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VICaged care2020-06-03

Finding into death of Annette Lee Douglass

60y · Female·Respiratory arrest in the setting of aspiration pneumonia; seizures associated w…

A 60-year-old woman with Down syndrome, Alzheimer's dementia, and epilepsy died from respiratory arrest due to aspiration pneumonia after a seizure. A multi-day delay in anticonvulsant medication (phenytoin) occurred due…

general practiceneurologycommunicationsystemphenytoin
WAhospital2020-06-03

Inquest into the Death of Michael Warren DYBALL

56y · Male·bronchopneumonia complicated by multiorgan failure and hypoxic ischaemic encepha…

Michael Dyball, a 56-year-old prisoner with chronic kidney disease, hepatitis C, and treated oropharyngeal squamous cell carcinoma, collapsed in his prison cell and suffered cardiopulmonary arrest on 28 April 2016. He di…

nephrologyoncologydarbepoetin alfa
ACTaged care2020-06-02

Inquest into the death of VIOLA DIANA CLARKE

86y · Female·aspiration pneumonia

Viola Diana Clarke, an 86-year-old woman with multiple comorbidities including congestive heart failure, COPD, renal failure, gastric reflux and dysphagia, died from aspiration pneumonia. She was administered incorrect m…

geriatric medicinerespiratory medicinemedication
QLDhome2020-06-02

Lee, Mason Jet

1y · Male·Abdominal injuries (perforation of small bowel and mesentery with peritonitis pr…

Mason Lee, aged 22 months, died on 11 June 2016 from abdominal injuries inflicted by his mother's partner, William O'Sullivan, combined with severe neglect. Mason was admitted to hospital in February 2016 with severe per…

paediatricsinfectious diseasesdiagnosticsystemmethamphetamine
TAS2020-06-01

Coroner's Finding: Tonner, Justin Michael

39y · Male·Hypovolemic shock due to blood loss resulting from multiple stab wounds, particu…

Justin Michael Tonner, aged 39, died from hypovolemic shock due to blood loss from multiple stab wounds inflicted during a violent altercation. The fatal injury was a stab wound to the posterior right knee that incised t…

emergency medicinetrauma surgerymethamphetamine
SAhome2020-05-28

Coroner's Finding: WHITE Jeffrey Thomas

35y · Male·heroin toxicity

Jeffrey Thomas White, 35, died from heroin toxicity while on home detention bail. He had a 13-year history of polysubstance abuse including heroin, amphetamines, and methamphetamine. Three days before death, he contacted…

addiction medicinegeneral practicedelayheroin
SAhospital2020-05-28

Coroner's Finding: LOUDON John Maxwell

83y · Male·aspiration pneumonia on a background of dysphagia and advanced Alzheimer's disea…

John Maxwell Loudon, 83, died of aspiration pneumonia complicated by dysphagia and advanced Alzheimer's disease. He was admitted to aged care in January 2017 with progressive dementia and behavioural disturbances. After …

psychiatrygeriatric medicine
VIChospital2020-05-27

Finding into death of Ms T

46y · Female·Hanging

A 46-year-old woman with a history of depression, anxiety, and alcohol dependence died by hanging. She was transported to Box Hill Hospital on 27 January 2016 under Mental Health Act section 351 following suicidal ideati…

emergency medicinepsychiatrycommunicationsystemalcohol
WAhospital2020-05-26

Inquest into the Death of Nualla Christine REILLY

74y · Female·Multiple injuries sustained when struck by train

A 74-year-old woman with borderline personality disorder, depression, anxiety and type 2 diabetes died by suicide after absconding from Fiona Stanley Hospital Emergency Department. She had been on extended psychiatric ad…

psychiatryemergency medicinecommunicationsystemamitriptyline
QLDhospital2020-05-25

Newstead, Mark Graham

51y · Male·metastatic small round cell malignancy (Ewing's Sarcoma)

