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WAhospital2022-03-28

Inquest into the Death of Morgan John EDWARDS

31y · Male·Complications in association with intestinal volvulus

31-year-old Morgan Edwards with Smith-Magenis Syndrome, cerebral palsy and Crohn's disease was discharged from Fiona Stanley Hospital ED on 14 August 2018 without definitive diagnosis despite elevated respiration rate, u…

emergency medicinegastroenterologydiagnosticcommunication
VIChome2022-03-25

Finding into death of Ms WJ

59y · Female·Sepsis in a woman with epilepsy, cerebral palsy and haemochromatosis

A 59-year-old woman with cerebral palsy, epilepsy, and intellectual disability died of sepsis from a urinary tract infection (urosepsis) caused by E. coli and Proteus mirabilis. She had four hospital presentations in the…

emergency medicinegeneral medicinecommunicationsystemmetoclopramide
NSWhospital2022-03-25

Inquest into the death of Anthony Barrett

54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…

Anthony Barrett died from bowel ischaemia caused by acute thrombosis of his superior mesenteric artery and coeliac artery stents post-operatively. He had undergone left total knee replacement surgery at Fairfield Hospita…

orthopaedic surgeryvascular surgerycommunicationdiagnosticclopidogrel
TAShome2022-03-23

Coroner's Finding: Stephens, Vicki Lavinia

65y · Female·klebsiella pneumonia sepsis and rhabdomyolysis after a fall at home

A 65-year-old woman with multiple chronic conditions including COPD, ischaemic heart disease, and alcoholic hepatitis fell at home and remained on the floor for approximately 2 hours before ambulance arrival. She present…

emergency medicineintensive care
TAShospital2022-03-21

Coroner's Finding: Rouse, Rex

86y · Male·pulmonary embolism following deep vein thrombosis

Rex Rouse, 86, died from pulmonary embolism following deep vein thrombosis while admitted to the psychiatric unit at Launceston General Hospital on 26 May 2020. He was admitted under a Mental Health Act assessment order …

psychiatryemergency medicinemirtazapine
VIC2022-03-21

Finding into death of Nilofer Nezami

38y · Female·Unascertained

Nilofer Nezami, a 38-year-old Victorian resident, died on 7 January 2019 following cosmetic surgery in Iran. She underwent multiple procedures including eye, breast, arm and abdominal surgery. Post-operatively, she devel…

plastic and reconstructive surgeryanaesthesiasystemproceduralmorphine
TAShospital2022-03-18

Coroner's Finding: Shields, Sandra Mary

63y · Female·sepsis and pneumonia due to immobility with sacral ulcer resulting from schizoph…

Sandra Shields, aged 63, died of sepsis and pneumonia secondary to a sacral pressure ulcer in the context of treatment-resistant catatonic schizophrenia. She was admitted to Launceston General Hospital in February 2019 w…

psychiatrygeneral medicineclozapine
NSW2022-03-18

Inquest into the death of Jeffrey Ellington

32y · Male·Subarachnoid haemorrhage due to ruptured cerebral aneurysm

Jeffrey Ellington, a 32-year-old Aboriginal male inmate, died suddenly from subarachnoid haemorrhage due to ruptured cerebral aneurysm while performing work duties at Long Bay Correctional Complex on 21 August 2020. Expe…

forensic medicineneurosurgerymethadone
VICcommunity2022-03-16

Finding into death of John Anthony Kamps

62y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …

John Kamps, a 62-year-old man with intellectual disability, autism, epilepsy, and dysphagia, died from hypoxic ischaemic encephalopathy following airway obstruction by food bolus. He choked on toast at breakfast despite …

speech pathologyemergency medicinesystemcommunication
TAScommunity2022-03-14

Coroner's Finding: PL

7y · Male·head injuries from ejection onto rocky riverbank during boating accident

