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SAaged care2019-05-29

Coroner's Finding: FIELD Glenda Rae

59y · Female·Hypoxic-ischaemic encephalopathy due to acute upper airway obstruction

Glenda Rae Field, aged 59, died from hypoxic-ischaemic encephalopathy due to acute upper airway obstruction by food bolus while eating dinner at her aged care facility. She was a resident at Clearview Manor, a locked car…

emergency medicineintensive carefluoxenol
SA2019-05-23

Coroner's Finding: HARRIS Philip Michael

30y · Male·exsanguination due to division of left brachial artery

Philip Michael Harris, aged 30, died in Yatala Labour Prison from exsanguination following self-inflicted lacerations to his left forearm that severed the brachial artery. He had a longstanding history of self-harm behav…

psychiatryemergency medicinecarbamazepine
SA2019-05-14

Coroner's Finding: ABDULLA Gilbert William Victor

31y · Male·ischaemic heart disease

A 31-year-old male prisoner with significant pre-existing cardiac disease (previous myocardial infarction with stenting, cardiomegaly, left ventricular hypertrophy, coronary atherosclerosis) and poorly controlled diabete…

cardiologyemergency medicine
SAhospital2019-05-14

Coroner's Finding: WATSON James David

64y · Male·respiratory failure and sepsis on a background of end-stage disseminated small c…

A 64-year-old prisoner with end-stage disseminated small cell lung cancer died from respiratory failure and sepsis at Royal Adelaide Hospital. He had presented with collapse, fever, and hypotension in January 2016. Inves…

oncologyemergency medicineantibiotics
SA2019-05-09

Coroner's Finding: PIKE Lucas Adam

43y · Male·morphine (heroin) toxicity

Lucas Pike, aged 43, died from heroin toxicity after injecting heroin in a general practitioner's surgery in Adelaide. The heroin was procured by Mark Campbell and administered by Campbell in the practice's pathology roo…

general practiceemergency medicineheroin
SAhospital2019-04-15

Coroner's Finding: ADAMS Debra Louise

52y · Female·hepatic encephalopathy due to Child C cirrhosis of the liver on a background of …

A 52-year-old woman with chronic liver disease from alcohol abuse, diabetes and hepatitis C died from hepatic encephalopathy and cirrhosis. She presented to Port Pirie Medical Centre with bleeding, pain and confusion. Bl…

general practicehepatology
SAaged care2019-04-15

Coroner's Finding: CATALANO Fernanda

85y · Female·ischaemic heart disease with renal failure

Fernanda Catalano, 85 years old, died of ischaemic heart disease with renal failure at Lyell McEwin Hospital. She had suffered an unwitnessed fall at her aged care facility on 20 April 2016, was transferred to hospital w…

geriatric medicineemergency medicinequetiapine
SAhospital2019-03-25

Coroner's Finding: NICHOLSON James

65y · Male·hypoxic ischaemic encephalopathy complicating hanging

James Nicholson, aged 65, died from hypoxic ischaemic encephalopathy following a suicide attempt by hanging while an inpatient at Noarlunga Hospital on 18 August 2015. He had undergone extensive facial cancer surgery in …

oncologypsychiatrydiagnosticcommunicationdexamethasone
SAhospital2019-03-08

Coroner's Finding: PETERS Clinton Neal

40y · Male·metastatic malignant melanoma

A 40-year-old man with metastatic melanoma died at Queen Elizabeth Hospital on 2 September 2015. He had atypical nevi removed in 2009 and melanoma diagnosed in 2013, initially undergoing surgery with curative intent. How…

oncologyemergency medicinediagnosticdelay
SAhospital2018-12-06

Coroner's Finding: RUSSELL Michael John and GRAHAM Leslie Robert

Unknown·Michael Russell: intracranial haemorrhage complicating surgery for right cerebra…

