Coronial
SAmental health2022-07-08

Coroner's Finding: Cardwell, Phillip David

53y · Male·lung abscess with empyema

A 53-year-old man with schizophrenia died from lung abscess with empyema while an involuntary inpatient at a mental health facility. He had been readmitted with a respiratory infection and was treated with intravenous an…

psychiatryemergency medicinedelayclozapine
QLDhospital2023-10-20

HILSLEY, Herbert

79y · Male·Pneumonia, due to or as a consequence of emphysema (chronic obstructive pulmonar…

Herbert Charles Hilsley, aged 79, died of pneumonia secondary to emphysema with contributing ischaemic heart disease while incarcerated at Rockhampton Base Hospital. He had extensive comorbidities including COPD, ischaem…

respiratory medicinecardiologysalbutamol
TAShome2022-11-11

Coroner's Finding: KL

31y · Male·global hypoxic brain injury secondary to positional asphyxia following an epilep…

KL, a 31-year-old male with longstanding epilepsy, died from global hypoxic brain injury caused by positional asphyxia following an epileptic seizure at home on 26 April 2019. He fell in the toilet during a seizure, beca…

neurologyemergency medicineanti-epileptic medications
TAShospital2025-06-10

Coroner's Finding: Johnston, Trent Ian

40y · Male·aspiration pneumonitis with acute alcoholic hepatitis, pancreatitis, mixed drug …

Trent Ian Johnston, a 40-year-old man with a history of chronic paranoid schizophrenia, alcohol and substance abuse, died from aspiration pneumonitis complicated by mixed drug toxicity (codeine, morphine, diazepam, parac…

emergency medicineintensive carecodeine
WAhospital2023-11-02

Inquest into the Death of Bradley James Raymond STINSON

66y · Male·Cardiac arrhythmia in a man with arteriosclerotic cardiovascular disease, pulmon…

Bradley Stinson, a 66-year-old prisoner with a long history of heavy smoking and alcohol use, died from cardiac arrhythmia in the setting of arteriosclerotic cardiovascular disease, …

palliative careoncologyproceduralsystemoxycodone
SAhospital2016-08-25

Coroner's Finding: SMITH Colin Peter

51y · Male·respiratory failure and cardiac failure on a background of chronic obstructive l…

Colin Peter Smith, aged 51, died of respiratory and cardiac failure from acute pulmonary oedema and pneumonia on a background of chronic obstructive lung disease and ischaemic heart disease. He presented to the Royal Ade…

emergency medicinepsychiatryglyceryl trinitrate
QLDhospital2021-02-24

Fullerton, Robert Martin

59y · Male·Disseminated carcinoma on a background of emphysema

Robert Fullerton, a 59-year-old Aboriginal man from Palm Island, died from disseminated carcinoma while remanded in custody at Townsville Correctional Centre. He presented with abdominal pain on 5 December 2018, was diag…

oncologycardiologyprazosin
VICmental health2014-12-23

Finding into death of David John McLeod

58y · Male·Cardiomegaly and severe single vessel coronary artery atherosclerosis in a man w…

David John McLeod, a 58-year-old man with schizoaffective disorder, was admitted to a psychiatric inpatient unit on 21 August 2012 following mental health deterioration. He presented with signs of infection, received app…

psychiatrygeneral medicinerisperidone
NSWhospital2020-02-12

Inquest into the death of Francis Sawle

82y · Male·Acute myocardial infarction caused by ischaemic heart disease

Francis Sawle, an 82-year-old man in custody, died of acute myocardial infarction due to ischaemic heart disease while an inpatient at Prince of Wales Hospital. He had significant comorbidities including severe triple ve…

cardiologypalliative careperindopril
QLD2013-09-24

Emerton, Andrew John Joseph

43y · Male·Coronary Atherosclerosis

Andrew Emerton, a 43-year-old prisoner with a history of substance abuse and psychiatric treatment, collapsed after vigorous exercise in custody. He called for help reporting shortness of breath and was found unconscious…

cardiologyemergency medicinequetiapine
TAShome2022-02-23

Coroner's Finding: BR - deidentified

0y · Female·Undetermined - coroner unable to determine exact cause; unsafe sleeping environm…

A 5-month-old infant died suddenly in a co-sleeping environment with adults and a toddler in a queen-sized bed with adult bedding. Autopsy revealed no definitive cause but identified significant risk factors: unsafe slee…

paediatricsneonatologysystem
VIChome2021-04-12

Finding into death of Michael James Woodhouse

31y · Male·Coronary artery disease in a man using synthetic cannabinoids

…ar-old man with pre-existing coronary artery disease and supraventricular tachycardia died suddenly after smoking synthetic cannabinoids (Cumyl-PeGACLONE) and drinking alcohol at home. He was found unresponsive approxim…

cardiologypsychiatrycommunicationcumyl-pegaclone
TAScommunity2022-01-05

Coroner's Finding: Forrest, Allan Leslie

66y · Male·blunt trauma head and chest

A 66-year-old man with advanced heart and lung disease attended hospital with calf pain investigated for DVT post-COVID vaccination. He was given anticoagulation and discharged. Despite appearing unwell and unsteady to h…

general practiceemergency medicinediagnosticcommunicationanticoagulation medications
VIChospital2019-09-26

Finding into death of Tangimama Tavai

35y · Female·Unascertained

A 35-year-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements …

obstetricsanaesthesiacommunicationsystemoxytocin
SAmental health2020-06-17

Coroner's Finding: COULTER Brenton Thomas

60y · Male·Ischaemic heart disease

A 60-year-old man with schizophrenia, ischaemic heart disease, previous myocardial infarction and stenting died of acute ischaemic heart disease while an inpatient in a mental health facility under an Inpatient Treatment…

psychiatrycardiologyclozapine
WAprison10July 2014

Inquest into the Death of Michael John KING

48y · Male·Ischaemic Heart Disease in association with Coronary Arteriosclerosis

A 48-year-old Aboriginal man died of ischaemic heart disease with coronary arteriosclerosis while in prison custody. He had significant pre-existing cardiac disease and was diagnosed with myocardial infarction in 1998, y…

cardiologypsychiatrycardiac medications
VIChome2024

Finding into death of S R

29y · Female·Effects of fire

…ther than within them, delaying occupant notification. SR and her housemate had been drinking heavily and smoking throughout the night, impairing their ability to respond to the fire. The coroner highlighted that smoke …

systemalcohol
QLD2009-12-16

Myers, Robert Hayes

63y · Male·Myocardial infarction as a result of long standing ischaemic heart disease and a…

Robert Myers, a 63-year-old prisoner with long-standing ischaemic heart disease and prior coronary artery bypass grafts, died from myocardial infarction three days after discharge from the Princess Alexandra Hospital. He…

cardiologygeneral practice
VIC2023-03-20

Finding into death of Keanne Liza Whittam

43y · Female·Hypoxic ischaemic encephalopathy secondary to out of hospital cardiac arrest due…

…ted to ED 5 months earlier with leg ulcers but was not screened for cardiac disease despite risk factors (smoking, intravenous drug use). No cardiac murmur was documented, and she had no known cardiac history. She was a…

cardiologyemergency medicinediagnosticheroin
WA2019-06-19

Inquest into the Death of Malcolm Patrick O'DRISCOLL

66y · Male·acute myocardial infarction on a background of atherosclerotic cardiovascular di…

Malcolm Patrick O'Driscoll, a 66-year-old life-sentenced prisoner, died on 15 April 2017 at Acacia Prison from acute myocardial infarction on a background of severe atherosclerotic cardiovascular disease. He had been imp…

cardiologyvascular surgery
1891015

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