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TAScommunity2021-11-18

Coroner's Finding: Wheldon, Jamie Damien

45y · Male·methylenedioxymethylamphetamine (MDMA or 'ecstasy') toxicity

Jamie Damien Wheldon, a 45-year-old man with long-term methamphetamine addiction enrolled in a rehabilitation program, died from MDMA toxicity on 29 December 2019. He was on approved leave from the Salvation Army Bridge …

addiction medicinepsychiatryMDMA
NSW2021-11-18

Inquest into the death of Conway PERRIE

75y · Male·Complications of chronic renal disease on a background of hypertension and type …

Conway Perrie, a 75-year-old man in lawful custody at Long Bay Correctional Complex, died from complications of chronic renal disease (stage 4) with hypertension and type 2 diabetes mellitus. He had been reviewed at Prin…

nephrologyemergency medicine
SAhospital2021-11-16

Coroner's Finding: Kresevic, Ivanka

74y · Female·acute myocardial infarction due to coronary artery thrombosis

74-year-old woman presented to emergency department with chest pain on 6 January 2017. She was diagnosed with gastro-oesophageal reflux disease and discharged after 53 minutes. She died of acute myocardial infarction due…

emergency medicinecardiologydiagnosticcommunication
VIChospital2021-11-16

Finding into death of Ratko CRNIC

85y · Male·Traumatic head injury: severe blunt force head trauma with occipital load impact…

An 85-year-old man died from traumatic brain injury sustained during a neighbourhood dispute on 30 November 2020. After police declined to attend a property dispute, Mr Crnic attended the police station in an agitated st…

emergency medicineneurosurgery
VICcommunity2021-11-12

Finding into death of Michael Anderson

36y · Male·Cardiorespiratory arrest complicating propofol administration for endodontic pro…

Michael Anderson, a 36-year-old obese man (BMI 38.5), suffered cardiorespiratory arrest during a root canal procedure under conscious sedation with propofol administered by Dr S. in a dental office setting. He had undiag…

anaesthesiadentistrycommunicationdocumentationpropofol
NThome2021-11-09

Inquest into the death of Holly Davidson

38y · Female·Subdural haemorrhage in the context of chronic alcoholism due to post-traumatic …

Holly Anne Davidson, a 38-year-old police officer, died from a subdural haemorrhage sustained 3-5 days before her death. She had been in a coercive, controlling, and violent relationship with her police officer partner f…

emergency medicinepsychiatrydiagnosticsystemparacetamol/codeine/doxylamine
NSWhospital2021-11-09

Inquest into the death of Caitlin CRUZ

3y · Female·complications of Influenza B viral infection

Three-year-old Caitlin Cruz presented to a medical centre unwell and collapsed, requiring resuscitation. She was transferred by ambulance to Children's Hospital at Westmead but critical information about her collapse and…

emergency medicinepaediatricscommunicationdiagnosticmidazolam
NSW2021-11-08

Inquest into the death of Walter CLOUGH

66y · Male·Complications of chronic obstructive pulmonary disease. A significant contributi…

Walter Clough, aged 66, died from complications of COPD and cardiomegaly while incarcerated. He had significant respiratory compromise from prior chest trauma causing hemidiaphragm paralysis. Days before death, he was ho…

general practicerespiratory medicinesystemspriva
TASaged care2021-11-04

Coroner's Finding: Rosendale, Dwayne Edward

36y · Male·Complications of morbid obesity, including cardiac enlargement, aspiration of ga…

A 36-year-old man with treatment-resistant schizophrenia and Capgras syndrome died from complications of morbid obesity (183.5 kg, BMI 45.3). He was discharged from hospital on 14 January 2019 after admission for respira…

psychiatrygeneral medicinesystemdelayzuclopenthixol
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

Theo Papageorgiou, a 27-year-old man with a history of psychotic and manic symptoms since November 2014, was briefly detained under a mental health order in November 2015 but discharged after only six days despite contin…

psychiatrygeneral practicediagnosticcommunicationolanzapine
TAScommunity2021-11-01

