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NSWhospitalPodcast2023-03-03

Inquest into the death of Bradley HOPE

16y · Male·cardiac arrhythmia or hypoxia in the setting of hydrocarbon inhalation

Bradley Hope, 16, died from cardiac arrhythmia or hypoxia following inhalation of hydrocarbon propellants from an aerosol deodorant purchased at a supermarket self-checkout. After engaging in volatile substance use with …

emergency medicinetoxicologydelaybutane
NSWhospital2023-03-03

Inquest into the death of Irene Charlish

68y · Female·Complications of a fall with contributing factors of respiratory failure, respir…

Irene Charlish, a 68-year-old woman with longstanding schizoaffective disorder and multiple comorbidities, fell at her residential facility on 6 June 2017, sustaining a pneumothorax and rib fracture. She was admitted to …

emergency medicinepsychiatryclozapine
SAhospital2023-03-01

Coroner's Finding: Coats, Beverley Joy and West, Heather Maud and DSouza, Lorna Margaret

Female·haemopericardium due to aortic dissection (all three cases)

Three elderly women died from acute aortic dissection at Queen Elizabeth Hospital, South Australia. Beverley Coats (73) presented three times in July 2016 with back pain, nausea and vomiting; her known aortic dilatation …

emergency medicinecardiologydiagnosticcommunication
NSWprison2023-03-01

Inquest into the death of William Haines

37y · Male·Pulmonary thromboembolus due to left leg deep vein thrombosis

A 37-year-old Aboriginal man died of pulmonary thromboembolism due to deep vein thrombosis while incarcerated. He presented to hospital on his birthday with lethargy, shortness of breath, and tachycardia. Initial assessm…

emergency medicinecardiologydiagnosticsystemenoxaparin
NSWaged care2023-03-01

Inquest into the death of Daryl Suckling

85y · Male·cerebellar haemorrhage due to hypertension

An 85-year-old man died in custody from cerebellar haemorrhage due to hypertension. He was in the palliative care unit following an advanced care directive refusing resuscitation. He reported nausea and vomited around 8p…

palliative caregeneral medicinemetoclopramide
WAcommunity2023-02-28

Inquest into the Death of Paul James BRADY

35y · Male·multiple injuries

Paul James Brady, aged 35, died from multiple injuries sustained after jumping from a third-floor apartment balcony on 15 May 2020. Two police officers arrived at the scene within minutes of receiving a call about a man …

emergency medicineforensic medicineproceduraldelaytemazepam
VIChospital2023-02-28

Finding into death of Mrs K

81y · Female·Cardiac tamponade secondary to dissection of ascending aorta

An 81-year-old woman with hypertension and hypercholesterolaemia presented to the ED with sudden-onset central chest pain radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrom…

emergency medicinecardiologydiagnosticdelayaspirin
VIChome2023-02-27

Finding into death of Baby A

0y · Unknown·Unascertained

A six-week-old premature infant died of unascertained causes while co-sleeping with parents on an adult bed with soft pillows and loose bedding. Baby A had multiple SIDS risk factors including prematurity, low birthweigh…

paediatricspathologyMDMA
VIChospital2023-02-24

Finding into death of Justin Patrick Crome

39y · Male·Injuries sustained in a fall from the Camberwell train station bridge

Justin Crome, a 39-year-old man with delusional disorder and schizophrenia, died by suicide after jumping from a railway bridge on 13 February 2020. He had a history of mental illness since 2016, multiple psychiatric adm…

psychiatryemergency medicinecommunicationdelaypaliperidone
VIChospital2023-02-23

Finding into death of Antony John Howard

59y · Male·Aspiration pneumonia and non-ST elevation myocardial infarction in a man with in…

A 59-year-old man with intellectual disability, autism, and visual impairment died from aspiration pneumonia and non-ST elevation myocardial infarction complicated by COVID-19. He presented to the ED febrile with elevate…

general medicinecardiology
WAhospital2023-02-22

Inquest into the Death of Aishwarya Aswath CHAVITTUPARA

7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)

