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VIChospital2021-05-01

Finding into death of Sharni Dee Connolly

37y · Female·Multiple drug toxicity

Sharni Dee Connolly, a 37-year-old registered nurse turned naturopath, died from multiple drug toxicity following a hamstring injury requiring opioid analgesia. She was prescribed excessive quantities of pregabalin (105m…

general practiceemergency medicinemedicationcommunicationtapentadol
NTPodcast2021-04-29

Inquest into the death of Benjamin Watts

31y · Male·Blunt force head and neck injury caused by all-terrain vehicle landing on deceas…

Benjamin Watts, 31, died from blunt force head and neck trauma when an ATV he was driving at Darwin Correctional Centre rolled over and landed on him. He was not wearing a seatbelt or helmet despite manufacturer warnings…

forensic medicineoccupational and environmental healthsystemprocedural
ACThome2021-04-29

Inquest into the death of Bradyn Stuart Dillon

9y · Male·Traumatic head injury with diffuse cerebral swelling and subdural haemorrhage ca…

Bradyn Dillon, aged 9, was brutally beaten to death by his father Graham Dillon in February 2016. The inquest examined how multiple agencies—police, child protection, education, and health services—failed to protect him …

paediatricsgeneral practicediagnosticcommunicationmethamphetamine
VIC2021-04-29

Finding into death of Spiros Boursinos

45y · Male·coronary artery disease and mechanical asphyxia in a man using cocaine

A 45-year-old man with a history of drug-induced psychosis, cocaine use, and underlying coronary artery disease died in police custody following physical restraint at a licensed bar. After consuming cocaine, he experienc…

emergency medicinepsychiatrycocaine
TAScommunity2021-04-20

Coroner's Finding: Young, Jeremy Dean

45y · Male·drowning and intoxication with methamphetamine and other substances

45-year-old male with long-standing substance use disorder, depression, and anxiety died from drowning combined with acute methamphetamine intoxication. In the weeks before death, he displayed escalating paranoia and del…

pathologyaddiction medicinemethamphetamine
NSWmental health2021-04-16

Inquest into the death of Pamuk RONA

53y · Female·unascertained natural causes

Ms Rona, a 53-year-old woman with major depression, was admitted involuntarily to Bungarabee House psychiatric unit on 6 August 2018 after presenting with catatonic features, mutism, and refusal to eat or drink. She was …

psychiatryemergency medicinelorazepam
WAhome2021-04-16

Inquest into the Death of Child LDW (Name Subject to Suppression Order)

3y · Female·tramadol toxicity

A 3-year-old girl in state care died from tramadol toxicity after accessing prescribed opioid medication left unsecured in her carer's bedroom. The child was removed from her mother's care due to neglect and substance ab…

paediatricsforensic medicinesystemdelaytramadol
SAhome2021-04-15

Coroner's Finding: WOODFORD Gayle Elizabeth

56y · Female·multiple blunt force injuries deliberately inflicted

Gayle Elizabeth Woodford, a 56-year-old registered nurse working in Fregon, APY Lands, was abducted and murdered on 23 March 2016 by Dudley Davey, who had a long history of violent sexual offences dating back to age 14. …

occupational and environmental healthemergency medicinesystemcommunication
WAcommunity2021-04-13

Inquest into the Suspected Death of Sebastian POULSON

38y · Male·Unascertained; most likely exposure after walking in bushland

Sebastian Poulson, age 38, disappeared from Wangkatjunka Community in remote Western Australia on 19 October 2014. He had serious cardiac conditions including rheumatic heart disease, decompensated congestive heart failu…

cardiologyemergency medicine
TAShome2021-04-12

Coroner's Finding: Rubenach, Timothy Luke

32y · Male·Aspiration pneumonia and reflux oesophagitis

Timothy Luke Rubenach, aged 32, died of aspiration pneumonia following severe reflux oesophagitis. He had profound intellectual disability and drug-resistant epilepsy from meningococcal infection at 5 months. His parents…

