Coronial
SAhospital2023-12-22

Coroner's Finding: FORREST, John Michael

68y · Male·Multi-organ failure due to gram-negative sepsis on a background of recent myocar…

A 68-year-old male prisoner with multiple comorbidities (diabetes, end-stage renal failure, COPD, morbid obesity) presented with acute myocardial infarction and underwent coronary artery bypass grafting. Post-operatively…

cardiothoracic surgerycardiologyglyceryl trinitrate
VIChospital2024-08-07

Finding into death of Georgios Stamkos

68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…

A 68-year-old man with dysphagia and bipolar disorder died from airway obstruction and aspiration pneumonia after choking on a sandwich brought by his wife during a supervised hospital meal. He had been admitted with wor…

psychiatryspeech pathologyrisperidone
VICmental health2019-09-19

Finding into death of Vanna Vassallo

68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall

Vanna Vassallo, a 68-year-old with schizophrenia, chronic comorbidities and documented high fall risk, died from complications of a subdural haemorrhage sustained in a fall at an aged mental health inpatient unit. She ha…

psychiatrygeriatric medicinepossibly_preventablefluphenazine decanoate
VIChospital2014-07-14

Finding into death of Mary Una Barnett

71y · Female·Diffuse Lymphoid Malignancy

Mary Una Barnett, a 71-year-old woman in custody at Dame Phyllis Frost Centre, died from diffuse lymphoid malignancy (high-grade lymphoma) discovered shortly before her death. She had extensive comorbidities including ch…

cardiologynephrologysystemdelay
SA2024-09-13

Coroner's Finding: Mortess, Noel Allen

75y · Male·End stage myelodysplastic syndrome and end stage renal failure on a background o…

A 75-year-old man died in prison custody from end-stage myelodysplastic syndrome and renal failure on a background of ischaemic heart disease, hypertension, valvular disease, and metastatic prostate cancer. He was admitt…

general medicinehaematologydelaysystemcefuroxime
VIChome2024-07-11

Finding into death of Lilian Isabella Lister

87y · Female·Haemorrhage secondary to an ulcerated varicose vein

An 87-year-old woman died from haemorrhage secondary to an ulcerated varicose vein on her right leg. She had known venous insufficiency documented by duplex scan in November 2020, but no specific management plan for blee…

vascular surgerygeneral practicecommunication
VICaged care2023-11-30

Finding into death of Catherine Mary Reid

80y · Female·multiple injuries in the setting of a fall

Catherine Mary Reid, aged 80, died from multiple fractures sustained in a fall during a mechanical hoist transfer at a disability care facility. While being transferred from wheelchair to bed using an overhead ceiling ho…

geriatric medicineorthopaedic surgeryprocedural
VIChospital2011-10-26

Finding into death of John Threadgold

55y · Male·Cardiopulmonary arrest, respiratory failure and chronic obstructive airways dise…

Mr John Threadgold, a 55-year-old man with extensive psychiatric history (schizoaffective disorder, substance dependency), chronic obstructive airways disease, and alcohol abuse, died from cardiopulmonary arrest and resp…

psychiatryemergency medicinecommunicationsystemantipsychotic medications
NSWhospital2020-11-27

Inquest into the death of Makushla NIKOLAEVSKY

43y · Female·pulmonary embolism

A 43-year-old woman died from pulmonary embolism after hysteroscopy for investigation of heavy menstrual bleeding. Following the procedure, she developed left leg swelling on day 3. A Venous Doppler Ultrasound was perfor…

gynaecologyvascular surgerydiagnosticpossibly proceduralenoxaparin
NSW2022-05-19

Inquest into the death of Robert Fennell

77y · Male·Complications of Metastatic Colorectal Carcinoma

Robert Fennell, a 77-year-old man serving an 18-year prison sentence, died of complications from metastatic colorectal carcinoma in Long Bay Correctional Hospital's Medical Sub-Acute Unit on 27 October 2020. He had an ex…

palliative careoncology
QLDhospital2012-12-19

Evans, William Alfred

78y · Male·Acute renal failure due to metastatic malignancy (primary site unknown)

