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WAprison2020-12-03

Inquest into the Death of Macker Joseph DINAH

57y · Male·atherosclerotic heart disease in a man with diabetes mellitus

Macker Joseph Dinah, a 57-year-old Aboriginal man, died suddenly in his prison cell from atherosclerotic heart disease complicated by diabetes mellitus. He had severe coronary artery disease affecting three vessels, prev…

cardiologygeneral medicinecannabis
WAhospital2020-12-01

Inquest into the Death of Tahlia Rose BEMBRIDGE

4y · Female·volvulus of the large intestine

Tahlia Rose Bembridge, a 4-year-old with Down syndrome and prior mid-gut volvulus, presented to Bunbury Hospital ED with vomiting and abdominal pain on 1 October 2015. Initial assessment excluded acute bowel obstruction.…

paediatricsemergency medicinecommunicationdelay
NSWmental health2020-11-27

Inquest into the death of JP

46y · Female·hypoxic brain injury due to hanging

A 46-year-old woman with borderline and antisocial personality disorder, depression, and cannabis dependence died by suicide while an involuntary psychiatric inpatient. She had previously expressed suicidal ideation incl…

psychiatryemergency medicinecommunicationprocedural
TAShospital2020-11-26

Coroner's Finding: Kelly, Brian John

71y · Male·hydromorphone toxicity

71-year-old man with end-stage mesothelioma died from hydromorphone toxicity after receiving 20mg instead of the prescribed 2mg dose in the ED. The overdose was accidental but resulted from shocking inattention to basic …

palliative careemergency medicinemedicationsystemhydromorphone
VICmental health2020-11-25

Finding into death of Thi Qui Tran

53y · Female·Heatstroke

Thi Qui Tran, a 53-year-old woman with schizophrenia on antipsychotic medications (zuclopenthixol and olanzapine), died of heatstroke on 9 February 2018 after collapsing on a street during extended unescorted leave from …

psychiatryintensive caresystemdelayzuclopenthixol
TAScommunity2020-11-23

Coroner's Finding: Golding, Laura Rebecca

51y · Female·drowning

Laura Golding, a 51-year-old transgender female with longstanding bipolar affective disorder and recent psychotic episodes, died by drowning on 13 October 2017 after taking an unmanned dinghy into Copper Alley Bay withou…

psychiatrygeneral practicesystemdelay
TAScommunity2020-11-23

Coroner's Finding: Ridgeon Beryl Jean

83y · Female·haemopericardium due to ruptured acute myocardial infarction with underlying cor…

An 83-year-old woman presented to Mersey Community Hospital with vomiting and suspected gastroenteritis. An ECG was performed as a routine process and clearly demonstrated acute ST-elevation myocardial infarction (STEMI)…

emergency medicinecardiologydiagnosticcommunicationmetoclopramide
VIChome2020-11-20

Finding into death of Baby S

1y · Male·head injury

Baby S, a 12-month-old boy, died from head injuries inflicted by his mother's de facto partner, Mr B, while the mother was away obtaining heroin. The child had multiple previous injuries documented by childcare staff and…

paediatricsgeneral practicediagnosticcommunicationheroin
NSWhospital2020-11-20

Inquest into the death of Melissa Stokes

49y · Female·Fatal Cardiac Arrhythmia

Melissa Stokes, 49, died from a fatal cardiac arrhythmia one day after successful abdominal hysterectomy and sling surgery. The coroner found the cause was not opioid-induced respiratory depression despite post-operative…

anaesthesiagynaecologycommunicationdelaytramadol
WAhospital2020-11-20

Inquest into the Death of Trent Nathaniel ROBERTSON

44y · Male·head and neck injuries with terminal palliative care

Trent Robertson, 44, died from severe head and neck injuries sustained in a high-speed motorcycle crash on 27 May 2018 after evading a brief police traffic stop. Police observed him speeding at 92 km/h in a 60 km/h zone,…

trauma surgeryintensive care
VICcommunity2020-11-19

Finding into death of Zachary Matthew Bryant

Unsurvivable traumatic injuries from blunt force impact with motor vehicle; pred…

