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SAhospital2020-07-02

Coroner's Finding: WHATLEY Deborah Rose

55y · Female·ischaemic heart disease complicated by epilepsy, asthma and schizophrenia

A 55-year-old woman with schizophrenia, epilepsy, asthma and COPD presented to hospital with abdominal pain and confusion. Initial ED assessment treated presumed UTI and discharged her. She returned the next day with wor…

emergency medicinepsychiatryclozapine
SAhospital2020-07-02

Coroner's Finding: SWINGLER Yvonne Mary

86y · Female·multi-organ failure due to sepsis

An 86-year-old woman with dementia, recent stroke, and multiple comorbidities was admitted with acute delirium and paranoia, subsequently placed on an Inpatient Treatment Order. She developed sepsis secondary to staphylo…

psychiatryemergency medicinemorphine
TAShome2020-06-30

Coroner's Finding: Hinley, David John

74y · Male·Mixed prescription drug toxicity (codeine, paracetamol, mirtazapine, promethazin…

A 74-year-old man with multiple chronic conditions including cerebellar ataxia, COPD, depression and anxiety died from mixed prescription drug toxicity. He had cognitive impairment affecting medication management and hab…

general practicepsychiatrycommunicationsystemcodeine
TAShospital2020-06-30

Coroner's Finding: Shrimpton, Dallas Brooks

54y · Male·carbon monoxide asphyxia

Dallas Brooks Shrimpton, a 54-year-old man with severe alcohol dependence, chronic depression, and multiple previous suicide attempts, died by carbon monoxide asphyxiation. He presented to Royal Hobart Hospital ED on 16 …

psychiatryemergency medicinecommunicationsystemalcohol
QLDPodcast2020-06-30

Ayliffe-Chung, Mia Mishka Annie and; Jackson, Thomas Leslie - Non-inquest findings

Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain

Two young UK backpackers, Mia Ayliffe-Chung (20) and Thomas Jackson (30), were fatally stabbed at a Queensland hostel on 23 August 2016 by a French backpacker, Smail Ayad, who was psychotic and cannabis-intoxicated. Ayad…

psychiatryemergency medicinesystemcommunicationcannabis
QLDmental health2020-06-29

Rangi, Taare Tamakehu

44y · Male·Cardiac arrhythmia during physical restraint

Taare Rangi, a 44-year-old man with bipolar affective disorder, died from cardiac arrhythmia during physical restraint in a mental health unit. Critical failures occurred at multiple levels: (1) the decision to acutely s…

psychiatryemergency medicinediagnosticprocedurallorazepam
SAhospital2020-06-25

Coroner's Finding: KARTINYERI Laura Rose

44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…

Laura Rose Kartinyeri, aged 44, died from multi-organ failure and polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse, non-compliance with treatment, and hospital present…

respiratory medicineintensive carepregabalin
SAhospital2020-06-25

Coroner's Finding: ASHTON Lorraine June

78y · Female·advanced dementia (end stage)

Mrs Lorraine Ashton, aged 78, died of advanced dementia (end stage) at Repatriation General Hospital on 23 September 2017. She had Primary Progressive Aphasia diagnosed in 2014 following non-Hodgkin's lymphoma treatment.…

psychiatrygeriatric medicineoxazepam
TASaged care2020-06-19

Coroner's Finding: Konstantinidis, Agis

90y · Male·aspiration pneumonia due to pulmonary fibrosis and dementia

A 90-year-old man with advanced dementia and terminal pulmonary fibrosis died of aspiration pneumonia at a residential aged care facility. He had experienced multiple suicide attempts including wrist cutting and methylat…

geriatric medicinepalliative careantidepressant medication
SAhospital2020-06-18

Coroner's Finding: WILKS Deslandes

79y · Male·Pneumonia complicating ischaemic heart disease and dementia

A 79-year-old man with advanced Alzheimer's disease, ischaemic heart disease, and behavioural disturbance died of pneumonia while on a Level 2 Inpatient Treatment Order at Flinders Medical Centre. He was admitted from a …

geriatric medicinepsychiatryrisperidone
SAhospital2020-06-18

Coroner's Finding: TUCKER Colin Pryor

96y · Male·general inanition on a background of advanced dementia, chronic congestive cardi…

