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NSWhome2015-07-30

Inquest into the death of Phillip Buckley

39y · Male·combined drug toxicity

Phillip Buckley, 39, died from combined drug toxicity involving oxycontin, diazepam, alcohol and venlafaxine. He had been prescribed high-dose oxycontin (40-80mg daily) and diazepam by his GP Dr C. for 12 years without c…

general practicepsychiatrymedicationcommunicationoxycodone
NSW2015-07-27

Inquest into the death of Farin DALEY

43y · Male·Ischaemic heart disease

Farin William Daley, aged 43, died of ischaemic heart disease while in custody at Long Bay Correctional Facility. He had suffered a myocardial infarction at age 28 but failed to disclose this medical history during recep…

cardiologyemergency medicinesystem
NSWhospital2015-07-27

Inquest into the death of Lynette Maree YOUNG

46y · Female·Shock following interferon alpha treatment following removal of a melanoma

Lynette Young, 46, died of shock secondary to pericarditis with cardiac tamponade following interferon alpha treatment for melanoma. She presented with chest pain to Dubbo Base Hospital where multiple clinical failures o…

oncologycardiologydiagnosticcommunicationinterferon alpha
NSW2015-07-23

Inquest into disappearance and suspected death of Judith YOUNG

40y · Female·open finding - manner and cause undetermined

Judith Ann Young, aged 40, disappeared in December 1999 and was not reported missing until August 2001. The coroner found on the balance of probabilities that she died sometime after 5 December 1999. Key evidence include…

NSW2015-07-15

Inquest into the death of Jesse SMITH

18y · Male·Multiple blunt force injuries sustained in a motor vehicle collision

An 18-year-old male died from multiple blunt force injuries sustained in a single-vehicle collision with a telecommunications pole. The vehicle was being driven recklessly by one of four occupants who were engaged in dan…

NSW2015-07-15

Inquest into the death of SW

42y · Male·Hanging

A 42-year-old male prisoner with a history of alcohol dependence, PTSD, and epilepsy died by intentional hanging in Cessnock Correctional Centre. Mental health assessments on reception and during detention found no suici…

psychiatrypsychologythiamine
NSWmental health2015-07-14

Inquest into the death of DA

34y · Male·Neck compression due to hanging

A 34-year-old man with a history of polysubstance abuse, high alcohol intake, and a recent suicide attempt died by hanging six weeks after being admitted to mental health services. Critical clinical lessons: (1) dual dia…

psychiatryemergency medicinediagnosticcommunicationmirtazapine
NSW2015-07-10

Inquest into the death of Tyrone Marley Gilks

19y · Male·chest injuries caused by blunt force trauma suffered in a high speed motorcycle …

Tyrone Gilks, 19, a professional freestyle motocross rider, died from chest injuries after a motorcycle long-distance jump attempt at Maitland Showground. His motorcycle had insufficient speed (111 km/h vs required 114.5…

trauma surgeryintensive caresystemcommunication
NSW2015-07-09

Inquest into the death of Victor John Russell

48y · Male·Ischaemic Heart Disease

Victor John Russell, aged 48, died in prison of ischaemic heart disease (90-95% left anterior descending coronary artery narrowing). He had family history of early cardiac disease, prior borderline QTc prolongation on EC…

cardiologyemergency medicinemethadone
NSWhospital2015-07-02

Inquest into the death of N

69y · Female·Asphyxiation consistent with hanging

A 69-year-old woman admitted to Hornsby Hospital with seizures and subacute encephalopathy developed rapidly fluctuating mental state including anxiety, depression, suicidal ideation, and cognitive impairment. While indi…

neurologypsychiatrydiagnosticcommunicationphenytoin
NSWcommunity2015-07-02

Inquest into the deaths of Myassar Ayoub, Donald White

multiple deaths: 8 from drowning, 1 from drowning with head injury; 1 from immer…

This inquest examined nine rock fishing deaths in NSW between 2012-2015, all caused by drowning after unexpectedly being swept into the sea or falling into deep water. Most victims were either inexperienced swimmers or u…

emergency medicineforensic medicinesystemdelay
NSW2015-06-30

Inquest into the disappearance and suspected deaths of Paul ROSSINGTON and Kristen SCHRODER

Paul Rossington: exposure or drowning or combination of both. Kristen Schroder: …

Two young adults, Paul Rossington (30) and Kristen Schroder (26), died after falling overboard from a cruise ship in the Tasman Sea on 8-9 May 2013. Kristen fell from their cabin balcony during an emotionally heightened …

antidepressant medication
NSWhomePodcast2015-06-26

Inquest into the death of Tony BUGEJA (n/a,PDF File)

50y · Male·Acute anaphylactic reaction due to wasp sting

Tony Bugeja, a 50-year-old man with severe wasp sting allergy, died from anaphylactic shock after being stung at his home in Wilberforce, NSW. He was alone, used an expired EpiPen that appeared ineffective, and called tr…

emergency medicineallergy and immunologydelaysystemadrenaline
NSWcommunity2015-06-26

Inquest into the death of Jason William REA

38y · Male·The combined effect of Methylamphetamine Toxicity and prolonged restraint in a p…

Jason Rea, a 38-year-old chronic methamphetamine user, died following a high-speed collision on the M1 Freeway while driving under the influence. After the crash, he became aggressive and agitated, requiring restraint by…

emergency medicinecardiologymethamphetamine
NSW2015-06-26

Inquest into the disappearance and suspected death of Prabhdeep SRAWN (n/a,PDF File)

25y · Male·Death by misadventure; probable cause hypothermia from exposure to extreme alpin…

Prabhdeep Srawn, a 25-year-old law student from Canada, disappeared in May 2013 while bushwalking in Kosciuszko National Park, NSW after encountering extreme alpine weather. The coroner found he died by misadventure, lik…

NSWhospital2015-06-24

Inquest into the death of Giovanni TRIPODI

91y · Male·The combined effects of chest injuries and old age

A 91-year-old man presented to the ED after a motor vehicle crash with chest pain. While imaging revealed abnormalities, ED staff and a junior registrar considered these to be old fractures rather than acute injuries and…

emergency medicineradiologydiagnosticsystemparacetamol
NSWhome2015-06-19

Inquest into the death of Peter JUNGHANS

30y · Male·self-inflicted gunshot wound to the head

Peter Junghans, a 30-year-old man involved in cannabis dealing, became increasingly paranoid after his arrest in March 2013 for drug supply offences. He believed his friend Matthew Thomas had informed police about his il…

cannabis
NSWhome2015-06-19

Inquest into the death of Matthew THOMAS

31y · Male·gunshot wounds to the head and chest

Matthew Thomas, aged 31, was shot and killed on 25 April 2013 by his friend Peter Junghans, who then took his own life. Junghans had been arrested for drug dealing and, based on misplaced suspicion rather than evidence, …

NSWworkplace2015-06-19

Inquest into the death of Vijay SINGH

23y · Male·complications of hypothermia

Vijay Singh, 23, died from complications of hypothermia while trapped in an industrial freezer at his workplace on 28 April 2013. He became stuck operating a forklift in a freezer maintained at minus 20°C. Critical failu…

emergency medicineintensive carecommunicationsystem
NSW2015-06-18

Inquest into the death of Tremaine GATT

4y · Male·Multiple injuries due to motor vehicle collision

A 4-year-old child died from multiple injuries sustained in a motor vehicle collision on a busy arterial road in Kempsey. The child ran from between two parked cars onto the road directly in front of an approaching vehic…

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