Coronial
SAcommunity2013-10-02

Coroner's Finding: QUINN Paul James

31y · Male·gunshot wounds to liver, right lung and heart

… declaration, Operation Decipher personnel not rostered on the day), these did not contribute to the death. CPR was attempted but Quinn was declared life extinct by ambulance personnel.

methamphetamine
NSWhospital2020-02-21

Inquest into the death of Peter SIMPSON

68y · Male·Terminal lymphoma (mantle cell lymphoma)

…progression noted. By late 2017, his prognosis became poor and he signed an advance care directive refusing CPR. He was transferred to the Medical Sub-Acute Unit in August 2018 and reviewed by palliative care team in la…

oncologyhaematologymorphine
VICaged care2014-07-14

Finding into death of Angelo Pettolino

92y · Male·Ischaemic Heart Disease

…ing breathing difficulties around 4 a.m., which appeared to improve, but he deteriorated again at 6:25 a.m. CPR was attempted but unsuccessful. Autopsy revealed significant heart disease with cardiomegaly and coronary a…

geriatric medicinegeneral practiceoxazepam
VIC2017-06-23

Finding into death of Noel Faure

62y · Male·Complications of Hepatocellular Carcinoma

…y, which he declined in September 2016. He chose palliative care and executed an advance directive refusing CPR and life support. His clinical course involved progressive deterioration including hepatic encephalopathy, …

hepatologyoncologyoxycodone/naloxone
TAShospital2024-10-22

Coroner's Finding: Grimsey, Doreen

91y · Female·congestive cardiac failure

… A MET call occurred. Following family discussions, a palliative approach was adopted without intubation or CPR. She died of congestive cardiac failure. Post-mortem imaging revealed no acute fracture from the fall. The …

geriatric medicineemergency medicine
NT2007-03-09

Inquest into the death of Patrick Heenan

50y · Male·Coronary atherosclerosis

…ropriate immediate medical attention by prison staff, including rapid transport to the medical centre where CPR and defibrillation were administered. Autopsy revealed previously undiagnosed severe coronary atheroscleros…

general practiceemergency medicinemetformin
VICcommunity2024-08-15

Finding into death of Yong Li

59y · Male·Consistent with drowning

…as overcome by unexpected water movement while in waist-deep water removing a flipper. Bystanders initiated CPR on a rock ledge and transported him to shore on a surfboard, but resuscitation was unsuccessful. The beach …

VIChospital2014-10-01

Finding into death of Gary Jason Cramer

44y · Male·Influenza B infection

…ngeal aspirate confirmed Influenza B. After discussion with family, a decision was made against intubation, CPR, or inotropes. He received palliative care and died on 15 October 2013. The coroner found the medical manag…

intensive carerespiratory medicineaugmentation
WAcommunity2026-02-02

Inquest into the Death of Joshua Fredrik VAN MALSSEN

24y · Male·Cardiac arrest in a man with Sotos syndrome and multiple comorbidities, includin…

…harness takedown and handcuffs to detain him. While restrained, Josh experienced cardiac arrest and despite CPR resuscitation, could not be revived at Royal Perth Hospital. The coroner found the arrest was lawful and ju…

communicationproceduralalcohol
VICcommunity2023-06-25

Finding into death of Brian Roy Gallagher

72y · Male·Coronary artery atherosclerosis

…hausted and pale. He deteriorated rapidly upon return to his accommodation and could not be revived despite CPR. Autopsy revealed severe atherosclerosis of two coronary arteries. The death was from natural causes. While…

general practicepathologysertraline
VICcommunity2025-08-20

Finding into death of Paul Christopher George

64y · Male·Unascertained natural causes

…ecame acutely distressed with throat pain, lost consciousness, and could not be resuscitated despite prompt CPR. Autopsy revealed no significant natural disease, though likely food aspiration was noted. The cause of dea…

sertraline
VIC2026-01-15

Finding into death of Sharon Maree Harris

63y · Female·Aspiration pneumonia in a woman with seizure disorder, Down syndrome, dementia a…

…tober, she was found post-ictal with respiratory distress and transferred to urgent care where she received CPR. Imaging showed worsening hydrocephalus. She had a further seizure with persistent hypoxia and was subseque…

neurologydisability medicine
VIChospital2024-01-09

Finding into death of Cheryl Balassopoulos

53y · Female·Complications of Motor Neurone Disease

…th her advanced care plan (made in 2018 declining life-prolonging treatments), staff did not intervene with CPR or intubation. The coroner found that care during the final phases of her illness was appropriate, with no …

neurologypalliative care
VICcommunity2024-01-15

Finding into death of Michael John O'connell

57y · Male·Pneumonia

…luding unusual soiling and agitation. He was found unresponsive the following morning and despite immediate CPR and paramedic resuscitation attempts, could not be revived. Autopsy confirmed pneumonia, predominantly left…

general practicedisability medicinedelaymirtazapine
QLDcommunity2017-03-13

MT - Non-inquest findings

67y · Male·coronary artery atheroma against a background of diabetes mellitus

…sions without reported difficulty, but was found unresponsive in the water during or after a second outing. CPR was performed for over an hour without success. Autopsy revealed significant coronary artery atherosclerosi…

cardiologyforensic medicine
NTcommunity

Inquest into the death of Road Death 22 of 2024

44y · Male·Crush injury of the torso sustained in a cement truck rollover collision

…e turn conditions, contributed to the rollover. The driver was partially ejected and died despite immediate CPR resuscitation attempts at the health clinic. This case highlights the risks of heavy vehicle operation with…

TAShome2022-02-18

Coroner's Finding: Gardiner, Timmothy Matthew

29y · Male·Gunshot wound to the chest

…t and went to his mother's residence where emergency services were called. Resuscitation attempts including CPR, intravenous and intra-osseous access were unsuccessful. Death resulted from hypovolemic shock due to sever…

forensic medicineemergency medicinemethamphetamine
WA2023-03-06

Inquest into the Death of Tony Wayne KENNEDY

52y · Male·Multiple injuries

Tony Wayne Kennedy, a 52-year-old man, died by suicide on 8 March 2022 after jumping from a freeway overpass near Perth, Western Australia. He sustained multiple non-survivable injuries including skull fractures, intracr…

QLDhospital2022-07-08

R - Non-inquest findings

0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…

…ate gastric distension as a sign of tube malpositioning, maintain capnography during manual ventilation and CPR, and ensure clear airway role assignment during resuscitations.

anaesthesiaintensive carediagnosticproceduralpropofol
TAS2015-07-01

Coroner's Finding: Mr C

39y · Male·traumatic asphyxia from crushing injury

…th. Neighbours responded promptly and used a car jack to free him, and emergency services provided extended CPR for 43 minutes, but resuscitation was unsuccessful. The death was entirely preventable through proper vehic…

forensic medicineemergency medicinesystem
167819

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