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WAcommunity2023-08-18

Inquest into the Death of Richard MILGIN

24y · Male·unascertained

Richard Milgin, a 24-year-old Aboriginal man from the Looma community in Western Australia's Kimberley region, disappeared in late December 1993 or early January 1994 while in a relationship with Julie Buck that violated…

WAhospital2023-07-25

Inquest into the Death of Frank Kenneth MAJOR

75y · Male·complications of metastatic prostate cancer and end-stage chronic obstructive pu…

Frank Kenneth Major, a 75-year-old prisoner with metastatic prostate cancer and end-stage COPD, died of natural causes in October 2021. The coroner found his overall medical care during incarceration was excellent and co…

palliative careoncologysystemenzalutamide
WA2023-07-18

Inquest into the Suspected Death of Terry Frank JENNINGS

73y · Male·Unknown - likely medical episode or drowning; insufficient evidence to determine…

Terry Frank Jennings, aged 73, disappeared while boating at Gnarabup Beach, Western Australia on 31 March 2022. He had recently been diagnosed with paroxysmal atrial fibrillation and commenced on Metoprolol and Eliquis a…

general practicecardiologymetoprolol
WAhome2023-07-14

Inquest into the Death of Matthew James WORTHINGTON

Male·Gunshot injury to the head

Matthew Worthington died from a self-inflicted gunshot wound to the head during a 21-hour police siege at his home in Bayswater, Western Australia, on 24 November 2020. He was experiencing a relationship breakdown, had r…

emergency medicineintensive caremethamphetamine
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

0y · Female·Fetal demise due to placental abruption and sepsis secondary to chorioamnionitis…

Ashlee Reindl died hours after birth in 2019 following a prolonged induction of labour complicated by fetal distress and chorioamnionitis. A catastrophic placental abruption occurred shortly before emergency caesarean se…

obstetricsmidwiferydiagnosticcommunicationoxytocin
WAhospital2023-06-29

Inquest into the Death of Child R (Name Subject to Suppression Order)

11y · Female·Complications of E. coli sepsis in association with intestinal obstruction due t…

Child R, an 11-year-old Aboriginal girl with congenital anorectal anomalies causing chronic severe constipation, presented to Halls Creek Hospital on 5 January 2017 with severe abdominal pain and vomiting. She died 12 ho…

paediatricsemergency medicinediagnosticcommunicationmacrogol
WAhome2023-06-28

Inquest into the Death of Nicholas Arthur CRIPPS

47y · Male·combined acute effects of multiple drugs in obese man with enlarged heart and ar…

Nicholas Cripps, a 47-year-old man with treatment-resistant schizophrenia, substance use disorder, and antisocial personality disorder, died from combined acute effects of multiple drugs (methylamphetamine, quetiapine, p…

psychiatrygeneral practicesystemmethamphetamine
WAhome2023-06-16

Inquest into the Suspected Death of Iveta MITCHELL

40y · Female·Unknown cause, suspected homicide

Iveta Mitchell, a 40-year-old mother of three, disappeared from her home on 2-3 May 2010 after an argument with her husband Chad. She left without her phone, handbag, or car keys—completely out of character. Police condu…

amphetamine
WAhospital2023-05-26

Inquest into the Death of Jacob George Isaac TAULELEI

28y · Male·Multiple injuries sustained when struck by a freight train

Jacob Taulelei, a 28-year-old man with long-standing depression, anxiety, and suicidal ideation, presented to St John of God Hospital on 5 February 2020 expressing intent to jump in front of a train. Despite being assess…

psychiatryemergency medicinediagnosticcommunicationduloxetine
WAhospital2023-05-22

Inquest into the Death of Errol Warren BARTLETT

87y · Male·Metastatic carcinoma of the prostate with complications (end-of-life palliative …

Errol Warren Bartlett-Torr, aged 87, died of metastatic prostate cancer on 20 June 2021 whilst in prison custody and receiving palliative care at Bethesda Hospital. Clinical lessons include: (1) elevated PSA findings sho…

oncologypalliative carecommunicationsystemwarfarin
WAhospital2023-04-17

Inquest into the Death of Edward Ivan AFRICH

64y · Male·bronchopneumonia and sepsis with chronic obstructive pulmonary disease in a man …

