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NSWhospital2019-07-29

Inquest into the death of Naomi Williams

27y · Female·Septicaemia secondary to Neisseria meningitides infection

Naomi Williams, a 27-year-old Wiradjuri woman, died from meningococcal septicaemia on 1 January 2016. She presented to Tumut Hospital in the early hours with generalised aches and pains while pregnant. Despite vital sign…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
VIChospital2019-07-25

Finding into death of Leigh James Carr Price

45y · Male·pneumonia in a man with mucopolysaccharidosis-III

45-year-old man with mucopolysaccharidosis-III died from pneumonia following rapid deterioration over 48 hours. He presented with cold-like symptoms on 21 July; examined by locum doctor Dr B. who found normal vital signs…

respiratory medicineemergency medicinecefalexin
SAhome2019-07-24

Coroner's Finding: McNAMARA-CUTLER Juanita Lee

26y · Female·neck compression due to hanging

Juanita Lee McNamara-Cutler, a 26-year-old mother of three with a complex history of mental illness, substance abuse, and prior suicide attempts, died by hanging on 7 September 2014, three days after release on home dete…

psychiatryforensic medicinemethamphetamine
QLDhospital2019-07-24

Mr P - Non-inquest findings

47y · Male·Pulmonary thrombo-embolism secondary to deep vein thrombosis in setting of morbi…

A 47-year-old man with morbid obesity presented with respiratory failure, productive cough, and calf swelling. His GP appropriately suspected both pneumonia and pulmonary embolism (PE), requesting urgent CTPA. At Townsvi…

intensive careemergency medicinediagnosticcommunicationheparin
WAhome2019-07-23

Inquest into the Death of Stephen Thomas OXLEY

52y · Male·atherosclerotic and hypertensive heart disease

Stephen Thomas Oxley, a 52-year-old man with schizoaffective disorder managed on a Community Treatment Order, died of atherosclerotic and hypertensive heart disease. He had multiple modifiable cardiovascular risk factors…

psychiatrygeneral practiceflupenthixol
VIChome2019-07-18

Finding into death of Christopher George

28y · Male·Gunshot wound to the head

Christopher George, a 28-year-old man with a history of depression and suicidal ideation, died from a self-inflicted gunshot wound while police conducted a welfare check at his home. He had stopped taking sertraline (ant…

psychiatrygeneral practicesystemsertraline
VIChospital2019-07-17

Finding into death of Glenn Thomas King

55y · Male·Community acquired pneumonia in a man with Down Syndrome

Glenn Thomas King, a 55-year-old man with Down syndrome, intellectual disability, asthma, bronchiectasis and recurrent chest infections, died from community-acquired pneumonia. He was treated by his general practitioner …

general practicerespiratory medicinecefalexin
QLDhome2019-07-15

Male child aged 20 months - Non-inquest findings

20y · Male·Lung infection on a background of oxycodone intoxication

A 20-month-old Aboriginal boy died from lung infection on a background of oxycodone intoxication after ingesting oxycodone tablets located in his grandparents' home. The child's grandparents had obtained 560 oxycodone ta…

general practiceforensic medicinediagnosticmedicationoxycodone
NSW2019-07-05

Inquest into the death of Rebecca Maher

36y · Female·respiratory depression after loss of consciousness caused by mixed drug toxicity…

Rebecca Maher, a 36-year-old Aboriginal woman, died from respiratory depression caused by mixed drug toxicity (high levels of Alprazolam and Methadone) while detained as an intoxicated person at Maitland police station. …

general practicepharmacydiagnosticmedicationalprazolam
VIChome2019-07-02

Finding into death of William Davenport

48y · Male·Pulmonary fibrosis associated with scoliosis

William Ian Davenport, a 48-year-old man with Trisomy 4p, scoliosis, and multiple comorbidities died from pulmonary fibrosis associated with scoliosis. He presented with productive cough on 15 September 2017, treated wit…

general practiceemergency medicinesodium valproate
ACThospital2019-06-25

Inquest into the death of Jay Alan Paterson

43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …

Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone table…

general practicepain medicinesystemproceduraloxycodone
ACThome2019-06-20

AN INQUEST INTO THE DEATH OFMARK ANTHONY O’BRIEN

58y · Male·Heroin toxicity

58-year-old man with chronic back pain, paranoid schizophrenia, and decades-long prescription opioid and benzodiazepine abuse died from heroin toxicity. He had been successfully withdrawn from opioids (MS Contin, Endone)…

psychiatrypain medicinesystemcommunicationheroin
QLD2019-06-20

Wise, Paul Robert

48y · Male·Coronary artery occlusion due to coronary artery atheroma

Paul Robert Wise, aged 48, died of natural causes from coronary artery occlusion due to severe atherosclerosis (85% narrowing of right main coronary artery) while in custody at Capricornia Correctional Centre. He was fou…

cardiologyforensic medicinequetiapine
NSW2019-06-19

Inquest into the death of M A

44y · Male·Hanging

A 44-year-old man died by hanging in a prison cell two days after reception. Despite disclosing a history of depression and recent heavy methamphetamine use, he was not prescribed his usual escitalopram medication, was p…

psychiatrygeneral practicediagnosticcommunicationescitalopram
VICcommunity2019-06-13

Finding into death of Diane Bell

52y · Female·Plastic bag asphyxia and asphyxia in the setting of an irrespirable environment

Diane Bell, a 53-year-old woman with delusional disorder and chronic suicidal ideation, died by argon gas inhalation in June 2017. She had been under care of North West Area Mental Health Service with a Community Treatme…

psychiatrypsychologyolanzapine
WAhome2019-06-12

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

13y · Male·Epileptic seizure with aspiration

Child L, a 13-year-old boy with autism, cognitive impairment and poorly controlled generalised epilepsy, died from sudden unexpected death in epilepsy (SUDEP) with aspiration. His seizures remained refractory despite app…

neurologypaediatricsmedicationcommunicationlevetiracetam
QLDcommunityPodcast2019-06-12

Brown, Holly Winta

17y · Female·Arrhythmia due to myocardial scarring secondary to past myocarditis, possibly fr…

Holly Brown, 17, died of fatal cardiac arrhythmia from undiagnosed heart scarring likely due to childhood rheumatic fever. She collapsed at a regional mass gathering event (2000+ attendees) in remote Laura, Queensland. C…

emergency medicinegeneral practicesystemcommunicationadrenaline
VIChome2019-06-12

Finding into death of MKT

38y · Male·Toxicity to heroin

A 38-year-old man with a 24-year history of heroin addiction died from heroin toxicity shortly after release from prison. He had recently completed a 3-month custodial sentence and was released on 22 June 2018, dying on …

emergency medicinegeneral practicesystemcommunicationheroin
VIChospital2019-06-07

Finding into death of Maria Kerr

60y · Female·Pulmonary thromboembolism in a woman recovering from a fractured right ankle

Maria Kerr, a 60-year-old woman with obesity and thalassemia minor, died from pulmonary thromboembolism 33 days after sustaining a fractured ankle. An administrative error resulted in her urgent orthopaedic follow-up app…

emergency medicineorthopaedic surgerysystemcommunication
ACThome2019-06-04

Inquest into the death of Lauren Maree Johnstone

48y · Female·Combined toxic effect of prescription and non-prescription medications including…

Lauren Johnstone, aged 48, died from the combined toxic effects of prescription and non-prescription sedative medications including oxycodone, tramadol, codeine, zopiclone, doxylamine and fluoxetine. She had undergone mu…

general practicesurgerycommunicationsystemdoxylamine

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