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TAShome2016-01-29

Coroner's Finding: Smart, Joshua David

28y · Male·Brain death resulting from exsanguination and hypovolaemic arrest due to severed…

Joshua David Smart, a 28-year-old scaffolder, died from brain death resulting from catastrophic exsanguination and hypovolaemic arrest. At approximately 4:45 am on 20 March 2014, whilst attempting to stop dogs fighting o…

paramedicineemergency medicine
TAScommunity2016-01-29

Coroner's Finding: Goss, Brittany Kate

15y · Female·Multiple blunt injuries due to being struck by a car

Brittany Kate Goss, a 15-year-old student, died after being struck by a car while crossing the West Tamar Highway in rural Tasmania at dusk. She had alighted from a bus to meet her father waiting across the road. A Nissa…

emergency medicineintensive care
NSWcommunity2016-01-29

Jimmy JAMES - Findings

44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)

Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…

emergency medicineintensive carediagnosticmedicationceftriaxone
TAShome2016-01-28

Coroner's Finding: Atkinson, James Robert

80y · Male·Subdural haematoma from closed head injury sustained in a fall at his residence

James Robert Atkinson, aged 80, died from subdural haematoma sustained in a fall at his home in Tasmania on 11 July 2014, four days after sustaining another head injury. He had mixed Alzheimer's and vascular dementia dia…

general practiceemergency medicine
VICmental health2016

Finding into death of Rebecca Victoria Poke

29y · Female·global cerebral ischaemic injury in the setting of neck compression

Rebecca Poke, a 29-year-old woman with borderline personality disorder, died by suicide while an inpatient in Ward E of Casey Hospital on 2 September 2015. She had been admitted following a paracetamol overdose and was o…

psychiatryintensive caresystemvenlafaxine
QLDhome2015-12-18

T, a child aged 15 months

1y · Male·Hypoxic ischaemic encephalopathy due to drowning

A 15-month-old child drowned in a partially-filled, unmaintained home swimming pool after the entrance gate was propped open with a length of wood. The child was playing in the yard while his mother's attention was occup…

paediatricsemergency medicinesupervisionsystem
VICcommunity2015-12-18

Finding into death of Paul Bermingham

38y · Male·Toxicity to methylamphetamine

Paul Bermingham, a 38-year-old man with a history of recreational drug use, experienced acute behavioural changes consistent with methamphetamine intoxication on 15 December 2013. He displayed paranoid delusions, hyperac…

toxicologyemergency medicinemethamphetamine
VIChospital2015-12-15

Finding into death of Fay Dawn Rogers

64y · Female·Traumatic head injury sustained in a motor vehicle incident (pedestrian)

A 64-year-old woman died from traumatic head injury sustained in a pedestrian motor vehicle incident. She stepped onto High Street from behind a light pole while attempting to cross, into the path of an oncoming vehicle.…

emergency medicineneurosurgery
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

Dane Hortle, a 2-year-old with Pierre Robin Sequence and obstructive sleep apnoea, died from tramadol toxicity following adenotonsillectomy. He was discharged with a prescription for tramadol 25mg, which was dispensed as…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
VIChospital2015-12-09

Finding into death of Benjamin David Johnston

36y · Male·Global hypoxic brain injury due to hanging

Benjamin Johnston, a 36-year-old male, died by hanging after six weeks of varenicline (Champix) treatment for smoking cessation. Two weeks before death, his partner noted significant behavioral changes: withdrawal, irrit…

general practicepsychiatryvarenicline
VICmental health2015-12-07

Finding into death of Jeffrey John Hartwig

43y · Male·Pneumonia

Jeffrey John Hartwig, a 43-year-old with chronic schizophrenia and opiate dependence, died from pneumonia following cardiorespiratory collapse on an acute psychiatric inpatient unit. He was on multiple psychoactive medic…

psychiatryintensive caremonitoringcommunicationmethadone
VIChospital2015-11-30

Finding into death of Maria Dolores Coliero

69y · Female·Inadvertent intravenous administration of oral ciprofloxacin in the setting of a…

A 69-year-old woman with stroke, diabetes, atrial fibrillation and osteomyelitis died from inadvertent intravenous administration of crushed oral ciprofloxacin. The antibiotic was prescribed for the nasogastric tube but …

intensive careinfectious diseasesmedicationproceduralciprofloxacin
VIChospital2015-11-27

Finding into death of Eoin Stephen Murray

30y · Male·Head injuries

Eoin Murray, aged 30, died from severe head injuries sustained when he fell striking his head on a bluestone gutter in Fitzroy early on 7 September 2013. He had been highly intoxicated (estimated BAC 0.13-0.21%) followin…

trauma surgeryneurosurgeryalcohol
WAmental health2015-11-18

Inquest into the Death of Anna Maria CAMERON

65y · Female·Early bronchopneumonia and hypoxic brain injury following aspiration of food (ch…

Anna Maria Cameron, a 65-year-old woman with treatment-resistant schizophrenia, died from aspiration choking while eating on a psychiatric ward. She had been recently transferred to a rehabilitation unit for reassessment…

psychiatryintensive carelorazepam
TASaged care2015-11-12

Coroner's Finding: Henri, Paul Lucien

78y · Male·Cerebral infarction and hypoxic brain damage due to the combined effects of isch…

Paul Henri, 78, died from cerebral infarction and hypoxic brain damage following aspiration pneumonia and opioid-related complications. He was admitted to an aged care home and commenced on MS Contin (morphine) 30mg dail…

general practiceneurologymedicationdiagnosticmorphine
QLDcommunity2015-11-11

Child A - Non-inquest findings

8y · Female·Anoxia due to fresh water drowning

Child A, aged 8 years, drowned at Lake Dyer recreational dam after receiving a blow to the face, likely from a boat at a busy boat ramp. Despite being a confident swimmer, the impact caused panic and fright reaction prev…

emergency medicineintensive caresystem
QLDhospital2015-11-03

Steer, Summer Alice

4y · Female·Haemorrhage due to aorto-oesophageal fistula caused by ingestion of a button bat…

A 4-year-old girl died from aorto-oesophageal fistula and haemorrhage caused by a lithium button battery lodged in her oesophagus for at least 3 days. Critical diagnostic failures occurred: the initial GP failed to consi…

general practiceemergency medicinediagnosticcommunicationmetronidazole/flagyl
VIChospital2015-10-30

Finding into death of Avjit Singh

31y · Male·Complications of burns

Avjit Singh died from complications of extensive burns (95% of body) sustained during a violent incident on 4 October 2012. He had been involved in a relationship with domestic violence and control, including alleged rap…

emergency medicineintensive care
NSW2015-10-27

Inquest into the death of Kevin Norris

38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…

Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…

emergency medicineintensive caredelaycommunicationmethamphetamine
VIChospital2015-10-22

Finding into death of Emilie Suzanne Le Coz

31y · Female·raised intracranial pressure due to ventriculoperitoneal shunt dysfunction (disc…

Emilie Le Coz, aged 31, died from raised intracranial pressure secondary to ventriculoperitoneal shunt disconnection. She presented to hospital in March 2010 with progressive headaches, cognitive changes and behaviour de…

neurologyneurosurgerydiagnosticcommunicationpropranolol
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