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SAcommunity2002-03-07

Coroner's Finding: GIBBONS Leith

17y · Male·incineration

A 17-year-old male died from incineration following a motor vehicle accident on 23 November 2000. The vehicle failed to negotiate a curve, left the road and struck a tree. The driver had bilateral lower limb fractures an…

forensic medicineemergency medicine
SAhospital2002-02-28

Coroner's Finding: GALEA Lesley Anne

30y · Female·respiratory failure related to bronchopneumonia following cerebral anoxia due to…

A 30-year-old woman with a previous caesarean section attempted a trial of vaginal delivery. She received Syntocinon augmentation at 6:45 AM without prior cervical assessment and epidural analgesia at 7:35 AM. No vaginal…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
SA2002-02-27

Coroner's Finding: HARRADINE Robert and WILSON Anthony

Male·Robert Harradine: multiple injuries including brain stem transection, cerebral l…

Two teenagers died following a motor vehicle collision on 9 August 2000 in Adelaide. Robert Harradine (16) sustained fatal multiple injuries; Anthony Wilson (15) died from pulmonary contusion with associated injuries inc…

forensic medicineemergency medicinecannabis
SAmental health2002-02-05

Coroner's Finding: COCCA Angelo

63y · Male·respiratory arrest caused by bronchopneumonia secondary to swallowing problems c…

Angelo Cocca, aged 63, died of respiratory arrest caused by bronchopneumonia secondary to swallowing problems from severe dementia. He was an inpatient in a mental health facility under a detention order. The coroner fou…

psychiatrygeriatric medicine
SA2002-02-05

Coroner's Finding: FAZZARI Peter

56y · Male·stab wound to the brain

Peter Fazzari, aged 56, died from a stab wound to the brain while imprisoned at Cadell Prison Farm, South Australia, the day before his scheduled parole release. He was found in his unlocked cell on the morning of 29 Dec…

forensic medicinesystem
SA2002-02-05

Coroner's Finding: GREEN David Vance

42y · Male·small cell lung cancer

A 42-year-old man imprisoned for rape died from small cell lung cancer at a hospice after a brief four-hour leave from prison. Cancer was detected within days of imprisonment when he presented with a persistent cough. He…

palliative careoncologysystem
SAhospital2002-02-05

Coroner's Finding: TAYLOR Margaret Joyce

56y · Female·subarachnoid haemorrhage complicating berry aneurysm of the right middle cerebra…

Margaret Joyce Taylor, aged 56, died from subarachnoid haemorrhage due to rupture of a berry aneurysm on the right middle cerebral artery. She presented to three medical practitioners over 6 days with progressive occipit…

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
SAmental health2002-01-03

Coroner's Finding: PETTITT Randall John

34y · Male·neck compression due to hanging

A 34-year-old man with longstanding psychiatric illness died by hanging four days after discharge from psychiatric hospital. He had been admitted twice in August-September 1999 with active suicidal ideation and homicidal…

psychiatrygeneral practicecommunicationsystemfluoxetine
SAhome2002-01-03

Coroner's Finding: THOMSON Wayne Mark

47y · Male·neck compression due to hanging

Wayne Mark Thomson, aged 47, died by hanging on 14 February 2000. He made multiple attempts to seek help for suicidal ideation in the preceding three days, including visiting his GP, calling a crisis assessment service (…

general practicepsychiatrydiagnosticcommunicationfluoxetine
SAhospital2001-12-14

Coroner's Finding: OVERLAND Harold Kelvin

74y · Male·myocardial infarction

A 74-year-old male aged care resident died of myocardial infarction while detained under the Mental Health Act at Royal Adelaide Hospital. He had presented with hypokalaemia and sigmoid volvulus, refusing initial treatme…

emergency medicinecardiologyproceduralcommunication
SA2001-11-21

Coroner's Finding: THATCHER Hayden Thomas

16y · Male·Traumatic rupture of the thoracic aorta

A 16-year-old male died from traumatic rupture of the thoracic aorta following a motor vehicle collision. The vehicle left the road and struck trees after the driver applied brakes while on gravel, causing severe lateral…

SAhospital2001-11-09

Coroner's Finding: BALL Norman Samual Dean

35y · Male·neck compression from hanging

A 35-year-old man with a history of depression, substance abuse, and acquired brain injury from assault was admitted to a psychiatric ward after self-harm with suicidal ideation. He was detained under the Mental Health A…

psychiatrygeneral practicecommunicationsystemcarbamazepine
SAhospital2001-11-08

Coroner's Finding: STEWART Margaret May

77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…

A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surgery. While Fragmin anticoagulation was …

surgeryvascular surgerycommunicationsystemdalteparin
SAhospital2001-10-19

Coroner's Finding: McCARTHY Nancy Clare

67y · Female·bronchopneumonia complicating disseminated pulmonary large cell carcinoma with r…

Nancy McCarthy, 67, presented with progressive back and chest pain initially attributed to vertebral compression fracture. She deteriorated acutely with confusion, agitation, and respiratory distress, necessitating Menta…

general practiceemergency medicinediagnostic
SAcommunity2001-10-05

Coroner's Finding: BEDNAREK Shantel Lisa

7y · Female·Multiple abdominal injuries including traumatic rupture of the liver and stomach…

A 7-year-old girl died from massive abdominal injuries sustained when a car, driven by an insulin-dependent diabetic man, collided with a group of pedestrians. The driver had undiagnosed and unaware hypoglycemia at the t…

endocrinologyemergency medicinediagnosticcommunicationinsulin
SA2001-10-05

Coroner's Finding: GEAR David Richmond

34y · Male·Mixed methadone and thioridazine toxicity

A 34-year-old man died in prison from mixed methadone and thioridazine toxicity. He was on methadone maintenance (110mg daily) for opioid addiction and was prescribed thioridazine 100mg nightly for depression. Post-morte…

psychiatrygeneral practicemethadone
SAhome2001-09-10

Coroner's Finding: CORNISH Olive Edna

75y · Female·Avulsion of the inferior vena cava from the heart due to severe crush injury of …

A 75-year-old woman died from crush injuries sustained when her 1982 Mitsubishi Sigma sedan reversed unexpectedly whilst she was behind it. The vehicle's automatic transmission selector linkage had worn bushes, allowing …

SAhospital2001-09-07

Coroner's Finding: SANDS Celia Laurel

82y · Female·peritonitis due to a perforated viscus (proximal jejunum) resulting from motor v…

An 82-year-old woman suffered a motor vehicle accident causing blunt abdominal trauma. Despite initial clinical assessment appearing adequate, a perforated jejunum with developing peritonitis was not diagnosed until earl…

general surgeryemergency medicinediagnosticdelay
SAhospital2001-09-04

Coroner's Finding: CHESTER George Spencer

18y · Male·multiple injuries

George Spencer Chester, 18, died from multiple injuries sustained when a stolen Toyota 4WD he was driving rolled on Decres Bay Road after failing to negotiate a bend while being pursued by police. He was ejected from the…

emergency medicinetrauma surgery
SAcommunity2001-09-04

Coroner's Finding: COVENTRY James Steven Joseph

27y · Male·traumatic rupture of the mid brain complicating ring fracture of the skull base

James Steven Joseph Coventry, aged 27, died from traumatic rupture of the midbrain and ring fracture of the skull base after his vehicle collided with trees while evading police. The death was not due to police conduct; …

forensic medicinepsychiatrysystemcommunicationmethamphetamine
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