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WA2016-10-10

Inquest into the Death of Hayder SAYED

30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…

A 30-year-old Afghan asylum seeker died from acute cardiac failure due to severe coronary atherosclerosis while in immigration detention. He had developed a large anteroseptal myocardial infarction between 4-18 August 20…

cardiologyemergency medicinemirtazapine
VIChospital2016-10-04

Finding into death of Damien Marius Van Der Korput

50y · Male·Hypoxic ischaemic brain injury in the context of hanging

A 50-year-old man with longstanding depression, anxiety, and ADHD died by hanging after an acute deterioration in mental state. He had previous psychiatric admission in 2012 for suicidality and was under regular psychiat…

psychiatryemergency medicinecommunicationsystemalcohol
WA2016-09-29

Inquest into the Death of Troy Allan ROGINSON

35y · Male·head injury in a man with chronic liver disease

A 35-year-old male prisoner with chronic hepatitis C cirrhosis and thrombocytopenia died from traumatic brain injury sustained during an unprovoked assault by another prisoner. A single punch caused him to fall backward …

neurosurgeryemergency medicinemethadone
SAhospital2016-09-29

Coroner's Finding: MCSHANE Robert Ian

66y · Male·Multi-system failure and ischaemic gut after left nephrectomy complicated by mas…

A 66-year-old man died from multi-system failure and ischaemic bowel following laparoscopic left nephrectomy complicated by massive haemorrhage and vascular injury. During surgery for renal carcinoma, the surgeon attempt…

urologyvascular surgeryproceduralsurgical judgment
SA2016-09-22

Coroner's Finding: HENEKER Scott Maxwell

36y · Male·Hypoxic ischaemic encephalopathy due to cardiac arrest occurring during restrain…

Scott Maxwell Heneker, aged 36, died from hypoxic ischaemic encephalopathy due to cardiac arrest occurring during physical restraint by a homeowner. The deceased had entered the homeowner's house without permission while…

psychiatryemergency medicinedelaycommunicationmethamphetamine
QLDhospital2016-09-15

Mr B, a 41 year old indigenous man - Non-inquest findings

41y · Male·Subdural haematoma

A 41-year-old Aboriginal man with excessive alcohol use presented four times to a rural hospital over one month with headaches. His symptoms were attributed to cluster migraine, then alcohol withdrawal syndrome, despite …

emergency medicineneurologydiagnosticcommunicationdiazepam
VIChospital2016-09-15

Finding into death of Bernas Hasibuan

50y · Male·gastrointestinal haemorrhage; haemorrhage from cystic artery post laparoscopic c…

A 50-year-old man died from gastrointestinal haemorrhage involving both a cystic artery and duodenal defect following laparoscopic cholecystectomy. Over five days post-surgery, he developed repeated episodes of hypotensi…

general surgeryintensive carediagnosticcommunication
NSW2016-09-14

Inquest into the death of Rodney James BATES

55y · Male·Traumatic brain injury caused by blunt force to the head sustained in a fall

Rodney Bates, a 55-year-old in custody at Cessnock Correctional Centre, died from traumatic brain injury sustained in a fall on 2 April 2015. He had experienced recurrent unexplained loss of consciousness episodes from N…

neurosurgeryneurologymethadone
TAScommunity2016-09-12

Coroner's Finding: Broomhall, Tyler John

23y · Male·intra-cerebral haemorrhage following methylamphetamine use

Tyler John Broomhall, a 23-year-old factory worker, died from intracranial haemorrhage following methylamphetamine use during a football match. He had suffered a prior unreported work-related head injury 4-6 weeks earlie…

emergency medicineintensive carediagnosticdelaymethamphetamine
SAhospital2016-09-12

Coroner's Finding: GREET Shirley Blanche

87y · Female·digoxin toxicity with hyperkalaemia

An 87-year-old woman with atrial fibrillation, chronic pain, and renal failure intentionally overdosed on approximately 79 digoxin tablets. She called the ambulance and disclosed the overdose. Despite receiving activated…

emergency medicineintensive caredigoxin
QLDcommunity2016-09-10

C, a child aged 14 - Non-inquest findings

14y · Female·Hypoxic-ischaemic encephalopathy due to choking on food, as a consequence of foe…

