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VIChospital2020-07-02

Finding into death of Craig Vincent Douthie

52y · Male·C2, C3, C4 spinal injury sustained from a fall secondary to seizures

A 52-year-old man with cerebral palsy, epilepsy, and intellectual disability living in disability accommodation fell in the bathroom after a seizure and sustained cervical spine fractures (C2-C3-C4). He was admitted to h…

emergency medicineneurosurgerydelaycommunicationlevetiracetam
VIChospital2020-07-01

Finding into death of Baby M

3y · Male·Hypoxic ischaemic encephalopathy complicating drowning

A 3-year-old boy drowned in a home swimming pool after the pool gate failed to latch properly due to wear and lack of maintenance. The gate did not comply with Australian Standards requiring self-closing and self-latchin…

emergency medicineintensive caresystemdelay
TAShospital2020-06-30

Coroner's Finding: Shrimpton, Dallas Brooks

54y · Male·carbon monoxide asphyxia

Dallas Brooks Shrimpton, a 54-year-old man with severe alcohol dependence, chronic depression, and multiple previous suicide attempts, died by carbon monoxide asphyxiation. He presented to Royal Hobart Hospital ED on 16 …

psychiatryemergency medicinecommunicationsystemalcohol
QLDPodcast2020-06-30

Ayliffe-Chung, Mia Mishka Annie and; Jackson, Thomas Leslie - Non-inquest findings

Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain

Two young UK backpackers, Mia Ayliffe-Chung (20) and Thomas Jackson (30), were fatally stabbed at a Queensland hostel on 23 August 2016 by a French backpacker, Smail Ayad, who was psychotic and cannabis-intoxicated. Ayad…

psychiatryemergency medicinesystemcommunicationcannabis
QLDmental health2020-06-29

Rangi, Taare Tamakehu

44y · Male·Cardiac arrhythmia during physical restraint

Taare Rangi, a 44-year-old man with bipolar affective disorder, died from cardiac arrhythmia during physical restraint in a mental health unit. Critical failures occurred at multiple levels: (1) the decision to acutely s…

psychiatryemergency medicinediagnosticprocedurallorazepam
VIChospital2020-06-29

Finding into death of Colleen Elizabeth Fermanian

45y · Female·Blunt force trauma to the head

Colleen Fermanian, 45, died from blunt force trauma to the head sustained on 24-25 March 2017. She had a history of heavy alcohol use and advanced liver disease. The circumstances of her injury remain unclear—it could ha…

emergency medicineintensive caremidazolam
QLDcommunityPodcast2020-06-26

Nyholt, Nicole Sonia and Clark, Margaret Louisa

Female·Burns due to gas explosion due to motor vehicle collision with building

A 60-year-old man with a long-standing history of seizures experienced an epileptic seizure while driving and lost control of his vehicle. It collided with an LPG gas cylinder outside a café, triggering an explosion that…

emergency medicineneurologycommunicationsystem
SAhospital2020-06-25

Coroner's Finding: KARTINYERI Laura Rose

44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…

Laura Rose Kartinyeri, aged 44, died from multi-organ failure and polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse, non-compliance with treatment, and hospital present…

respiratory medicineintensive carepregabalin
NSW2020-06-23

Inquest into the death of Kingsley EAGER

80y · Male·Hodgkin lymphoma and the consequences

Kingsley Eager, an 80-year-old prisoner with advanced Hodgkin lymphoma, died of natural causes in Long Bay Hospital. He had declined active cancer treatment on initial diagnosis, preferring alternative approaches. Follow…

haematologypalliative careceftriaxone
SAhospital2020-06-18

Coroner's Finding: WILKS Deslandes

79y · Male·Pneumonia complicating ischaemic heart disease and dementia

A 79-year-old man with advanced Alzheimer's disease, ischaemic heart disease, and behavioural disturbance died of pneumonia while on a Level 2 Inpatient Treatment Order at Flinders Medical Centre. He was admitted from a …

geriatric medicinepsychiatryrisperidone
SAhospital2020-06-18

Coroner's Finding: BOES Johannes Josephus

92y · Male·pulmonary thromboembolic disease on a background of infective exacerbation of ch…

