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TAShospital2020-07-27

Coroner's Finding: McNeair, Jacqueline

79y · Female·subdural haematoma following mechanical fall with head strike

A 79-year-old woman with multiple comorbidities including diabetes, peripheral neuropathy, and previous partial foot amputation fell backwards in a hospital toilet on 23 November 2018, striking her head on a sink and flo…

emergency medicinegeneral medicine
VICaged care2020-07-22

Finding into death of Dorothy Boyle

92y · Female·Complications of a fractured left femur (operated), sustained in a fall

Dorothy Lorraine Boyle, aged 92, died from complications of a left femoral fracture sustained in a fall at an aged care facility. She fell while attempting to push out a wandering dementia-affected resident who had enter…

geriatric medicineemergency medicinesystemprocedural
VICcommunity2020-07-22

Finding into death of Mr P

53y · Male·Coronary artery atherosclerosis and cardiomegaly in a man using synthetic cannab…

A 53-year-old man died of sudden cardiac arrhythmia while travelling on a train. Autopsy revealed coronary artery atherosclerosis and cardiomegaly, with toxicology showing synthetic cannabinoid (Cumyl-PeGACLONE) use. The…

cardiologytoxicologycumyl-pegaclone
NThospital2020-07-17

Inquest into the death of Ishmael Nawirridj

51y · Male·Multiple organ failure due to Influenza A pneumonia, in the context of chronic k…

Ishmael Nalaiyir Nangarid, a 51-year-old Aboriginal man with complex medical history including myasthenia gravis, chronic kidney disease, COPD, and ischaemic heart disease, died from multiple organ failure due to Influen…

intensive carerespiratory medicinemedicationmeropenem
TAShome2020-07-17

Coroner's Finding: Thompson, Paul Christopher

57y · Male·acute subdural haematoma, cause undetermined (could result from trauma, fall, se…

Paul Thompson, aged 57, died from acute subdural haematoma (brain bleeding). He was found unresponsive after an evening of heavy alcohol consumption with his housemate Lawrence Kean, who punched him during an altercation…

forensic medicineneurologydelayalcohol
TAScommunity2020-07-17

Coroner's Finding: Lyons, Matthew Clayton

47y · Male·mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam and diazepam)

Matthew Clayton Lyons, a 47-year-old man with longstanding schizophrenia, severe anxiety, and substance abuse history, died from mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam, diazepam). He had expre…

psychiatrygeneral practicecommunicationsystemquetiapine
NSWcommunity2020-07-17

Inquest into the disappearance and suspected death of Max DAY

53y · Male·unknown - no postmortem examination possible

Max Day was reported missing on 20 January 2017, last confirmed alive on 25 January 2017. He had experienced a domestic violence incident on 6 January 2017, was detained under the Mental Health Act but assessed as not at…

psychiatryemergency medicine
TAShome2020-07-16

Coroner's Finding: Alsop, Olaf Paul

54y · Male·asphyxia due to hanging

A 54-year-old man with long-standing mental health issues, substance use disorder, and terminal lung cancer died by hanging. He had a history of suicide attempts and was receiving palliative care. In his final months, he…

general practicepalliative carecodeine
SAhospital2020-07-16

Coroner's Finding: SHANKLAND Alistair Douglas

78y · Male·Subarachnoid haemorrhage (bilateral) and occipital fracture

A 78-year-old man with vascular and Alzheimer's dementia died from bilateral subarachnoid haemorrhage and occipital fracture sustained when he forcefully opened a bathroom door into his face while under an Inpatient Trea…

psychiatrygeriatric medicineclonazepam
SAhome2020-07-16

Coroner's Finding: KEIPERT Mathew James

44y · Male·Ischaemic heart disease due to coronary atherosclerosis

Mathew James Keipert, age 44, died of ischaemic heart disease due to coronary atherosclerosis while on home detention bail. He had significant cardiovascular risk factors including hypertension, heavy smoking (40 cigaret…

cardiologygeneral practicediagnosticdelaybuprenorphine
SAhospital2020-07-16

Coroner's Finding: GRAEFE Phillip Brian

62y · Male·Multi-organ failure due to paraquat ingestion

A 62-year-old man with diabetes, renal failure, and hypertension died from multi-organ failure following intentional ingestion of approximately 100-150ml of paraquat. He had recently assumed sole responsibility for the f…

toxicologyemergency medicineparaquat
TAScommunity2020-07-14

Coroner's Finding: Lomas, Corey Ronald

27y · Male·Head and cervical spine injuries sustained in a single motorcycle crash

