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WAcommunity2020-05-14

Inquest into the Suspected Death of Thomas Dominic RAE

25y · Male·immersion in water (drowning)

Thomas Dominic Rae, aged 25, disappeared while rock fishing at Shelley Beach, Western Australia on 7 July 2019 and is presumed drowned. He had a history of mental health issues (anxiety, depression, bipolar affective dis…

emergency medicinepsychiatry
VIChospital2020-05-12

Finding into death of Richard Mark Ray

49y · Male·Complications of Influenza A infection

Richard Mark Ray, a 49-year-old prisoner, died from complications of Influenza A infection after deteriorating rapidly from initial viral symptoms. He presented on 18 March 2019 with fever, body aches and cough, treated …

infectious diseasesintensive caredelayparacetamol
VICcommunity2020-05-11

Finding into death of Jolanta Boyd

48y · Female·Multiple injuries sustained when struck by a train

Jolanta Boyd, a 48-year-old woman with documented mental health conditions including suicidal ideation, alcohol use disorder, and anxiety, died by suicide on 18 June 2018 when she jumped in front of a train at Windsor ra…

psychiatryemergency medicinecommunicationsystemalcohol
SAhospital2020-05-08

Coroner's Finding: FORT Merilyn Jane

62y · Female·general inanition on a background of end-stage dementia

Merilyn Jane Fort, aged 62, died from general inanition on a background of end-stage Alzheimer's dementia whilst subject to a Mental Health Act Inpatient Treatment Order. She presented with severe behavioural disturbance…

geriatric medicinepsychiatryclonazepam
SAhospital2020-05-08

Coroner's Finding: DUNBAR Brian Samuel

75y · Male·pulmonary thromboembolus due to left calf deep vein thrombosis with contributing…

Brian Samuel Dunbar, aged 75, died from pulmonary thromboembolus secondary to left calf deep vein thrombosis, complicated by Influenza A infection and Parkinson's disease. He was under an Inpatient Treatment Order (ITO) …

psychiatrygeneral medicine
SA2020-05-08

Coroner's Finding: CANHAM Craig Nicholas

63y · Male·cardiac arrhythmia complicating recent posterior myocardial infarct with underly…

Craig Nicholas Canham, aged 63, died in custody at Yatala Labour Prison from cardiac arrhythmia complicating a recent posterior myocardial infarction with underlying hypertrophic cardiomyopathy. He had suffered a myocard…

cardiologygeneral practicetenecteplase
QLDrural hospital2020-05-08

FD - Non-inquest findings

68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…

A 68-year-old woman with oculopharyngeal muscular dystrophy died from sepsis due to peritonitis following dislodgement of a PEG tube inserted on 27 February 2018. She presented to a rural hospital 5.5 hours post-discharg…

gastroenterologyemergency medicinediagnosticcommunicationaugmentin duo
VICcommunity2020-05-07

Finding into death of Mark Beames

44y · Male·Unascertained

Mark Beames, a 44-year-old Aboriginal man with epilepsy, acquired brain injury, and alcohol dependency, disappeared on 4 September 2014 from Swan Hill, Victoria. He had recently been discharged from hospital after self-d…

psychiatryneurologydiazepam
QLDhome2020-05-06

T and P - Non-inquest findings

Female·Drowning

Two young sisters, aged 4 and 3 years, drowned in a residential swimming pool while unsupervised. Both parents were present in the home but inattentive—the mother was asleep in the bedroom while the father was using his …

paediatricsemergency medicinesupervisionsystem
VIChospital2020-05-05

Finding into death of John Hayle

76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …

John Hayle, a 76-year-old with Alzheimer's dementia, ischaemic heart disease, and spinal fractures sustained a T11/12 flexion-distraction fracture on 9 June 2017. Over three weeks, he developed progressive bilateral lowe…

neurosurgerygeriatric medicinediagnosticcommunicationmk8931
VICcommunity2020-05-01

