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VICcommunity2021-05-25

Finding into death of Kylie Jane Cay

44y · Female·haemoperitoneum due to ruptured splenic subcapsular haematoma in the setting of …

Kylie Cay, a 44-year-old woman, was brutally assaulted by her partner Justin Turner on 18 June 2016, sustaining rib fractures and other injuries. She was discharged from hospital on 20 June after imaging did not reveal a…

paramedicineemergency medicinediagnosticcommunication
TAShospital2021-05-24

Coroner's Finding: Lumley, Barry Alyn

81y · Male·acute subdural haematoma

An 81-year-old man suffered a witnessed fall at a shopping centre with head strike to the right parietal region. He presented to the ED with a small haematoma and confusion. The ED team concluded he had a cardiac cause f…

emergency medicinecardiologydiagnosticproceduralparacetamol
QLD2021-05-24

Ahquee, Dylon James

19y · Male·Hanging

Dylon James Ahquee, aged 19, died by hanging in Townsville Correctional Centre on 26 December 2015. Despite documented self-harm and suicidal ideation as a juvenile, no Self-Harm Episode History flag was raised at adult …

correctional healthpsychologydiagnosticsystem
VICaged care2021-05-24

Finding into death of Julie-Anne Marie Kettle

56y · Female·Bronchopneumonia in the setting of supratherapeutic lithium levels

Julie-Anne Kettle, a 56-year-old woman with intellectual disabilities residing in a group home, died from bronchopneumonia in the setting of supratherapeutic lithium levels. She was on lithium 1250 mg/day for psychiatric…

general practicepsychiatrydiagnosticdelaylithium
TAS2021-05-20

Coroner's Finding: Jones, Nathan John

36y · Male·Multiple organ failure and hypoxic encephalopathy due to cardiac arrest from inj…

Nathan John Jones, aged 36, died from multiple organ failure and hypoxic encephalopathy following cardiac arrest after self-injecting methamphetamine. The substance was supplied by Hannah Weate and contained methamphetam…

emergency medicineintensive caremethamphetamine
VIChospital2021-05-18

Finding into death of David John Campbell

59y · Male·Intracerebral haemorrhage

A 59-year-old man imprisoned at Hopkins Correctional Centre collapsed on 16 July 2019 with a left thalamic intracerebral haemorrhage with intraventricular rupture. He was transferred to Royal Melbourne Hospital where an …

neurosurgeryintensive carelevetiracetam
QLDcommunity2021-05-14

Cahill, Margaret Ann

61y · Female·Multiple drug (tapentadol, morphine, diazepam, citalopram) intoxication

Margaret Cahill, a 61-year-old nurse assistant, died from multiple drug intoxication after a GP administered 60mg intramuscular morphine without knowing she had consumed tapentadol 1-2 hours earlier. The coroner identifi…

general practiceemergency medicinediagnosticmedicationtapentadol
QLDhome2021-05-13

Baby J - Non-inquest findings

0y · Unknown·Category II Sudden Infant Death Syndrome (co-sleeping)

Baby J, a healthy 23-week-old infant, died from Category II Sudden Infant Death Syndrome (SIDS) associated with co-sleeping. He was found unresponsive while sleeping chest-to-chest with his father on makeshift bedding wi…

paediatricsemergency medicinesystemcommunicationmethamphetamine
TAScommunity2021-05-12

Coroner's Finding: Ghanbarzadeh, Masoud

51y · Male·blunt trauma of the chest sustained in a motor vehicle crash; hypovolemic shock …

A 51-year-old man with schizophrenia, bipolar disorder, chronic pain, and substance use disorder died from blunt chest trauma following a motor vehicle crash. He had a history of two previous crashes associated with high…

general practicepsychiatrycommunicationdiazepam
NSW2021-05-12

Inquest into the death of Jack KOKAUA

30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …

Jack Kokaua, a 30-year-old with schizophrenia and coronary artery disease, died from malignant ventricular arrhythmia during a police encounter after absconding from hospital. Contributing factors included positional asp…

emergency medicinepsychiatryproceduralcommunicationzuclopenthixol
WAcommunity2021-05-11

