Coronial
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TAShospital2023-10-11

Coroner's Finding: Jones, Emily Margaret Rose

82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…

Mrs Emily Jones, 82, died from subdural haematoma following an unwitnessed fall at Royal Hobart Hospital on 15 November 2021. She was admitted five days after discharge from Hobart Private Hospital where she was treated …

cardiologyemergency medicinemedicationcommunicationmetoprolol
TASaged care2023-10-10

Coroner's Finding: Rouse, Wayne Victor

68y · Male·Sudden cardiac death due to congestive cardiac failure and chronic obstructive p…

Wayne Victor Rouse, 68, died from sudden cardiac death at a residential aged care facility when CPR was not provided despite his active resuscitation order. Staff incorrectly believed he had a 'do not resuscitate' order …

geriatric medicinecardiologycommunicationsystem
TAScommunity2023-10-04

Coroner's Finding: East, Robert William

78y · Male·subdural haematoma

Robert William East, 78, died from a subdural haematoma sustained when his electric wheelchair became uncontrollable on a gravel path in Glenmore Creek Reserve. He had consumed approximately five beers at the Granada Tav…

emergency medicineneurosurgerysystem
TAShome2023-10-01

Coroner's Finding: Czerniejewski, Roswitha

66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet

A 66-year-old woman with untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couc…

general practicerheumatologysystem
TAS2023-09-18

Coroner's Finding: RA - deidentified

41y · Male·Stab wound to the abdomen

A 41-year-old man died from a stab wound to the abdomen sustained during an altercation at a service station. He suffered a single penetrating injury to the left abdomen adjacent to the umbilicus, causing haemoperitoneum…

trauma surgeryemergency medicine
TAShospital2023-09-18

Coroner's Finding: Kremmer, Bradley

31y · Male·Multiple chest and abdominal injuries sustained in a single motorcycle crash

Bradley John Kremmer, age 31, died from multiple chest and abdominal injuries sustained in a motorcycle crash on 15 July 2022. He was riding a high-powered motorcycle at excessive speed in a suburban street when he lost …

trauma surgeryemergency medicinealcohol
TAShospital2023-09-12

Coroner's Finding: Harris, Peter Blackwell

75y · Male·pneumonia and head injury from fall

Peter Harris, aged 75, was admitted with behavioural disturbance and hyponatraemia (low serum sodium of 124 mmol/L). Initial clinical assessment did not identify falls risk. After 4 days, he fell backwards suddenly while…

general medicinegeriatric medicinediagnosticquetiapine
TAS2023-08-25

Coroner's Finding: Nicholson, Dale Waverley

60y · Male·Unable to determine; probable drowning based on circumstances

Dale Waverley Nicholson, aged 60, disappeared on 11 December 2016 and was found deceased in his vehicle submerged in the Derwent River near New Norfolk, Tasmania in January 2023. Post-mortem examination revealed extensiv…

forensic medicineemergency medicine
TAShome2023-08-18

Coroner's Finding: Lukacevich, Anton

64y · Male·coronary atherosclerosis with early myocardial infarction

A 64-year-old man suffered acute myocardial infarction at home. His wife called triple-0 at 10:34 am reporting classic cardiac symptoms: sudden sweating, shortness of breath, and shoulder pain. The emergency dispatch sys…

cardiologyemergency medicinesystemcommunication
TAScommunity2023-08-18

Coroner's Finding: Taylor, Carter Jim

20y · Male·Blunt traumatic injuries from fall from height

Carter Jim Taylor, a 20-year-old apprentice builder, died following a fall from a 30-metre cliff at Clifton Beach, Tasmania on 2 April 2022. While walking near the cliff edge with friends, he lost his footing, slid down …

emergency medicineparamedicine
TAShome2023-08-11

Coroner's Finding: Dobson, Barbara Maree

45y · Female·mixed drug toxicity including heroin and methylamphetamine

Barbara Dobson, a 45-year-old woman with a long history of substance abuse, violent relationships, and mental health issues, died of mixed drug toxicity including heroin and methylamphetamine on 24 February 2020. Police …

emergency medicineforensic medicinedelaysystemheroin
TASaged care2023-08-07

Coroner's Finding: Colpo, Dario

92y · Male·left haemothorax and rib fractures resulting from a fall at a residential aged c…

