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TAScommunity2021-10-15

Coroner's Finding: Lacroix, Adrian

43y · Male·head, chest and abdominal injuries sustained when intentionally stepping into th…

Adrian Steven Lacroix, a 43-year-old man with a long history of mental health problems, severe depression, and suicidal ideation since 2013, died by suicide on 6 March 2021. On the day of his death, following a police ca…

psychiatryemergency medicinealcohol
NSWhospital2021-10-12

Inquest into the death of Bruce HODGES

78y · Male·cardiorespiratory failure due to complications of tracheal stenosis

Bruce Hodges, a 78-year-old man with a 20-year-old tracheostomy following laryngeal cancer surgery, presented to hospital with progressive shortness of breath and tracheal stenosis. Over 48 hours of admission, his respir…

emergency medicineENT surgerydiagnosticsystemnebulised saline
TAShome2021-10-11

Coroner's Finding: Parsons, Anna Maree

53y · Female·Unintentional mixed prescription drug toxicity (morphine and diazepam) together …

Anna Maree Parsons, aged 53, died from unintentional mixed prescription drug toxicity (morphine and diazepam) combined with advanced lung disease from heavy smoking. She consumed morphine (Ordine) supplied by a friend wi…

general practiceemergency medicinemorphine
QLDhome2021-10-06

Christensen, Corey James and Davy, Thomas Ian

Unknown·Mr Christensen: stab wound to the chest. Mr Davy: blood loss caused by stab woun…

Two men died following stab wounds sustained while forcing entry to a dwelling in the early hours of 1 October 2018. The deceased had been misled about the circumstances of an injured woman they believed needed urgent as…

emergency medicinepathologycommunicationsystemalcohol
VICcommunity2021-10-01

Finding into death of Stuart Anthony Wills

45y · Male·Aspiration of food bolus, with cerebral palsy as contributing factor

Stuart Wills, a 45-year-old man with cerebral palsy and severe dysphagia, died from aspiration of a food bolus while receiving meal assistance at a supported accommodation facility. Prior to his death, a speech pathologi…

speech pathologyemergency medicineproceduraladrenaline
VIChospital2021-09-30

Finding into death of James Owen Lynch

71y · Male·Aspiration pneumonia in a man with intellectual disability

A 71-year-old man with intellectual disability and chronic aspiration risk died from aspiration pneumonia leading to cardiac arrest. He had a longstanding history of dysphagia with multiple previous aspiration episodes d…

emergency medicineintensive careamoxicillin
NSWhospital2021-09-28

Inquest into the death of Gwenith ELKINGTON

60y · Female·acute cerebral bleed resulting from blunt trauma and late haemorrhagic progressi…

Gwenith Elkington, aged 60, died from acute cerebral bleed resulting from haemorrhagic progression of a traumatic brain injury sustained in a bathroom fall on 21 September 2015. The injury caused a contre coup contusion …

emergency medicineneurosurgerydelaycommunicationibuprofen
VIChospital2021-09-27

Finding into death of Abigail Louise Cooke-Mitchell

42y · Female·Traumatic right subdural haematoma

A 42-year-old woman died from a traumatic right subdural haematoma sustained on 22 January 2015. She was found unresponsive at home with severe head and facial injuries after falls. Critical delays in medical assessment …

emergency medicineneurosurgerycommunicationdelaymorphine
NSWcommunity2021-09-23

Inquest into the death of M F

46y · Male·blunt force injuries from motor vehicle collision with a tree

A 46-year-old Aboriginal man died by suicide following a motor vehicle collision with a tree while being pursued by police responding to a welfare check. He had a complex history of depression, amphetamine addiction (ice…

general practicepsychiatrysystemdelayamphetamine
NSWaged care2021-09-22

Inquest into the death of Vakabauta LEONE

47y · Female·complications of rapidly progressing motor neurone disease

A 47-year-old woman with motor neurone disease died from respiratory complications while in immigration detention, residing in aged care. She collapsed at 1:00am with respiratory distress. Nursing staff did not attempt C…

palliative careemergency medicinecommunicationdelay
VIChospital2021-09-21

Finding into death of AH

37y · Male·Mixed Drug Toxicity (Oxycodone, Quetiapine, Pregabalin and Clonazepam)

