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SAhome2002-11-06

Coroner's Finding: JERICHO Patricia Susanne

43y · Female·neck compression due to hanging

A 43-year-old woman with longstanding depression and previous suicidal ideation presented to Emergency Department twice within 14 days and was referred to psychiatric services. She had persistently refused antidepressant…

general practicepsychiatrycommunicationsystemaurorix
SAcommunity2002-10-09

Coroner's Finding: WANGANEEN Grant Andrew

36y · Male·Large calibre gunshot wound to the chest

A 36-year-old Aboriginal man died from a gunshot wound to the chest inflicted by police during a confrontation while attempting to enforce a restraining order. After the deceased fled from police, he attacked a police of…

methamphetamine
SA2002-09-20

Coroner's Finding: GLENCROSS Kenneth William

80y · Male·metastatic carcinoma

Kenneth William Glencross, an 80-year-old prisoner, died of metastatic lung cancer at Mary Potter Hospice on 8 June 2001 while on conditional leave from prison. He was diagnosed with end-stage metastatic lung cancer in M…

palliative careoncologypain killers
SAhospital2002-09-18

Coroner's Finding: McPHAIL Matthew Anthony

0y · Male·Hypoxic Ischaemic Encephalopathy (no legal death of person found; coroner declin…

A full-term infant, Matthew Anthony McPhail, was delivered at 9.55 pm on 9 July 2000 at Naracoorte Health Service with no signs of life (Apgar 0). CTG monitoring during labour showed concerning fetal bradycardia episodes…

obstetricsgeneral practicedelayoxytocin
SAhome2002-09-06

Coroner's Finding: HUNT Kunmanara

25y · Female·inhalation of petrol (hydrocarbon inhalation)

This is a complex coroner's inquest into three Aboriginal deaths from petrol inhalation on the Anangu Pitjantjatjara Lands. Kunmanara Hunt, age 25, died on 27 January 2001 after inhaling petrol fumes while lying face-dow…

toxicologyforensic medicinesystemdelaypetrol
SAhome2002-09-06

Coroner's Finding: KEN Kunmanara (2)

27y · Male·hydrocarbon inhalation

This inquest involved three deaths from petrol inhalation (1999-2001) on the Anangu Pitjantjatjara Lands. All three deceased were chronic sniffers (10+ years) who died from respiratory depression/asphyxia with distinctiv…

forensic medicinetoxicologysystemdelaypetrol
SAhome2002-09-06

Coroner's Finding: THOMPSON Kunmanara

29y · Male·inhalation of petrol (hydrocarbon inhalation) causing respiratory depression wit…

Three Aboriginal men aged 25-29 years died from petrol inhalation in identical circumstances over 1999-2001, each found face-down in bed with a shaped petrol can sealed to their face. All were chronic sniffers (>10 years…

toxicologyforensic medicinesystemdelaypetrol
SAhome2002-07-11

Coroner's Finding: TAYLOR Yutta

47y · Female·serotonin syndrome due to combined toxicity of moclobemide and paroxetine

A 47-year-old woman with a long history of prescription drug abuse died from serotonin syndrome caused by combined toxicity of moclobemide (MAOI) and paroxetine (SSRI). She had experienced multiple previous overdoses and…

general practicepsychiatrydiagnosticmedicationmoclobemide
SAhospital2002-07-05

Coroner's Finding: BARBER Jason Troy

20y · Male·Closed head injury

Jason Troy Barber, aged 20, died from severe closed head injuries sustained in a motor vehicle collision on 3 October 2000. He had been driving a stolen vehicle recklessly at high speed through Adelaide, intoxicated with…

trauma surgeryneurosurgeryalcohol
SA2002-07-01

Coroner's Finding: THORPE Danny

48y · Male·Cause of death has not been determined; likely drowning, hypothermia, or trauma …

