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WAhospital2020-04-24

Inquest into the Death of Hassan BECHARA

52y · Male·ischaemic heart disease

Hassan Bechara, a 52-year-old prisoner, died from ischaemic heart disease in July 2017. He had complex cardiac history including dilated cardiomyopathy, triple-vessel coronary disease, and previous cardiac procedures. Cl…

cardiologyemergency medicinedelaysystematorvastatin
VIChospital2020-04-23

Finding into death of John Alexander King

60y · Male·Mixed drug toxicity

A 60-year-old man with schizophrenia and depression presented to Maroondah Hospital ED with acute psychotic symptoms after stopping his antipsychotic medication (trifluoperazine) due to manufacturer discontinuation. He w…

emergency medicinepsychiatrysystemcommunicationtrifluoperazine
NSW2020-04-22

Inquest into the death of Robert HOWLETT

74y · Male·Ischaemic heart disease and coronary atherosclerosis

Mr Robert Howlett, a 74-year-old man with extensive comorbidities including chronic lung disease, hypertension and severe hearing disability, died of ischaemic heart disease and coronary atherosclerosis while in custody …

cardiologygeneral practicecommunicationnifedipine
QLDcommunity2020-04-17

Russo, Matthew Anthony

37y · Male·Cardiac failure due to sepsis due to bilateral bronchopneumonia

Matthew Russo, a 37-year-old man, died from sepsis and cardiac failure secondary to bilateral bronchopneumonia within 18 hours of consultation with Dr M.. The coroner found the medical treatment inadequate and inappropri…

general practicerespiratory medicinediagnosticcommunicationamoxicillin
VIChome2020-04-17

Finding into death of Karen Frazer

56y · Female·Cardiomegaly

Karen Frazer, a 56-year-old woman with intellectual disability, schizophrenia, anxiety, hypertension, and COPD, died from cardiomegaly (enlarged heart with biventricular hypertrophy). She was found unresponsive on the to…

forensic medicinegeneral practicecarbamazepine
VIChospital2020-04-16

Finding into death of Jessica Higgins

33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity

Jessica Higgins, a 33-year-old woman with chronic pain on high-dose opioids, underwent ketamine infusion with planned opioid rotation to methadone in May 2017. She was discharged on 23 May on methadone 5mg twice daily pl…

pain medicineemergency medicinecommunicationdiagnosticmethadone
VIC2020-04-08

Finding into death of Kylie Maree Matchett

49y · Female·Complications of Alzheimer's dementia in a woman with Down syndrome

A 49-year-old woman with Down syndrome and Alzheimer's dementia died unexpectedly at her supported accommodation facility. She was found on the floor in the morning, unresponsive. Autopsy confirmed Alzheimer's pathology …

pathologyneurologylamotrigine
VIC2020-04-06

Finding into death of Robert James Lawerence

29y · Male·Shotgun wound to the head

Robert James Lawrence, a 29-year-old man with complex mental health needs including ADHD, depression, anxiety, Tourette's syndrome, and borderline personality traits, died from a self-inflicted shotgun wound. He held a C…

psychiatrypsychologycommunicationsystem
WAaged care2020-03-27

Inquest into the Death of Laureen Kaye REILLY

54y · Female·combined drug toxicity (heroin, morphine, cannabis, and prescription medications…

Laureen Kaye Reilly, aged 54, died from combined drug toxicity involving heroin, cannabis, and prescription medications including antipsychotics and mood stabilizers. She had complex mental health disorders, acquired bra…

psychiatrygeneral practiceheroin
NSW2020-03-25

Inquest into the death of Mahmoud ALLAM

28y · Male·MRSA sepsis

Mahmoud Allam, a 28-year-old man, died from MRSA sepsis whilst in custody at Parklea Correctional Centre. He initially presented with upper respiratory symptoms on 11 June 2016, followed by increasing symptoms including …

infectious diseasesemergency medicinecommunicationsystemflucloxacillin
TAShome2020-03-23

