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VIChospital2012-10-24

Finding into death of Nicola Spina

63y · Male·End stage ischaemic cardiomyopathy and chronic renal impairment

Nicola Spina, a 63-year-old male prisoner at Port Phillip Prison, died from end-stage ischaemic cardiomyopathy and chronic renal impairment on 17 July 2010. He presented to St Vincent's Hospital on 6 July 2010 with acute…

emergency medicineintensive careoxycodone
VIChospital2012-10-15

Finding into death of Neil Douglas Emonson

57y · Male·Pneumonia in a man with epilepsy secondary to childhood meningitis

Neil Emonson, a 57-year-old man with intellectual disability, epilepsy secondary to childhood meningitis, and swallowing difficulties, died from aspiration pneumonia. He was admitted to palliative care on 12 April 2012 f…

palliative caregeneral practice
VIChospital2012-09-18

Finding into death of Lorraine Therese Patrick

45y · Female·Aspiration pneumonia

A 45-year-old woman with Down syndrome, epilepsy, and non-verbalisation living in a high-care community residential facility died from aspiration pneumonia. She developed cold/flu symptoms on 2 January 2011, with a cough…

emergency medicineintensive caredelayceftriaxone
VICaged care2012-09-18

Finding into death of Brian Lench

58y · Male·Aspiration pneumonia in a man with a left middle cerebral artery stroke (palliat…

Brian Lench, a 58-year-old man with intellectual disability in DHS residential care, suffered a left middle cerebral artery stroke on 6 October 2011. He developed aspiration pneumonia complicated by acute respiratory dis…

emergency medicineneurologyantibiotics
VIC2012-08-16

Finding into death of Rosemary Auchettl

52y · Female·Respiratory failure due to recurrent aspiration pneumonia; Down syndrome as unde…

Rosemary Auchettl, a 52-year-old woman with Down syndrome and profound intellectual disability, died from respiratory failure secondary to recurrent aspiration pneumonia while in residential care. She had a documented hi…

respiratory medicinepalliative care
VIChospital2012-08-15

Finding into death of Gregory Dean Coutts

46y · Male·Septic shock complicating pneumonia in the setting of spastic quadriplegia and e…

Gregory Dean Coutts, a 46-year-old man with intellectual disability, spastic quadriplegia, and epilepsy living in a Department of Human Services group home, died from septic shock complicating pneumonia. On 3 October 201…

general practiceemergency medicine
VIChome2012-07-06

Finding into death of NCS

31y · Male·mixed drug toxicity

A 31-year-old man died from mixed drug toxicity involving a lethal combination of fentanyl, ketamine, hydromorphone, morphine, codeine, paracetamol and cannabinoids. The deceased had access to powerful palliative medicat…

forensic medicinepalliative caresystemfentanyl
VIC2012-07-02

Finding into death of Jennifer Anne Capes

50y · Female·unascertained

Jennifer Capes, a 50-year-old resident in a community care unit with complex mental health and physical health needs, was found unresponsive at 6am and pronounced deceased following unsuccessful resuscitation. She had me…

psychiatrypalliative care
WAhome2012-06-29

Inquest into the Death of Operation Lantana

Toxicity from intravenous caesium, DMSO, and other substances administered as pa…

In May 2005, the Kathi Preston Memorial Health Centre (KPMHC) operated an unproven cancer therapy clinic from Dr B.'s home in Perth, Western Australia, administering intravenous treatment containing caesium, DMSO, and La…

general practiceoncologydiagnosticproceduralcaesium chloride
VICaged care2012-06-15

Finding into death of Alison Margaret Stamp

54y · Female·infective exacerbation of asthma with congestive cardiac failure

Alison Stamp, a 54-year-old woman with Down syndrome, dementia, and chronic asthma living in residential care, died from infective exacerbation of asthma with congestive cardiac failure. She was admitted to hospital on 9…

palliative carerespiratory medicine
VIChospital2012-06-15

Finding into death of Theand Youvanis

45y · Female·Complications of end stage renal failure in the setting of intellectual disabili…

A 45-year-old woman with severe intellectual disability from childhood meningoencephalitis, spina bifida, epilepsy and blindness died from complications of end-stage renal disease. She was diagnosed with renal disease in…

nephrologypalliative care
VIC2012-06-04

Finding into death of Rosemary McGarrity

49y · Female·Aspiration Pneumonia and Dementia associated with Down Syndrome

Rosemary McGarrity, a 49-year-old woman with Down syndrome and dementia, died of aspiration pneumonia at a hospice. She had a long history of recurrent aspiration pneumonia requiring hospitalisation and could only tolera…

palliative caregeriatric medicine
VIC2012-06-04

Finding into death of Patricia Parkes

62y · Female·Metastatic Breast Cancer

Patricia Parkes, a 62-year-old woman with autism and severe intellectual disability, died from metastatic breast cancer at a palliative care unit. She had resided in residential care since childhood with substantial fami…

palliative careoncology
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
QLDhospital2012-05-31

Watson, Eric Handley

75y · Male·Carcinomatosis due to carcinoma of the left lung (metastatic adenocarcinoma)

Eric Watson, a 75-year-old prisoner, died from metastatic lung cancer (adenocarcinoma) on 17 January 2011 at Rockhampton Base Hospital. He had presented to correctional centre medical staff multiple times from September …

oncologyrespiratory medicinesalbutamol
VIChospital2012-05-07

Finding into death of John Harwood

65y · Male·pneumonia and aspiration

John Harwood, a 65-year-old man with Down syndrome, died from aspiration pneumonia following hip prosthesis removal for infection. He experienced multiple aspiration episodes during attempts at nasogastric feeding after …

orthopaedic surgerypalliative care
QLDhospital2012-04-20

Lyne, Richard Henry

69y · Male·acute myocardial ischaemia due to underlying coronary atherosclerosis

Richard Henry Lyne, a 69-year-old man in custody on remand, suffered an acute coronary syndrome after a fall in February 2011. He was appropriately transferred to hospital and assessed in ICU, but consistently refused in…

cardiologyintensive caremorphine
SAhospital2012-03-07

Coroner's Finding: MILLER Allan Kenneth

56y · Male·disseminated nocardiosis involving central nervous system, kidneys, liver and th…

Allan Kenneth Miller, 56, died from disseminated nocardiosis (rare bacterial infection) that was not diagnosed during his 12-day RAH admission. Clinicians initially suspected metastatic lung cancer based on presentation …

respiratory medicineinfectious diseasesdiagnosticdelayenoxaparin
VIChospital2012-02-27

Finding into death of Laurence Wayne Allen

66y · Male·Aspiration pneumonia in the setting of acute myocardial infarction in a man with…

Laurence Allen, a 66-year-old man with quadraplegia, end-stage renal failure requiring dialysis, and cardiac disease, died of aspiration pneumonia following acute myocardial infarction. He was an inmate at Port Phillip P…

cardiologynephrology
VICaged care2012-02-15

Finding into death of Daniel Michael Hourigan

72y · Male·Metastatic renal cell carcinoma

Daniel Hourigan, a 72-year-old man with intellectual disability and metastatic renal cell carcinoma, died in palliative care after admission on 29 April 2011. He had widespread metastases involving brain, bone, lungs, an…

palliative careoncology
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