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NSW2022-02-18

Inquest into the death of Ricardo Damien Arquero

40y · Male·Bronchial Asthma

Ricardo Arquero, a 40-year-old man serving a prison sentence, died from acute bronchial asthma at Glen Innes Correctional Centre on 19 August 2019. He had a documented history of asthma since childhood and was provided w…

general practiceemergency medicinesalbutamol
NSW2022-02-14

Inquest into the death of Khaled DIB

42y · Male·Cardiomegaly and myocardial bridging of the left anterior descending coronary ar…

Khaled Dib, a 42-year-old prisoner at Dawn De Loas Correctional Centre, collapsed suddenly while in his cell on 5 September 2019 and could not be revived. Post-mortem examination revealed cardiomegaly and myocardial brid…

forensic medicineemergency medicinecocaine
WAhospital2022-02-14

Inquest into the Death of Jeffrey Lee STRETTLES

52y · Male·complications in association with advanced malignancy (hepatocellular carcinoma)…

Jeffrey Lee Strettles, a 52-year-old prisoner, died from complications of advanced hepatocellular carcinoma, end-stage cirrhosis, and generalised sepsis. He had contracted Hepatitis C in the late 1980s and was diagnosed …

gastroenterologyoncologysystemledipasvir
VIC2022-02-10

Finding into death of Elaine Betty Sime

72y · Female·multi-organ failure secondary to poly-trauma and likely bee-sting related toxidr…

Elaine Betty Sime, a 72-year-old fit and healthy woman, died from multi-organ failure following poly-trauma and bee sting toxidrome after a tree fell on her during a walk. The tree at Ruffey Lake Park Trail failed due to…

emergency medicinetrauma surgerysystem
NSW2022-02-09

Inquest into the death of IM

37y · Male·Sharp force injuries of the neck and left arm

A 37-year-old male remanded in custody at Cessnock Correction Centre died by suicide on 3 September 2019 from self-inflicted sharp force injuries to the neck and left arm. He had been in custody for 44 days following cha…

forensic medicinepsychiatrycommunication
NSW2022-02-07

Inquest into the death of Chin Hung HO

64y · Male·Closed Head Injury

Chin Hung Ho, a 64-year-old man in custody at Macquarie Correctional Centre, collapsed during morning muster on 22 March 2021 and struck his head on concrete flooring. CCTV footage captured the collapse, which appeared c…

forensic medicineneurosurgery
WA2022-02-04

Inquest into the Death of Robert William ROMAN

55y · Male·Subdural haematoma in a man with diabetes mellitus and chronic kidney disease (r…

A 55-year-old Aboriginal man with end-stage renal disease, diabetes, ischaemic heart disease and COPD died from a spontaneous subdural haematoma while undergoing haemodialysis in prison custody. He presented with headach…

nephrologyemergency medicinesystemcommunicationaspirin
VIC2022-02-03

Finding into death of Wayne Myhill

54y · Male·Neck injuries sustained in a fall - fracture of the fifth cervical vertebra (car…

Wayne Myhill, aged 54, died from a cervical spine fracture (C5 level) sustained in a fall at his group home in Ararat, Victoria. He had cerebral palsy, intellectual disability, Lennox-Gastaut syndrome with frequent seizu…

neurologygeneral practicesystemdelaylamotrigine
NSWmental health2022-02-01

Inquest into the death of Camilla MARGOLIS

34y · Female·multiple blunt force injuries

Camilla Margolis, 34, died by suicide at Echo Point Lookout in the Blue Mountains hours after discharge from mental health inpatient care. She had complex borderline personality disorder with chronic suicidality across 2…

psychiatryemergency medicinecommunicationsystemmirtazapine
NSWhospital2022-02-01

Inquest into the death of Ivan CHRISTOV

70y · Male·complications of chronic obstructive pulmonary disease and ischaemic heart disea…

A 70-year-old man with end-stage COPD, ischaemic heart disease, and obstructive sleep apnoea collapsed in his prison cell and was transferred to hospital in respiratory distress. Despite having documented 'not for resusc…

emergency medicinerespiratory medicinecommunicationdelay
VIChome2022-01-31

Finding into death of Leeanne Matheson

52y · Female·Mixed drug toxicity (methadone, pregabalin, valproic acid, benzodiazepines)