A 7-year-old boy died from catastrophic head injuries after being ejected from a ski biscuit during a recreational boating accident on the Prosser River in Tasmania. The vessel operator was towing the child at excessive …

emergency medicineintensive careproceduralcommunication
TAS2022-03-10

Coroner's Finding: Cooper, Joanne Dulcie

41y · Female·Brain, chest, abdominal and pelvic injuries sustained in a motor vehicle collisi…

A 41-year-old woman died from catastrophic injuries sustained in a motor vehicle collision when her vehicle crossed into the opposite lane and struck a truck. Family members noted she appeared drowsy before driving. Toxi…

emergency medicineintensive careamitriptyline
TAS2022-03-10

Coroner's Finding: AZ, CY and DX de-identified

Male·Multiple blunt traumatic injuries sustained as a driver or passenger in a motor …

Three people died in a motor vehicle collision on the Midlands Highway when a solar panel detached from a caravan and entered the southbound lane. The driver of the vehicle with the three deceased reacted to the solar pa…

forensic medicineemergency medicinecannabis
VIChospital2022-03-10

Finding into death of SMW

48y · Male·Aspiration Pneumonia in the setting of Fahr's Disease

A 48-year-old man with Fahr's disease, dysphagia, and multiple comorbidities died from aspiration pneumonia at Box Hill Hospital. He had significant disabilities including impaired speech, psychosis, epilepsy, and consti…

respiratory medicineneurology
VIC2022-03-10

Finding into death of Joanne Callahan

43y · Female·choking on a food bolus

Joanne Callahan, a 43-year-old woman with intellectual disability and autism, died from choking on a food bolus while attending a disability day program. Critical failures in communication between her residential care pr…

speech pathologyparamedicinecommunicationsystem
VIChome2022-03-10

Finding into death of PFS

50y · Female·Hanging

A 50-year-old woman died by hanging in December 2017 after a relationship characterised by family violence and her own depression. She had been in an intimate partner violence situation for years, had presented to ED wit…

psychiatrypsychologycommunicationsystemsertraline
TAShospital2022-03-09

Coroner's Finding: Salter, Lyndsay Kenneth

83y · Male·pulmonary fat embolism complicating interstitial lung disease

An 83-year-old experienced motorcyclist died from pulmonary fat embolism complicating interstitial lung disease following a compound fracture of the right tibia sustained in a motorcycle crash. Mr Salter lost concentrati…

emergency medicineorthopaedic surgery
VIChospital2022-03-09

Finding into death of Daniel McQuilken

68y · Male·Lung cancer

Daniel McQuilken, a 68-year-old man in immigration detention, died from metastatic lung cancer. His lung cancer diagnosis was made while detained, likely related to his significant smoking history and prior asbestos and …

oncologyrespiratory medicinechemotherapy agents
VIC2022-03-08

Finding into death of Dylan James Charlton-Smith

25y · Male·Hypoxic ischaemic brain injury due to hanging

Dylan Charlton-Smith, aged 25, died by hanging while in custody at Fulham Correctional Facility. A stressful visit from his partner preceded his death by approximately 50 minutes. A correctional officer identified distre…

psychiatryemergency medicinediagnosticcommunication
NTcommunity2022-03-07

Inquest into the death of S. Wongaway, D. Wongaway and M.Dixon

Unknown·Blunt force injuries sustained in motor vehicle crash; S Wongaway: blunt force i…

Three Aboriginal community members died in a high-speed motor vehicle crash on Christmas Day 2019 after police attempted a traffic apprehension for an unregistered vehicle. The driver, fearing drink-driving detection, ac…

forensic medicineemergency medicinealcohol
NSW2022-03-07

Inquest into the death of Ronald Reeves

70y · Male·The combined effects of the complications of ventilation associated pneumonia, a…

Ronald Reeves, a 70-year-old man on remand at Goulburn Correction Centre, was found unconscious on 22 April 2019 and transferred to Canberra Hospital where he died on 17 May 2019. The cause of death was complications of …

intensive careemergency medicinequetiapine

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