A 92-year-old man with multiple comorbidities (cardiac failure, COPD, chronic renal failure, diabetes) and documented high falls risk sustained a fall at a residential aged care facility on 12 May 2021, resulting in left…

geriatric medicinephysiotherapysystemproceduralrivaroxaban
TAShome2023-07-20

Coroner's Finding: Turner, Andrew Quentin

45y · Male·multiple blunt traumatic injuries sustained in a motorcycle crash

Andrew Quentin Turner, aged 45, died from multiple blunt traumatic injuries sustained in a motorcycle collision with a parked vehicle at his home. Mr Turner had consumed alcohol (blood alcohol concentration 0.194 g/100mL…

forensic medicineemergency medicinecannabis
TAS2023-06-30

Coroner's Finding: Barron Rickie Underwood

61y · Male·hanging, the result of actions undertaken by the deceased alone, voluntarily and…

Rickie Underwood Barron, aged 61, died by hanging in Tasmania's Ron Barwick Minimum Security Prison on 10-11 January 2022. He had been incarcerated since 2019 for sexual offences and received appropriate medical care for…

psychiatrycorrectional healthsystemantidepressant medication
TASaged care2023-06-27

Coroner's Finding: Guy, Peter Joseph

82y · Male·hypostatic pneumonia

An 82-year-old man with dementia and multiple comorbidities died of hypostatic pneumonia following complications from a fall at a residential aged care facility. He sustained an L2 compression fracture from an unwitnesse…

geriatric medicineemergency medicinesystemprocedural
TAShome2023-06-23

Coroner's Finding: Zhang, Jingai

49y · Female·strangulation

Jingai Zhang, a 49-year-old sex worker, died from strangulation during a consensual sexual encounter on 26 December 2020 in Launceston, Tasmania. The perpetrator, Tobias Pick, applied excessive pressure to her neck using…

forensic medicineemergency medicine
TAShospital2023-06-13

Coroner's Finding: HN de-identified

83y·cardiac tamponade due to haemopericardium resulting from traumatic parietal peri…

An 83-year-old woman presented to the ED with chest pain and was found to have a pericardial effusion. She underwent an aortic angiogram but critical investigations including echocardiography were not clearly documented.…

emergency medicinecardiologyproceduralsystem
TAShospital2023-05-31

Coroner's Finding: Richardson Rebecca Eileen

29y · Female·acute myocardial infarction due to stenotic coronary vessel (left anterior desce…

Rebecca Richardson, a 29-year-old with type 1 diabetes and coronary artery disease, died of acute myocardial infarction on 7-9 May 2019. She presented to NWRH ED on 6 May with abdominal pain and vomiting, initially attri…

emergency medicinecardiologydiagnosticcommunicationinsulin
TAShome2023-05-25

Coroner's Finding: CE de-identified

69y · Male·amitriptyline and alcohol toxicity with ischaemic heart disease

A 69-year-old man with longstanding anxiety, depression, heavy alcohol use, and multiple prior intentional overdoses of amitriptyline died from combined amitriptyline and alcohol toxicity with underlying ischaemic heart …

psychiatrygeneral practicesystemcommunicationamitriptyline
TASaged care2023-05-22

Coroner's Finding: Courtney, Wesley Paton

84y · Male·Head and neck injuries sustained in a fall; specifically facial bone fractures a…

An 84-year-old man with primary progressive aphasia and cognitive decline residing in aged care sustained fatal head and neck injuries from a fall on 13 May 2020. He had experienced seven documented falls over 2.5 months…

geriatric medicineemergency medicine
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