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NSW2023-02-09

Inquest into the disappearance and suspected death of Alexander Stetz

72y · Male·Unable to be determined

Alexander Stetz, a 72-year-old man with significant dementia, hypertension, coronary artery disease, and prior stroke, disappeared on 14 July 2014 from a remote property in Sackville, NSW while under the care of his long…

geriatric medicineemergency medicine
WAcommunity2023-02-03

Inquest into the Suspected Death of Roly NIXON

44y · Male·Unascertained; presumed exposure

Roly Nixon, a 44-year-old man with significant medical comorbidities including rheumatic heart disease, diabetes, organic psychosis and seizure disorder, disappeared from Fitzroy Crossing, Western Australia on 28 January…

emergency medicinecardiologywarfarin
NSW2023-02-03

Inquest into the death of Roy Roberts

33y · Male·Prolonged epileptic seizure resulting in gastric content aspiration and cardiac …

Roy Roberts, a 33-year-old Aboriginal man, died at Long Bay Correctional Complex from a prolonged epileptic seizure resulting in aspiration and cardiac arrest. He had experienced three prior seizure-like episodes in Apri…

emergency medicinegeneral practicediagnosticcommunicationmethadone
NSW2023-02-01

Inquest into the death of Jay Lee Crich

41y · Male·Cardiomegaly and Coronary Artery Disease with significant contributing condition…

Jay Crich, a 41-year-old man in custody at Clarence Correctional Centre, died of cardiomegaly and coronary artery disease with emphysema and obesity as significant contributing conditions. He was discovered unresponsive …

cardiologyrespiratory medicinebuprenorphine
WAprison2023-01-31

Inquest into the Death of Cally GRAHAM

31y · Female·hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia comp…

Cally Graham, age 31, died from hypoxic ischaemic encephalopathy, bronchopneumonia and myocardial ischaemia complicating cardiorespiratory arrest associated with probable Takotsubo cardiomyopathy and methylamphetamine ef…

emergency medicineintensive caresystemcommunicationmethamphetamine
SAcommunity2023-01-31

Coroner's Finding: Bromage, Ronald

72y · Male·acute cerebral infarction complicating acute myocardial infarction

Ronald Bromage, aged 72, died from acute cerebral infarction complicating acute myocardial infarction. He presented with chest pain on 22 and 25 February 2016 to his GP, Dr P., who diagnosed costochondritis without perfo…

general practicecardiologydiagnosticdelayparacetamol/codeine
ACThospital2023-01-30

Inquest into the Death of Maarouf El-Cheikh

57y · Male·streptococcus pneumonia septicaemia due to splenectomy

Maarouf El-Cheikh, a 57-year-old man with splenectomy history, presented to Calvary Hospital ED with sepsis on 21 March 2016 and died 22 March 2016. Expert review identified multiple sub-optimal care deficiencies: inadeq…

emergency medicineintensive carediagnosticmedicationceftriaxone
TASaged care2023-01-30

Coroner's Finding: Munnings, Barry

86y · Male·pneumonia

An 86-year-old man with emphysema, heart disease, cognitive impairment and recent pneumonia admissions fell in a nursing home bathroom and sustained rib fractures and T4 vertebral fracture. He was assessed as medium fall…

geriatric medicineemergency medicinediagnosticsystem
VIChome2023-01-30

Finding into death of Veronica Nelson

37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…

Veronica Nelson, a 37-year-old Aboriginal woman with opioid dependence, was arrested on minor theft charges, remanded in custody following a bail hearing, and held at Dame Phyllis Frost Centre (DPFC) women's prison. She …

general practiceaddiction medicinediagnosticsystembuprenorphine/naloxone
QLD2023-01-25