A 27-year-old male died from head and cervical spine injuries sustained in a motorcycle crash. He was riding at excessive speed (160-200 km/h in a 110 km/h zone) while impaired by alcohol (BAC 0.141) and methamphetamine.…

emergency medicinetrauma surgeryalcohol
SAhospital2020-07-14

Coroner's Finding: DUSZYNSKI Steve Stan Peter

66y · Male·Bronchopneumonia and influenza A complicating cardiac and renal failure associat…

A 66-year-old man with cryoglobulinaemic vasculitis secondary to non-Hodgkin's lymphoma died from bronchopneumonia and influenza A complicating cardiac and renal failure. He developed delirium, agitation and paranoia dur…

nephrologyhaematologydelayolanzapine
VIChospital2020-07-14

Finding into death of Gerard Guy Vaz

61y · Male·Undetermined

Gerard Guy Vaz, a 61-year-old man with bipolar disorder, obstructive sleep apnoea, and renal impairment, was admitted to Maroondah Hospital on 2 April 2015 with acute manic relapse with psychosis. He was administered zuc…

psychiatryemergency medicinesystemdelayzuclopenthixol acetate
TAScommunity2020-07-13

Coroner's Finding: Cashion, Dale John

61y · Male·Multiple severe crushing injuries sustained when run over by a motor vehicle

Dale John Cashion, a 61-year-old man with a history of schizophrenia and suicidal ideation involving methods of being struck by vehicles, was struck by a car on Davey Street, Hobart, shortly after leaving his GP's surger…

general practiceemergency medicinediagnosticantidepressant
SAaged care2020-07-09

Coroner's Finding: HANSLOW Walter Robert

75y · Male·bilateral subdural haematoma due to fall

Walter Robert Hanslow, a 75-year-old man with Parkinson's disease, Alzheimer's disease, and significant mobility limitations, sustained a fall at a nursing home on 9 June 2018. He was found on the ground but initially ap…

geriatric medicineemergency medicinedelay
SAhospital2020-07-09

Coroner's Finding: FOSTER Patricia Marie

76y · Female·infective exacerbation of chronic congestive cardiac failure due to Respiratory …

Patricia Marie Foster, 76, died at Queen Elizabeth Hospital from infective exacerbation of chronic congestive cardiac failure due to Respiratory Syncytial Virus. She presented with multifactorial respiratory distress com…

emergency medicinepsychiatry
SAhospital2020-07-09

Coroner's Finding: DUNSTAN Carole Ann (Redacted)

70y · Female·end stage dementia

Carole Ann Dunstan, a 70-year-old woman with end-stage dementia, died of natural causes at Repatriation General Hospital on 17 June 2017 while subject to a Level 3 Inpatient Treatment Order. She had been admitted followi…

psychiatrygeriatric medicinerisperidone
SAhospital2020-07-02

Coroner's Finding: WHATLEY Deborah Rose

55y · Female·ischaemic heart disease complicated by epilepsy, asthma and schizophrenia

A 55-year-old woman with schizophrenia, epilepsy, asthma and COPD presented to hospital with abdominal pain and confusion. Initial ED assessment treated presumed UTI and discharged her. She returned the next day with wor…

emergency medicinepsychiatryclozapine
SAhospital2020-07-02

Coroner's Finding: SWINGLER Yvonne Mary

86y · Female·multi-organ failure due to sepsis

An 86-year-old woman with dementia, recent stroke, and multiple comorbidities was admitted with acute delirium and paranoia, subsequently placed on an Inpatient Treatment Order. She developed sepsis secondary to staphylo…

psychiatryemergency medicinemorphine

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