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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
TAShospital2023-10-11

Coroner's Finding: Jones, Emily Margaret Rose

82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…

Mrs Emily Jones, 82, died from subdural haematoma following an unwitnessed fall at Royal Hobart Hospital on 15 November 2021. She was admitted five days after discharge from Hobart Private Hospital where she was treated …

cardiologyemergency medicinemedicationcommunicationmetoprolol
TASaged care2023-10-10

Coroner's Finding: Rouse, Wayne Victor

68y · Male·Sudden cardiac death due to congestive cardiac failure and chronic obstructive p…

Wayne Victor Rouse, 68, died from sudden cardiac death at a residential aged care facility when CPR was not provided despite his active resuscitation order. Staff incorrectly believed he had a 'do not resuscitate' order …

geriatric medicinecardiologycommunicationsystem
VIChospital2023-10-06

Finding into death of G A

86y · Female·Bradycardic arrest secondary to relative hypoperfusion while undergoing surgery …

An 86-year-old woman underwent elective surgery to excise a probable squamous cell carcinoma from her left hand with split-thickness skin grafting under local anaesthesia with intravenous sedation. She suffered an unexpe…

dermatologyplastic and reconstructive surgerymedicationpropofol
WA2023-09-14

Inquest into the Death of Shane Reynold NARRIER

40y · Male·coronary artery atherosclerosis

Shane Narrier, a 40-year-old Aboriginal man, died from coronary artery atherosclerosis on 5 June 2020 at Acacia Prison. On 27 May 2020, he reported chest pains via the Custody Messaging System (CMS) to a prison nurse. Th…

cardiologyemergency medicinediagnosticcommunicationescitalopram
NSWhospital2023-09-13

Inquest into the death of Jeffrey Blundell

44y · Male·cardiogenic shock, on a background of severe tricuspid valve regurgitation, seve…

Jeffrey Blundell, a 44-year-old man with severe intravenous drug use history, died from cardiogenic shock secondary to severe tricuspid valve regurgitation caused by infective endocarditis from non-sterile injection prac…

cardiothoracic surgerycardiologyhydromorphone
TAShospital2023-09-12

Coroner's Finding: Harris, Peter Blackwell

75y · Male·pneumonia and head injury from fall

Peter Harris, aged 75, was admitted with behavioural disturbance and hyponatraemia (low serum sodium of 124 mmol/L). Initial clinical assessment did not identify falls risk. After 4 days, he fell backwards suddenly while…

general medicinegeriatric medicinediagnosticquetiapine
VIChospital2023-09-11

Finding into death of Catherine Mary Lyons

59y · Female·Complications of Trisomy 21

Catherine Mary Lyons, aged 59 with trisomy 21 and moderate intellectual disability, died from complications of her underlying condition. She presented with respiratory tract infection symptoms on 8 December 2022 and was …

general practiceemergency medicineamoxicillin/clavulanate
VICcommunity2023-09-07

Finding into death of Angelo Anthony Gioscio

55y · Male·cardiac arrest in the setting of methylamphetamine toxicity, with possible serot…

Angelo Gioscio, aged 55, died from cardiac arrest in the setting of methylamphetamine toxicity with possible serotonin syndrome, complicated by pre-existing cardiac and respiratory disease, whilst in police presence. He …

forensic medicinetoxicologymethamphetamine
SAhospital2023-08-30

Coroner's Finding: Fergusson, Logan Scott

0y · Male·hypoxia and reduced pulmonary perfusion complicating congenital heart disease

Logan Scott Fergusson, a 6½-week-old neonate with complex congenital heart disease (pulmonary atresia with ventricular septal defect), died from hypoxia and reduced pulmonary perfusion following surgery at the Royal Chil…

cardiologypaediatricsdelaydiagnosticheparin
TAShome2023-08-18

Coroner's Finding: Lukacevich, Anton

64y · Male·coronary atherosclerosis with early myocardial infarction

A 64-year-old man suffered acute myocardial infarction at home. His wife called triple-0 at 10:34 am reporting classic cardiac symptoms: sudden sweating, shortness of breath, and shoulder pain. The emergency dispatch sys…

cardiologyemergency medicinesystemcommunication
VICcommunity2023-08-18

Finding into death of Jackson David Eales

27y · Male·Injuries sustained in motor vehicle collision (driver)

Jackson Eales, 27, died in a motor vehicle collision at an intersection when truck driver Gerard Voss failed to stop at a stop sign in December 2016. The coroner found it highly probable Voss had undiagnosed severe obstr…

general practicecardiologysystemdelay
NSWcommunity2023-08-01

Inquest into the death of Peter Gretton

64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…

Peter Gretton, a 64-year-old man imprisoned at Junee Correctional Centre, died from metformin toxicity complicated by acute renal impairment and severe lactic acidosis. His renal function deteriorated in the three to fou…

emergency medicinecardiologydiagnosticcommunicationmetformin
NSW2023-07-24

Inquest into the death of Barry Faulkner

70y · Male·ischaemic and valvular heart disease with chronic pulmonary disease being a sign…

Barry Faulkner, aged 70, died of ischaemic and valvular heart disease with chronic pulmonary disease while in lawful custody at Long Bay Correctional Complex on 25 January 2020. He suffered a sudden cardiac arrest while …

cardiologygeneral medicine
NSW2023-07-21

Inquest into the death of Reuben Button

34y · Male·ischaemic heart disease secondary to coronary atherosclerosis as an antecedent c…

Reuben Button, a 34-year-old Aboriginal man, died in custody from ischaemic heart disease secondary to coronary atherosclerosis. During his 5-year imprisonment, his weight increased from 86kg to 162kg despite attempts at…

psychiatrygeneral practicediagnosticsystembuvidal
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
VIC2023-07-12

Finding into death of Carl Anthony Van Der Kaay

50y · Male·Cardiomegaly and ischaemic coronary artery disease

A 50-year-old man with significant cardiac risk factors (family history of heart disease, prior coronary stent, diabetes, hypertension, hypercholesterolaemia, smoking) collapsed in cardiac arrest on a V/Line train. Despi…

cardiologyemergency medicinesystembisoprolol
QLDhospital2023-07-05

Conlon, Edgar

75y · Male·End-stage renal disease, with hypertension, ischaemic heart disease, and diabete…

Edgar Hugh Sandow, a 75-year-old First Nations man, died from end-stage renal disease while incarcerated at Princess Alexandra Hospital Secure Unit. He had multiple comorbidities including heart failure, diabetes, hypert…

nephrologycardiologyaspirin
QLDhospital2023-06-30

Booth, Yvette and Sandy, Adele and George, Shakaya (“RHD Doomadgee Cluster”)

Female·Betty: cardiac arrhythmia complicating heart failure due to consequences of past…

This inquest examined three deaths of young Aboriginal women from Doomadgee (ages 18, 37, and 17) from rheumatic heart disease (RHD) complications between September 2019 and September 2020. All three deaths were preventa…

cardiologyemergency medicinecommunicationsystempenicillin
VIChome2023-06-30

Finding into death of John Salemme

48y · Male·Cardiac hypertrophy, combined with effects of gamma hydroxybutyrate and amphetam…

A 48-year-old man with previously undetected cardiac hypertrophy died from a combination of cardiac arrhythmia triggered by illicit drug use (GHB and amphetamines). He collapsed at a friend's house after drug ingestion a…

emergency medicineforensic medicinecommunicationdelaygamma hydroxybutyrate
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