Mark Graham Newstead, a 51-year-old man with schizophrenia and untreated hepatitis C, died from metastatic small round cell tumour (Ewing's Sarcoma) while in custody. He presented with urinary retention and lower limb we…

orthopaedic surgeryspinal surgery
VIChospital2020-05-25

Finding into death of Chris Perdios

42y · Male·Aspiration pneumonia in the setting of impacted large bowel in a man with intell…

Chris Perdios, a 42-year-old man with intellectual disability, autism, and chronic constipation, died from aspiration pneumonia complicated by an impacted large bowel. He was admitted to hospital on 12 October 2018 with …

intensive careemergency medicinecommunicationsystemquetiapine
VIC2020-05-24

Finding into death of Logan Saminathan

39y · Male·Drowning

Logan Saminathan, a 39-year-old beginner scuba diver, drowned at Mornington Pier during an open water training dive. The precise underwater events remain unclear, but he surfaced unconscious without his mask. Expert anal…

occupational and environmental healthemergency medicineproceduralsystem
VICcommunity2020-05-22

Finding into death of Christina Maree Chamberlain

60y · Female·Multiple injuries sustained in a motor vehicle incident (driver)

Christina Maree Chamberlain, aged 60, died when her vehicle drifted across lanes and collided with a tree on Great Alpine Road. She was taking multiple medications including oxycodone, amitriptyline, sertraline, diazepam…

emergency medicineforensic medicineoxycodone
SAhospital2020-05-21

Coroner's Finding: SNIECIKOWSKA Alicja

68y · Female·chronic obstructive pulmonary disease

Ms Sniecikowska, a 68-year-old Polish-speaking woman with severe COPD, chronic alcoholism, cognitive impairment, and significant social isolation, was admitted to hospital for acute COPD exacerbation on 29 August 2016. D…

respiratory medicineemergency medicinemorphine
NSWhome2020-05-20

Inquest into the death of Renae Marsden

20y · Female·Fatal Fall Injuries

A 20-year-old woman died by suicide at The Gap, Watsons Bay, after a relationship termination. She had been in a nearly 2-year online relationship with 'Brayden Spiteri', who she believed was a real imprisoned man. The c…

psychiatryemergency medicinecommunication
TAShome2020-05-19

Coroner's Finding: Adams, Christopher Neil

31y · Male·mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine …

Christopher Neil Adams, 31, died from mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine, diazepam) combined with advanced coronary atherosclerotic disease. He had a documented history of opi…

general practiceemergency medicinesystemmethadone
TAShome2020-05-19

Coroner's Finding: Steer, Marianne

56y · Female·combined drug toxicity (methadone, diazepam, amitriptyline and mirtazapine); pul…

Marianne Steer, 56, died from combined drug toxicity involving methadone, diazepam, amitriptyline, and mirtazapine. She had a long history of substance dependence and had voluntarily ceased methadone treatment five month…

general practiceaddiction medicinesystemmethadone
TAShospital2020-05-18

Coroner's Finding: Griffin, James Geoffrey

69y · Male·mixed drug toxicity; oxycodone overdose with doxylamine, temazepam, and naloxone

James Geoffrey Griffin, a 69-year-old man facing multiple charges for historic child sexual abuse, died from mixed drug toxicity involving oxycodone, doxylamine, temazepam, and naloxone. He was admitted to Launceston Gen…

emergency medicineintensive careoxycodone
TAShome2020-05-14

Coroner's Finding: Cashion, Brett Matthew

48y · Male·combined drug intoxication from morphine and quetiapine

Brett Cashion, a 48-year-old man with chronic pain and mental health issues, died from combined morphine and quetiapine intoxication after injecting prescription morphine. He was receiving daily Subutex in Tasmania from …

general practicepain medicinecommunicationsystemmorphine
VICcommunity2020-05-14

Finding into death of Leonie Maree Hanson

40y · Female·Drowning

Leonie Hanson, an experienced diving instructor, drowned at Mornington Pier while attempting to rescue a student, Logan Saminathan, who surfaced unconscious during an open water training dive. The student likely panicked…

diving medicineoccupational and environmental healthdiagnosticcommunication

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