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WA2020-02-05

Inquest into the Death of Tania Marie HODGKINSON

48y · Female·Ligature compression of the neck (hanging)

Tania Marie Hodgkinson, a 48-year-old Aboriginal woman, died by suicide via ligature compression while remanded at Bandyup Women's Prison on 23 March 2017. She had been admitted with heroin withdrawal symptoms, grief fro…

psychiatrypsychologycommunicationsystemheroin
WAhome2020-01-16

Inquest into the Deaths of Zaraiyah-Lily HEADLAND and Andreas Hohaia HEADLAND

Unknown·asphyxiation in a child with drug effect

Two young children, aged 5 and 3, died following filicide by their father during a parental separation. The father purchased sedative medication (Restavit) on the afternoon of the deaths and administered it to the childr…

emergency medicinepaediatricssystemdelaydoxylamine
WAmental health2019-12-20

Inquest into the Death of Jason James Sutherland MALLETT

46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis

Jason Mallett, a 46-year-old man with bipolar affective disorder and schizo-affective disorder, died from cardiac arrhythmia secondary to coronary arteriosclerosis and myocarditis while an involuntary psychiatric patient…

psychiatrycardiologysystemcommunicationquetiapine
WA2019-11-22

Inquest into the Deaths of Kym Brett CURNOW, Thomas Leslie BUTCHER, Julie KOHRS-LICHTE and Anna Sushchova WINTHER

Male·Unascertained (fatal injuries from vehicle crash and/or thermal effects of bushf…

Four people died in a catastrophic bushfire near Scaddan, Western Australia in November 2015 while attempting to evacuate. Kym Curnow, a local farmer and volunteer firefighter, was driving his own vehicle, while Tom Butc…

emergency medicinesystemdelay
WAcommunity2019-11-22

Inquest into the Death of Aaron Stephen MARSH

Male·Multiple injuries sustained in motorcycle crash

Aaron Stephen Marsh died from multiple injuries sustained when he lost control of his unregistered motorcycle and crashed on the off-ramp to Great Eastern Highway while fleeing from police. Police had attempted to interc…

emergency medicineforensic medicinemethamphetamine
WAcommunity2019-11-07

Inquest into the Death of Brendan John LINDSAY

38y · Male·Multiple gunshot wounds

Brendan John Lindsay, 38, died from multiple gunshot wounds inflicted by four police officers responding to a hostage situation in Carlisle, WA. Lindsay, intoxicated with methamphetamine and displaying erratic behaviour,…

psychiatryemergency medicinemethamphetamine
WAhome2019-09-27

Inquest into the Death of Paul STRANGE

30y · Male·ligature compression of the neck (hanging)

Paul Strange, aged 30, died by suicide through ligature compression of the neck eleven days after discharge from Royal Perth Hospital (RPH) for depression with chronic suicidality. He had a documented history of multiple…

psychiatryemergency medicinecommunicationsystemduloxetine
WAcommunity2019-09-23

Inquest into the Death of Sean MORGAN-SMITH

45y · Male·Abdominal injuries from being struck by reversing front-end loader

Sean Morgan-Smith, a 45-year-old Australia Post delivery worker, was struck by a reversing front-end loader while delivering mail on a residential footpath in Huntingdale, Western Australia on 24 June 2015. He sustained …

emergency medicinetrauma surgerysystemdelay
WAhospital2019-09-23

Inquest into the Death of Dylan James RILEY

16y · Male·pulmonary embolism secondary to nephrotic syndrome

Dylan Riley, a 16-year-old with steroid-responsive minimal change nephrotic syndrome, died from a massive pulmonary embolism (PE) on 1 August 2015. He presented to Rockingham Hospital with dyspnoea, hypoxia, tachycardia …

nephrologyintensive caredelayenoxaparin
WAhospital2019-08-30

Inquest into the Death of James Ronald CHI

69y · Male·Chronic obstructive pulmonary disease and coronary artery atherosclerosis

