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NSW2015-12-03

Inquest into the death of Adam Southwick

37y · Male·methyl amphetamine intoxication while being restrained in a confined space; posi…

Adam Southwick, a 37-year-old man severely intoxicated with methamphetamine, was placed in a cramped police charge dock while handcuffed and unable to walk. He died from methamphetamine intoxication complicated by positi…

emergency medicineforensic medicinediagnosticcommunicationmethamphetamine
NSWhospital2015-12-02

Inquest into the death of Jessica Martin

24y · Female·peri-myocarditis in the presence of sub clinical Addison's disease

Jessica Martin, 24 years old, died of peri-myocarditis in the presence of subclinical Addison's disease. She presented to the ED with chest pain on 30 June 2009 and was diagnosed with viral pleurisy without specific inve…

emergency medicineradiation oncologydiagnosticneurofen
NSWhospital2015-12-02

Inquest into the death of Dr Peter Domachuk

33y · Male·presumed fatal cardiac arrhythmia in the presence of coronary artery atheroscler…

Dr D., a 33-year-old physicist, was admitted to Hornsby Hospital on 27 December 2012 with abdominal pain, nausea, vomiting and joint pain. His presentation included hypotension (97/61), tachycardia (116/min), hyponatraem…

emergency medicinegeneral medicinecommunicationsystemdiclofenac
NSW2015-11-27

Inquest into the death of Madeleine Duffy

18y · Female·asphyxiation and respiratory failure on a background of severe dystonic quadripl…

Madeline Duffy, 18 years old with severe dystonic quadriplegic cerebral palsy, died from asphyxiation and respiratory failure while in respite care. She was positioned on her side in bed with pillows, contrary to her usu…

rehabilitation medicineneurologycommunicationdelaybaclofen
NSWcommunity2015-11-26

Inquest into the deaths of Donald EVELEIGH, Angela STACKMAN, FW, ML

Quad bike and side-by-side vehicle rollover accidents resulting in drowning, asp…

This NSW inquest examined 9 deaths from quad bike and side-by-side vehicle rollover accidents between 2009–2015 involving deceased aged 7–68 years. Victims were farmers and rural residents killed on farm properties, plus…

occupational and environmental healthpathologysystemalcohol
NSWcommunity2015-11-23

Inquest into the death of Dylan Thomas Maher

25y · Male·multiple injuries sustained as a result of collision of vehicle with power pole …

Dylan Maher, aged 25, died when his stolen red Commodore collided with a power pole during a police pursuit lasting 72 seconds. He was ejected from the vehicle and died from multiple injuries including brain stem avulsio…

systemmethamphetamine
NSW2015-11-20

Inquest into the death of Bridget Wright

8y · Female·Multiple injuries

Bridget Wright, an 8-year-old student, was struck by a falling Forest Red Gum tree branch while in the school playground at Pitt Town Public School on 21 February 2014, sustaining multiple fatal injuries. An arborist's p…

system
NSWcommunity2015-11-19

Inquest into the death of Tyrone Lee Slemnik

29y · Male·Loss of blood due to a gunshot wound to his abdomen

Tyrone Lee Slemnik, aged 29, was fatally shot in the abdomen on 8 July 2013 during a gang-related incident in Eastlakes, NSW. He suffered a gunshot wound that ruptured major abdominal vessels, causing fatal haemorrhage. …

NSWhospital2015-11-18

Inquest into the death of Housam ISMAIL

21y · Male·head and neck injuries including skull fracture and probable fractures to the up…

A 21-year-old man died from head and neck injuries sustained as a passenger in a vehicle driven by an impaired driver during a police pursuit. The driver had consumed cannabis and diazepam before operating the vehicle at…

emergency medicinetrauma surgerycannabis
NSWhospital2015-11-16

Inquest into the death of Ivy Dwyer

18y · Female·Severe cardiogenic shock caused by myocarditis as a consequence of an unknown vi…

