Coronial
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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
TASaged care2016-01-28

Coroner's Finding: Delaney, Maxwell

91y · Male·Hypostatic pneumonia due to traumatic fracture of C7 and subluxation of C6/7, re…

Maxwell Delaney, 91, was a resident at Eliza Purton Care Home in Tasmania with complex medical history including Alzheimer's disease, osteoporosis, and prior falls. On 24 January 2015, he fell while seated on a lightweig…

geriatric medicinegeneral medicinesystemprocedural
TAS2016-01-21

Coroner's Finding: Marshall, Donald Joseph

78y · Male·Intra-oral gunshot wound to the head

Donald Joseph Marshall, 78, an experienced sailor, died on 4 June 2013 from a gunshot wound to the head while stranded on Badger Island in Bass Strait, Tasmania. After running aground on the island, he activated his EPIR…

TAS2016-01-20

Coroner's Finding: Mansell, John Ernest

71y · Male·neck, chest and abdominal injuries sustained in a motor vehicle crash

A 71-year-old business owner competing in Targa Tasmania 2013 died when his Porsche became airborne at 200 km/h over an unmarked crest, crashed into a tree, and sustained fatal neck, chest and abdominal injuries. The cor…

systemalcohol
TAScommunity2016-01-04

Coroner's Finding: Mr K

18y · Male·Multiple blunt traumatic injuries sustained in a motorcycle crash

Mr K, 18, died from multiple blunt traumatic injuries in a motorcycle crash on Brooker Highway, southern Tasmania, in June 2015. He was an L1 (novice) motorcycle rider with only one month of licence experience. While car…

TAScommunity2015-12-23

Coroner's Finding: Field, Jayden Craig

19y · Male·Severe traumatic head injury sustained from impact with roadway surface after ex…

Jayden Craig Field, a 19-year-old intoxicated male, died from severe traumatic head injury sustained when he exited a moving taxi at approximately 41-48 km/h after a planned fare evasion. The coroner found that all four …

emergency medicinetrauma surgerydelaysystemalcohol
TAShospital2015-11-27

Coroner's Finding: McManus, Pamela

75y · Female·large volume aspiration following right hemicolectomy for adenocarcinoma of the …

A 75-year-old woman with a 20-month history of iron deficiency anaemia was not investigated for its cause by her general practitioner despite clear clinical signs of deterioration. The coroner found this fell 'grossly sh…

general practicegeneral surgerydiagnosticcommunication
TAS2015-11-24

Coroner's Finding: Tetley, Andrew Jason

35y · Male·Drowning

Andrew Jason Tetley, a 35-year-old fisherman, died by drowning in May 1992 after attending a party at Falmouth, Tasmania. He left the party around 1:00-1:30am to return to his moored fishing boat by dinghy, without weari…

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
TAS2015-11-11

Coroner's Finding: Holmes, Michael John

35y · Male·unknown

Michael John Holmes, aged 35, disappeared from his boarding house in Hobart on 26 July 1988 and was not reported missing until 28 October 1988. He had a significant psychiatric history including multiple suicide attempts…

psychiatryforensic medicine
TAS2015-11-02

Coroner's Finding: CK

3y · Male·blunt trauma of the head when run over by a four-wheel drive vehicle

A 3-year-old child died from blunt head trauma after being run over by a four-wheel drive vehicle near Trial Harbour, Tasmania. The child was part of a family group on a recreational four-wheel drive expedition. While th…

TAS2015-10-30

Coroner's Finding: Mr S

43y · Male·multiple injuries due to motor vehicle collision with a tree

A 43-year-old man died by intentional motor vehicle collision with a tree on 2 January 2014. He was facing serious criminal charges including alleged indecent assault and domestic violence offences. After disclosing suic…

forensic medicineemergency medicine
TAS2015-10-26

Coroner's Finding: Mr B

39y · Male·hypoxic/ischaemic brain damage due to crush injury of chest and abdomen

A 39-year-old mechanic died from crush injuries to the chest and abdomen while working under a raised Toro mower. He positioned the 700kg mower on a trolley jack without using jack stands for support, despite jack stands…

procedural
TAShospital2015-10-09

Coroner's Finding: Hay, Katrina Maree

35y · Female·Acute right heart failure (cor pulmonale) following intravenous injection of cru…

A 35-year-old woman with chronic hepatitis C and long-standing intravenous drug use died from acute right heart failure (cor pulmonale) following injection of crushed Xanax tablets. She presented to hospital with cardiog…

emergency medicineintensive carealprazolam
TAShome2015-10-08

Coroner's Finding: Mundy, Kaylene Louise

40y · Female·acute right-sided congestive heart failure (cor pulmonale) resulting from intrav…

Kaylene Mundy, aged 40, died from acute right-sided congestive heart failure (cor pulmonale) caused by intravenous injection of crushed alprazolam tablets. She had a long history of opioid and polysubstance abuse, with r…

addiction medicineemergency medicinealprazolam
TAS2015-10-02

Coroner's Finding: Kokholm, Dan

24y · Male·Unknown

Dan Kokholm, a 24-year-old Australian Army soldier, disappeared while bushwalking in Cradle Mountain/Lake St Clair National Park, Tasmania in April 1970. He was last recorded in the Kia Ora hut logbook on 29 April 1970, …

TAShome2015-10-02

Coroner's Finding: Mattathyahu, Judah

49y · Male·homicide, the precise mechanism of which the coroner was unable to determine

Tony Harras, aged 49, disappeared from Slopen Main, Tasmania on 12 November 1983. The coroner found, on the balance of probabilities applying the Briginshaw standard, that he died from homicide, though the precise mechan…

TAShome2015-10-02

Coroner's Finding: Ms G de-identified

Female·hanging (suicide)

Ms G, a woman in her forties with bipolar II disorder, generalised anxiety disorder, and severe alcohol dependence, died by suicide in November 2014. She had been admitted to hospital six times for detoxification and men…

psychiatryaddiction medicinesystemalcohol
TAS2015-10-01

Coroner's Finding: Adamson, Darryl

49y · Male·traumatic amputation of right lower leg due to being trapped under a moving trac…

Darryl Arthur Adamson, a 49-year-old man with a history of seizures (within 3 days of death), severe ischaemic heart disease (70% LAD narrowing), and recent hepatitis C diagnosis, died from traumatic amputation of his ri…

cannabis
TAShome2015-10-01

Coroner's Finding: J

4y · Male·drowning in a swimming pool

A 4-year-old boy drowned in an unfenced backyard swimming pool after climbing onto the pool cover and falling through a 400mm hole. The child was unable to swim and disliked water. The pool, installed in 1984, predated T…

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