Coronial
VICcommunity2010-10-11

Finding into death of Scott Peoples

20y · Male·multiple injuries sustained in a motor vehicle accident (cyclist)

A 20-year-old elite cyclist was struck from behind and killed by a motor vehicle driven by a 73-year-old man with previously undiagnosed hemianopia (loss of peripheral vision to the left). The driver had struck another c…

forensic medicineneurologydiagnosticcommunicationwarfarin
WAcommunity2023-02-03

Inquest into the Suspected Death of Roly NIXON

44y · Male·Unascertained; presumed exposure

…al medications (warfarin and levetiracetam). Medical staff had advised he was at high risk of seizures and stroke without medication. Despite comprehensive police investigation including aerial and land searches, proof-o…

emergency medicinecardiologywarfarin
SAcommunity2018-02-23

Finding into death of Alexander Sheng Wei Li

16y · Male·Heat related illness in an individual with enterovirus D68 infection

Alexander Li, a 16-year-old with underlying enterovirus D68 infection, died of heat-related illness during a school bushwalking expedition in remote South Australia in extremely hot conditions (temperatures reaching 39.1…

emergency medicineparamedicinesystemcommunication
QLDcommunity2025-07-30

Non Inquest Findings into the Death of MP

76y · Male·Animal attack, likely crocodile

A 76-year-old experienced fisherman from Sydney disappeared while fishing at Olive River Crossing near remote Bramwell Station in far North Queensland on 12 November 2023. Despite an extensive 8-day search involving mult…

VICaged care2013-02-13

Finding into death of Peter Kosciuk

83y · Male·Aspiration pneumonia

An 83-year-old man with stroke, dementia, dysphagia, and multiple comorbidities developed aspiration pneumonia while in aged care. On 1 M…

general practicegeriatric medicinediagnosticcommunicationpenicillin
NSWhospital2011-12-12

Simpsonkaneesha3718 09

5y · Female·Cardiac and respiratory arrest probably connected with embolic stroke

…mplex congenital heart disease (DORV with asplenia and situs inversus) died of cardiac arrest from embolic stroke. She had undergone initial BT shunt surgery but required a Glenn shunt, clearly indicated after cardiac ca…

cardiothoracic surgerypaediatricsdiagnosticcommunication
VIChospital2018-12-03

Finding into death of Anna Agnieszka Bowditch

34y · Female·Complications of fall with fractured ankle and subsequent deep venous thrombosis…

…, aged 34, died from complications of deep venous thrombosis (DVT) with pulmonary embolism and paradoxical stroke following elective fracture repair surgery. She had multiple known DVT risk factors: immobility from leg c…

orthopaedic surgeryanaesthesiaproceduraldiagnosticclonazepam
VIChospital2023-07-14

Finding into death of Reginald Desmond Benham

85y · Male·Intracranial haemorrhage in the setting of a fall in a man with multiple comorbi…

…n 85-year-old man with multiple comorbidities suffered a fall at home and was transported to hospital with stroke symptoms. A CT brain scan revealed subtle subarachnoid haemorrhage (traumatic), but the VST consultant neu…

emergency medicineneurologydiagnosticcommunicationalteplase
VICaged care2009-12-01

Lorraineo leary 302607

57y · Female·Ischaemic heart disease

Lorraine O'Leary, 57, a severely disabled aged care resident (stroke survivor with right-sided paralysis, recent amputation, unable to speak), suffered burns on 3 August 2007 …

intensive caresystem
WAhospital2008-02

Inquest into the Death of Evans

45y · Female·Extensive retroperitoneal haemorrhage following bone marrow biopsy procedure wit…

