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TAShome2015-04-06

Coroner's Finding: Ms D

51y · Female·Mixed drug toxicity (amitriptyline, chlorpheniramine, diazepam, codeine) complic…

A 51-year-old woman died from mixed drug toxicity (amitriptyline, chlorpheniramine, diazepam, codeine) complicated by biventricular heart hypertrophy. She had chronic back pain treated with opioids and used excessive ove…

general practiceemergency medicinesystemdelayamitriptyline
TAS2015-04-03

Coroner's Finding: McCauley, Terence Bernard

54y · Male·multiple injuries suffered in a motorcycle crash with a motor vehicle; specifica…

Terence Bernard McCauley, a 54-year-old experienced motorcycle rider, died from massive unsurvivable injuries sustained in a head-on motorcycle-motor vehicle collision on Arthur Highway, Tasmania. Christopher Ronald Euge…

TAShome2015-03-20

Coroner's Finding: Balmer, Rosemary Joy

50y · Female·Mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydr…

A 50-year-old woman with chronic pain from a work-related back injury died from mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol). She had long-standing opioid dependence…

general practicepain medicinesystemoxycodone
TAShome2015-03-20

Coroner's Finding: Sterling, William John

60y · Male·Complications of chronic lung disease (emphysema, foreign body giant cell reacti…

A 60-year-old man with severe emphysema, atherosclerotic coronary disease, and secondary pulmonary hypertension died at home. He had a history of heavy smoking, chronic back pain treated with morphine, alcohol abuse, and…

respiratory medicinecardiologymorphine
TAShome2015-03-20

Coroner's Finding: Davis, Ross James

56y · Male·Complications of intravenous drug use

Ross James Davis, aged 56, died from complications of intravenous opioid use. He had severe chronic obstructive pulmonary disease exacerbated by heavy smoking, chronic pain, and opioid addiction. Despite two prior presen…

general practiceemergency medicinemorphine
TAShome2015-03-18

Coroner's Finding: Thompson, Geoffrey Ross Sydney

48y · Male·Mixed prescription drug and ethanol toxicity (promethazine, citalopram and ethan…

A 48-year-old male died from mixed prescription drug and ethanol toxicity after consuming an entire packet of promethazine tablets (approximately 80mg) while significantly intoxicated following a day of heavy alcohol con…

emergency medicinetoxicologymedicationsystempromethazine
TAScommunity2015-03-18

Coroner's Finding: Norris Freda Kate

53y · Female·Unable to determine

Freda Kate Norris disappeared on 13 June 1978 at age 53 while travelling from her home in Huonville to Hobart. She left a note indicating she would visit her daughter and return by afternoon bus. She did not appear on th…

TAScommunity2015-03-18

Coroner's Finding: Bronson, Connan Taiaroa

59y · Male·Multiple blunt injuries following a fall from a cliff

A 59-year-old man with a long history of illicit drug use, homelessness, and untreated mental health symptoms died by suicide after jumping from a cliff. He had refused offers of accommodation and support from his sons s…

methamphetamines
TAShospital2015-02-20

Coroner's Finding: Lucas, Troy Dale

41y · Male·multiple injuries sustained in a motorcycle crash with superimposed infection

Troy Dale Lucas, aged 41, died from multiple injuries sustained in a motorcycle crash on 15 May 2012 in East Devonport, Tasmania. He collided head-on with a Toyota Corolla driven by Jacqueline Roberts-Thompson, who was t…

trauma surgeryintensive care
TAS2015-02-09

Coroner's Finding: Payton, Robert John

62y · Male·Multiple injuries from a two vehicle crash involving a motor scooter and a Mitsu…

Robert John Payton, a 62-year-old retired police officer, died in a head-on motor vehicle collision on the Bass Highway in Tasmania. He was riding a 150cc scooter when struck by a Mitsubishi wagon driven by Clinton Lee C…