Inquest into the Death of Janice Ann CROFT

64y · Female·phosphine toxicity from deliberate ingestion of aluminium phosphide fumigation p…

Janice Croft, 64, died from phosphine toxicity after deliberately ingesting fumigation pellets during a police intervention on her property facing eviction for mortgage default. Ms Croft had long-standing bipolar disorde…

emergency medicinetoxicologysystemlithium
VIChospital2021-05-10

Finding into death of Karim Aarras

45y · Male·Blood loss due to multiple self-inflicted incised injuries

Karim Aarras, a 45-year-old man with longstanding mental health issues, chronic pain, and substance use disorder (methamphetamine), presented to police in a severely agitated state following self-harm with a broken bottl…

psychiatryemergency medicinemethamphetamine
WAcommunity2021-05-10

Inquest into the Suspected Death of Jennie Anne KEHLET and the Death of Raymond Keith KEHLET

Female·Ray: homicide by a person or persons unknown involving blunt force trauma; Jenni…

A 47-year-old man (Ray) and 49-year-old woman (Jennie) died on or about 22 March 2015 during a prospecting trip in remote Western Australia near Sandstone. Ray's body was found in a disused mineshaft on 8 April 2015; Jen…

forensic medicineemergency medicinediagnosticdelay
WAhome2021-05-10

Inquest into the Death of Andre Walter BOND

42y · Male·Upper airway obstruction (choking) in an obese man with atherosclerotic heart di…

Andre Walter Bond, a 42-year-old man with schizophrenia, schizoaffective disorder, Asperger's syndrome, and severe obesity, died from upper airway obstruction (choking) on food while dining at home. He had been recently …

psychiatryemergency medicinequetiapine
VIC2021-05-07

Finding into death of Joanne Finch

42y · Female·Neck compression due to self-suspension

Joanne Finch, a 42-year-old woman remanded in custody on charges related to her son's death, died by hanging in her cell at Dame Phyllis Frost Centre on 24 July 2018. She had chronic suicidal ideation with periods of acu…

psychiatrypsychologyolanzapine
VICcommunity2021-05-07

Finding into death of Michael Gerald Anthony

26y · Male·Hypoxic ischaemic encephalopathy in the context of neck compression

A 26-year-old man with longstanding mental health issues and substance use died from hypoxic ischaemic encephalopathy caused by neck compression during a physical altercation with his brother at a family event. Mr Anthon…

forensic medicineintensive carealcohol
NSWhospital2021-05-07

Inquest into the death of Channa

26y · Male·multiple injuries from fall from height

A 26-year-old man with schizophrenia was discharged from mental health inpatient care on a community treatment order without meeting his allocated case manager, confirmed accommodation, or drug and alcohol intervention. …

psychiatryemergency medicinecommunicationdelaypaliperidone
NSWhospitalPodcast2021-05-07

Inquest into the death of Brent Justin CROUGH

24y · Male·Complications of Brown Snake Bite

Brent Crough, a 24-year-old man, died from complications of brown snake bite in hospital. He was bitten on his right finger while separating the snake from his dog and was transported to Tamworth Base Hospital. Despite a…

emergency medicinetoxicologysystemdelaybrown snake antivenom
TAShome2021-05-06

Coroner's Finding: Bowerman, Valerie Joy

80y · Female·acute subdural haematoma following a fall while on warfarin for atrial fibrillat…

Mrs Bowerman, aged 80, fell at home on warfarin anticoagulation and sustained a minor head injury with no initial neurological signs. Paramedic Turnbull assessed her as requiring no transport (TNR), despite her anticoagu…

paramedicineemergency medicinediagnosticcommunicationwarfarin
QLD2021-05-04

Hambly, Scott

38y · Male·Aspiration pneumonia

Scott Hambly, a 38-year-old life prisoner with dilated cardiomyopathy, epilepsy, and schizophrenia, died from aspiration pneumonia at Wolston Correctional Centre in December 2018. He was identified as needing cardiology …

cardiologypsychiatrycommunicationsystembisoprolol

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