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TAScommunity2025-12-03

Coroner's Finding: de-identified JI

54y · Male·Global hypoxic brain injury, cardiac arrest and blunt trauma to cervical spine

JI, a 54-year-old man with chronic schizophrenia, died from global hypoxic brain injury, cardiac arrest and cervical spine trauma following a fall onto a metal grate during an altercation with another resident at support…

psychiatrygeneral practicesystemdiazepam
VIChospital2025-12-01

Finding into death of Larelle Sheridan Dean

51y · Female·Multiorgan failure in the setting of WHO Class III obesity, chronic excessive al…

A 51-year-old woman with WHO Class III obesity, chronic alcohol consumption, and anaemia died of multiorgan failure following admission with community-acquired pneumonia and respiratory failure. She presented with abdomi…

general medicineemergency medicinehydromorphone
NSWhospital2025-12-01

Inquest into the death of Malcolm Baker

76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation

Malcolm George Baker, a 76-year-old prisoner serving a life sentence, died from complications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leaving him…

emergency medicineneurology
TAShospital2025-11-28

Coroner's Finding: Clark, Dennis

83y · Male·Sepsis due to staphylococcus aureus bacteraemia following infection of a left an…

An 83-year-old man with heart and kidney failure died from sepsis caused by MSSA bacteraemia following infection at a peripheral intravenous catheter (PIVC) insertion site. Ambulance paramedics inserted the PIVC 56 hours…

emergency medicinesurgeryproceduralsystem
VIChospital2025-11-28

Finding into death of Carol Denise Jackson

75y · Female·Pneumonia

Carol Denise Jackson, a 75-year-old woman with cerebral palsy, intellectual disability, and dysphagia residing in specialist disability accommodation, died of pneumonia following a short hospital admission. She presented…

emergency medicinegeneral medicine
VIChospital2025-11-28

Finding into death of Virginia Catherine Harris

60y · Female·Non-operative management of ruptured oesophagus (palliated)

Virginia Harris, a 60-year-old woman with epilepsy and intellectual disability living in supported accommodation, presented with abdominal pain on 18 March 2023. Initial examination by her GP showed mild tenderness that …

general practiceemergency medicine
WA2025-11-28

Inquest into the Death of Cleveland Keith DODD

16y · Male·complications of ligature compression of the neck (hanging)

A 16-year-old Aboriginal youth, Cleveland Keith Dodd, died by suicide via hanging in Unit 18, a youth detention centre housed within an adult maximum-security prison in Western Australia. The coroner found Cleveland's de…

psychiatrypsychologyproceduralcommunication
SAcommunity2025-11-27

Coroner's Finding: Hudson, Simon

41y · Male·unascertained, in circumstances of methylamphetamine intoxication, extreme physi…

Simon Hudson, a 41-year-old man, died following a physical altercation with an intoxicated youth on a city street. After the five-minute fight, police arrived and arrested both parties. Hudson became unresponsive shortly…

forensic medicineemergency medicinemethamphetamine
SAhome2025-11-27

Coroner's Finding: Brown, Logan Reece

25y · Male·hanging

Logan Brown, a 25-year-old man on home detention bail, died by hanging. He had a complex psychiatric history including borderline personality disorder, polysubstance use disorder, and chronic suicidal ideation dating fro…

psychiatrygeneral practicemethamphetamine
WAhospital2025-11-27

Inquest into the Death of Stephen Joseph SCHIPP

58y · Male·complications of oesophageal cancer, with terminal palliative care

Stephen Joseph Schipp, a 58-year-old sentenced prisoner, died from complications of oesophageal cancer with terminal palliative care at Bunbury Regional Hospital. He had been diagnosed with oesophageal carcinoma in Janua…

oncologypalliative caresystemdelaychemotherapy
VIChome2025-11-24

Finding into death of Suk Ching Annie Ng

64y · Female·Blunt Force Trauma to the Head in the Setting of Prolonged Lie; Metastatic Breas…

Annie Ng, aged 64, died from blunt force head trauma sustained in her home on 27 February 2024, with death occurring 9 March 2024 at Royal Melbourne Hospital. Her husband Chai, experiencing severe financial and psycholog…

oncologygeneral practicesystem
QLDrural property, community2025-11-21

Inquest into the deaths of Matthew Joseph Arnold; Rachel Clare McCrow; Alan Thomas Brendan Dare; Gareth Daniel Train; Nathaniel…

Constable Arnold: single gunshot wound to the chest. Constable McCrow: gunshot w…

On 12 December 2022, two Queensland Police Constables (Matthew Arnold, Rachel McCrow) and a civilian (Alan Dare) were fatally shot at 251 Wains Road, Wieambilla by Gareth and Nathaniel Train while responding to a missing…

emergency medicinepsychiatrycommunicationsystem
NSW2025-11-19

Inquest into the death of Mark Lewis

86y · Male·End-stage congestive cardiac failure on a background of dilated cardiomyopathy

Mark Lewis, aged 86, died from end-stage congestive cardiac failure in custody at Long Bay Hospital Aged Care Unit. He had multiple chronic conditions (dilated cardiomyopathy, chronic kidney disease, diabetes, ischemic h…

cardiologyinfectious diseases
VICcommunity2025-11-18

Finding into death of Darren John Atkinson

50y · Male·Mixed alcohol and drug toxicity (clozapine, paracetamol, caffeine); cardiac hype…

A 50-year-old man with treatment-resistant schizoaffective disorder died from mixed alcohol and drug toxicity (clozapine, paracetamol, caffeine) combined with cardiac hypertrophy. He ceased his antipsychotic medication o…

psychiatryemergency medicinecommunicationsystemclozapine
VIChome2025-11-18

Finding into death of JZA

65y · Female·Combined effects of acute pneumonia, pancreatitis, urinary tract infection, and …

A 65-year-old woman with chronic alcohol use disorder, multiple comorbidities, and progressive functional decline died from combined effects of pneumonia, pancreatitis, urinary tract infection, and severe pressure ulcers…

geriatric medicineinfectious diseasessystemcommunicationpholcodine
VIChospital2025-11-18

Finding into death of David William James Hearn

57y · Male·Aspiration pneumonia in a man with cerebral palsy, intellectual disability and L…

A 57-year-old man with cerebral palsy, intellectual disability, and Lennox-Gastaut syndrome died from aspiration pneumonia following a short hospital admission. He had a history of recurrent aspiration pneumonia and was …

respiratory medicineemergency medicineantibiotics
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
SAhospital2025-11-14

Coroner's Finding: Menzies, Jason Douglas

33y · Male·Marburg variant of multiple sclerosis

Jason Menzies, aged 33, died in custody from Marburg variant multiple sclerosis after rapid neurological deterioration. He initially presented with urinary retention on 1 December 2022, which was appropriately investigat…

emergency medicinegeneral medicineamitriptyline
SAhome2025-11-13

Coroner's Finding: Platten, Garry David

72y · Male·hypoxic brain injury due to cardiac arrest due to compression of the neck due to…

A 72-year-old man on home detention bail for alleged sexual offending died by hanging after experiencing cumulative stressors. Key events included arrest, placement on home detention, and subsequent media coverage of cha…

emergency medicineintensive care
VIC2025-11-12

Finding into death of Brian Livingstone Clark

65y · Male·Unascertained (Natural Causes) - most likely myocardial infarction or pulmonary …

Brian Livingstone Clark, aged 65, died of natural causes while residing in specialist disability accommodation. He had early-onset Alzheimer's disease diagnosed in May 2023 and required full-time care. On 18 June 2025, s…

geriatric medicineneurology
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