Coronial
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SAhospital2014-11-28

Coroner's Finding: BLAIN Kathleen Olive Florence

79y · Female·acute myocardial infarction and acute pulmonary oedema

A 79-year-old woman with stroke and cardiac history was admitted for rehabilitation but developed treatment-resistant depression. Despite comprehensive multidisciplinary management including medication trials (mirtazapin…

psychiatrycardiologymirtazapine
SA2014-11-28

Coroner's Finding: MAYGER John Christopher

58y · Male·Ischaemic and hypertensive heart disease

John Christopher Mayger, aged 58, died of ischaemic and hypertensive heart disease while in custody at Adelaide Pre-release Centre. He had a significant cardiac history including two previous myocardial infarctions with …

cardiologyemergency medicinerosuvastatin
SAhospital2014-05-19

Coroner's Finding: DONNELL Kevin George

60y · Male·end stage refractory chronic congestive cardiac failure on a background of chron…

A 60-year-old man with chronic schizophrenia, end-stage cardiac failure, renal failure, and dementia died of refractory congestive heart failure while under Mental Health Act detention. He had multiple comorbidities incl…

cardiologypsychiatry
SAhospital2014-05-19

Coroner's Finding: SGAMBATO Raffaele

84y · Male·malnutrition in conjunction with heart, liver and kidney failure

An 84-year-old man with severe dilated cardiomyopathy, atrial fibrillation, chronic renal failure, and behavioural disturbance was admitted to Royal Adelaide Hospital following a fall. He displayed acute psychiatric symp…

cardiologypsychiatrymorphine
SAhospital2013-09-30

Coroner's Finding: GIANNINI Pasquale

68y · Male·infarction of the small and large bowel due to superior mesenteric artery thromb…

A 68-year-old man with extensive systemic vascular disease presented with 10 days of nonspecific abdominal pain. Initial presentations at local hospital and GP were attributed to possible gallstones or gastritis based on…

general practiceemergency medicinediagnosticdelayaugmentin duo
SAhospital2013-09-19

Coroner's Finding: HOCKING Robert Nicholas

67y · Male·aspiration pneumonia with contributing chronic schizophrenia

Robert Nicholas Hocking, a 67-year-old man with treatment-resistant chronic schizophrenia, died from aspiration pneumonia during his final hospitalization at Royal Adelaide Hospital. He was a long-term inpatient at Glens…

psychiatrygeneral medicineolanzapine
SAhospital2013-09-04

Coroner's Finding: ARKADIANOS Dionisios

75y · Male·pneumonia complicating chronic renal and cardiac failure, vascular dementia and …

A 75-year-old man with chronic cardiac and renal failure, vascular dementia, and COPD died of pneumonia while detained under the Mental Health Act at Flinders Medical Centre. He was admitted with chest pain and remained …

cardiologypsychiatryenoxaparin
SAhospital2013-09-04

Coroner's Finding: BUGG Linda Edith

92y · Female·acute myocardial infarction

Linda Edith Bugg, aged 92, died of acute myocardial infarction at Royal Adelaide Hospital on 24 October 2009. She was admitted from Howard House with nausea, vomiting, and hypotension; tests indicated acute heart attack.…

cardiologypsychiatry
SAhospital2013-08-19

Coroner's Finding: HUNT William Edward

62y · Male·chronic congestive cardiac failure due to severe aortic valve stenosis and incom…

William Edward Hunt, aged 62, a life-sentenced prisoner, died from chronic congestive cardiac failure due to severe aortic valve stenosis and cardiomyopathy. His severe aortic stenosis was identified in 2003, but surgica…

cardiologycardiothoracic surgerydelaycommunicationfurosemide
SAhospital2013-08-19

Coroner's Finding: MOXON John William

69y · Male·Advanced motor neurone disease leading to terminal respiratory failure