A 52-year-old woman with chronic pain, epilepsy, and opioid dependence died from mixed drug toxicity after prescribed methadone, pregabalin, valproic acid, and benzodiazepines. She was admitted to Box Hill Hospital on 12…

addiction medicinegeneral practicemedicationcommunicationmethadone
TAShospital2022-01-28

Coroner's Finding: Mitchell, Gordon Arthur David

54y · Male·acute myocardial infarction

Gordon Arthur David Mitchell, 54 years old, died of acute myocardial infarction five days after successful stenting for an initial MI. He was discharged on 10 July 2019 despite presenting with chest pain, dyspnea, and co…

cardiologyemergency medicinediagnosticclinical decisionbeta-blocker
TAShospital2022-01-21

Coroner's Finding: de Wit, Pauline Catherine Marie

53y · Female·acutely decompensated congestive cardiac failure due to blunt traumatic injuries…

A 53-year-old woman with severe intellectual disability and scoliosis died from acute decompensated congestive cardiac failure following blunt traumatic injuries sustained in a five-vehicle motor vehicle crash. She was a…

emergency medicineintensive caresystemdelay
VIChospital2022-01-20

Finding into death of H I

49y · Female·Acute myocardial infarction secondary to giant-cell arteritis and atherosclerosi…

49-year-old woman died from acute myocardial infarction secondary to giant-cell arteritis of coronary arteries. On 26 November, she presented to her GP with left-sided chest pain described as atypical and unlikely ischae…

general practiceemergency medicinediagnosticsystemmetoclopramide
QLDhome2022-01-18

Lewis, Daniel Patrick

36y · Male·Gunshot wounds to the chest and abdomen

Daniel Lewis, aged 36, died from gunshot wounds after police responded to a domestic violence call. Lewis had a history of brain injury from age 11, substance abuse, mental health issues including PTSD and drug-induced p…

psychiatryemergency medicinecommunicationsystemalcohol
VIChospital2022-01-17

Finding into death of Anthony Christopher Stone

59y · Male·Cardiomegaly and pulmonary oedema in a man with a bi-cuspid aortic valve

Anthony Stone, a 59-year-old man with cerebral palsy living in a disability residence, died from cardiomegaly and pulmonary oedema secondary to a bicuspid aortic valve. In the weeks before death, he began refusing food a…

cardiologygeneral practice
VICaged care2022-01-14

Finding into death of Margaret Lillian Watkins

84y · Female·Complications of pelvic fractures sustained in a traumatic incident

An 84-year-old woman with dementia died from complications of pelvic fractures sustained when another dementia-affected resident pushed her during an altercation over food in an aged care facility. She developed bilatera…

geriatric medicineemergency medicinesystemdelaymorphine
QLDcommunity2022-01-13

Clubb, Monique Irene

24y · Female·Undetermined

Monique Irene Clubb, a 24-year-old with opioid addiction following a serious motor vehicle accident, disappeared on 22 June 2013 after obtaining prescriptions for fentanyl patches and diazepam from a medical centre in Be…

general practiceforensic medicinemedicationdiagnosticfentanyl
VICaged care2022-01-12

Finding into death of Diane Maree Pearse

51y · Female·Status epilepticus on a background of Lennox Gastaut syndrome and cerebral palsy

Diane Maree Pearse, a 51-year-old woman with Lennox Gastaut syndrome and severe cerebral palsy, died from status epilepticus after prolonged deterioration. She had progressive dysphagia and recurrent seizures despite mul…

neurologypalliative careclonazepam
QLDcommunity2022-01-11

Noombah

39y · Male·Cardiac arrest in a person with pre-existing severe ischaemic heart disease who …

A 39-year-old First Nations man with severe ischaemic heart disease died following police restraint and ambulance care during an emergency examination authority detention. He had sniffed petrol and threatened self-harm; …

emergency medicineparamedicinediagnosticcommunicationpetrol

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