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SAhospital2000-05-31

Coroner's Finding: DELLATORRE Natale

54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…

A 54-year-old man with chronic schizophrenia and intellectual disability died from respiratory failure and acute renal failure secondary to rhabdomyolysis following a crush injury to his left thigh sustained while attemp…

emergency medicinepsychiatrydiagnosticadrenaline
SAhospital2000-05-31

Coroner's Finding: ZURMUHL Ervin Les

29y · Male·left cerebrovascular accident (stroke) due to thromboembolism in the middle cere…

A 29-year-old male bodybuilder died from left cerebrovascular accident (stroke) caused by thromboembolism. He had a history of anabolic steroid use and presented after a minor motor vehicle accident on 6 April 1999. Imag…

neurologyendocrinologyanabolic steroids
SAhospital2000-05-12

Coroner's Finding: COPPING Leslie Walter

84y · Male·severe head injuries (fracture of skull on right side, subarachnoid haemorrhage,…

An 84-year-old man with severe respiratory disease, cardiac failure, poor vision and confusion fell from a first-floor hospital window, sustaining fatal head injuries. The coroner found the death was not deliberately sel…

emergency medicinegeneral practicesystemcommunication
SAmental health2000-04-28

Coroner's Finding: SCOTT Laurie Joseph

53y · Male·asphyxia due to upper airway occlusion by a foreign body (blanket)

A 53-year-old man with complex psychiatric disorder (schizophrenia, depression, intellectual disability) died by asphyxiation after stuffing a blanket into his mouth while in a High Dependency Unit of a psychiatric hospi…

psychiatryemergency medicinethioridazine
SAhospital2000-04-28

Coroner's Finding: SODY Caleb

20y · Male·ruptured heart and aorta due to fall from a height

A 20-year-old male with newly diagnosed disorganised schizophrenia died by suicide from a fall from the 5th floor of a hospital maternity building while detained under the Mental Health Act. He had been admitted to the C…

psychiatryemergency medicinesystemdelayolanzapine
SAcommunity2000-04-14

Coroner's Finding: HUTCHINSON Robert

60y · Male·undetermined; presumed suicide by motor vehicle driving over cliff

Robert Hutchinson, aged 60, disappeared on 18 April 1999 after receiving a phone call from his nephew regarding historical sexual abuse allegations. He made explicit statements to his partner about intending to die, wrot…

SAcommunity2000-04-14

Coroner's Finding: McTYE Alice Louise

34y · Female·hypoxic brain damage complicating fresh water drowning

Alice Louise McTye, a 34-year-old woman with severe intellectual disability and epilepsy, died from hypoxic brain damage following fresh water drowning in a bath at a disability services residence. The coroner found she …

neurologyintensive carecommunicationsystemcarbamazepine
SA2000-04-12

Coroner's Finding: BEST Todd

16y · Male·Internal haemorrhage due to closed chest and abdominal injuries sustained in mot…

Todd Best, aged 16, died from internal haemorrhage following blunt chest and abdominal trauma sustained when struck by a police vehicle while evading custody. He had been arrested for property damage, placed in the front…

systemcannabis
SAhospital2000-04-12

Coroner's Finding: RUSSELL Brian Edward

80y · Male·bronchopneumonia complicated by morphine toxicity

An 80-year-old man with terminal liver disease died from bronchopneumonia complicated by morphine toxicity following a medication administration error. A Graseby infusion pump was incorrectly set at 99mm/hour instead of …

palliative caregastroenterologymedicationproceduralmorphine
SAaged care2000-04-07

Coroner's Finding: FALKENBERG Desmond Martin

73y · Male·dehydration and hyperthermia

A 73-year-old man with mild dementia resident in aged care wandered from the facility on a hot day (31°C+) while taking three medications with anticholinergic properties: pericyazine, haloperidol, and oxybutynin. These d…

geriatric medicinepsychiatrysystemdelayneulactil
SAmental health2000-04-07

Coroner's Finding: SANDERS Sandra June

42y · Female·salt water drowning

Sandra Sanders, aged 42, a detaineε psychiatric patient, died by saltwater drowning after absconding from Woodleigh House psychiatric unit on 3 September 1997. She had presented with major depression with psychotic featu…

psychiatrycommunicationsystemstelazine
SAhospital2000-03-24

Coroner's Finding: JAMES Kevin

70y · Male·spontaneous left frontal intracerebral haemorrhage

A 70-year-old man incarcerated at Yatala Labour Prison died from spontaneous left frontal intracerebral haemorrhage at Modbury Hospital. He had pre-existing chronic obstructive pulmonary disease, severe interstitial lung…

emergency medicineintensive care
SAaged care2000-03-24

Coroner's Finding: PRESCOTT John Victor Sheen

78y · Male·suppurative bronchitis complicating chronic obstructive airways disease (emphyse…

A 78-year-old man died of suppurative bronchitis complicating end-stage emphysema at a supported residential facility. Key clinical concerns include: (1) the general practitioner's reliance on unvetted aged care staff to…

general practicegeriatric medicinecommunicationsystemsalbutamol
SAcommunity2000-03-13

Coroner's Finding: STRANGWAYS Kenneth Charles

34y · Male·aspiration pneumonia following seizure with concomitant global severe anoxic enc…

Kenneth Strangways, a 34-year-old Aboriginal man with post-traumatic epilepsy, organic brain damage from head injuries, alcoholism and psychiatric illness, died from aspiration pneumonia following a seizure. The death wa…

psychiatryneurosurgerycommunicationsystemanticonvulsant medications
SAhome2000-03-08

Coroner's Finding: KAPTSIS Michael Vasilious

3y · Male·smothering

A 3-year-old boy died from smothering by his mother, who was suffering from severe bipolar affective disorder with psychotic features and severe depression. The coroner examined whether psychiatric care was inadequate. T…

psychiatryemergency medicinelithium carbonate
SA2000-03-02

Coroner's Finding: GRAETZ Anthony Roy

28y · Male·Traumatic brain damage complicating contact .22 calibre gunshot wound to the mid…

Anthony Roy Graetz, aged 28, died from a self-inflicted .22 calibre gunshot wound to the forehead during a police siege at his parents' property in Loxton, South Australia. In the months prior, he had displayed signs of …

forensic medicinepsychiatry
SAhospital2000-02-25

Coroner's Finding: STONEHOUSE Jarrod William (aka Scott)

23y · Male·aspiration of blood due to stab wound to trachea

23-year-old man with self-inflicted stab wound to neck presenting to emergency department while intoxicated and agitated. Ambulance noted 3cm laceration to midline trachea with minimal external bleeding. Registered nurse…

emergency medicinesurgerydiagnosticcommunicationalcohol
SA2000-02-01

Coroner's Finding: DONOGHUE Tony

22y · Male·Multiple injuries sustained in a shark attack

A 22-year-old male windsurfer disappeared while windsurfing at Hardwicke Bay, South Australia on 29 May 1999. His sailboard was found undamaged, but his wetsuit and harness showed damage consistent with a great white sha…

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