On 20 January 2017, James Gargasoulas drove a stolen vehicle through Bourke Street Mall in Melbourne's CBD, striking 33 pedestrians and fatally injuring 6: Matthew Poh Chuan Si (33), Thalia Hakin (10), Yosuke Kanno (25),…

emergency medicinetrauma surgery
WA2020-11-19

Inquest into the Death of Levi Shane Clement CONGDON

27y · Male·methylamphetamine toxicity

Levi Shane Clement Congdon, a 27-year-old male, died from methylamphetamine toxicity on 13 November 2017 at Royal Perth Hospital during a police search warrant execution. He ingested a fatal dose of methylamphetamine, re…

emergency medicinetoxicologycommunicationsystemmethamphetamine
NSW2020-11-18

Inquest into the disappearance of Benjamin LIPPIATT

26y · Male·drowning

Benjamin Lippiatt, 26, disappeared from a cruise ship in the Coral Sea on 29 March 2019. After consuming approximately 13 standard drinks over 8 hours, he was found on FLIR camera footage lowering himself over the ship's…

respiratory medicineemergency medicinealcohol
QLD2020-11-16

Haynes, Barry

58y · Male·Metastatic non-small cell lung carcinoma

Barry Haynes, a 58-year-old Aboriginal man, died of metastatic non-small cell lung carcinoma while on remand in custody. He had stage 4 lung cancer with brain metastases diagnosed in November 2016, shortly before his arr…

oncologypalliative caresystemdelay
VIChome2020-11-16

Finding into death of Hilton Davis

50y · Male·mixed drug (oxycodone and methadone) and ethanol toxicity

A 50-year-old Torres Strait Islander man died from mixed drug (oxycodone and methadone) and ethanol toxicity in the context of family violence and suicidality. He had a 7-year history of suicide attempts and mental healt…

general practiceforensic medicinecommunicationsystemoxycodone
NSWcommunity2020-11-16

Inquest into the death of D B

39y · Male·Self-inflicted death by hanging

A 39-year-old man with longstanding Bipolar I Disorder died by hanging on 28 December 2017, shortly after police attended a domestic disturbance at his mother's home. He had expressed suicidal ideation to his treating ps…

psychiatryemergency medicinecommunicationsystem
NSWmental health2020-11-11

Inquest into the death of G Y

41y · Male·ligature strangulation

A 41-year-old man with intellectual disability, autism spectrum disorder, and psychosis died by ligature strangulation using his shoelaces in an acute mental health unit. He had been admitted involuntarily following esca…

psychiatryemergency medicinerisperidone
QLD2020-11-06

Luhrs, Seth James

24y · Male·Multiple injuries from a fall from height (seventh-floor balcony), with multiple…

Seth Luhrs, 24, died from multiple injuries sustained in a fall from a seventh-floor hotel balcony on 1 April 2018, whilst under the influence of LSD (lysergic acid diethylamide) and MDMA. Seth had ingested more than a l…

forensic medicineemergency medicinelysergic acid diethylamide
VICaged care2020-11-06

Finding into death of VA

73y · Female·Combined effects of congestive cardiac failure, coronary artery atherosclerosis …

VA, a 73-year-old woman with mental health conditions and cardiac disease, died from congestive cardiac failure, coronary atherosclerosis, and cardiomegaly while an inpatient in a psychiatric unit. She had recently been …

psychiatryintensive caremetaraminol
NSWhome2020-11-06

Inquest into the death of Bosco Toufalous

35y · Male·Combined effects of positional asphyxiation and intoxication

A 35-year-old man with severe alcohol use disorder died from positional asphyxiation while intoxicated. With a blood alcohol level of 0.293 g/100mL, he fell near stairs outside a neighbour's unit, landing with his head a…

forensic medicinetoxicologyalcohol

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