Coronial
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TAScommunity2023-05-19

Coroner's Finding: Kirkwood, Jordan Thomas

19y · Male·hypoxic brain injury following asphyxia due to hanging

Jordan Kirkwood, a 19-year-old male, died by hanging on 30 April 2019 after being admitted to a newly established community-based mental health program (MHHITH) on 3 April 2019. He presented with depression, cannabis wit…

psychiatryemergency medicinediagnosticcommunicationfluoxetine
TAScommunity2023-05-08

Coroner's Finding: Johns, Ross Alexander

36y · Male·hanging, with contributing factors of alcohol dependence and depression

Ross Johns, aged 36, died by hanging on 14-15 June 2021 after a long history of bipolar disorder, major depression, and alcohol dependence. He was discharged from Northside Mental Health Unit on 9 June 2021 following adm…

psychiatryemergency medicineprescription medications at therapeutic levels
TAShospital2023-05-05

Coroner's Finding: Pedler, Anne Helen

71y · Female·multiple pulmonary thromboemboli and deep vein thrombosis

71-year-old woman presented to ED with signs of circulatory failure (hypotension, tachycardia, tachypnoea, hypoxia) and progressive leg pain/swelling over one week. ECG showed S1Q3T3 pattern consistent with pulmonary emb…

emergency medicinecardiologydiagnosticdelaycannabis oil
TAShome2023-05-01

Coroner's Finding: Koeter, Jacqueline Francis

59y · Female·Global hypoxic brain injury due to mixed drug toxicity, specifically alprazolam …

A 59-year-old woman with a 30-year history of alprazolam dependence for anxiety disorder died from global hypoxic brain injury following cardiac arrest caused by mixed drug toxicity, with alprazolam levels in the fatal r…

general practicepsychiatryalprazolam
TAShome2023-04-20

Coroner's Finding: Young, Luke Trevor

42y · Male·mixed prescription drug toxicity (sertraline, amlodipine, lamotrigine, quetiapin…

Luke Trevor Young, 42, died from mixed prescription drug toxicity (sertraline, amlodipine, lamotrigine, quetiapine) in a suicide by overdose. He had severe, longstanding bipolar II disorder with chronic suicidality, comp…

psychiatrygeneral practicesystemdelaysertraline
TAShospital2023-04-14

Coroner's Finding: Hardie, Nathan John

41y · Male·Multiple injuries to head, trunk and limb sustained in motorised bicycle collisi…

Nathan John Hardie, aged 41, died from multiple injuries sustained in a motorised bicycle collision with a parked truck on 25 May 2021, five days after the accident on 30 April 2021. He was riding an unregistered, unroad…

neurosurgerytrauma surgeryamphetamine
TAShospital2023-04-03

Coroner's Finding: RS - de-identified

1y · Female·infarction and volvulus of the small intestine due to adhesion from prior nephre…

A 19-month-old girl with history of Wilms tumour presented to Launceston General Hospital with vomiting, pain and lethargy. A Children's Early Warning Tool score of 6 triggered mandatory protocols including senior doctor…

emergency medicinepaediatricsdiagnosticsystem
TASmental health2023-03-07

Coroner's Finding: Culic, Jana

35y · Female·neck and chest injuries and drowning due to intentional fall/jump from Tasman Br…

Jana Culic, aged 35, died by suicide jumping from the Tasman Bridge on 4 June 2020 while subject to a Mental Health Act treatment order for schizophrenia, borderline personality disorder, and bipolar disorder. She had a …

psychiatryemergency medicinemethamphetamine
TAShospital2023-02-20

Coroner's Finding: de-identified RI

68y · Male·community-acquired pneumonia in a setting of advanced centriacinar emphysema, al…

