Coronial
SAhospital2021-11-25

Coroner's Finding: Ansink, Matthew Wade

32y · Male·Subarachnoid haemorrhage due to rupture of basilar artery aneurysm

Matthew Wade Ansink, 32, died at Glenside Hospital on 28 June 2019 from subarachnoid haemorrhage due to ruptured basilar artery aneurysm. He was found collapsed in the shower while an inpatient on an Inpatient Treatment …

psychiatryemergency medicinealprazolam
QLDaged care2016-06-15

Drane, John Edward

75y · Male·Burns

…n between investigating agencies must be improved to ensure coroners receive all evidence. The facility's smoking risk assessment and care plan appeared appropriate given pre-treatment stability, though proactive mental…

oncologygeriatric medicinediagnosticcommunicationchemotherapy agents
QLDhospital2024-04-22

Non-inquest findings into the death of Lenore

48y · Female·Hypoxic ischaemic encephalopathy due to pulmonary thromboembolism due to deep ve…

A 48-year-old woman with morbid obesity and smoking history presented to a rural hospital with severe hip and leg pain. Over five days across two hospitals, …

emergency medicineorthopaedic surgerydiagnosticsystemoxycodone
VIChome2024-04-29

Finding into death of Claudette Marie Daw

77y · Female·Effects of fire

Claudette Marie Daw, a 77-year-old with longstanding schizophrenia, died in a house fire at her home while her brother was hospitalised. The fire originated in her bedroom and was accidentally ignited, likely by a discar…

general practicepsychiatry
QLDhospital2009-09-29

Hadlow, Barry Gordon

65y · Male·Acute myocardial infarction due to or as a consequence of coronary atheroscleros…

Barry Hadlow, a 65-year-old prisoner with known coronary artery disease, presented to prison medical centre on 13 July 2007 with chest pain, coughing up blood, fever and shortness of breath. He was appropriately diagnose…

cardiologyemergency medicine
WAhospital2019-05-22

Inquest into the Death of Garth Cyril HEAVEN

57y · Male·Bronchopneumonia complicating metastatic and locally advanced primary adenocarci…

A 57-year-old male prisoner died from bronchopneumonia complicating metastatic lung adenocarcinoma. He was diagnosed with stage IV lung cancer in February 2016 while incarcerated and opted for palliative care, declining …

palliative careoncologymethadone
WAmental health2021-10-22

Inquest into the Death of Russell David BROCKLISS

38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…

…severe treatment-resistant schizoaffective disorder and significant cardiovascular risk factors (obesity, smoking, focal coronary atherosclerosis), died from acute cardiac arrhythmia while in mental health involuntary c…

psychiatryemergency medicinedelaysystemrisperidone depot
VICaged care2017-11-21

Finding into death of Sabri Saljiu

67y · Male·Complications of non small cell lung carcinoma in a man with ischaemic cardiomyo…

A 67-year-old man with schizophrenia subject to a Non-Custodial Supervision Order died from complications of non-small cell lung carcinoma with multiple comorbidities including ischaemic cardiomyopathy and COPD. He was a…

palliative careoncologyoxycodone
WAhome2012-04

Inquest into the Death of BENFIELD

0y · Female·Unascertainable

…her father in a warm bedroom. Multiple SIDS risk factors were present: prematurity, co-sleeping, parental smoking and substance use history, and hyperthermia. The coroner identified critical failures by the Department f…

paediatricspsychiatrysystemdelay
NSWhospital2018-07-18

Inquest into the death of Neville Betteridge

72y · Male·Ruptured abdominal aortic aneurysm

A 72-year-old man died from a ruptured abdominal aortic aneurysm while in custodial care. He was admitted to Prince of Wales Hospital following a fall in prison with symptoms of light-headedness and tunnel vision. Clinic…

emergency medicinegeriatric medicine
VICmental health2018-03-22

Finding into death of Gultekin Yuksel

78y · Male·Ruptured abdominal aortic aneurysm

A 78-year-old man with coronary artery disease and hypertension died from a ruptured abdominal aortic aneurysm while an involuntary psychiatric inpatient. He had presented with late-onset psychosis and benzodiazepine dep…

psychiatrycardiologydiagnosticolanzapine
NT2003-12-03

Inquest into the death of Lindsay Ryan

33y · Male·coronary atherosclerosis, contributed to by cardiac hypertrophy

Lindsay Ryan, a 33-year-old Aboriginal male, died in custody at Darwin Correctional Centre from coronary atherosclerosis with cardiac hypertrophy. He collapsed with chest pain and dizziness while performing manual labour…

emergency medicinecardiologyantacid
TAScommunity2022-12-07

Coroner's Finding: Triffett, Brendan

40y · Male·cardiac arrhythmia due to cardiovascular disease

…acquired brain injury from 2004 drug overdose, morbid obesity, cardiovascular disease, and emphysema from smoking. Expert cardiological evidence confirmed he died from natural causes—a fatal cardiac arrhythmia independe…

cardiologyemergency medicineamitriptyline
NSW2015-10-05

Inquest into the death of Andrew Amos

30y · Male·ischaemic heart disease

Andrew Amos, a 30-year-old male prisoner, died of ischaemic heart disease on 24 January 2015. He had significant coronary artery disease (≥90% left anterior descending artery stenosis) with no preceding scarring suggesti…

cardiologyemergency medicine
QLD2016-07-28

Smallwood, Gregory Bert

53y · Male·Coronary atherosclerosis; chronic obstructive airways disease; chronic cholecyst…

Gregory Bert Smallwood, a 53-year-old prisoner with morbid obesity, hypertension, diabetes, and COPD, died from acute myocardial infarction due to severe coronary atherosclerosis. He called for help at 3:06am reporting i…

emergency medicinecardiologymorphine
QLD2022-11-15

Chardon, John William

73y · Male·Coronary atherosclerosis with hypertension, diabetes mellitus, emphysema and per…

John William Chardon, a 73-year-old prisoner, died from coronary atherosclerosis with severe calcified atheroma causing >70% stenosis of coronary arteries. He presented with dizziness on 21 October 2020, which initially …

cardiologygeneral medicineamiodarone
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
NSW2025-03-25

Inquest into the death of Bernard Greenwell

84y · Male·haemoperitoneum due to ruptured abdominal aortic aneurysm

Bernard Greenwell, an 84-year-old male, died from rupture of an abdominal aortic aneurysm (AAA) while in custody at Cessnock Correctional Centre. He experienced sudden-onset severe left groin pain at 11:30am on 25 April …

emergency medicinevascular surgery
NSW2011-07-01

Coroner's Finding: Michael Peter Magro

40y · Male·Hypoxic brain injury consequent upon cardiac disease, possible viral infection o…

Michael Peter Magro, a 40-year-old male inmate at a correctional facility, died on 27 December 2008 from hypoxic brain injury following cardiac disease and severe pneumonia. Critical failures in prison healthcare were id…

correctional healthgeneral practicediagnosticcommunicationmethadone
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
178915

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