James Ronald Chi, aged 69, died from chronic obstructive pulmonary disease and coronary artery atherosclerosis at Broome Hospital. He was an involuntary mental health patient with treatment-resistant bipolar disorder and…

psychiatryemergency medicineclozapine
WA2019-08-20

Inquest into the Death of Judy Sonia BOLTON

44y · Female·acute myocardial infarction due to coronary thrombosis

A 44-year-old Aboriginal woman died from acute myocardial infarction (heart attack) due to coronary thrombosis while in custody at Bandyup Women's Prison in Western Australia. She had multiple cardiovascular risk factors…

cardiologyemergency medicinediagnosticsystemmetoprolol
WA2019-08-14

Inquest into the Death of Anita Jade BOARD

8y · Female·complications of multiple injuries sustained in motor vehicle crash

Eight-year-old Anita Board died from catastrophic brain injury sustained in a motor vehicle crash at Perth Motorplex on her first junior drag racing licensing attempt. Her dragster failed to slow adequately after the fin…

emergency medicineintensive caresystemprocedural
WAhospital2019-08-02

Inquest into the Death of Timothy James CHANDLER

52y · Male·multiple organ failure and pulmonary thromboemboli complicating generalised seps…

A 52-year-old man with longstanding refusal of medical care presented with severe cellulitis, sepsis, and previously undiagnosed heart failure secondary to sleep apnoea. He lacked capacity to consent to treatment due to …

emergency medicinegeneral medicine
WAcommunity2019-07-23

Inquest into the Death of Andrew Michael WATSON

46y · Male·immersion in the Indian Ocean

Andrew Michael Watson, a 46-year-old elevator technician, disappeared on 11 May 2013 after leaving a nightclub in Northbridge, Perth. His car was found at a dog beach carpark near the ocean. Notes in his car indicated su…

psychiatryemergency medicinesystem
WAhospital2019-07-22

Inquest into the Death of Arthur James BONNEY

59y · Male·ischaemic heart disease in the context of acute-on-chronic kidney failure associ…

Arthur James Bonney, a 59-year-old prisoner with advanced cardiac disease, chronic kidney disease, and diabetes, underwent a CT scan with iodinated contrast on 30 July 2015 at Fiona Stanley Hospital. Critical failures oc…

radiologycardiologydiagnosticproceduraliodinated contrast medium
WAcommunity2019-07-17

Inquest into the Death of Mark Quenton FLEURY

38y · Male·ligature compression of the neck (hanging)

Mark Quenton Fleury, a 38-year-old man with paranoid schizophrenia, died by suicide on 14 February 2016 while subject to a Community Treatment Order. In the final week of his life, he presented to emergency services and …

psychiatryemergency medicinecommunicationsystemrisperidone
WAcommunity2019-06-26

Inquest into the Death of Frederick John COLLARD

35y · Male·atherosclerotic heart disease with methylamphetamine effect in a man under physi…

A 35-year-old male with severe pre-existing ischaemic heart disease and recent cardiac arrest (April 2016) presented with increasingly erratic and paranoid behaviour after methylamphetamine use and alcohol consumption. H…

cardiologyemergency medicinemethamphetamine
WAhospital2019-06-21

Inquest into the Death of Gerda Theresia DUNKEL

44y · Female·pulmonary thromboembolism in a woman with likely myeloproliferative neoplasm

A 44-year-old previously healthy woman with BMI 30.5 and minimal comorbidities (snoring, back pain, knee pain) underwent elective sleeve gastrectomy for weight loss. Nine days post-op she presented with splenic rupture r…

general surgerybariatric surgerydiagnosticcommunicationheparin
WAhome2019-06-12

Inquest into the Death of Ellie Marlene HARE

25y · Female·complications of opioid toxicity

Ellie Marlene Hare, 25, died from opioid toxicity after injecting methadone on two consecutive nights with Matthew Drake. She was opioid-naïve, having not used regularly for several years. On the morning of her death, Dr…

toxicologyemergency medicinedelaymethadone
WAhospital2019-05-24

Inquest into the Death of Melanie Reanna TREGONNING

31y · Female·incised wounds to the neck and arms

A 31-year-old illustrator with a recent onset of acute depression and suicidal ideation attended Fremantle Hospital ED via ambulance after GP referral on 12 May 2014. She had made a suicide attempt at a beach two days ea…

emergency medicinepsychiatrycommunicationdiagnosticvenlafaxine
178920

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