A 68-year-old man died of community-acquired pneumonia complicated by asplenia (absent splenic function), chronic liver disease from alcohol misuse, and severe malnutrition. He presented with syncopal episodes, cachexia,…

general medicinegeneral practicediagnosticcommunicationparacetamol
TAS2023-02-20

Coroner's Finding: Calabrese Vincenzo

70y · Male·head injury

A 70-year-old man with ischaemic heart disease and cardiomyopathy collapsed at work after experiencing dizziness, striking his head on a brick wall. He died from severe head injury and brain swelling. The coroner found a…

emergency medicineneurosurgery
TASaged care2023-01-30

Coroner's Finding: Munnings, Barry

86y · Male·pneumonia

An 86-year-old man with emphysema, heart disease, cognitive impairment and recent pneumonia admissions fell in a nursing home bathroom and sustained rib fractures and T4 vertebral fracture. He was assessed as medium fall…

geriatric medicineemergency medicinediagnosticsystem
TASaged care2023-01-20

Coroner's Finding: Howse, John Neville

92y · Male·subdural haemorrhage (haematoma) following a fall at a residential aged care fac…

A 92-year-old man with early-stage Alzheimer's disease died from a subdural haemorrhage following an unwitnessed fall at a residential aged care facility. He fell while getting out of bed at 23:30 hours on 4 May 2020, st…

geriatric medicineemergency medicine
TASaged care2023

Coroner's Finding: Tweedie, Valma Ann

72y · Female·Pneumonia following cervical spine injuries sustained in an unwitnessed mechanic…

Valma Ann Tweedie, aged 72, died from pneumonia following cervical spine injuries sustained in an unwitnessed fall at a disability support facility. She had a known history of falls, mobility problems, and probable demen…

emergency medicinetrauma surgerydiagnosticcommunication
TAShospital2022-12-15

Coroner's Finding: Mather, Robert Andrew

80y · Male·asphyxia due to choking on food

Robert Mather, 80, died from asphyxia due to choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary retention. He had schizophrenia with 40+ year history and poo…

psychiatrygeriatric medicineantipsychotic medications
TAScommunity2022-12-15

Coroner's Finding: Wildman, Benjamen

37y · Male·self-inflicted stab wound to the chest

Benjamen Robert Wildman, aged 37, died from a self-inflicted stab wound to the chest while in police custody on 29 December 2020. He had a lifelong history of mental health difficulties, personality dysfunction stemming …

psychiatrypsychology
TAScommunity2022-12-07

Coroner's Finding: Triffett, Brendan

40y · Male·cardiac arrhythmia due to cardiovascular disease

Mr Brendan Triffett, aged 40, died suddenly from cardiac arrhythmia whilst participating in supervised hydrotherapy at Kingston Pool, Tasmania on 13 March 2018. He had significant medical history including an acquired br…

cardiologyemergency medicineamitriptyline
TAShome2022-11-30

Coroner's Finding: Tongs, Janetta Ann

55y · Female·exsanguination due to a gunshot wound to the upper left chest

A 55-year-old woman with a 20-year history of depression died from a self-inflicted gunshot wound. She had attempted suicide twice in 2019 (July and December) and was managed by her general practitioner and Tasmania Heal…

general practicepsychiatryvenlafaxine
TAShospital2022-11-30

Coroner's Finding: Hughes, Ellis Newton

83y · Male·aspiration pneumonia

Ellis Newton Hughes, 83-year-old retired mining engineer with metastatic prostate cancer, sustained a femoral fracture in a fall on 5 February 2020. He underwent open reduction and internal fixation on 10 February 2020 a…

orthopaedic surgeryemergency medicine
TAShome2022-11-29

Coroner's Finding: Young, Andrew Robert

61y · Male·hanging

Andrew Robert Young, a 61-year-old man with lifelong depression and social phobia, died by hanging on 13-14 January 2020. He had received consistent psychiatric care from an experienced psychiatrist for 16 years using su…

psychiatrygeneral practicediazepam
TAShome2022-11-28

Coroner's Finding: Dare, Daniel Wayne

Male·mixed prescription drug toxicity (tramadol and diazepam)

Daniel Wayne Dare died from mixed prescription drug toxicity involving tramadol and diazepam. He had a history of chronic lower back pain and depression managed with these medications prescribed by his GP over several ye…

general practicepsychiatrytramadol
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