Danny Thorpe, an experienced abalone sheller, disappeared after his fishing boat capsized on 20 November 2000 near Ceduna, South Australia. The vessel overturned in rough weather conditions while the crew was returning f…

occupational and environmental healthforensic medicineprocedural
SAcommunity2002-06-19

Coroner's Finding: HEATLEY Alan Forsyth

17y · Male·cranial and facial trauma

A 17-year-old male with acute schizophrenia died from cranial and facial trauma after running off a 15.6-metre cliff during a psychotic episode. Hours before, he had been seen by a trainee psychologist who failed to reco…

psychologypsychiatrydiagnosticcommunication
SAhome2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

Nicole Davies, 17, died from mixed drug toxicity after rapid methadone dose escalation during early maintenance therapy. She presented with clear signs of intoxication (drowsiness, slurred speech, incoherence) yet receiv…

general practiceaddiction medicinediagnosticmedicationmethadone
SAcommunity2002-05-23

Coroner's Finding: DANN Kathleen Felicity

38y · Female·mixed drug toxicity (lethal level of dothiepin, potentially lethal level of morp…

A 38-year-old woman with long-standing heroin and benzodiazepine dependence died from mixed drug toxicity following injection of heroin. Her GP had prescribed multiple benzodiazepines (diazepam, oxazepam, temazepam) and …

general practiceaddiction medicinemedicationdiagnosticheroin
SAcommunity2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

Nicole Memory Faye Davies, age 17, died on 4 April 2000 from mixed drug toxicity. She enrolled in methadone maintenance with GP Dr T. on 27 March after moving from Melbourne. Dr T. rapidly escalated her dose from 35mg to…

general practiceaddiction medicinediagnosticmedicationmethadone
SAhome2002-05-22

Coroner's Finding: GREGG Robert

13y · Male·Electrocution

Robert Gregg, aged 13, died from electrocution in his family's underground dugout home in Coober Pedy after touching a defective floodlight connected via extension cords to an unearthed socket outlet lacking a residual c…

occupational and environmental healthpathologysystemdelay
SAcommunity2002-05-17

Coroner's Finding: FEENEY Nigel Richard

42y · Male·salt water drowning

A 42-year-old man drowned at Gunyah Beach while attempting to rescue another adult in difficulty in a rip. Despite resuscitation efforts by bystanders, he could not be revived. The coroner identified inadequate warning s…

forensic medicineemergency medicinesystem
SA2002-05-17

Coroner's Finding: GERTAU Robert John

68y · Male·Head injuries (multiple skull fractures with subdural and subarachnoid haemorrha…

A 68-year-old man died from head injuries sustained in a fall onto rocks while fishing at Frenchman's Bluff, South Australia. He was found face-down in a rock pool with multiple skull fractures, subdural and subarachnoid…

SA2002-05-17

Coroner's Finding: MAGLAI Antal

42y · Male·salt water drowning

A 42-year-old man drowned after slipping from rocks while fishing at Browns Bay, Innes National Park. He was wearing smooth-soled leather shoes without cleats on steep, slippery granite rocks during windy conditions. He …

forensic medicine
SAhospital2002-05-17

Coroner's Finding: MITTA Wilhelmina

88y · Female·sepsis of unknown origin

An 88-year-old woman with multi-infarct dementia and behavioural disturbance was detained under the Mental Health Act following assault of her GP. She presented with abdominal symptoms and deteriorating vital signs, tran…

geriatric medicinepsychiatrydiagnosticanti-psychotic medication
SAhospital2002-03-28

Coroner's Finding: PETROCCIA Assunta

26y · Female·cardiorespiratory arrest due to massive gastric dilatation with gastric rupture

Assunta Petroccia, a 26-year-old woman, died from cardiorespiratory arrest due to massive gastric dilatation with rupture following a bulimic episode. She presented to hospital with severe abdominal pain and was incorrec…

surgeryemergency medicinediagnosticcommunicationmorphine
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