Coronial
NSW2016-03-08

Inquest into the death of David FLEMING

61y · Male·pulmonary thromboembolus

David Fleming, a 61-year-old man with multiple comorbidities including above-knee amputation, ischaemic heart disease, emphysema, and recent laryngeal cancer surgery, died in Long Bay Correctional Hospital from pulmonary…

forensic medicinecardiology
SA2020-05-08

Coroner's Finding: ENCHEFF Dragni

74y · Male·metastatic adenocarcinoma of the lung on a background of ischaemic heart disease…

A 74-year-old prisoner with metastatic lung cancer, ischaemic heart disease, peripheral vascular disease, and diabetes died at Yatala Labour Prison Health Centre. He was diagnosed with advanced lung cancer in April 2016 …

correctional healthrespiratory medicine
NSWhome2024-06-12

Inquest into the death of Douglas Thrift

71y · Male·strychnine toxicity

Douglas Thrift, 71, died from strychnine toxicity on 1 December 2018 at his home in Denman NSW. He had a long history of depression and alcohol use disorder with two prior suicide attempts (1984, 2009). On the day of his…

strychnine
NThome2017-05-05

Inquest into the death of Heather Fotiades

43y · Female·acute multiple drug toxicity on a background of chronic pain and morbid obesity

A 43-year-old woman died from acute multiple drug toxicity after 26 years of high-dose opioid therapy for chronic pain following a motor vehicle accident. Despite recognition by multiple clinicians that opioid doses exce…

general practicepain medicinediagnosticmedicationoxycodone
VICcommunity2011-09-05

Finding into death of Stephen Ross Gamble

49y · Male·Complications of craniopharyngioma and pan-hypopituitarism

Stephen Ross Gamble, a 49-year-old man with long-standing craniopharyngioma and pan-hypopituitarism, resided in a community residential unit. His condition had been deteriorating in the months before July 2010, with mult…

palliative care
NSWhospital2016-03-11

Inquest into the death of Elsie COGHILL

0y · Female·Hypoxic ischaemic encephalopathy caused by multiple factors including lung abnor…

…ltiple factors were suboptimal, causation remains uncertain—the underlying lung abnormality and undetected apnoea during transfer appear central. Clinicians should ensure delivery plans are followed, follow institutional…

obstetricsneonatologycommunicationsystemoxytocin
TAScommunity2022-12-07

Coroner's Finding: Triffett, Brendan

40y · Male·cardiac arrhythmia due to cardiovascular disease

Mr Brendan Triffett, aged 40, died suddenly from cardiac arrhythmia whilst participating in supervised hydrotherapy at Kingston Pool, Tasmania on 13 March 2018. He had significant medical history including an acquired br…

cardiologyemergency medicineamitriptyline
SAhospital2022-03-29

Coroner's Finding: Duthie, Norman Alec

96y · Male·hospital acquired pneumonia on a background of advanced Alzheimer's dementia

Norman Alec Duthie, a 96-year-old man with advanced Alzheimer's dementia, died of hospital-acquired pneumonia following admission to Noarlunga Hospital. He was placed on a Mental Health Act Inpatient Treatment Order due …

geriatric medicinepsychiatry
WAaged care- 11 April 2014

Inquest into the Death of Bill PORTELLI

64y · Male·bronchopneumonia in a man receiving palliative care for terminal cancer of the r…

Bill Portelli, a 64-year-old man with chronic paranoid schizophrenia and terminal rectum cancer with liver metastases, died of bronchopneumonia (from aspirated vomit) while receiving palliative care at Alma Street Centre…

psychiatrypalliative carefentanyl
VIC2018-01-12

Finding into death of Karen Marie Ryan

49y · Female·Neck trauma (motor vehicle impact — driver)

