Coroner's Finding: RUSSELL Brian Edward
80y · Male·bronchopneumonia complicated by morphine toxicity
An 80-year-old man with terminal liver disease died from bronchopneumonia complicated by morphine toxicity following a medication administ…
168 results for “terminal illness”
80y · Male·bronchopneumonia complicated by morphine toxicity
An 80-year-old man with terminal liver disease died from bronchopneumonia complicated by morphine toxicity following a medication administ…
31y · Male·mixed drug toxicity
Nathan Carl Skewes, age 31, died on 10 June 2012 from mixed drug toxicity involving his deceased wife's powerful palliative medications (fentanyl, ketamine, hydromorphone, morphine, codeine, paracetamol, cannabinoids). H…
65y · Male·Multi-organ failure in a man with an ischaemic right leg treated with opioids
…h multiple comorbidities; and the importance of family communication regarding mental health detention in terminal illness.
60y · Male·Complications of gastrointestinal haemorrhage due to cirrhosis of the liver seco…
…with no issues contributing to his death. While the Royal Prerogative of Mercy was not considered despite terminal illness status, parole denial was appropriate given community safety concerns. Clinical lessons include t…
61y · Male·Multiorgan failure, due to, or as a consequence of metastatic lung cancer (suspi…
Shane Anthony May, a 61-year-old prisoner, died of multiorgan failure secondary to metastatic lung cancer after 44 days in custody. He presented with COVID-19 symptoms on reception, then developed progressive respiratory…
67y · Male·metastatic prostate cancer
Ian McAuliffe, a 67-year-old man serving a custodial sentence, died from metastatic prostate cancer. The case examined whether his cancer treatment as a prisoner was adequate compared to community care. His oncologist Dr…
50y · Male·carcinomatosis due to metastatic, poorly differentiated renal cell carcinoma unc…
Michael Sfyris, a 50-year-old prisoner, died of metastatic renal cell carcinoma in April 2016. A CT scan performed in September 2015 revealed an adrenal lesion but the radiology report was misfiled and not reviewed for 2…
75y · Male·Metastatic Lung Carcinoma
Allan Chapman, a 75-year-old sentenced prisoner, died of metastatic lung carcinoma on 4 April 2004 at Murdoch Community Hospice. He presented with lethargy and dysphonia in February 2004, leading to prompt chest imaging …
52y · Male·complications in association with advanced malignancy (hepatocellular carcinoma)…
… Department of Justice failed to prepare a briefing note to the Minister when Strettles was classified as terminally ill (Stage 3), preventing consideration for compassionate release under the Royal Prerogative of Mercy.…
56y · Male·Acute bronchopneumonia secondary to locally advanced, poorly differentiated squa…
A 56-year-old Aboriginal man died in custody from bronchopneumonia secondary to metastatic hypopharyngeal squamous cell carcinoma. He first presented with sore throat in February 2014 and was referred to ENT clinic in Ap…
37y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
A 37-year-old man died in a deliberate head-on motor vehicle collision three days after his partner died from metastatic cancer. He was the sole carer for his 7-year-old son with autism and intellectual disability. The c…
45y · Male·Hanging
…g significant workplace stress. He had consulted his GP in October 2014 regarding grief over his mother's terminal illness and was prescribed sleeping tablets. He was diagnosed with depression in March 2015, started on s…
7y · Male·multiple injuries sustained in a motor vehicle collision (passenger)
…ng acute suicide risk in distressed individuals and the importance of comprehensive family support during terminal illness. Critical clinical lessons include recognizing warning signs of acute decompensation following be…
Female·hanging (suicide)
Ms G, a woman in her forties with bipolar II disorder, generalised anxiety disorder, and severe alcohol dependence, died by suicide in November 2014. She had been admitted to hospital six times for detoxification and men…
55y · Male·bronchopneumonia complicating metastatic carcinoma of the right lung, with emphy…
Peter Alexander Clarke, a 55-year-old Aboriginal man and serving prisoner, died of bronchopneumonia complicating metastatic lung carcinoma with emphysema, coronary atherosclerosis and chronic pancreatitis. He presented t…
52y · Male·HIV infection complicated by basal and squamous cell carcinoma of the head and n…
…atment and care provided was reasonable. Key recommendations focused on developing protocols for managing terminally ill prisoners, including NFR documentation, removal of restraints, and dedicated medical facilities.
81y · Male·bronchopneumonia
An 81-year-old man with dementia, congestive cardiac failure, chronic lung disease and hip fractures died of bronchopneumonia four days after discharge from palliative care to a nursing home. While an administrative erro…
Female·sodium nitrite poisoning
… matters of public safety and no preventable errors. The case highlighted gaps in end-of-life options for terminally ill patients without access to VAD, leading to the ACT subsequently implementing a VAD scheme in Novemb…
59y · Male·metastatic lung cancer, with palliation
…g the Department of Justice policy requiring active steps to facilitate bail application discussions with terminally ill prisoners (Stage Three or Four). The policy steps should have commenced in August 2019 when his sta…
58y · Male·acute bronchopneumonia
…en saturation, or history were taken, and no follow-up assessment was arranged; (6) three days of obvious illness (2-5 July) without proactive medical intervention was indefensible; (7) procedural clarity in medical eme…
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