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QLDhospital2021-07-26

Saunders, Cary James

57y · Male·Intracerebral haemorrhage due to ruptured mycotic aneurysm due to infective endo…

Cary James Saunders, aged 57, a prisoner with pre-existing mitral valve prolapse and aortic regurgitation, died from intracerebral haemorrhage secondary to infective endocarditis caused by Streptococcus mitis. He present…

cardiologyinfectious diseasesampicillin
VICcommunity2021-07-26

Finding into death of Adam Laufer

32y · Male·Multiple injuries sustained in a fall from a height

Adam Laufer, a 32-year-old man with longstanding bipolar disorder, died by suicide on 24 November 2016 when he jumped from the LaTrobe Street overpass in Melbourne. In the early hours of 24 November, his father called tr…

psychiatrypsychologysystemcommunication
VIChospital2021-07-26

Finding into death of G H

61y · Female·Pneumonia in a woman with multiple co-morbidities

A 61-year-old woman with significant comorbidities including congenital hydrocephalus, stroke, obstructive sleep apnoea, and previous pneumonia with respiratory arrest (2017) died of pneumonia in hospital. She lived in a…

respiratory medicineemergency medicineolanzapine
VICcommunity2021-07-26

Finding into death of Gregory John Bennett

52y · Male·Aspiration Pneumonia

Gregory Bennett, a 52-year-old man with congenital rubella syndrome causing profound disabilities including dysphagia, epilepsy, and spastic quadriparesis, died from aspiration pneumonia. He was living in DHHS-managed ac…

general practiceemergency medicinediazepam
WAcommunity2021-07-23

Inquest into the Death of Dean Jesse GERRARD-LATHAM

24y · Male·Environmental exposure in a man with methylamphetamine effect

Dean Jesse Gerrard-Latham, a 24-year-old Indigenous man, died from environmental exposure while acutely intoxicated by methylamphetamine in bushland near Derby, WA. After evading police in a stolen vehicle, he and his co…

forensic medicineemergency medicinedelaymethamphetamine
VIChospital2021-07-22

Finding into death of Christian Joy

34y · Male·Cardiac tamponade due to hemopericardium from acute aortic dissection of the asc…

A 34-year-old previously healthy man presented to the ED with sudden-onset central chest pain. He was discharged with a diagnosis of GORD after negative troponin and symptomatic relief with antacids. A chest X-ray showed…

emergency medicineradiologydiagnosticcommunicationmorphine
VIChospital2021-07-21

Finding into death of Lorinda Stacey Ruff

55y · Female·Complications of metastatic colorectal carcinoma

Lorinda Ruff, a 55-year-old woman with intellectual disability and bipolar disorder, died from complications of metastatic colorectal carcinoma. She presented to her GP on 29 July 2019 with three days of appetite loss an…

general practiceemergency medicine
VIChospital2021-07-19

Finding into death of Pamela Mary Bell

63y · Female·Aspiration of gastric contents and acute renal failure complicating intestinal p…

Pamela Bell, a 63-year-old woman with intellectual disability, epilepsy treated with carbamazepine, and chronic hyponatraemia, died from aspiration of gastric contents and acute renal failure complicating intestinal pseu…

neurologygeneral medicinecarbamazepine
VIChome2021-07-14

Finding into death of Edward Michael Espino

36y · Male·neck compression in the circumstances of hanging

Edward Espino, a 36-year-old man with bipolar affective disorder, died by hanging on 1 February 2016. In the hours preceding his death, he learned of a police 'whereabouts' alert placed six months after a minor assault a…

psychiatryforensic medicinesystemsodium valproate
VIChospital2021-07-13

Finding into death of Simone Grigg

34y · Female·Pneumonia in a woman with intellectual disability and asthma

Simone Grigg, a 34-year-old woman with intellectual disability and asthma, died from pneumonia. She was living in DHHS supported accommodation and attending Amicus day services. On 21 November 2017, she developed respira…

emergency medicineintensive carecommunicationdelayhay fever medication
NSWhome2021-07-07

