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WAhospital2003-08

Inquest into the Death of Richard Christopher Jankowski

39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…

Richard Christopher Jankowski, a 39-year-old man, died from hypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment with antibiotics, …

anaesthesiageneral surgeryproceduralcommunicationpropofol
WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

Mark Andrew Burnside, a 45-year-old man with intellectual disability and chronic mental illness, died of natural causes on 7 November 2001 at Royal Perth Hospital. He had been prescribed thioridazine (Mellaril) for appro…

general practicepsychiatrythioridazine
WAcommunity2003-05-30

Inquest into the Death of Sandra Honey

56y · Female·Multiple injuries including small and large bowel damage, mesenteric damage with…

Sandra Honey, aged 56, died on 16 November 2001 from multiple injuries sustained in a motor vehicle accident on 13 November 2001. She was a passenger in a vehicle driven by her daughter on the Coalfields Highway near Wor…

trauma surgeryintensive caresystem
SAhospital2003-05-08

Coroner's Finding: PRATT Shirley May

66y · Female·acute necrotising haemorrhagic mediastinitis

Mrs Pratt, aged 66, underwent elective gastroscopy at Kapunda Hospital. During the procedure she heaved, and blood was noted at the gastro-oesophageal junction. She was discharged the same afternoon with pain, only to re…

surgerygeneral surgerycommunicationsystemfentanyl
NThospital2003-04-10

Inquest into the death of Eric Gaykamangu

37y · Male·primary intracerebral haemorrhage, contributed to by acute alcohol intoxication

Eric Gaykamangu, a 37-year-old Aboriginal man, died of primary intracerebral haemorrhage whilst in hospital ICU, nine days after initial presentation. He was found intoxicated outside Centrelink on 7 December 2001 with m…

neurosurgeryemergency medicinealcohol
VIChome2003-04-07

DISKIN Eliana

5y · Female·disseminated candidiasis secondary to protein-energy malnutrition

Eliana Diskin, aged 5 months, died from disseminated candidiasis secondary to severe protein-energy malnutrition. After ceasing breastfeeding in late October 2000, her parents fed her exclusively with unfortified rice mi…

emergency medicinegeneral practicedelay
SAaged care2003-03-24

Coroner's Finding: ELDRIDGE Collin Ernest

77y · Male·multi-organ failure secondary to myocardial infarction

A 77-year-old man admitted to a nursing home after hip replacement surgery for a fractured neck of femur died from multi-organ failure secondary to myocardial infarction. He had multiple comorbidities including diabetes,…

geriatric medicinecardiology
VIChospital2003-03-18

HOGGINS Cheryl

48y · Female·Cardiorespiratory arrest due to cardiac tamponade as a result of perforation of …

Cheryl Hoggins, aged 48, died on 1 July 2000 from cardiac tamponade following perforation of the right atrium during central venous catheter exchange in ICU. She was recovering from emergency liver transplantation compli…

intensive caregeneral medicineproceduraldiagnosticnoradrenaline
SAhospital2003-03-04

Coroner's Finding: VASSALLO Virginia

59y · Female·multiple cerebral infarction due to infective endocarditis

A 59-year-old woman with known mitral valve disease presented to the Emergency Department on 19 October 2000 with widespread body pain, severe back pain, and fever. She was undoubtedly suffering from staphylococcus aureu…

emergency medicinecardiologydiagnosticdelayparacetamol/codeine
VIChospital2003-02-01

AINALIDIS Taylor

0y · Male·Cardiorespiratory failure due to failure of anaesthetic rebreathe bag

Taylor Ainalidis, aged 3 weeks, died on 21 June 2000 at the Royal Children's Hospital following cardiorespiratory failure during resuscitation after surgery for Tetralogy of Fallot. The primary cause was failure of an an…

cardiothoracic surgeryanaesthesiasystemprocedural
VIChospital2002-11-29

SULLIVAN Peter

42y · Male·Pulmonary thromboembolism

Peter Sullivan, a 42-year-old carpenter, died from pulmonary embolism on 6 July 1998, three days after surgery at Box Hill Hospital to remove a nail from his left thigh sustained in a work-related nail gun injury. He dev…

orthopaedic surgeryanaesthesia
NThospital2002-09-27

Inquest into the death of Sylvester Nawirridj

24y · Male·multiple organ failure resulting from a closed head injury

A 24-year-old Aboriginal man died from multiple organ failure following a closed head injury sustained during a domestic violence incident. After an argument at a licensed club, the deceased and his wife returned home in…

emergency medicineintensive care
SAhospital2002-07-05

Coroner's Finding: BARBER Jason Troy

20y · Male·Closed head injury

Jason Troy Barber, aged 20, died from severe closed head injuries sustained in a motor vehicle collision on 3 October 2000. He had been driving a stolen vehicle recklessly at high speed through Adelaide, intoxicated with…

trauma surgeryneurosurgeryalcohol
WAcommunity2002-06

Inquest into the Death of David Stanley William Poole

40y · Male·Complications following fracture of the pelvis

David Stanley William Poole, a 40-year-old crane operator, fell from a mobile crane carrier approximately 1.6 metres to the ground while attempting to correct the positioning of packing timbers on the crane deck on 5 Apr…

emergency medicineorthopaedic surgerysystemdelaymorphine
SAhospital2002-02-28

Coroner's Finding: GALEA Lesley Anne

30y · Female·respiratory failure related to bronchopneumonia following cerebral anoxia due to…

A 30-year-old woman with a previous caesarean section attempted a trial of vaginal delivery. She received Syntocinon augmentation at 6:45 AM without prior cervical assessment and epidural analgesia at 7:35 AM. No vaginal…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
SA2002-02-27

Coroner's Finding: HARRADINE Robert and WILSON Anthony

Male·Robert Harradine: multiple injuries including brain stem transection, cerebral l…

Two teenagers died following a motor vehicle collision on 9 August 2000 in Adelaide. Robert Harradine (16) sustained fatal multiple injuries; Anthony Wilson (15) died from pulmonary contusion with associated injuries inc…

forensic medicineemergency medicinecannabis
VICcommunity2002-02-08

BEVERIDGE Graham

52y · Male·multiple injuries including right ventricular rupture

A 52-year-old volunteer race marshal was fatally struck by a detached Formula One race car wheel that passed through a gap in the debris fence at the 2001 Australian Grand Prix at Albert Park. The wheel was travelling at…

emergency medicineintensive caresystemdelay
WAcommunity2001-12-19

Inquest into the Death of Martin Raymond Coffey

24y · Male·Aspiration of vomit associated with combined drug effect

Martin Raymond Coffey, 24, died from aspiration of vomit associated with combined drug effect while on home detention after serving a prison sentence for traffic offences. He had a history of depression (following the de…

psychiatrygeneral practicesystemcommunicationamitriptyline
SAhospital2001-11-08

Coroner's Finding: STEWART Margaret May

77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…

A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surgery. While Fragmin anticoagulation was …

surgeryvascular surgerycommunicationsystemdalteparin
SAhospital2001-09-04

Coroner's Finding: CHESTER George Spencer

18y · Male·multiple injuries

George Spencer Chester, 18, died from multiple injuries sustained when a stolen Toyota 4WD he was driving rolled on Decres Bay Road after failing to negotiate a bend while being pursued by police. He was ejected from the…

emergency medicinetrauma surgery

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