Edward Ivan Africh, a 64-year-old sentenced prisoner, died from bronchopneumonia and sepsis with chronic obstructive pulmonary disease (emphysema) in the setting of advanced chronic myelomonocytic leukaemia and heart fai…

respiratory medicinecardiologycommunicationsystemthiamine
WAcommunity2023-04-06

Inquest into the Suspected death of Julie CUTLER

22y · Female·unknown

Julie Leanne Cutler, a 22-year-old woman, disappeared on 20 June 1988 after leaving a work function at Perth's Parmelia Hotel. Her car was found two days later in the ocean at Cottesloe Beach, empty of any body or person…

WAhospital2023-03-30

Inquest into the Death of Hugh WARD

89y · Male·Complications of cerebrovascular accident (stroke); specifically a catastrophic …

Hugh Ward, an 89-year-old sentenced prisoner, died from complications of stroke following an embolic cerebrovascular accident at Sir Charles Gairdner Hospital. While incarcerated, Mr Ward had multiple comorbidities inclu…

neurologycardiologycommunicationsystemwarfarin
WA2023-03-13

Inquest into the Death of Frank ALBERT

46y · Male·atherosclerotic heart disease

Frank Albert, a 46-year-old Aboriginal man, died from atherosclerotic heart disease while incarcerated at West Kimberley Regional Prison. Although his death was caused by severe coronary artery disease unrelated to medic…

cardiologyemergency medicinesystemcommunicationquetiapine
WA2023-03-09

Inquest into the Deaths of Douglas Ronald FLOCKTON and Ronald Leslie WHEILDON

Male·Unascertained cause - presumed drowning after being washed off reef into ocean

Two men, Douglas Flockton and Ronald Wheildon, disappeared on 27 May 1976 while hand fishing for crayfish on a reef at the Greenough River mouth near Geraldton, Western Australia. Both were experienced workers in reasona…

WA2023-03-06

Inquest into the Death of Tony Wayne KENNEDY

52y · Male·Multiple injuries

Tony Wayne Kennedy, a 52-year-old man, died by suicide on 8 March 2022 after jumping from a freeway overpass near Perth, Western Australia. He sustained multiple non-survivable injuries including skull fractures, intracr…

WAcommunity2023-02-28

Inquest into the Death of Paul James BRADY

35y · Male·multiple injuries

Paul James Brady, aged 35, died from multiple injuries sustained after jumping from a third-floor apartment balcony on 15 May 2020. Two police officers arrived at the scene within minutes of receiving a call about a man …

emergency medicineforensic medicineproceduraldelaytemazepam
WAhospital2023-02-22

Inquest into the Death of Aishwarya Aswath CHAVITTUPARA

7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)

7-year-old Aishwarya Aswath Chavittupara died from multiorgan failure due to fulminant sepsis (Streptococcus pyogenes) after approximately 90 minutes in Perth Children's Hospital emergency department. She presented with …

emergency medicinepaediatricsdiagnosticcommunication
WAmental health2023-02-13

Inquest into the Death of Philip SULLEY

58y · Male·coronary artery arteriosclerosis (natural causes)

Philip Sulley, 58, died of coronary artery arteriosclerosis on 27 April 2020 at Bentley Mental Health Unit. He presented to Royal Perth Hospital emergency department on 19 April 2020 with psychotic behaviour but was disc…

psychiatryemergency medicinecommunicationolanzapine
WAcommunity2023-02-03

Inquest into the Suspected Death of Roly NIXON

44y · Male·Unascertained; presumed exposure

Roly Nixon, a 44-year-old man with significant medical comorbidities including rheumatic heart disease, diabetes, organic psychosis and seizure disorder, disappeared from Fitzroy Crossing, Western Australia on 28 January…

emergency medicinecardiologywarfarin
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