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QLDcommunity2010-09-29

Dyer, Alan Kent

Male·Gunshot wound to the abdomen

Alan Kent Dyer died from a gunshot wound to the abdomen inflicted by Constable Damro during a police response to a house fire and armed person incident on 31 May 2008. Dyer had a history of depression, previous suicide a…

emergency medicinepsychiatryfluvoxamine
SAhospital2010-09-27

Coroner's Finding: ORMEROD Madison Hayley

4y · Female·consequences of incarcerated congenital left diaphragmatic hernia

Madison Ormerod, aged 4 years, died from incarcerated congenital left diaphragmatic hernia. Over 3 months before death, she presented with persistent vomiting and abdominal pain to her GP and paediatrician. The paediatri…

general practicepaediatricsdiagnosticdelay
QLDcommunity2010-09-16

Petersen, David Robert

35y · Male·intra-abdominal haemorrhage caused by ruptured spleen

A 35-year-old man with chronic liver disease, cirrhosis, hepatitis C and other comorbidities presented to his GP on 24 January 2007 with acute severe chest pain, profuse sweating, shaking, vomiting and a history of passi…

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
VICmental health2010-09-16

Finding into death of Louise Litis

37y · Female·Hypoxic brain injury consequent upon hanging

Louise Litis, 37, died from hypoxic brain injury following a hanging at Northpark Private Hospital's Mother and Baby Unit on 7 December 2007. She had severe recurrent postpartum depression and had attempted suicide two w…

psychiatryintensive carediagnosticcommunicationsertraline
NSWhome2010-09-08

Coroner's Finding: Michael Vanquelef Capel

43y · Male·Multiple gunshot wounds received during a police operation

Michael Capel, 43, suffered from schizophrenia managed with monthly antipsychotic injections from his GP. In October 2008, he missed his injection scheduled for 5 September. His mother noticed behavioural changes and enc…

psychiatrygeneral practicesystemcommunicationhaloperidol
VICaged care2010-09-08

Finding into death of Joan Hendrickson

78y · Female·Aspiration pneumonia, epistaxis, and trauma to the face

Joan Hendrickson, a 78-year-old with vascular dementia, was assaulted by a co-resident at an aged care facility in April 2006, sustaining facial trauma and epistaxis. She died from aspiration pneumonia 10 days later. The…

general practicegeriatric medicinecommunicationsystem
QLDhome2010-09-03

Graham, Travis Noel

31y · Male·Overdose of quetiapine (Seroquel) in combination with alcohol

Travis Graham, a 31-year-old man with a history of mental illness, self-harm, and substance abuse, died from an overdose of quetiapine (Seroquel) combined with alcohol. He had previously overdosed on the same medication …

general practicepsychiatrysystemcommunicationquetiapine
SAhome2010-08-30

Coroner's Finding: VASIC Radisav

72y · Male·ischaemic heart disease

A 72-year-old man with a history of hypertension, diabetes, hypercholesterolaemia, and prior myocardial infarction died of ischaemic heart disease. He was under regular management by his GP who had recently arranged an e…

general practicecardiologyatenolol
NSWhome2010-08-26

Coroner's Finding: Kate Therese Bugmy

26y · Female·Streptococcal Sepsis resulting from Skin Ulceration and complications of Cerebra…

Kate Therese Bugmy, a 26-year-old woman with cerebral palsy, epilepsy, and intellectual disability, died on 28 June 2007 of Streptococcal sepsis from infected pressure ulcers. She was cared for at home by her mother Daph…

general medicineemergency medicinesystemcommunication
VICaged care2010-08-26

Finding into death of Chris Christodoulou

82y · Male·Intracranial haemorrhage secondary to blunt force trauma (fall)

An 82-year-old man resident in a nursing home died from intracranial haemorrhage following a fall. He sustained two falls on 7 March 2009; the first was unwitnessed at 8.24am. When examined after a second fall at 7.35pm,…

geriatric medicinegeneral practicecommunicationsystem
VIChome2010-08-23

Finding into death of PC

20y · Male·pulmonary oedema due to acute on chronic heart failure resulting from dothiepin …

A 20-year-old man died from pulmonary oedema due to acute-on-chronic heart failure resulting from dothiepin overdose. He had complex mental health and substance use issues dating back to age 16. He was prescribed dothiep…

general practicepsychiatrydiagnosticmedicationdosulepin
VICaged care2010-08-19

Finding into death of Raymond Giles

53y · Male·Pneumonia in a man with Down syndrome and dementia; epilepsy

Raymond Giles, a 53-year-old man with Down syndrome, dementia, epilepsy and recurrent chest infections, died of pneumonia while in residential care. On the morning of his death, staff noted a fever treated with paracetam…

general practicerespiratory medicineparacetamol
SAcommunity2010-08-12

Coroner's Finding: BAIS Ricky James

38y · Male·ischaemic heart disease

Ricky James Bais, a 38-year-old man with paranoid schizophrenia and undiagnosed 75% left anterior descending coronary artery narrowing, died during police restraint. He had absconded from mental health detention at Noarl…

psychiatrygeneral practicesystemcommunicationdepot zuclopenthixol
VICcommunity2010-08-06

Finding into death of Lauren Katherine James

26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…

Lauren James, a 26-year-old woman, died from complications of elective liposuction surgery performed on 19 January 2007. She presented to the clinic on 22 January with severe pain and asymmetrical swelling of her left th…

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpethidine
WAcommunity2010-07-30

Inquest into the Death of Dingle

34y · Female·complications of metastatic rectal cancer

Penelope Dingle died of metastatic rectal cancer on 25 August 2005. She was diagnosed with localised rectal cancer in February 2003 when a potential surgical cure was possible. However, she rejected mainstream treatment …

colorectal surgerygeneral practicediagnosticcommunication
VIChome2010-07-21

Finding into death of MF

29y · Female·Multiple stab wounds to the neck

A woman was fatally stabbed 12 times in the neck by her husband during an escalating family violence situation. She had disclosed family violence to Victoria Police on multiple occasions and to her General Practitioner. …

general practiceforensic medicinecommunicationsystem
NTaged care2010-07-05

Inquest into the death of Desmond Waight

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…

palliative caregeneral practicemedicationsystemamoxicillin/clavulanate
QLDcommunity2010-06-25

Livermore, Scott Phillip

Male·Multiple injuries sustained as a front seat passenger in a motor vehicle acciden…

Scott Livermore died as a front passenger in a motor vehicle accident caused by the driver, Maria Waldock, who experienced a seizure while driving. Waldock had been diagnosed with localisation-related epilepsy in 2006 an…

neurologygeneral practicesystemphenytoin
VICaged care2010-06-21

Finding into death of Brian Royce Anderson

50y · Male·coronary artery disease in the setting of double vessel coronary atherosclerotic…

Brian Anderson, a 50-year-old quadriplegic resident of a disability support centre, died from coronary artery disease with double vessel disease and cardiomegaly. He had recently experienced a chest infection treated wit…

cardiologygeneral practiceantibiotics
VIC2010-06-18

Finding into death of Warwick Lorne Greville

68y · Male·Multiple injuries sustained in a motor vehicle collision (passenger)

Five Victorians, including Dr G. (aged 68, general practitioner), died on 10 January 2006 when their tour bus crashed near Cairo, Egypt. The bus left the road after the driver lost control on a descent following a left-h…

general practicesystem
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