Coroner's Finding: Bester, Valentine Eric Neal

19y · Male·drowning

A 19-year-old male drowned in Frederick Henry Bay after attempting to paddle a kayak 15.5 km across exposed water from Roches Beach to Lime Bay. Despite advice from his father and uncle to stay close to shore, he venture…

forensic medicineemergency medicinemelatonin
TAS2021-11-01

Coroner's Finding: Lane, Christopher Mark

Male·ruptured spleen

Christopher Mark Lane, an experienced off-road motorcycle rider, died from a ruptured spleen sustained when his motorcycle struck a log on a beach near Trial Harbour, Tasmania, during an organised multi-day event. The im…

emergency medicinetrauma surgery
QLDhospital2021-11-01

Masoumali, Omid

24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns

Omid Masoumali, a 24-year-old Iranian refugee detained on Nauru under Australian offshore processing arrangements, suffered severe thermal burns (>50% TBSA) on 27 April 2016 after self-immolating at the Nibok settlement.…

plastic and reconstructive surgeryintensive carecommunicationsystem
WAprison2021-11-01

Inquest into the Death of Joseph Thomas ROE

50y · Male·subarachnoid and intracerebral haemorrhage in association with a ruptured berry …

Joseph Thomas Roe, age 50, died from a ruptured berry aneurysm causing subarachnoid and intracerebral haemorrhage. He was a prisoner at Casuarina Prison when he called for medical assistance on the night of 17-18 Septemb…

emergency medicineneurosurgerycommunicationsystem
VIChospital2021-10-29

Finding into death of John Crabtree

69y · Male·Myocardial infarction secondary to coronary artery atherosclerosis in the settin…

Mr Crabtree, a 69-year-old man with intellectual disability, COPD, emphysema and heavy smoking history, presented to the ED with respiratory distress on 26 May 2016. He was diagnosed with infective exacerbation of COPD a…

emergency medicinegeneral practicediagnosticdelayamoxicillin/clavulanate
NSWPodcast2021-10-29

Inquest into the death of Jesse DRABSCH

31y · Male·Hypoxic brain injury caused by the exogenous administration of insulin, resultin…

Jesse Drabsch, 31, died from hypoglycaemia after self-injecting insulin in a gym bathroom. A competitive bodybuilder using performance and image enhancing drugs (PIEDs), Jesse entered the bathroom at 5:30pm on 16 Novembe…

endocrinologytoxicologysystemproceduralinsulin
VIChospital2021-10-26

Finding into death of John Francis Flynn

69y · Male·Hypoxic ischaemic brain injury secondary to right facial artery pseudoaneurysm r…

69-year-old male with tonsillar squamous cell carcinoma presenting with throat pain and trismus 12 days after completing chemoradiotherapy. On presentation to emergency department with bleeding, airway risk was under-rec…

emergency medicineENT surgerydiagnosticcommunicationparacetamol/codeine
VIChome2021-10-23

Finding into death of Mr C

56y · Male·Ischaemic Heart Disease and Coronary Artery Atherosclerosis

A 56-year-old man with a history of coronary artery disease and stenting presented to his GP on 17 February 2020 with right upper quadrant discomfort. The GP did not consider a cardiac source, attributing symptoms to abd…

general practicecardiologydiagnosticsystem
NSWcommunity2021-10-22

Inquest into the death of Terence Gray

54y · Male·Multiple injuries from collision with motor vehicle

Terence Gray, a 54-year-old man with chronic alcohol abuse and depression, was removed from a train at Grafton by a Passenger Services Supervisor (Mr Beadman) who lacked required authorization. The supervisor cited Mr Gr…

psychiatryemergency medicinecommunicationsystemalcohol
WAmental health2021-10-22

Inquest into the Death of Russell David BROCKLISS

38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…

Russell Brockliss, a 38-year-old Aboriginal man with severe treatment-resistant schizoaffective disorder and significant cardiovascular risk factors (obesity, smoking, focal coronary atherosclerosis), died from acute car…

psychiatryemergency medicinedelaysystemrisperidone depot

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