Colin Pryor Tucker, aged 96, died of general inanition on a background of advanced dementia, chronic congestive cardiac failure and pneumonia at Repatriation General Hospital. He was admitted with urinary retention, acut…

psychiatrygeriatric medicineantipsychotic medication
SAhospital2020-06-18

Coroner's Finding: BOYCE Ian Charles

85y · Male·hospital acquired pneumonia on a background of metastatic colorectal carcinoma

An 85-year-old man died from hospital-acquired pneumonia on a background of metastatic colorectal cancer. He was admitted to hospital with psychotic depression, suicidal ideation, and severe malnutrition after two years …

psychiatrygeriatric medicine
SAhospital2020-06-18

Coroner's Finding: BOES Johannes Josephus

92y · Male·pulmonary thromboembolic disease on a background of infective exacerbation of ch…

A 92-year-old man with chronic obstructive pulmonary disease, vascular dementia, and heart disease died from pulmonary thromboembolism complicated by respiratory infection. He was admitted after a fall at home, became ag…

respiratory medicineemergency medicinehaloperidol
SAhospital2020-06-17

Coroner's Finding: TIERNAN John Joseph

78y · Male·large left basal ganglia intracerebral haemorrhage with mass effect

John Joseph Tiernan, 78, died from a large left basal ganglia intracerebral haemorrhage with mass effect while admitted under an Inpatient Treatment Order (ITO) for acute hyperactive delirium. He had stage 4 lung cancer …

psychiatryneurology
SAmental health2020-06-17

Coroner's Finding: COULTER Brenton Thomas

60y · Male·Ischaemic heart disease

A 60-year-old man with schizophrenia, ischaemic heart disease, previous myocardial infarction and stenting died of acute ischaemic heart disease while an inpatient in a mental health facility under an Inpatient Treatment…

psychiatrycardiologyclozapine
SAhospital2020-06-11

Coroner's Finding: SMITH Robert Duncan Strachan

85y · Male·general inanition on a background of end stage dementia

An 85-year-old man with advanced mixed fronto-temporal and Lewy body dementia died from general inanition (wasting) following progressive decline over several years. He was hospitalised in July 2017 after becoming unmana…

psychiatrygeriatric medicine
SAhospital2020-06-11

Coroner's Finding: GRUNDY Hugh Keightly

65y · Male·general inanition on a background of advanced fronto-temporal dementia

Hugh Keightly Grundy, aged 65, died from general inanition secondary to advanced frontotemporal dementia. He had a progressive decline from 2002, with formal diagnosis in 2013, complicated by seizures, stroke, and behavi…

psychiatrygeriatric medicine
NSWcommunity2020-06-10

Inquest into the death of Christopher McGRAIL

44y · Male·Gunshot wounds to the trunk and right thigh with subsequent blood loss

Christopher McGrail, a 44-year-old man with a history of substance abuse, depression, and trauma following his son's suicide, was shot by NSW Police during a knife confrontation. He presented with acute intoxication (alc…

emergency medicinepsychiatrymethamphetamine
TAShospital2020-06-05

Coroner's Finding: Dickinson, Mary Marguerite

58y · Female·pneumonia, likely aspiration pneumonia

Mary Marguerite Dickinson, aged 58, died of pneumonia on 20 January 2018 at the Roy Fagan Centre after admission with a complex scapula fracture and severe cognitive decline from alcoholic dementia. The coroner found her…

geriatric medicineemergency medicinecommunicationsystemmorphine
SAhospital2020-06-05

Coroner's Finding: HANCKEL Jonathan Mark

58y · Male·effects of chronic alcoholism

Jonathan Mark Hanckel, aged 58, died from chronic alcoholism complicated by Child C cirrhosis, hepatic encephalopathy, coagulopathy, sepsis, and multiple intracranial haemorrhages. While he sustained a fall on 13 October…

gastroenterologypsychiatry

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