Civic, Mirko

70y · Male·Coronary atherosclerosis

Mirko Civic, a 70-year-old prisoner with a significant cardiac history including prior myocardial infarction, hypertension, and ischaemic heart disease, died of coronary atherosclerosis in September 2018. Critical clinic…

cardiologygeneral practicediagnosticmedicationaspirin
VIChome2023-01-25

Finding into death of Master T

1y · Male·Chronic Bronchial Asthma

Master T, a 17-month-old boy with chronic asthma, died from status asthmaticus on 25 November 2019. He had experienced recurrent wheezing episodes requiring multiple hospital admissions in September-October 2019. Medical…

paediatricsemergency medicinecommunicationsystemsalbutamol
QLDhospital2023-01-24

Smith, David Frederick

45y · Male·Haemorrhagic transformation of cerebral infarction, due to bilateral internal ca…

David Smith, aged 45, died from haemorrhagic transformation of cerebral infarction secondary to essential thrombocytosis with bilateral internal carotid artery thrombosis. He developed an acute ischaemic stroke on 9 July…

haematologyneurologysystemrivaroxaban
VIChospital2023-01-24

Finding into death of Andrew James McNeil

36y · Male·Metastatic non-seminomatous germ cell tumour

Andrew McNeil, a 36-year-old man with cerebral palsy and intellectual disability, died from metastatic non-seminomatous germ cell testicular cancer with extensive lung metastases. He was initially presented with suspecte…

palliative careoncology
VIChome2023-01-23

Finding into death of Cody Morrella Watson

19y · Female·Hanging

Cody Watson, 19, died by hanging following childhood sexual abuse, family violence, and inadequate trauma-informed care. She disclosed abuse at 15, subsequently developing borderline personality disorder, anxiety, depres…

general practicepsychiatrysystemdelayvenlafaxine
TASaged care2023-01-20

Coroner's Finding: Howse, John Neville

92y · Male·subdural haemorrhage (haematoma) following a fall at a residential aged care fac…

A 92-year-old man with early-stage Alzheimer's disease died from a subdural haemorrhage following an unwitnessed fall at a residential aged care facility. He fell while getting out of bed at 23:30 hours on 4 May 2020, st…

geriatric medicineemergency medicine
VIC2023-01-17

Finding into death of Aleksander Kojic

46y · Male·Cardiomegaly

Aleksander Kojic, 46 years old, collapsed at a supported residential service for people with intellectual disabilities and died from cardiomegaly (enlarged heart weighing 802g with biventricular dilation). The autopsy fo…

cardiologyemergency medicinechlorpromazine
VICaged care2023-01-16

Finding into death of Heather Amy Robertson

83y · Female·Complications arising from a fall with C2 fracture and neck of femur fracture

An 83-year-old woman with dementia, Alzheimer's disease, and a prior hip fracture sustained injuries from a fall in her aged care facility's dining room. Staff were absent from the dining room for approximately 7 minutes…

geriatric medicineemergency medicinesupervisionsystem
VIChospital2023-01-12

Finding into death of David Julien Laurie Shan Gardner

76y · Male·Complications following head injuries (operated)

A 76-year-old man died from complications of head injuries sustained during an altercation. After his vehicle was stolen, the deceased became intoxicated and angry, went to a nearby address with an axe believing the occu…

neurosurgerytrauma surgery
WAhome2023-01-09

Inquest into the Death of Child F (Name Subject to Suppression Order)

3y · Male·Pneumonia and respiratory failure in association with metachromatic leukodystrop…

Child F, aged 3 years, died of pneumonia and respiratory failure complicating metachromatic leukodystrophy (MLD), a rare neurodegenerative genetic disorder. He had previously suffered severe non-accidental injuries inclu…

paediatricsneurologymorphine
VICcommunity2023-01-04

Finding into death of Cameron Douglas Boyes

43y · Male·Multiple injuries sustained in a motor vehicle accident (driver)

Cameron Boyes, a 43-year-old man, died in a high-speed motor vehicle collision after his engagement was called off. He had contacted mental health services on 23 March 2019 reporting suicidal ideation and sleep deprivati…

psychiatrygeneral practicecommunicationsystem

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