…anical failure, alcohol, or drugs. Ms Ryan's medical history included Type 2 diabetes, hypertension, sleep apnoea, and anaemia. Toxicology showed therapeutic levels of venlafaxine. The coroner identified intersection des…

venlafaxine
SAhome2016-05-05

Coroner's Finding: MITTON Rodney Lyle

63y · Male·coronary artery thrombosis

A 63-year-old man with complex medical and psychiatric history died of coronary artery thrombosis while on authorized leave from psychiatric admission. He had severe triple-vessel coronary artery disease with acute throm…

psychiatrycardiologyolanzapine
VICaged care2025-09-10

Finding into death of IWT

77y · Female·Complications of malnutrition in a woman with paranoid delusions

A 77-year-old woman with complex medical and psychiatric history died from complications of malnutrition while an inpatient with paranoid delusions and delirium. She was admitted following falls and required compulsory t…

psychiatrygeriatric medicineolanzapine
TAS2020-11-02

Coroner's Finding: Wilson, Kerry Paul

54y · Male·Multiple injuries to chest, heart and spine sustained in motor vehicle collision

A 54-year-old male died from multiple blunt trauma injuries sustained in a high-speed head-on motor vehicle collision. He was driving on the incorrect side of the road when his vehicle collided with an oncoming milk tank…

atorvastatin
WAcommunity2025-07-09

Inquest into the Death of Travis Barry Mark Kimberly HART

33y · Male·Heat stroke (environmental exposure) in a man with methylamphetamine effect

Travis Hart, 33, died from heat stroke with methylamphetamine effect after abandoning a vehicle during a police intercept in bushland near Kalgoorlie on 25 December 2022. He became separated from companions and was found…

emergency medicineforensic medicinedelaycommunicationmethamphetamine
ACTaged care2026-06-11

Inquest into the death of Peter Wallace

76y · Male·congestive cardiac failure complicated by type 2 respiratory failure

Peter Vernon Wallace was a 76-year-old man with schizophrenia subject to a Psychiatric Treatment Order, living in aged care. He had serious physical comorbidities including congestive cardiac failure, type 2 respiratory …

psychiatrygeriatric medicinezuclopenthixol
SAaged care2024-06-19

Coroner's Finding: Murphy, Phillip Robin

76y · Male·right lower lobe pneumonia on a background of frontotemporal dementia, chronic o…

A 76-year-old man with frontotemporal dementia, COPD, and osteoporosis died of right lower lobe pneumonia following multiple falls causing pelvic and rib fractures at a nursing home. He was admitted to hospital on 9 Febr…

geriatric medicinepalliative care
WAhospital2009-09-30

Inquest into the Death of Watmore

17y · Male·fatal asphyxia resulting from severe upper airway obstruction secondary to acute…

Kieran Watmore, a fit 17-year-old male, died from fatal asphyxia at Albany Regional Hospital on 28 August 2008 while being treated for acute tonsillitis. He presented to ED on 27 August with severe throat pain and was pr…

emergency medicinegeneral practicediagnosticcommunicationmorphine
TAScommunity2023-05-09

Coroner's Finding: Badcock, Alexander

29y · Male·Blunt trauma to the chest

A 29-year-old man died from blunt chest trauma sustained in a motorcycle crash on a highway bend. He was travelling at approximately 52-63 km/h on a curve with a 45 km/h warning sign, failed to negotiate the left-hand be…

NSWhospital2021-11-18

Inquest into the death of James Sampson DORAN

85y · Male·metastatic prostate cancer

An 85-year-old man died of metastatic prostate cancer while in custody serving a sentence for historical child sexual offences. He had declined investigation and treatment for prostate cancer when an enlarged prostate wa…

palliative caregeriatric medicinezoludex
VIChospital2026-01-23

Finding into death of MD

82y · Male·Complications of large bowel obstruction in a man with diverticular disease and …

An 82-year-old man died from complications of large bowel obstruction secondary to a sigmoid mass while incarcerated at Port Phillip Prison. He presented with abdominal pain and vomiting following a fall, and imaging con…

general surgerycolorectal surgerywarfarin
167811

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