Two patients died following stroke interventions on 18 April 2017 at the Royal Adelaide Hospital. Michael Russell (60) died from intracranial haemorrhage following vessel perforation during thrombectomy for acute coronar…

radiologyneurologycommunicationsystemticagrelor
SA2018-11-01

Coroner's Finding: CASTILLO-RIFFO Jorge Alberto

54y · Male·hypoxic-ischaemic encephalopathy resulting from neck compression due to entrapme…

Jorge Castillo-Riffo, a 54-year-old construction worker, died from hypoxic-ischaemic encephalopathy resulting from neck compression. While working on a scissor lift to patch post-tensioning pockets on a concrete slab edg…

occupational and environmental healthforensic medicinesystemprocedural
SAhospital2018-10-10

Coroner's Finding: ATKINS Stephen Robert

53y · Male·fentanyl and oxycodone toxicity

Stephen Robert Atkins, 53, died from fentanyl and oxycodone toxicity after admission to Flinders Medical Centre for investigation of Horner's syndrome and radiculopathy. Over three days, escalating opioid doses were pres…

neurologyemergency medicinediagnosticmedicationfentanyl
SAhospital2018-07-27

Coroner's Finding: CUTTS Charles Desmond

70y · Male·aspiration pneumonia due to seizures

70-year-old man with insulin-dependent diabetes, cognitive impairment, depression, alcohol abuse history, and seizure disorder died from aspiration pneumonia following seizures while admitted under mental health legislat…

emergency medicinepsychiatryrisperidone
SAhospital2018-07-12

Coroner's Finding: MITCHELL Wayne Brian

49y · Male·ischaemic heart disease with coronary artery thrombosis (left main stem coronary…

Wayne Mitchell, a 49-year-old man, presented to a clinic with acute chest pain radiating to his jaw, accompanied by dizziness, diaphoresis, and dyspnoea. His symptoms resolved before ambulance arrival. The paramedics per…

cardiologyemergency medicinediagnosticcommunication
SAhospital2018-05-23

Coroner's Finding: LA BELLA Claudia

28y · Female·aspiration of gastric contents complicating laxative abuse

A 28-year-old woman died from aspiration of gastric contents complicating severe laxative abuse. She fabricated a terminal cancer diagnosis to conceal anorexia nervosa and factitious disorder. During a RAH admission, a C…

general practicegeneral medicinediagnosticcommunicationbisacodyl
SAaged care2018-05-17

Coroner's Finding: BAUM Dorothy Mavis

93y · Female·blunt trauma with head injury on a background of ischaemic heart disease

Dorothy Mavis Baum, 93, died at Flinders Medical Centre from blunt trauma with head injury following an unprovoked assault by another nursing home resident with a plastic chain. Critical clinical failures occurred: the n…

geriatric medicineemergency medicinediagnosticcommunicationoxycodone
SAhospital2018-03-05

Coroner's Finding: HOWARD Miranda Robyn and MCPHERSON-SMITH Aurora Holly Violet

Female·Miranda Howard: aspiration pneumonia complicating overdose of prescription medic…

Two young women with borderline personality disorder (BPD) died by suicide after inadequate mental health care in South Australia. Miranda Howard (22) died from aspiration pneumonia following overdose; Aurora McPherson-S…

psychiatrypsychologydiagnosticcommunicationquetiapine
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
SAhospital2018-02-05

Coroner's Finding: SISSONS Anthony Vincent

38y · Male·metastatic poorly differentiated carcinoma on a background of delirium and schiz…

Anthony Sissons, aged 38, died of metastatic renal carcinoma while under a Mental Health Act inpatient treatment order. He presented to hospital on three separate occasions (13-15 June 2012) with constipation, which was …

general practiceemergency medicinediagnosticzuclopenthixol
SA2018-01-30

Coroner's Finding: JONES Heath Ryan

35y · Male·hypoxic-ischaemic encephalopathy (post cardiac arrest) on a background of acute …

A 35-year-old man died by hanging in a medium-security prison while on remand. He was found unresponsive in his cell with a ligature around his neck. Despite immediate CPR, transfer to hospital and transfer to ICU at Fli…

emergency medicineintensive caresystemmethamphetamine
167820

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