without …

general practiceemergency medicinecommunicationsystempropranolol
VICcommunity2017-05-08

Finding into death of David Leslie Chapman

39y · Male·Hypoxic ischaemic brain injury

David Leslie Chapman, age 39, collapsed from a suspected heroin overdose in Richmond on 9 June 2016 and died from hypoxic ischaemic brain injury on 17 June 2016. He had a lengthy history of heroin use, mental health cond…

emergency medicineintensive careheroin
QLD2017-05-04

Turpin, Robert Noel

23y · Male·Hanging

Robert Noel Turpin, 23-year-old Aboriginal man, died from hanging after a domestic violence incident in Atherton, Queensland. Following an argument with his partner, he locked himself in a bathroom with a belt while she …

forensic medicineemergency medicinecommunicationsystemalcohol
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