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VIChospital2025-04-11

Finding into death of QB T

64y · Male·Complications of congestive cardiac failure on a background of cardiac hypertrop…

QBT, a 64-year-old man with complex medical and psychiatric history including schizophrenia, COPD, and hypertension, was admitted to Bendigo Hospital on an Assessment Order after police concerns about mental health deter…

psychiatrygeneral medicinediazepam
ACThospital2025-04-09

Inquest Into The Death Of Peter Hanisch

69y · Male·thoracic aortic aneurysm with dissection

Peter Hanisch, a 69-year-old man, died from thoracic aortic aneurysm with dissection on 22 August 2021. He presented to Calvary Hospital on 19 August 2021 with sudden chest discomfort and neurological symptoms. A CT angi…

radiologyemergency medicinediagnosticsystem
VIChospital2025-04-03

Finding into death of Alan John Trevor Deem

67y · Male·Intracranial haemorrhage complicating coronary artery bypass graft surgery follo…

A 67-year-old man died from intracranial haemorrhage following coronary artery bypass graft surgery. He had suffered a right coronary artery dissection during percutaneous coronary intervention at Sunshine Hospital and w…

cardiologycardiothoracic surgerycommunicationsystemdual anti-platelet agents
NSWmental health2025-03-28

Inquest into the death of NL

62y · Male·cardiac arrhythmia secondary to prolongation of the QT interval

NL, a 62-year-old man with schizoaffective disorder and hypothyroidism, died of cardiac arrhythmia secondary to QT prolongation while an involuntary mental health inpatient. He had a known history of non-compliance with …

psychiatryendocrinologydiagnosticcommunicationthyroxine
WA2025-03-18

Inquest into the Death of Lex Gregory MAHER

45y · Male·atherosclerotic heart disease

Lex Gregory Maher, a 45-year-old Aboriginal man imprisoned at Greenough Regional Prison, died of atherosclerotic heart disease while playing basketball. He had abnormal ECGs detected in March and May 2022 and was appropr…

cardiologycorrectional healthsystemcommunicationatorvastatin
VIChome2025-03-18

Finding into death of R T

66y · Male·Complications of excess alcohol intake in a man with heart disease

A 66-year-old man died from complications of excess alcohol intake in the setting of underlying heart disease. He had a 40+ year history of heavy daily alcohol consumption (12+ cans of beer plus whiskey daily), chronic p…

general practiceemergency medicinealcohol
TAShospital2025-03-17

Coroner's Finding: Phillips, Helen Lynette

77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)

A 77-year-old woman fell from a ladder on 12 December 2022, suffering loss of consciousness and rib fractures. No brain CT scan was performed at Mersey Community Hospital despite the mechanism of injury and unconsciousne…

emergency medicinecardiologydiagnosticdelaythrombolytic agents
VIChospital2025-03-12

Finding into death of Robin Albert Banks

90y · Male·Pneumonia complicating injuries sustained in a motor vehicle incident

A 90-year-old man died from pneumonia following injuries sustained in a motor vehicle collision. He had multiple reportable medical conditions including atrial fibrillation, coronary artery disease, chronic kidney diseas…

general medicinegeriatric medicinecommunicationsystemdigoxin
VIC2025-03-12

Finding into death of Daniel Bryan Harvey

48y · Male·unascertained

Daniel Harvey, a 48-year-old man with morbid obesity, cirrhosis, diabetes, and polysubstance use including methadone and methamphetamine, was found unresponsive in immigration detention on 10 August 2020. He had complain…

cardiologygeneral practicedelaymethamphetamine
VIChome2025-03-04

Finding into death of Michael James Batten

43y · Male·Complications of valvular heart disease

Michael James Batten, a 43-year-old with intellectual disability and schizophrenia, died from complications of aortic valve stenosis. A transoesophageal echocardiogram in June 2022 demonstrated severe aortic stenosis req…

cardiologycommunicationsystem
NSWhospital2025-02-28

Inquest into the death of Heather Winchester

75y · Female·multiple organ failure due to severe anaemia secondary to blood loss post electi…

A 75-year-old woman died from multiple organ failure due to severe anaemia after elective hysterectomy surgery. Critical failures occurred: the surgical and anaesthetic teams held conflicting understandings about whether…

gynaecologyanaesthesiacommunicationsystem
VIChospital2025-02-27

Finding into death of Steven John Parlby

73y · Male·Complications of multiple injuries sustained in a motor vehicle incident (car vs…

A 73-year-old man with extensive medical comorbidities including severe biventricular heart failure, COPD, sleep apnoea, and hypertension experienced a medical episode while driving, causing him to cross into oncoming tr…

general practicecardiologysystemcommunicationvalsartan
VIChome2025-02-26

Finding into death of Jonathan Alan Uphill

84y · Male·Ischaemic heart disease and coronary artery atherosclerosis in the setting of ty…

Jonathan Uphill, an 84-year-old man with extensive comorbidities including type 2 diabetes, hypertension, and prior cardiac risk factors, died of ischaemic heart disease with coronary artery atherosclerosis. He underwent…

oral and maxillofacial surgeryanaesthesiadelaycodeine
NSW2025-02-24

Inquest into the death of Alfonso Ceniccola

82y · Male·Ischaemic heart disease due to coronary atherosclerosis with significant contrib…

An 82-year-old man with advanced ischaemic heart disease and emphysema died from myocardial infarction while in custody in the Acute Care Management Unit of a correctional facility. Correctional officers failed to read h…

cardiologycorrectional healthsystemcommunication
WAhospital2025-02-21

Inquest into the Death of Fabian Alec COFFIN

51y · Male·complications of myocardial infarction in association with ischaemic heart disea…

A 51-year-old Aboriginal male prisoner with multiple cardiovascular risk factors (diabetes, hypertension, high cholesterol, chronic kidney disease, obesity, smoking) died on 5 February 2024 from myocardial infarction. He…

cardiologycorrectional health
NSWcommunity2025-01-30

Inquest into the disappearance and suspected death of KHL

71y · Male·The available evidence and the absence of any postmortem examination does not al…

This coronial finding concerns a missing person inquest where KHL, a 71-year-old man, disappeared while rock fishing at Eagle Rock in Royal National Park, NSW in August 2023. The coroner found KHL deceased based on exten…

cardiologyemergency medicine
NThospital2025-01-10

Inquest into the death of Mati Tamwoy

66y · Male·infectious complications of plasmablastic myeloma

Mati Tamwoy, a 66-year-old Aboriginal man, died in ICU from infectious complications of plasmablastic myeloma after 661 days on remand. He received excellent oncological care including chemotherapy and radiotherapy. Howe…

haematologyoncologysystemcommunicationchemotherapy agents
VIChospital2025-01-02

Finding into death of Sheila Marion Quairney

68y · Female·Acute myocardial infarction and coronary artery atherosclerosis

A 68-year-old woman presented to St Vincent's Hospital emergency department with upper abdominal and left-sided chest pain following a stationary bicycle fall. Clinicians attributed her symptoms to codeine adverse reacti…

emergency medicinecardiologydiagnosticsystemparacetamol
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progress…

psychiatrygeneral practicesystemdelayrisperidone
VIChome2025

Finding into death of G S

53y · Male·ischaemic heart disease in the setting of acute on chronic alcohol ingestion

A 53-year-old man with chronic heavy alcohol consumption and undiagnosed ischaemic heart disease died from acute alcohol intoxication superimposed on coronary artery atherosclerosis. Post-mortem blood alcohol was 0.36g/1…

cardiologytoxicologysystemalcohol
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