Coroner's Finding: Szemes, Kim Leonie Maree

59y · Female·Unable to determine - body too decomposed at autopsy

Mrs Szemes, a 59-year-old woman with longstanding mental health issues living alone, was found deceased after an interval of approximately 5 months. On 28 May 2018, police attended her home after welfare concerns and cal…

paramedicinepsychiatrycommunicationsystem
VIChome2020-03-20

Finding into death of Janet Foster

55y · Female·Mixed drug toxicity in a woman with cardiomegaly and chronic obstructive airway …

Janet Foster, 55, died from mixed drug toxicity involving heroin/morphine combined with benzodiazepines in the context of cardiomegaly and chronic obstructive airway disease. She was a voluntary palliative care patient a…

emergency medicinegeneral practicecommunicationsystemmorphine
NSWhome2020-03-16

Inquest into the death of Christina BURGESS

50y · Female·unknown

Christina Burgess, aged 50, was found deceased in her mother's home in August 2018, having likely died between May and August 2018. Autopsy examination could not establish a cause of death due to advanced decomposition. …

psychiatrygeneral practicesystemcommunication
QLDhome2020-03-11

Roulant, Daniel Christopher

22y · Male·Meningococcal meningitis and sepsis

Daniel Roulant, 22, died from meningococcal meningitis and sepsis within 24 hours of symptom onset. He presented to his GP on 23 November 2017 with a viral head cold, low-grade fever (37.4°C), and normal ENT/chest examin…

general practiceinfectious diseases
WAcommunity2020-03-04

Inquest into the Suspected Death of Gordon COLLEY

38y · Male·Hallucination, dehydration and exposure, exacerbated by untreated mental illness…

Gordon Colley, a 38-year-old Aboriginal man from the Marto people, disappeared on 7 December 1997 from Mundiwindi Station near Newman, Western Australia. He was known to have mental health issues requiring anti-psychotic…

psychiatrygeneral practicehaloperidol
NSWaged care2020-03-03

Inquest into the death of Hazel BROCKETT

86y · Female·complications of femoral, radial and ulnar fractures; antecedent cause Alzheimer…

86-year-old Hazel Brockett died from complications of fractures inflicted by a fellow dementia-affected resident in a locked Memory Support Unit (aged care dementia facility). Over months prior, the other resident demons…

geriatric medicinegeneral practicecommunicationdiagnosticbuprenorphine
NSWcommunity2020-02-27

Inquest into the death of DP

45y · Male·gunshot wound to the chest

DP, a 45-year-old with a history of methylamphetamine use and drug-induced psychosis/schizophrenia, attended Quakers Hill Police Station on 19 January 2016 with a knife intending to provoke police into shooting him. His …

psychiatryemergency medicinemethamphetamine
ACThome2020-02-24

Inquest into the death of Joanne Lea LOVELOCK

53y · Female·Combined effects of alcohol, amitriptyline, and methadone

Joanne Lovelock, a 53-year-old woman with chronic pain, died from combined effects of alcohol, amitriptyline, and methadone on Christmas Day 2015. She had developed opioid dependence while receiving legitimate pain manag…

general practicepain medicinesystemcommunicationalcohol
TAShome2020-02-18

Coroner's Finding: Evans, Conor Maclaren

19y · Male·mixed drug toxicity (methadone and diazepam)

A 19-year-old male died from mixed drug toxicity following ingestion of illicit methadone and diazepam. He was a regular user of illicit substances and prescription medications obtained without medical supervision. He ha…

general practiceforensic medicinesystemcommunicationmethadone
NSWhospital2020-02-12

Inquest into the death of Francis Sawle

82y · Male·Acute myocardial infarction caused by ischaemic heart disease

Francis Sawle, an 82-year-old man in custody, died of acute myocardial infarction due to ischaemic heart disease while an inpatient at Prince of Wales Hospital. He had significant comorbidities including severe triple ve…

cardiologypalliative careperindopril

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