Coronial

144 results for forensic medical examination

NThome2003-12-15

Inquest into the death of Skye Bree Burnett

0y · Female·sudden death in an infant with broncho-pulmonary dysplasia

…nt (27 weeks gestation) died unexpectedly at home three days after discharge from hospital. Post-mortem examination revealed broncho-pulmonary dysplasia (BPD), which was clinically silent and undetectable before death. …

neonatologypaediatricscommunicationcaffeine
VIC2025-07-23

Finding into death of Rachael Lee Dixon

53y · Female·Unascertained

… tea, became unable to walk, reported breathing difficulties, and went into cardiac arrest. Post-mortem examination was inconclusive; the cause of death remains unascertained. However, her clinical presentation—inabilit…

forensic medicinecardiologysystempsilocybin
VICcommunity2017-02-01

Finding into death of Darren Mark Gavin Watts

41y · Male·Drowning

…at excessive speed, lost control, struck marker posts, and ran off the path into the creek. Post-mortem examination found no evidence of cardiac disease or other natural causes that might have contributed. The coroner c…

forensic medicine
NSWhospital2021-05-25

Inquest into the death of Melvin LYNCH

72y · Male·Complications of subtotal colectomy for diffuse polyposis and invasive adenocarc…

…mily, Mr Lynch transitioned to palliative care on 4 December. The coroner found no evidence of inadequate medical care. Appropriate investigations were conducted for surgical complications, and the care provided by hosp…

colorectal surgerygeneral surgery
WA2016-09-29

Inquest into the Death of Troy Allan ROGINSON

35y · Male·head injury in a man with chronic liver disease

…rvision and care appropriate, noting this was an unprecedented incident at the minimum-security facility. Medical care at both Swan District and Royal Perth Hospitals was of high standard. The death highlights how a sin…

neurosurgeryemergency medicinemethadone
VIChospital2014-09-30

Finding into death of Iman Kassis

46y · Female·hemopericardium secondary to dissection of the thoracic aorta

Iman Kassis, a 46-year-old woman with Ehlers-Danlos Syndrome Type 4 and known severe aortic regurgitation with dilated ascending aorta, presented to the ED on 8 October 2008 with sudden-onset severe throat pain, bradycar…

emergency medicinecardiologydiagnosticdocumentationflecainide
VIChome2025-09-02

Finding into death of Noel John Biggs

66y · Male·Undetermined (natural causes)

…ics attended and found him deceased with a documented not-for-resuscitation order in place. Post-mortem examination found no obvious pneumonic change despite recent respiratory symptoms treated with antibiotics by his G…

general practiceforensic medicinelevetiracetam
QLDhospital2007-10-30

Noffke, Veronica Margaret

73y · Female·coronary atherosclerosis

…d post-mortem analysis confirmed bleeding occurred after transfer from ICU. The coroner found no fault in medical management and concluded risks of anticoagulation were outweighed by benefits in her clinical context.

emergency medicineintensive careanticoagulants
QLDcommunity2022-01-11

Noombah

39y · Male·Cardiac arrest in a person with pre-existing severe ischaemic heart disease who …

…h severe ischaemic heart disease died following police restraint and ambulance care during an emergency examination authority detention. He had sniffed petrol and threatened self-harm; police located him and detained hi…

emergency medicineparamedicinediagnosticcommunicationpetrol
SA2026-03-13

Coroner's Finding: Holding, Matthew Benjamin

44y · Male·unascertained

…ding extreme daytime sleepiness, low oxygen saturation (90-91%), and facial swelling from a dental issue. Medical staff recommended hospital assessment and CPAP therapy for suspected sleep apnoea; he refused both despit…

psychiatrycorrectional healtholanzapine
VIChome2020-12-17

Finding into death of Maddison Murphy-West

20y · Female·Neck compression

…estive of homicide by her de facto partner, Troy Boothey, despite an initial presentation as suicide. The medical examination, forensic analysis of the ligature system, and blood pattern evidence all indicated the death…

forensic medicinesystemdelaymethamphetamine
VIChospital2020-10-21

Finding into death of Baby ABA

0y · Female·Head injury

…displayed concerning signs including bruises, reduced responsiveness, and dry mouth. Parents did not seek medical attention immediately despite a previously witnessed episode of her becoming pale, cold and stiff. Later …

paediatricsintensive caredelay
QLDhome2007-02-06

Marshall, Maxwell John

48y · Male·Undetermined

…included: absence of specialist pain management access on the Sunshine Coast, failure to implement proper medical oversight systems, and inadequate autopsy protocols for complex drug-related deaths.

general practicepain medicinediagnosticcommunicationoxycodone
QLDhospital2019-12-05

Burrows, Frank Leslie

58y · Male·Haemophagocytic lymphohistiocytosis, due to or as a consequence of T-cell lympho…

…er, but despite ICU management, he deteriorated rapidly into multi-organ failure and died 7 days later. A forensic medical review found that while earlier haematology review might have diagnosed HLH marginally sooner, th…

general medicinehaematologydexamethasone
QLD2013-03-28

Lambert, Stuart John

31y · Male·Chest injuries (principal cause) with autism and epilepsy as underlying causes

Stuart Lambert, a 31-year-old man with cerebral palsy, autism, and epilepsy, died from chest injuries sustained at his carer's semi-rural residence. He collapsed during or after a seizure and experienced multiple rib fra…

general practiceemergency medicinecommunicationsystemepilim ec
QLDhome2014-06-27

Faith, an 8 year old child

8y · Female·Faith died from the combined effects of the haemodynamic consequences of extensi…

…ated agency intervention. Key clinical and systemic lessons include: ensuring thorough investigation with medical examination before returning children to care; establishing clear communication protocols between child p…

paediatricsforensic medicinediagnosticsystem
VIC2022-03-21

Finding into death of Nilofer Nezami

38y · Female·Unascertained

…ressing to cardiac arrest. A local hospital reported embolism as cause of death. Australian post-mortem examination could not establish definitive cause due to prior overseas autopsy, embalming, and incomplete medical r…

plastic and reconstructive surgeryanaesthesiasystemproceduralmorphine
SAhome2014-09-05

Coroner's Finding: HARRISON Noah Alexander Edward

0y · Male·unascertained; possibly asphyxiation related to sleeping position

…ot the bleeding history). Had fractures been identified, notification to child protection authorities and forensic assessment would likely have followed, potentially altering Noah's care and home environment assessment. …

emergency medicinepaediatricsdiagnosticcommunication
NThome2000-06-01

Inquest into the death of Trevor Parkyn

37y · Male·Traumatic intracranial haemorrhages/brain damage and fractured skull

…concrete. The critical clinical lesson is that head injuries may be completely undetectable on external examination, particularly in intoxicated patients where neurological symptoms are masked by alcohol effects. The de…

forensic medicineemergency medicinediagnosticalcohol
TAS2019-09-20

Coroner's Finding: Smith, Barry

61y · Male·Cardiac arrhythmia due to ischaemic heart disease causing loss of consciousness …

…y, died on 19 March 2018 when his truck rolled off an embankment near Ringarooma, Tasmania. Post-mortem examination revealed severe underlying heart disease with coronary artery occlusion. The coroner concluded Mr Smith…

cardiologyoccupational and environmental healthdiagnostic
14568

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