A 92-year-old man with chronic obstructive pulmonary disease, vascular dementia, and heart disease died from pulmonary thromboembolism complicated by respiratory infection. He was admitted after a fall at home, became ag…

respiratory medicineemergency medicinehaloperidol
SAmental health2020-06-17

Coroner's Finding: COULTER Brenton Thomas

60y · Male·Ischaemic heart disease

A 60-year-old man with schizophrenia, ischaemic heart disease, previous myocardial infarction and stenting died of acute ischaemic heart disease while an inpatient in a mental health facility under an Inpatient Treatment…

psychiatrycardiologyclozapine
VICcommunity2020-06-17

Finding into death of Pierino Taranto

65y · Male·Traumatic high cervical spine injury in the setting of frontal head impact in a …

A 65-year-old man with ankylosing spondylitis died from traumatic cervical spine injury after being arrested for public drunkenness by a single-officer police patrol. During arrest and transportation to the police vehicl…

emergency medicineforensic medicinealcohol
VIChome2020-06-15

Finding into death of Gordon Malcolm Wallace

71y · Male·Plastic bag asphyxia and argon gas inhalation

A 71-year-old man with metastatic bladder cancer, chronic renal failure, and recent dialysis initiation deliberately ended his life using argon gas inhalation. Over 12 years of progressive cancer treatment, multiple surg…

nephrologyoncologysystemargon gas
WAcommunity2020-06-15

Inquest into the Death of Thorvald Anthony NIELSEN

29y · Male·multiple gunshot wounds

A 29-year-old male died from multiple gunshot wounds inflicted by police Tactical Response Group (TRG) officers during a failed arrest operation. The deceased had stolen firearms, was suspected of being armed, and had ex…

emergency medicinetrauma surgerycommunicationsystemamphetamine
NSWcommunity2020-06-10

Inquest into the death of Christopher McGRAIL

44y · Male·Gunshot wounds to the trunk and right thigh with subsequent blood loss

Christopher McGrail, a 44-year-old man with a history of substance abuse, depression, and trauma following his son's suicide, was shot by NSW Police during a knife confrontation. He presented with acute intoxication (alc…

emergency medicinepsychiatrymethamphetamine
VIChospital2020-06-09

Finding into death of Lance Robert Nikkelson

47y · Male·Complications of cirrhosis and metastatic hepatocellular carcinoma

Lance Robert Nikkelson, a 47-year-old Aboriginal man in prison custody, died from complications of cirrhosis and metastatic hepatocellular carcinoma. He presented with abdominal pain in May 2019, initially assessed as co…

hepatologyoncologydiagnosticmethadone
TAShospital2020-06-05

Coroner's Finding: Dickinson, Mary Marguerite

58y · Female·pneumonia, likely aspiration pneumonia

Mary Marguerite Dickinson, aged 58, died of pneumonia on 20 January 2018 at the Roy Fagan Centre after admission with a complex scapula fracture and severe cognitive decline from alcoholic dementia. The coroner found her…

geriatric medicineemergency medicinecommunicationsystemmorphine
SAhospital2020-06-05

Coroner's Finding: HANCKEL Jonathan Mark

58y · Male·effects of chronic alcoholism

Jonathan Mark Hanckel, aged 58, died from chronic alcoholism complicated by Child C cirrhosis, hepatic encephalopathy, coagulopathy, sepsis, and multiple intracranial haemorrhages. While he sustained a fall on 13 October…

gastroenterologypsychiatry
NSWhome2020-06-05

Inquest into the death of BG

30y · Male·neck compression from ligature strangulation and possible suspension (hanging)

BG, a 30-year-old Nepalese national in Australia, died by intentional neck compression on 11–12 January 2018. He had previously caused the death of Amelia Blake on 9 January 2018. BG was experiencing multiple severe stre…

psychiatryemergency medicinedelay

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