Coronial
TASaged care2025-12-12

Coroner's Finding: Mitchelmore, Susan

70y · Female·pneumonia and post-surgical course following repair of neck of femur fracture, i…

Susan Mitchelmore, a 70-year-old woman with multiple comorbidities including COPD, ischaemic heart disease, diabetes, and bipolar disorder, was a resident in an aged care facility under a M…

geriatric medicinepsychiatryolanzapine
SAhospital2016-08-25

Coroner's Finding: SMITH Colin Peter

51y · Male·respiratory failure and cardiac failure on a background of chronic obstructive l…

Colin Peter Smith, aged 51, died of respiratory and cardiac failure from acute pulmonary oedema and pneumonia on a background of chronic obstructive lung disease and ischaemic heart disease. He presented to the Royal Ade…

emergency medicinepsychiatryglyceryl trinitrate
TAShospital2023-04-13

Coroner's Finding: Leader, Andrew

60y · Male·sepsis/leg cellulitis with peripheral oedema and congestive cardiac failure in t…

Andrew Leader, a 60-year-old man with treatment-resistant schizophrenia, emphysema, COPD, chronic hyponatraemia, and heart failure, died of sepsis from leg cellulitis with peripheral oedema and co…

general medicinepsychiatry
SA2021-01-15

Coroner's Finding: MITTIGA Saverio

89y · Male·multi-organ failure on a background of advanced dementia and small cell lung can…

…tala Labour Prison. He entered prison aged 83 with complex medical needs including ischaemic heart disease, COPD, and diabetes. Over his six-year incarceration, he received regular medical care from prison medical office…

general practicepalliative caremorphine
NSWhospital2021-11-18

Inquest into the death of James Sampson DORAN

85y · Male·metastatic prostate cancer

An 85-year-old man died of metastatic prostate cancer while in custody serving a sentence for historical child sexual offences. He had declined investigation and treatment for prostate cancer when an enlarged prostate wa…

palliative caregeriatric medicinezoludex
SAhospital2025-11-14

Coroner's Finding: Wallace, Peter John

67y · Male·hypoxic respiratory failure in the setting of pneumonia, pulmonary embolism and …

Peter John Wallace, aged 67, died in custody at Lyell McEwin Hospital from hypoxic respiratory failure complicating pneumonia, pulmonary embolism, and advanced hepatocellular carcinoma. He had been imprisoned at Yatala L…

hepatologyoncologyenoxaparin
NSWhome2019-02-15

Inquest into the death of Margaret Rose CARR

62y · Female·Unknown. Likely natural causes, possibly with drug-related element. QT-prolongat…

…dead at her home in Redfern between 27 February and 1 March 2017. She had complex medical history including COPD, endocarditis, hepatitis C and substance use disorder (heroin, cannabis, methadone). She was last seen on 2…

general practiceforensic medicineamitriptyline
VIC2025-07-07

Finding into death of Raymond John Blackney

83y · Male·end-stage Parkinson's disease (palliated)

Raymond John Blackney, an 83-year-old man with end-stage Parkinson's disease, died in custody at Port Phillip Prison from natural causes. He had complex medical needs including dementia, intellectual disability, and mult…

palliative caregeriatric medicinemorphine
TAShospital2019-04-24

Coroner's Finding: Kranz, Lothar Wolfgang

85y · Male·Advanced atherosclerotic coronary artery and peripheral vascular disease complic…

An 85-year-old man with ischaemic heart disease, COPD, and diabetes underwent endovascular repair of a recurrent abdominal aortic aneurysm with endoleak using a …

vascular surgeryanaesthesia
VIChospital2022-03-09

Finding into death of Daniel McQuilken

68y · Male·Lung cancer

Daniel McQuilken, a 68-year-old man in immigration detention, died from metastatic lung cancer. His lung cancer diagnosis was made while detained, likely related to his significant smoking history and prior asbestos and …

oncologyrespiratory medicinechemotherapy agents
NThospital2024

Inquest into the death of Road Death 60 of 2024

74y · Male·Complications of multiple blunt force injuries sustained in a motor vehicle cras…