Ivy Dwyer, 18, died from viral myocarditis causing cardiogenic shock. She presented over weeks with progressive non-specific symptoms (nausea, vomiting, fatigue, cough) consistent with viral illness. A locum GP diagnosed…

general practiceemergency medicinediagnosticcommunicationloperamide
NSWcommunity2015-11-11

Inquest into the death of person known as 'Andy'

40y · Unknown·Pulmonary thrombo-emboli complicating deep vein thrombosis of the right leg

Andy, an unidentified homeless man in his 30s or 40s, died from a massive pulmonary thromboembolism secondary to deep vein thrombosis of the right leg. Two days before death, he fell down stairs and reported chest pain, …

emergency medicinepathologydelay
NSW2015-11-11

Inquest into the death of W

23y · Male·Hanging whilst suffering acute mental illness, most likely a first episode delus…

A 23-year-old man in custody died by hanging in May 2011 while experiencing untreated first-episode psychosis with paranoid delusions. He had expressed suicidal ideation on 20 April and was assessed by a Risk Interventio…

psychiatrycorrectional healthdiagnosticcommunication
NSWhome2015-10-29

Inquest into the death of Noreen PEACOCK

83y · Female·undetermined (likely hypothermia based on clinical findings)

An 83-year-old woman with advanced Alzheimer's and vascular dementia died alone at home between April-August 2013. The coroner found the direct cause undetermined (likely hypothermia) but highlighted critical preventable…

geriatric medicinegeneral practicedelaycommunicationatorvastatin
NSWhospital2015-10-28

Inquest into the death of Michael NELSON

62y · Male·multiple co-morbidities including dementia, Parkinson's disease, undernourishmen…

Michael Nelson, 62, died at Westmead Hospital on 3 May 2014 with multiple comorbidities including early-onset dementia, Parkinson's disease, neck dystonia (torticollis), and undernourishment. He presented to ED with inab…

emergency medicineneurologymedicationcommunicationmidazolam
NSW2015-10-27

Inquest into the death of Kevin Norris

38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…

Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…

emergency medicineintensive caredelaycommunicationmethamphetamine
NSWhome2015-10-23

Inquest into the death of Mary-Anne TURNER

58y · Female·Unknown - cause and manner of death remain undetermined

Mary-Anne Turner, 58, died alone at her home between 17-31 October 2014. Advanced body decomposition prevented autopsy determination of cause of death. Post-mortem toxicology detected amitriptyline, nortriptyline, and me…

pathologytoxicologymethadone
NSWhome2015-10-23

Inquest into the death of Scott Clements

36y · Male·Unknown - advanced decomposition precluded determination

Scott Clements, a 36-year-old man with longstanding mental illness, depression, substance use disorder and multiple suicide attempts, was found dead at his home between 19 August and 14 October 2014. His body was in adva…

psychiatrygeneral practicecommunicationsystemmethamphetamine
NSWhome2015-10-23

Inquest into the death of Christine Drinnan

45y · Female·Multi-drug toxicity

Christine Drinnan, aged 45, died from multi-drug toxicity involving lethal morphine levels combined with pethidine, quetiapine, benzodiazepines and alcohol. Over 12 years, her GP Dr H. prescribed dangerous quantities of …

general practicepsychiatrydiagnosticmedicationmorphine
NSWhospital2015-10-19

Inquest into the death of Kelvin Gardoll

61y · Male·lung carcinoma

Kelvin Gardoll, a 61-year-old man, died in custody from lung carcinoma on 4 August 2014 at Long Bay Correctional Complex Hospital. He had presented with a skin lesion that was excised in 2010 (histologically confirmed as…

palliative careoncologygabapentin
NSWhome2015-10-09

Inquest into the deaths of Geoffrey Francis Hunt, Kim Jeanine Hunt, Fletcher Austin Hunt, Mia Isobel Hunt, Phoebe Amelia

Male·Gunshot wound to the head

Five family members were killed by gunshot on the evening of 8 September 2014 at Watch Hill farm, NSW. Geoffrey Hunt shot his wife Kim and their three children (Fletcher aged 10, Mia aged 8, and Phoebe aged 6) before tak…

psychiatrypsychologycitalopram
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