Inquest into the death of Kimberley APPLEBY

56y · Female·acute pentobarbitone toxicity

56-year-old woman died from acute pentobarbitone toxicity in her Sydney apartment on 27-28 May 2016. She had a long history of mental health issues, depression, substance use, and prior self-harm. She had recently obtain…

psychiatrypsychologysystemproceduralpentobarbitone
TAShospital2021-07-02

Coroner's Finding: HB

8y · Male·acute exacerbation of chronic asthma

An 8-year-old boy with undertreated chronic asthma presented to North West Regional Hospital with acute exacerbation. Initial assessment underestimated severity. Despite initial improvement with salbutamol, ipratropium a…

paediatricsemergency medicinediagnosticcommunicationfluticasone/salmeterol
SAhospital2021-06-30

Coroner's Finding: MAZMANIDIS Kiriakos Jack

83y · Male·respiratory failure due to chronic obstructive lung disease

An 83-year-old man with chronic obstructive pulmonary disease, suspected mesothelioma, and recurrent respiratory infections presented with type 2 respiratory failure and delirium secondary to hypoxia and lower respirator…

respiratory medicineintensive carehaloperidol
VIC2021-06-29

Finding into death of ED

59y · Male·Head injuries sustained when struck by a falling tree

A 59-year-old man died from severe head injuries sustained when struck by a falling tree during tree felling operations on a rural property. He was working with his employer who used a tractor to push over dead trees whi…

emergency medicineneurosurgerysystemcommunicationcannabis
VICcommunity2021-06-28

Finding into death of Hassan Khalif Shire Ali

74; 30y · Male; male·Sestilio Malaspina: stab wound to the chest; Hassan Khalif Shire Ali: gunshot wo…

A 74-year-old Italian-Australian, Sisto Malaspina, was fatally stabbed during a terrorist attack in Melbourne's CBD on 9 November 2018. Hassan Khalif Shire Ali, aged 30, detonated an improvised explosive device in his ve…

psychiatryemergency medicinesystemcommunicationcannabis
VICcommunity2021-06-28

Finding into death of Sestilio Malaspina

74; 30y · Male; male·Sestilio Malaspina: stab wound to the chest. Hassan Khalif Shire Ali: gunshot wo…

On 9 November 2018, Hassan Khalif Shire Ali committed a premeditated ISIS-inspired terrorist attack in Bourke Street, Melbourne, using an improvised explosive device in his vehicle followed by a knife assault. He fatally…

psychiatryemergency medicinesystemcommunicationcannabis
TASaged care2021-06-24

Coroner's Finding: Hunn, Janine Mona

59y · Female·Diffuse hypoxic brain injury complicating aspiration of gastric contents during …

Janine Hunn, a 59-year-old woman with Angelman syndrome, severe intellectual disability, kyphoscoliosis, and a history of epilepsy and recurrent aspiration pneumonia, died from hypoxic brain injury following aspiration o…

general practiceemergency medicine
VIChospital2021-06-24

Finding into death of PT

46y · Male·Haemopericardium complicating aortic dissection

A 46-year-old man with untreated hypertension and smoking history presented to the ED with acute chest pain radiating to jaw and back. ECG showed changes initially interpreted as NSTEMI with troponin elevation. A cardiol…

cardiologyemergency medicinediagnosticcommunicationmorphine
NSWhospital2021-06-24

Inquest into the death of William BERGER

74y · Male·Acute exacerbation of chronic airways disease, with carcinoma of prostate being …

William Berger, a 74-year-old man serving a life sentence for murder, died from acute exacerbation of chronic obstructive pulmonary disease (COPD) with metastatic prostate cancer as a significant contributing condition. …

respiratory medicineemergency medicinesalbutamol
VICaged care2021-06-23

Finding into death of Kathryn O'Rourke

48y · Female·Hypoxic/Ischaemic Encephalopathy; Aspiration of Food with Respiratory Arrest wit…

Kathryn O'Rourke, aged 48, a resident with severe intellectual disability and dysphagia in a disability residential care facility, aspirated a piece of toast during breakfast on 10 May 2018 and died from hypoxic-ischaemi…

intensive careemergency medicinecommunicationsystemclonazepam

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