Coronial

138 results for physical examination

SAcommunity2026-03-26

Coroner's Finding: Shepley, Adam Troy

30y · Male·Unascertained; likely cardiac arrhythmia

… restraint after climbing onto roofs while displaying drug-affected and paranoid behaviour. Post-mortem examination revealed an unascertained cause, likely a cardiac arrhythmia triggered by extreme physical and psycholo…

emergency medicineparamedicinediagnosticcommunicationmethamphetamine
VIChome2015-11-16

Finding into death of Leanne Margaret Patterson

52y · Female·gunshot wound to head

…ed to her husband) and zolpidem at the time of her death. The death occurred in the context of decades of physical and emotional abuse by her husband, which was never reported to or detected by healthcare providers. Sign…

general practicepain medicinecommunicationsystemclonazepam
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
QLDcommunity2024-11-18

Inquest into the death of Ashley Charles Washington

31y · Male·Undetermined

…clerosis. Death was undetermined, likely multifactorial (cardiac disease, methylamphetamine intoxication, physical/psychological stress, sedation). Paramedics failed to conduct adequate vital signs assessment, hands-on e…

emergency medicineparamedicinediagnosticcommunicationmethamphetamine
VICaged care2023-05-15

Finding into death of Jennifer Mary Thomas

65y · Female·Unascertained

…ponsive in her wheelchair and staff performed emergency CPR after lifting her to the floor. Post-mortem examination revealed fractures to her left humerus and right femur with significant bruising. The coroner found the…

geriatric medicinedisability medicinesodium valproate
VIChospital2026-03-13

Finding into death of Wayne Ronald Watson

61y · Male·Intracranial haemorrhage and myocardial infarct

A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. Paramedics identified STEMI and administered heparin on advice from Austin…

cardiologyemergency medicinediagnosticcommunicationheparin
WA2016-09-09

Inquest into the Death of Sajidu RAHMAN

51y · Male·ischaemic heart disease with myocarditis

…ut there is no evidence this information was clearly communicated to the assessing doctor. The doctor's examination appeared unremarkable with no documented cardiac findings. The deceased collapsed about 90 minutes afte…

emergency medicinecardiologycommunication
TAShospital2016-06-27

Coroner's Finding: Mr P

64y · Male·Small bowel infarction due to a volvulus owing to adhesions in the small intesti…

Mr P, aged 64, presented to Royal Hobart Hospital's Emergency Department in October 2012 with severe central abdominal pain. The ED consultant diagnosed bowel obstruction but failed to consider critical complications suc…

emergency medicinegeneral surgerydiagnosticdelay
SAhospital2010-09-27

Coroner's Finding: ORMEROD Madison Hayley

4y · Female·consequences of incarcerated congenital left diaphragmatic hernia

Madison Ormerod, aged 4 years, died from incarcerated congenital left diaphragmatic hernia. Over 3 months before death, she presented with persistent vomiting and abdominal pain to her GP and paediatrician. The paediatri…

general practicepaediatricsdiagnosticdelay
NSW2010-12-03

Nixon daneekapriscilla findings

25y · Female·Undetermined. Coroner stated 'the evidence adduced does not enable me to determi…

…toxicology, while alcohol and LSD (both reportedly consumed) were not detected post-mortem. Post-mortem examination revealed significant decomposition that prevented definitive determination of cause of death. The coron…

cannabis
VIC2025-07-04

Finding into death of Brent Reker

35y · Male·Hanging

Brent Reker, a 35-year-old prisoner with extensive history of suicide attempts (including hanging, overdose, and self-harm), died by hanging in Forbes Unit at Ravenhall Corrections Centre on 12 December 2019, approximate…

psychiatryemergency medicinecommunicationsystemmethadone
SAcommunity2013-04-18

Coroner's Finding: JOHNSON Olivia Jean

0y · Female·dehydration

…iting and diarrhoea and was likely already hypernatraemically dehydrated, but was discharged home after examination by Dr C. who concluded she showed no signs of dehydration. Dr C. performed inadequate history-taking, d…

general practicepaediatricsdiagnosticcommunicationgastrolyte
QLD2019-11-21

Gavenor, Ashley Glenfield

48y · Male·Coronary atherosclerosis and minor trauma

…essed him and determined involuntary treatment was not initially warranted. He collapsed suddenly after a physical confrontation, consistent with acute cardiac event given severe coronary atherosclerosis found at autopsy…

cardiologypsychiatryaspirin
NSWmental health2026-02-19

Inquest into the death of Jacob McDonald

51y · Male·combined effects of dilated cardiomyopathy with myocardial fibrosis and prescrip…

Jacob MacDonald, 51, died at the Forensic Hospital from combined effects of dilated cardiomyopathy with myocardial fibrosis and toxic levels of clozapine and aripiprazole. He was an involuntary forensic psychiatric patie…

psychiatrycardiologycommunicationsystemclozapine
VIChospital2025-04-17

Finding into death of Graeme William Dimsey

62y · Male·Septic arthritis complicating left knee joint prosthesis in the setting of statu…

A 62-year-old man with autism spectrum disorder, cerebral palsy, and epilepsy died from septic arthritis of a prosthetic left knee joint. He presented with fever, knee pain, and delirium in November 2022, three months po…

orthopaedic surgeryinfectious diseasesdiagnosticproceduralceftriaxone
ACTaged care2003-08-04

Inquest Into The Manner And Cause Of Death Of Ivy Pearl Ghobrial

Female·bilateral acute bronchopneumonia

Ivy Pearl Ghobrial died from bilateral acute bronchopneumonia at a nursing home in September 2001, following a hypoxic brain injury sustained from a hanging attempt in March 2000. The coroner found the death resulted ine…

psychiatryneurology
SAhospital2019-06-21

Coroner's Finding: COOK Janet Ann

79y · Female·multi-organ failure as a result of ischaemic and valvular heart disease with uri…

…fy the patient's identity visually despite having nursed both patients that morning and knowing they were physically distinct. The medication was absolutely contraindicated in this frail elderly, opiate-naïve patient wit…

cardiologypalliative caremedicationcommunicationhydromorphone
VIChospital2012-02-06

Finding into death of David Crisfield

43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…

…respiratory compromise and low oxygen saturation (83%). Dr Y. assessed him from across the room without examination, dismissing him as Category 5, influenced by the patient's smoking and drinking history rather than obj…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
VICmental health2016-04-20

Finding into death of Chris Pravin Prasad

51y · Male·undetermined natural causes

…e was found deceased on a roadside approximately 2.3km from the hospital shortly after 7pm. Post-mortem examination showed no definitive cause of death, though neuroleptic malignant syndrome was considered but not confi…

psychiatrygeneral medicinemedicationdiagnosticpaliperidone
VICaged care2013-08-22

Finding into death of MEHMET HASAN

87y · Male·Complications of subdural haematoma and fractured hip following a traumatic inci…

…se allegations can compromise patient care; (2) diagnosing injuries in dementia patients requires careful physical examination and appropriate imaging; (3) adequate supervision of junior staff and strong incident reporti…

geriatric medicinegeneral practicesystemcommunication

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