William Alfred Evans, aged 78, died of acute renal failure secondary to metastatic malignancy while in custody at Princess Alexandra Hospital Secure Unit. He had been diagnosed with advanced dementia and prostate cancer.…

geriatric medicinenephrology
NTaged care2021-01-07

Inquest into the death of Robert Curtis

61y · Male·end stage renal failure, in the context of type 2 diabetes mellitus and chronic …

Robert Curtis, a 61-year-old Aboriginal man with end-stage renal disease, end-stage liver disease, and poorly controlled diabetes, was imprisoned for driving while disqualified on 4 February 2019. He fell in the prison s…

nephrologypalliative carefentanyl
SA2025-11-14

Coroner's Finding: Porter, Peter Raymond

65y · Male·metastatic prostate cancer complicated by deep vein thromboses

Peter Raymond Porter, aged 65, died in prison from metastatic prostate cancer complicated by deep vein thromboses in January 2022, eight and a half years after diagnosis. He had presented with urinary symptoms in Decembe…

oncologyurologyduodart
QLDhospital2021-07-26

Saunders, Cary James

57y · Male·Intracerebral haemorrhage due to ruptured mycotic aneurysm due to infective endo…

Cary James Saunders, aged 57, a prisoner with pre-existing mitral valve prolapse and aortic regurgitation, died from intracerebral haemorrhage secondary to infective endocarditis caused by Streptococcus mitis. He present…

cardiologyinfectious diseasesampicillin
SA2021-01-15

Coroner's Finding: BALLARD Kenneth Frederick

75y · Male·cerebral metastatic malignancy (lung cancer with brain metastases)

Kenneth Ballard, aged 75, died in prison custody from cerebral metastatic lung cancer. He had been diagnosed with chronic lymphocytic lymphoma in 2012 and managed at Mount Gambier Prison. In late 2014, Mr Ballard refused…

general practicehaematologydiagnosticdelay
VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

Helen Welsh, 63, died from E. coli septicaemia with multiple comorbidities. She presented with respiratory symptoms and underwent bronchoscopy. On discharge day, she deteriorated with fever, altered consciousness, and hy…

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
QLD2011-09-29

Tiers, Matthew Maurice

53y · Male·Multi-organ failure due to sepsis

Matthew Tiers, a 53-year-old Aboriginal man with extensive comorbidities including alcoholic liver disease, was arrested and detained at Rockhampton Watchhouse then transferred to Capricornia Correctional Centre. He deve…

intensive careemergency medicinediagnosticsystemdiazepam
NSWcommunity2024-01-23

Inquest into the disappearance and suspected death of Bruce Robinson

72y · Male·The available evidence does not allow for any finding to be made as to the cause…

Bruce Robinson, a 72-year-old man with a history of non-Hodgkin's lymphoma, schizophrenia, psychosis, and dementia, died on 27 October 2022 after jumping from a ferry into Sydney Harbour. He had been non-compliant with h…

psychiatryemergency medicinesystemolanzapine
SAhospital2005-01-18

Coroner's Finding: SQUIRES Dorothy Alberta

90y · Female·incompatible blood transfusion resulting in haemolysis and multi-organ failure c…

A 90-year-old woman with acute myocardial infarction and cardiogenic shock died after receiving an incompatible blood transfusion (A- instead of O+), which caused haemolysis and multi-organ failure. The registered nurse …

cardiologyintensive careproceduralcommunication
TAShospital2025-04-23

Coroner's Finding: Dow, Vicki Elizabeth

69y · Female·Multiple organ failure due to secondary haemochromatosis (transfusion-associated…

Mrs Vicki Dow, 69, died from multiple organ failure secondary to iron overload (transfusion-associated haemochromatosis) from treatment of myelodysplastic syndrome. She had declined iron chelation therapy for 19 months d…

haematologyemergency medicinecommunicationdiagnosticiron chelation therapy
156710

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.