Finding into death of Joelene Therese Dowden

37y · Female·Hypoxic ischaemic brain injury complicating aspiration of gastric contents

Joelene Dowden, 37, died from hypoxic-ischaemic brain injury following aspiration of gastric contents. She presented at Alfred Hospital ED on 9 July 2017 with erratic behaviour, then went to a tram stop where she express…

emergency medicineintensive caredoxylamine
SAmental health2020-04-30

Coroner's Finding: BENN John Harold

70y · Male·ischaemic heart disease

A 70-year-old man with ischaemic heart disease, dementia, diabetes, hypertension and aortic stenosis died suddenly of acute myocardial infarction while in compulsory mental health detention. He had fallen the previous mo…

psychiatrygeriatric medicine
VIChome2020-04-28

Finding into death of Baby M

0y · Male·Unascertained in the setting of detected methylamphetamine

A nearly 4-month-old boy was found unresponsive in his bassinet and could not be revived. Autopsy revealed facial bruising and injuries, and toxicological analysis detected methylamphetamine in his blood and hair. The ca…

forensic medicinetoxicologymethamphetamine
WAhospital2020-04-24

Inquest into the Death of Hassan BECHARA

52y · Male·ischaemic heart disease

Hassan Bechara, a 52-year-old prisoner, died from ischaemic heart disease in July 2017. He had complex cardiac history including dilated cardiomyopathy, triple-vessel coronary disease, and previous cardiac procedures. Cl…

cardiologyemergency medicinedelaysystematorvastatin
TAShospital2020-04-23

Coroner's Finding: Hyde, Zachary Tyler

20y · Male·diffuse hypoxic brain injury complicating exsanguination and cardiac arrest seco…

Zachary Tyler Hyde, aged 20, died from diffuse hypoxic brain injury following exsanguination and cardiac arrest caused by a stab wound to the left femoral artery inflicted during an altercation. This case highlights the …

trauma surgeryintensive care
TAShospital2020-04-23

Coroner's Finding: Hayward, Vanessa Claire

Female·Chest and abdominal injuries sustained in a motor vehicle crash

Vanessa Claire Hayward died from massive chest and abdominal injuries sustained in a motor vehicle collision. An unlicensed driver, traveling at 77-80 km/h in a 50 km/h zone in an unroadworthy vehicle with defective tyre…

trauma surgeryemergency medicine
VIChospital2020-04-23

Finding into death of John Alexander King

60y · Male·Mixed drug toxicity

A 60-year-old man with schizophrenia and depression presented to Maroondah Hospital ED with acute psychotic symptoms after stopping his antipsychotic medication (trifluoperazine) due to manufacturer discontinuation. He w…

emergency medicinepsychiatrysystemcommunicationtrifluoperazine
VIChospital2020-04-22

Finding into death of Dale Roberts

54y · Male·Aspiration pneumonia

Dale Roberts, a 54-year-old man with cerebral palsy, intellectual disability, epilepsy and severe dysphasia, died from aspiration pneumonia following admission to Box Hill Hospital. He was admitted with aspiration pneumo…

emergency medicinegeneral medicine
VICaged care2020-04-22

Finding into death of Dorothy May Nelson

81y · Female·Complications of choking on a food bolus in a woman with dementia

Dorothy May Nelson, an 81-year-old woman with dementia, died from complications of choking on a food bolus at an aged care facility. She was served diced beef in casserole (approximately 4cm bolus found at autopsy, despi…

geriatric medicinepsychiatrydiagnosticproceduralmorphine
TAS2020-04-20

Coroner's Finding: Petterwood, Michael Lewis

59y · Male·atherosclerotic coronary vascular disease

Michael Lewis Petterwood, a 59-year-old zinc smelter worker with 32 years at his employer, collapsed suddenly at work and died of atherosclerotic coronary vascular disease. Autopsy revealed severe coronary stenosis (80% …

occupational and environmental healthcardiologydelay

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