A 74-year-old Aboriginal man died from complications of multiple blunt force injuries sustained in a single-vehicle rollover crash on Christmas Day 2024. He was driving with a blood alcohol concentration of 0.14% (three …

trauma surgeryintensive carealcohol
SAhospital2021-11-23

Coroner's Finding: Osborne, Brian Thomas

89y · Male·combined effects of cerebrovascular accident, pneumonia and chronic cardiac fail…

An 89-year-old man with multiple comorbidities (ischaemic heart disease, diabetes, COPD) presented with chest infection and was admitted for heart failure. He suffered an acute stroke with subseq…

cardiologyneurologyinsulin
ACThospital2023-05-19

Inquest into the death of NICOLE LOUISE ABBOTT

43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…

Nicole Abbott, 43, died from complications of morbid obesity (BMI 54.4) including progressive respiratory and cardiac failure, exacerbated by smoking and obstructive sleep apnoea. She was subject to a Psychiatric Treatme…

psychiatrycardiologyzuclopenthixol
ACThome2022-05-19

Inquest into the Death of PAMELA VANCE

83y · Female·pneumonia with generalised atherosclerosis as a significant contributor

…nia with generalised atherosclerosis as a significant contributor. She had multiple comorbidities including COPD, asthma, sleep apnoea and heart disease, complicated by recent falls and repeated pneumonia requiring intub…

respiratory medicinegeneral practice
SAhospital2022-08-15

Coroner's Finding: Larchin, John

87y · Male·infective exacerbation of chronic obstructive lung disease

An 87-year-old man with a long smoking history and no prior diagnosis of lung disease suffered a hip fracture requiring surgery. Postoperatively, he developed delirium and hypoxia. Two Inpatient Treatment Orders were app…

orthopaedic surgerypsychiatryhaloperidol
SAhospital2023-04-11

Coroner's Finding: Rerich, Josef

78y · Male·multi-organ failure complicating neck of femur fracture (operated) on a backgrou…

A 78-year-old man with multiple comorbidities (heart failure, renal disease, COPD) suffered a neck of femur fracture from an unwitnessed fall at an aged care facility. Post-operatively he d…

orthopaedic surgerygeneral medicinehaloperidol
SAhospital2000-03-24

Coroner's Finding: JAMES Kevin

70y · Male·spontaneous left frontal intracerebral haemorrhage

…our prompted referral to hospital where he collapsed and seized. He was intubated with initial diagnosis of COPD exacerbation with hypoxic seizure and respiratory arrest. Subsequent investigations revealed anterior myoca…

emergency medicineintensive care
SAhospital2025-07-03

Coroner's Finding: Cheesman, Trevor Allan

70y · Male·complications arising from craniofacial resection and orbital exenteration for r…

A 70-year-old man died following complex craniofacial resection and orbital exenteration for right sinonasal adenocarcinoma. Multiple surgical complications occurred including carotid artery injury, cerebral infarction, …

neurosurgeryENT surgerysystemolanzapine
QLDhospital2014-12-17

Courtney, Victor

44y · Male·End stage non-small cell lung carcinoma

…November 2012 after presenting with haemoptysis and dyspnoea. Despite multiple chronic conditions including COPD, atrial fibrillation, and schizoaffective disorder, medical review found care at the correctional centre an…

oncologyrespiratory medicine
WA2019-06-19

Inquest into the Death of Malcolm Patrick O'DRISCOLL

66y · Male·acute myocardial infarction on a background of atherosclerotic cardiovascular di…

…y including previous bypass surgery, multiple stent insertions, chronic renal failure, type-2 diabetes, and COPD. Days before his death, he was hospitalised for investigation of urinary bleeding (4-7 April), then appropr…

cardiologyvascular surgery
178911

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