A 14-year-old girl with foetal alcohol syndrome, autism, and intellectual impairment died from hypoxic-ischaemic encephalopathy following choking on food during a community outing. She had been in state care since infanc…

paediatricsemergency medicinesystemcommunication
SAhospital2016-09-05

Coroner's Finding: HAZLETT Steven William

63y · Male·respiratory failure due to chronic denervation atrophy due to peripheral neuropa…

Steven William Hazlett, aged 63, died of respiratory failure due to chronic denervation atrophy from axonal degenerative peripheral neuropathy with contributing ischaemic heart disease. He was admitted to hospital with p…

respiratory medicinepsychiatryhaloperidol
NThospital2016-09-02

Inquest into the death of Christopher Murrungun

53y · Male·Left intra cerebral and left subdural haemorrhage

Christopher Wurrmerli Murrungun, a 53-year-old Aboriginal man, died from intracerebral and subdural haemorrhage at Royal Darwin Hospital on 12 February 2015. He was found intoxicated on a public footpath in Parap, Darwin…

emergency medicineneurologysystemcommunicationalcohol
QLDhospital2016-09-02

Calder, Michael James

33y · Male·Opiate toxicity

A 33-year-old man with previously unrecognized obstructive sleep apnoea was admitted with severe headache. The treating physician prescribed a complex regimen of escalating opiate doses including both slow-release (MS Co…

general medicineemergency medicinemedicationdiagnosticmorphine
NThospital2016-09-01

Inquest into the death of Kerry James Murphy

73y · Male·Acute subdural haematoma

Kerry James Murphy, 73, died from acute subdural haematoma following a fall in Royal Darwin Hospital's overcrowded Emergency Department. He was admitted with pneumonia, NSTEMI, and dizziness—significant fall risk factors…

emergency medicinecardiologysystemcommunicationblood thinners
SAhospital2016-09-01

Coroner's Finding: QASEM ABDALLA Saeed

63y · Male·severe refractory heart failure despite coronary artery bypass and repeated prol…

A 63-year-old man detained under migration law died from severe refractory biventricular heart failure despite coronary artery bypass grafting and intensive cardiovascular support. He presented with cardiomyopathy, poorl…

cardiothoracic surgerycardiology
VICcommunity2016-08-31

Finding into death of Leigh Joseph Riley

30y · Male·Head injury; severe traumatic brain injury with global cerebral ischaemic injury…

Leigh Joseph Riley, a 30-year-old man with intellectual disability and substance abuse history, died from severe head injury following a physical altercation. He was punched in the face by an associate during an argument…

forensic medicinepathologyalcohol
VIChospital2016-08-31

Finding into death of Nathan Dimech

17y · Male·Global cerebral ischaemic injury and aspiration pneumonia post cardiac arrest du…

Nathan Dimech, a 17-year-old with intellectual disability and substance abuse issues, died from methadone toxicity after consuming his father's opioid replacement therapy (ORT) dose from a refrigerator. Nathan's father, …

general practicepharmacycommunicationsystemmethadone
SAhospital2016-08-25

Coroner's Finding: SMITH Colin Peter

51y · Male·respiratory failure and cardiac failure on a background of chronic obstructive l…

Colin Peter Smith, aged 51, died of respiratory and cardiac failure from acute pulmonary oedema and pneumonia on a background of chronic obstructive lung disease and ischaemic heart disease. He presented to the Royal Ade…

emergency medicinepsychiatryglyceryl trinitrate
WAcommunity2016-08-22

Inquest into the Death of Ewan Louis WILLIAMSON

14y · Male·severe heatstroke complicating a recent viral illness with focal myocarditis

A 14-year-old boy from Scotland died of severe heatstroke with myocarditis while hiking in extreme heat (40°C+) at Cape Range National Park. He had recently recovered from a viral illness. His father made navigation erro…

emergency medicineparamedicinecommunicationdelay
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