…. Key issues examined included the decision to perform biopsy whilst on warfarin (deemed appropriate given stroke risk), conservative management strategy (balancing bleeding against clotting risk), and monitoring. Recomm…

haematologygeneral medicinewarfarin
VICaged care

Finding into death of EMILIO VILLANUEVA

87y · Male·acute renal failure and two major haemorrhagic strokes

An 87-year-old man with multiple comorbidities including previous strokes, atrial fibrillation, and diabetes died from acute renal failure and two major haemorrhagic strokes after…

geriatric medicinegeneral medicinecommunicationsystemmetformin
TAShome2018-07-25

Coroner's Finding: KW

55y · Male·Combined effects of mixed drug (alcohol and promethazine) toxicity and environme…

A 55-year-old man with alcohol dependency died from combined alcohol and promethazine toxicity with heat exposure. He spent 4-5 hours sunbaking in high temperatures (exceeding 30°C) while heavily intoxicated and sedated …

general practiceemergency medicinesystemdelayalcohol
SAhospital2005-11-15

Coroner's Finding: DAMIANOU Dimitra

79y · Female·cardio-respiratory arrest consequent upon the aspiration of food

A 79-year-old woman with post-stroke dysphagia died from aspiration of food while hospitalised. A speech pathologist prescribed a minced diet a…

speech pathologyneurologycommunicationsystem
ACTaged care2018-02-28

AN INQUEST INTO THE DEATH OFEDWARD ROBERT DAVIS

88y · Male·left frontal lobe haemorrhage due to a fall

Mr Edward Davis, an 88-year-old man with epilepsy, stroke, dementia and on anticoagulation therapy, fell onto a Stand-Up Lifter positioned directly in front of him …

geriatric medicineemergency medicinesystemproceduralblood thinning medications
NSWhospital2019-12-17

Inquest into the death of Alan BUGDEN and Amaru BESTRIN

Unknown·Alan Bugden: pulmonary thromboembolism after stroke. Amaru Bestrin: combined dru…

…hospital toilets due to undetected collapse in publicly accessible facilities. Alan Bugden, 66, suffered a stroke in an ambulatory care centre toilet at Royal North Shore Hospital and remained undetected for over 20 hour…

emergency medicineneurologysystemcommunicationheroin
VICcommunity2025-09-05

Finding into death of Lisa Nicole Murphy

52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…

…ifficulty breathing. She suffered cardiac arrest and was resuscitated but subsequently developed a massive stroke and diffuse hypoxic brain injury. The medical cause of death remains unascertained, though underlying card…

emergency medicineintensive carecommunicationrisperidone
VICaged care2015-05-08

Finding into death of Gregory Donald Cole

50y · Male·Cerebral hypoxia and bronchopneumonia post episode of choking

…y Donald Cole, age 50, was a Wyndham Lodge aged care resident with significant disabilities including post-stroke paralysis and dysphagia requiring modified diet. He died on 25 June 2009 from cerebral hypoxia and broncho…

speech pathologysystemcommunication
SAhospital2012-09-19

Coroner's Finding: STEAD Kenneth Alfred

79y · Male·delirium due to aspiration pneumonia complicating advanced metastatic non-small …

A 79-year-old man with metastatic lung cancer suffered multiple strokes causing confusion and behavioural disturbance. He was detained under Mental Health Act. On the night shif…

oncologygeriatric medicinecommunicationsystem
VICcommunity2021-11-29

Finding into death of Felicity Ruth Loveday

83y · Female·unascertained

… with her son. Ms Loveday had significant medical and cognitive vulnerabilities including severe dementia, stroke history, multiple comorbidities, and 24/7 care dependency. Her son took her on the vessel despite its defe…

general practicegeriatric medicinesystemdelay
WAhospital2024-04-10

Inquest into the Death of Alan David RATCLIFF

65y · Male·complications of intracranial haemorrhage (hypertensive haemorrhage), with termi…

… of intracranial haemorrhage (hypertensive haemorrhage) on 20 June 2022. He collapsed on 12 June 2022 with stroke symptoms and was hospitalised at Sir Charles Gairdner Hospital, where he was managed palliatively. Key cli…

neurologyemergency medicinedelay
167812

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