general practicegastroenterologymorphine
VIChome2021-04-12

Finding into death of Michael James Woodhouse

31y · Male·Coronary artery disease in a man using synthetic cannabinoids

A 31-year-old man with pre-existing coronary artery disease and supraventricular tachycardia died suddenly after smoking synthetic cannabinoids (Cumyl-PeGACLONE) and drinking alcohol at home. He was found unresponsive ap…

cardiologypsychiatrycommunicationcumyl-pegaclone
VIChospital2021-04-08

Finding into death of Ian Lindsay Gould

64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall

Ian Gould, a 64-year-old man with a non-MRI compatible pacemaker, presented with vision loss in June 2019. Initial neurological and ophthalmological evaluation was normal; functional visual loss was suspected. He develop…

neurologyophthalmologysystemrivaroxaban
VIChospital2021-04-07

Finding into death of Anson

17y · Male·mixed drug toxicity (25C-NBOMe and 4-fluoroamphetamine)

A 17-year-old male died from mixed drug toxicity involving 25C-NBOMe and 4-fluoroamphetamine after consuming a substance he believed was MDMA or psilocybin, obtained from unregulated drug markets. He experienced severe s…

emergency medicineintensive caresystemdelay25c-nbome
QLDcommunity2021-04-06

Burrett, Constance Ann

38y · Female·Hypoxic ischaemic encephalopathy due to cardiorespiratory arrest caused by mixed…

Constance Burrett, 38, died from mixed drug toxicity (heroin and methylamphetamine overdose) causing hypoxic ischaemic encephalopathy and cardiorespiratory arrest. The coroner found it more likely than not that her partn…

forensic medicineemergency medicineheroin
NTcommunity2021-04-01

Inquest into the death of Patrick Bloomfield

42y · Male·Blunt force head and chest injuries caused by a traffic crash where he was the d…

Patrick Wayne Bloomfield, a 42-year-old Aboriginal man, died from blunt force head and chest injuries when his vehicle rolled on the Plenty Highway after police initiated a pursuit from a random breath testing (RBT) stat…

emergency medicineforensic medicinesystemcommunication
VIChospital2021-03-31

Finding into death of Sarah Louise Rose

40y · Female·Cerebral oedema of unknown aetiology with probable contribution from Hashimoto's…

Sarah Louise Rose, aged 40, died from cerebral oedema of unknown aetiology with probable contribution from Hashimoto's encephalopathy. She had been diagnosed with Hashimoto's thyroiditis in late 2011 and prescribed thyro…

general practiceemergency medicinediagnosticcommunicationthyroxine
VICcommunity2021-03-31

Finding into death of Ilker

32y · Male·Mixed drug toxicity (25C-NBOMe, 4-fluoroamphetamine, doxylamine)

A 32-year-old man died from mixed drug toxicity after consuming tablets he believed were MDMA, which actually contained 25C-NBOMe and 4-fluoroamphetamine—novel psychoactive substances (NPS) of unknown potency obtained fr…

emergency medicinetoxicologysystem25c-nbome
VIChome2021-03-31

Finding into death of Jason

30y · Male·Mixed drug toxicity (4-Fluoroamphetamine, 25C-NBOMe, dimethylamphetamine, methyl…

Jason, aged 30, died from mixed drug toxicity after ingesting what he believed to be MDMA but which actually contained 25C-NBOMe and 4-fluoroamphetamine, combined with GHB. He experienced seizures and collapsed; CPR was …

toxicologyforensic medicinesystem25c-nbome
VIChome2021-03-31

Finding into death of Jordan

22y · Male·Hypoxic/ischaemic encephalopathy secondary to restraint in the context of combin…

A 22-year-old male died from hypoxic-ischaemic encephalopathy following restraint during acute intoxication with novel psychoactive substances (NPS). He unknowingly ingested 25C-NBOMe and 4-fluoroamphetamine (sold as MDM…

toxicologyintensive caresystemdelay25c-nbome
VIChospital2021-03-30

Finding into death of Mr BB

56y · Male·Hanging

A 56-year-old man with a long history of bipolar affective disorder and alcohol misuse died by hanging between 18–20 December 2018. He presented to hospital on 16 December after expressing suicidal intent (plan to overdo…

psychiatryemergency medicinecommunicationsystemdiazepam

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