A 37-year-old man died from mixed drug toxicity (oxycodone, quetiapine, pregabalin, clonazepam) after ingesting unknown quantities of his own medications in an ED. He presented with trauma symptoms four days post-motor v…

emergency medicinetoxicologydiagnosticcommunicationoxycodone
TAShospital2021-09-20

Coroner's Finding: Suter, Nigel Douglas

Male·respiratory failure from blunt trauma to the chest sustained in a motor vehicle …

Nigel Douglas Suter died from respiratory failure caused by blunt chest trauma sustained in a motor vehicle crash on 16 April 2021. He collided with a gumtree on Argonaut Road, St Helens, after his vehicle left the road.…

intensive caretrauma surgerycannabis
QLD2021-09-20

Harris, John Edward

47y · Male·Hanging

John Harris, a 47-year-old life prisoner at Townsville Correctional Centre, died by hanging in his cell on 4 July 2019. He had an elevated baseline suicide risk due to a previous 2012 suicide attempt, yet was housed in a…

correctional healthpsychologyassessmentsystemcarbamazepine
VIC2021-09-15

Finding into death of Cheryl Anne Taylor

59y · Female·mechanical asphyxia

Cheryl Anne Taylor, aged 59, died from mechanical asphyxia when a timber balcony collapsed at a Christmas party on 16 December 2017. The balcony had multiple structural deficiencies: the main support bearer was undersize…

emergency medicinesystemdelay
VIC2021-09-15

Finding into death of Sarah Michele Kajoba

37y · Female·Multiple injuries

Sarah Michele Kajoba, aged 37, died from multiple traumatic injuries sustained when a timber balcony collapsed at a Christmas party on 16 December 2017. The balcony had been undersized from construction in 1987, with ina…

emergency medicinetrauma surgerysystemprocedural
WAhospital2021-09-14

Inquest into the Death of Jeremy Michael SCOTT

63y · Male·metastatic rectal carcinoma

Jeremy Scott, a 63-year-old prisoner, died from metastatic rectal carcinoma on 3 July 2017. From 2015 onwards, he reported rectal and anal symptoms including pain, bleeding, and palpable masses, which were repeatedly att…

general surgerycolorectal surgerydiagnosticcommunication
QLDcommunity2021-09-10

Lock, Karina May and Lock, Stephen Glenn - Non-inquest findings

49y · Female and male·Gunshot wound to head inflicted by spouse

Karina Lock was fatally shot by her husband Stephen Lock in a murder-suicide at a McDonald's restaurant on 10 September 2015. The coroner identified multiple systemic failures that failed to protect Ms Lock despite her h…

general practicepsychiatrydiagnosticcommunicationcannabis
WAprison2021-09-06

Inquest into the Death of Marshall Ruben EDGILL

38y · Male·combined effects of acute-on-chronic respiratory disease and cardiomegaly

Marshall Ruben Edgill, a 38-year-old Indigenous man, died in custody from acute-on-chronic respiratory disease and cardiomegaly. He had longstanding obstructive sleep apnoea (OSA), obesity, asthma, and hypertension. Crit…

respiratory medicinecardiologydiagnosticdelay
QLD2021-09-02

Batalha, Benjamin John

35y · Male·Not determined

Benjamin Batalha, aged 35, died in custody at Arthur Gorrie Correctional Centre. The exact cause of death could not be determined, though respiratory depression from mixed drug toxicity or fatal arrhythmia were likely. H…

psychiatrycorrectional healthsystemdiazepam
VIChospital2021-09-02

Finding into death of Robena May Lloyd

58y · Female·Enterococcus faecalis sepsis and acute renal failure

Robena Lloyd, a 58-year-old woman with intellectual disability and schizophrenia, died from enterococcus faecalis sepsis and acute renal failure on 7 August 2009. She presented to Angliss Hospital ED on 31 July with urin…

emergency medicinenephrologydiagnosticcommunicationtrimethoprim

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