7-year-old Aishwarya Aswath Chavittupara died from multiorgan failure due to fulminant sepsis (Streptococcus pyogenes) after approximately 90 minutes in Perth Children's Hospital emergency department. She presented with …

emergency medicinepaediatricsdiagnosticcommunication
VIChome2023-02-22

Finding into death of Anna Lawrence

64y · Female·Combined toxicity to alcohol and baclofen

Anna Lawrence, 64, died from combined toxicity of alcohol and baclofen on 30 April 2020. She had a 40+ year history of alcohol dependency, borderline personality disorder, depression, and multiple suicide attempts. Baclo…

psychiatrypsychologysystembaclofen
TAS2023-02-20

Coroner's Finding: Calabrese Vincenzo

70y · Male·head injury

A 70-year-old man with ischaemic heart disease and cardiomyopathy collapsed at work after experiencing dizziness, striking his head on a brick wall. He died from severe head injury and brain swelling. The coroner found a…

emergency medicineneurosurgery
TAShospital2023-02-20

Coroner's Finding: de-identified RI

68y · Male·community-acquired pneumonia in a setting of advanced centriacinar emphysema, al…

A 68-year-old man died of community-acquired pneumonia complicated by asplenia (absent splenic function), chronic liver disease from alcohol misuse, and severe malnutrition. He presented with syncopal episodes, cachexia,…

general medicinegeneral practicediagnosticcommunicationparacetamol
VICcommunity2023-02-16

Finding into death of Shane Ronald Dennis Brown

30y · Male·Methamphetamine toxicity in the setting of a stabbing

Shane Ronald Dennis Brown, a 30-year-old man with a long history of methamphetamine use, died on 20 April 2021 following a physical altercation at a residential address in Melton, Victoria. Autopsy revealed multiple stab…

forensic medicineemergency medicinemethamphetamine
ACThospital2023-02-15

Inquest into the Death of Patricia (Jill) Croxon

79y · Female·medication related cardiac arrest (verapamil and propranolol) in a patient with …

Mrs Patricia Croxon, a 79-year-old admitted with community-acquired pneumonia, died from medication-related cardiac arrest caused by verapamil and propranolol. The verapamil was charted in immediate release form when she…

emergency medicinerespiratory medicinemedicationsystemverapamil
WAmental health2023-02-13

Inquest into the Death of Philip SULLEY

58y · Male·coronary artery arteriosclerosis (natural causes)

Philip Sulley, 58, died of coronary artery arteriosclerosis on 27 April 2020 at Bentley Mental Health Unit. He presented to Royal Perth Hospital emergency department on 19 April 2020 with psychotic behaviour but was disc…

psychiatryemergency medicinecommunicationolanzapine
QLDhospital2023-02-13

Hunter- Non-inquest findings

8y · Male·ischaemic bowel due to strangulated small bowel obstruction secondary to congeni…

An eight-year-old boy with autism spectrum disorder (level 1) died from ischaemic bowel due to strangulated small bowel obstruction from a rare congenital band adhesion. He presented to a regional hospital with abdominal…

surgerypaediatricsdiagnosticcommunicationondansetron
ACT2023-02-10

Inquest into the death of Joshua

18y · Male·asphyxia by hanging; intentional self-harm

Joshua, 18, died by suicide at an ANU residential hall in August 2018, several weeks after a serious self-harm incident requiring hospitalisation. Key clinical lessons emerge: (1) Inadequate coordination between ACT Ment…

psychiatryemergency medicinecommunicationsystemsertraline
NSWhospital2023-02-10

Inquest into the death of Anzac Sullivan

38y · Male·Combined effects of coronary atherosclerosis and cardiomegaly, with methylamphet…

Anzac Sullivan, a 38-year-old Aboriginal man, died of a cardiac arrhythmia secondary to severe underlying cardiac disease (coronary atherosclerosis, cardiomegaly, and possible QT prolongation) while fleeing from police a…

cardiologyforensic medicinedelaymethamphetamine

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