A 69-year-old man died in custody from advanced motor neurone disease with terminal respiratory failure. He experienced progressive arm and leg weakness from March 2009, initially attributed to angina. Neurological refer…

neurologycorrectional healthdelayriluzole
SAhospital2013-08-19

Coroner's Finding: WEEKS Ronald Geoffrey

84y · Male·respiratory failure due to hospital-acquired pneumonia

Ronald Geoffrey Weeks, aged 84, died of respiratory failure due to hospital-acquired pneumonia following a hip fracture sustained in a fall at James Nash House psychiatric facility. He was serving an 8-year sentence for …

geriatric medicineorthopaedic surgerysystemdelay
SAhospital2013-01-31

Coroner's Finding: CANDY Jonathon Craig

42y · Male·ischaemic heart disease due to coronary atherosclerosis

Jonathon Candy, aged 42, died from acute coronary syndrome one day after inappropriate discharge from Queen Elizabeth Hospital ED. He presented with recurrent chest pain on exertion (gym evening of 18 May, workplace morn…

emergency medicinecardiologydiagnosticcommunication
SAhospital2012-11-15

Coroner's Finding: Butler Mark Andrew

49y · Male·pneumonia, hypoxic brain injury and cardiac arrest

49-year-old male with chronic cannabis dependence and depression developed post-surgical delirium following emergency anterior resection for perforated diverticulum. He became acutely agitated and paranoid, was detained …

colorectal surgerypsychiatrydiagnosticmedicationfentanyl
SA2011-12-22

Coroner's Finding: FRY Lindsay Allan

61y · Male·ischaemic heart disease with significant atherosclerotic narrowing of all three …

Lindsay Allan Fry, a 61-year-old prisoner with poorly controlled Type II diabetes, died of ischaemic heart disease while in custody at Yatala Labour Prison. Autopsy revealed marked coronary artery atherosclerosis, myocar…

cardiologyendocrinologymetformin
SAhospital2011-12-22

Coroner's Finding: SWAVLEY Matthew Tyson

39y · Male·cardiomegaly

Matthew Tyson Swavley, aged 39, died suddenly from cardiomegaly while detained under the Mental Health Act at Lyell McEwin Health Service. He had chronic schizophrenia managed with antipsychotics and was morbidly obese (…

psychiatryemergency medicineolanzapine
SA2011-11-24

Coroner's Finding: BEGG Peter Albert

62y · Male·Ischaemic heart disease due to coronary atherosclerosis

Peter Albert Begg, a 62-year-old prisoner, died of ischaemic heart disease due to severe coronary atherosclerosis with contributing dothiepin toxicity. He collapsed while pushing a food trolley and did not respond to res…

forensic medicinecardiologydiagnosticdosulepin
SA2011-11-04

Coroner's Finding: Sleeping Rough Inquest

Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…

Concurrent coronial inquests into six Aboriginal deaths in Ceduna, South Australia between 2004-2009. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and se…

emergency medicinerespiratory medicinesystemdelayalcohol
SAhospital2011-09-23

Coroner's Finding: DUBBIOSO Roberto

34y · Male·cardiomegaly with contributing aspiration

A 34-year-old man with paranoid schizophrenia, morbid obesity, type 1 diabetes, and undiagnosed sleep apnoea died from cardiomegaly with contributing aspiration while detained under the Mental Health Act. On 6 March, he …

psychiatryemergency medicinediagnosticsystem
SAhospital2011-09-19

Coroner's Finding: FERME Susan Jane

47y · Female·acute subendocardial septal myocardial infarction complicating hypertension and …

A 47-year-old woman with hypertension, high cholesterol, and significant family history of early cardiac disease presented to a country hospital ED with acute crushing central chest pain (10/10), shortness of breath, and…

emergency medicinegeneral practicediagnosticcommunicationglyceryl trinitrate
SAaged care2011-09-19

Coroner's Finding: RICHARDSON Margaret Joan

63y · Female·ischaemic heart disease

Margaret Joan Richardson, aged 63, died of ischaemic heart disease at a private nursing home where she was detained under a Guardianship Board order. She had a long history of chronic alcohol abuse and cognitive impairme…

cardiologygeriatric medicine
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