TAS2015-01-16

Coroner's Finding: Leary, Leslie John

44y · Male·Drowning

Leslie John Leary, a 44-year-old rock lobster fisherman, drowned on 5 July 2011 after falling from or capsizing an aluminium dinghy while retrieving lobster pots near Actaeon Island, Tasmania. He was not wearing a person…

systemcommunication
TAScommunity2015

Coroner's Finding: Youth Suicide

suicide by hanging or other means

Six young people aged 12-17 years died by suicide between 2010-2014 in Tasmania. All had significant mental health issues, trauma histories, and contact with child protection services or schools. The coroner identified s…

psychiatrypaediatricssystemcommunicationlamotrigine
TAScommunity2014-11-11

Coroner's Finding: Male A, Male B, Male C, Male D - Alcohol Deaths

Male·acute ethanol intoxication or positional asphyxia due to acute alcohol intoxicat…

Four males aged 50-53 died from acute alcohol intoxication or positional asphyxia secondary to alcohol toxicity after single heavy drinking episodes. All had very high blood alcohol concentrations. The coroner emphasised…

public healthtoxicologyalcohol
TAShospital2014-09-19

Coroner's Finding: Tetley, Barry Lindsay

72y · Male·sepsis of undetermined source (pneumonia or spinal epidural abscess)

A 72-year-old man presented to ED with back pain, fever, elevated inflammatory markers (CRP 77.9, high WBC), hypotension (98/59 mmHg at 6:30am), hyponatremia, and hypoalbuminemia—all consistent with sepsis. Despite these…

emergency medicineintensive carediagnosticcommunication
TAShome2014-06-02

Coroner's Finding: Aherne, Benjamin Mark & Clements, John William

30y · Male·Benjamin Mark Aherne: gunshot wound to the head. John William Clements: suicide …

Two deaths occurred during a coordinated police response to a family violence incident in Devonport, Tasmania. John William Clements shot and killed Benjamin Mark Aherne, critically wounded Christina Rowlands, and then s…

TAScommunity2014-05-23

Coroner's Finding: Wagg, Christopher

52y · Male·Hypoxic/ischaemic brain damage due to mechanical asphyxia and neck compression f…

Christopher Wagg, a 52-year-old diesel fitter, died from hypoxic-ischaemic brain damage caused by crush injuries when trapped between an elevated work platform (EWP) basket and overhead structural beam on 3 August 2009. …

diagnosticprocedural
TAShospital2014-03-14

Coroner's Finding: Little, Neita Jean

79y · Female·aspiration pneumonia caused by aspiration of emesis secondary to small bowel obs…

Mrs Little, 79, died from aspiration pneumonia caused by small bowel obstruction post-hysterectomy surgery. The obstruction resulted from both pre-existing adhesions and a post-operative haematoma at the surgical site. C…

gynaecologyanaesthesiadiagnosticcommunicationrivaroxaban
TAS2013-12-06

Coroner's Finding: Wicks, Benjamin

32y · Male·blunt trauma to the chest and abdomen due to crushing by a steel beam

Benjamin Wicks, a 32-year-old experienced pile driver, died on 29 January 2013 when a steel pile fell and crushed him during a pile-driving operation at a waste transfer centre construction site. The accident occurred be…

systemcommunication
TAS2013-11-06

Coroner's Finding: Sullivan, Craig

18y · Male·rupture of a left frontal cerebral abscess

An 18-year-old male detainee at Ashley Youth Detention Centre died from rupture of a left frontal cerebral abscess likely caused by sinus infection. Craig was admitted on remand in early October 2010 and presented with i…

infectious diseasesneurosurgerysystemdelay
TAShome2013-08-09

Coroner's Finding: Miss N de-identified

20y · Female·injury caused by hanging

A 20-year-old woman with a long history of eating disorder, obsessive-compulsive behaviours, and adjustment difficulties died by suicide in October 2009. She had received treatment at the Bronte Centre in Melbourne and o…

psychiatrypsychologysystemdelaymethylphenidate

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