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QLDcommunity2006-02-23

Bismark, Lex Robert

Male·Avulsion of the brain stem and upper cervical spinal cord suffered when struck b…

Lex Robert Bismark died after being struck by a motor vehicle on the Barkly Highway in Mt Isa during NAIDOC week celebrations on 12–13 July 2002. Following a fight at the Barkly Hotel, a large group spilled onto the high…

general practiceophthalmologycommunicationsystemserapax
SAcommunity2006-02-22

Coroner's Finding: SINCLAIR-SPAAN Christopher James

21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…

A 21-year-old man died from massive internal bleeding into the pelvis and retroperitoneum following a motor vehicle collision with a stobie pole in rural South Australia. He was trapped for over 2 hours before extricatio…

intensive caretrauma surgerycommunicationsystem
WAhospital2005-12-13

Inquest into the Death of Peter Daryl Samson

20y · Male·Pelvic Injury

Peter Daryl Samson, a 20-year-old Aboriginal male, died from a pelvic fracture sustained in a motor vehicle rollover on 22 September 2003. He was brought to Derby Regional Hospital where he was assessed briefly by nursin…

emergency medicinegeneral practicediagnosticdelayalcohol
WAhospital2005-11-25

Inquest into the Death of Waretini

46y · Male·Upper airway obstruction due to acute tonsillitis with laryngeal oedema and haem…

A 46-year-old man with acute tonsillitis complicated by upper airway obstruction died at Cunderdin District Hospital. He presented with severe pharyngitis on 5 September 2002, was admitted to Kellerberrin Memorial Hospit…

general practiceemergency medicinecommunicationsystempenicillin
QLDmental health2005-11-09

Community Mental Health Patient

20y · Male·hanging

A 20-year-old male with major depressive disorder and melancholic features was admitted to psychiatric hospital on 4 June 2003 under an indefinite involuntary treatment order by consultant psychiatrist Dr P.. The next da…

psychiatrygeneral practicediagnosticcommunicationsertraline
WAcommunity2005-11-04

Inquest into the Death of Sheridan Troy Hilton

42y · Female·Ligature compression of the neck (hanging)

Sheridan Troy Hilton, a 42-year-old woman with a history of depression and substance abuse, died by suicide on 31 August 2003 while in an unwell mental state. She experienced significant psychosocial stressors including …

general practicepsychiatrycommunicationsystemmirtazapine
WAhospital2005-09

Inquest into the Death of Vicki Anne Greaves

36y · Female·Pneumonia complicating combined drug effect

Vicki Anne Greaves, 36, died on 18 March 2004 at Royal Perth Hospital Emergency Department from pneumonia complicating combined drug effect. She was subject to an Intensive Supervision Order for drug-related offences. On…

addiction medicinepsychiatrycommunicationsystemheroin
WAhospital2005-09

Inquest into the Death of Maria Donatelli

72y · Female·Peritonitis due to perforated diverticulum in transverse colon

Maria Donatelli, a 72-year-old woman with cardiac and renal disease, presented to Peel Health Campus with abdominal pain and vomiting. She was initially managed conservatively with a provisional diagnosis of pancreatitis…

general surgeryemergency medicinediagnosticcommunicationtramadol
NThospital2005-08-26

Inquest into the death of Sampson Paii

35y · Male·Disseminated Lymphoblastic Lymphoma

A 35-year-old Aboriginal man died from disseminated lymphoblastic lymphoma while in prison custody. He presented with progressive symptoms including oedema, shortness of breath, and difficulty walking. Dr J. appropriatel…

haematologycardiologycommunicationdiagnostic
NTcommunity2005-07-19

Inquest into the death of Carlene Coombe

43y · Female·stab wound to the chest; contributing factors were aspiration of stomach content…

A 43-year-old Aboriginal woman died from a stab wound to the chest in circumstances that remain unclear. She had a complex history of depression, alcohol dependence, and family crisis (children removed from her care). Sh…

forensic medicinegeneral practicealcohol
WAhome2005-07

Inquest into the Death of taylor

29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath

Louis Bernard Taylor, a 29-year-old Aboriginal male, died from a penetrating wound to the neck inflicted by himself on 23 August 2002. Recently released from prison after four years incarceration, Louis was attempting to…

psychiatrygeneral practicecannabis
SAhospital2005-06-03

Coroner's Finding: SORENSEN Ruth Bengta Maria

69y · Female·faecal peritonitis due to small bowel obstruction and perforation due to periton…

A 69-year-old woman presented to the Emergency Department with abdominal pain and vomiting. The doctor did not take adequate history, perform thorough physical examination, or order basic investigations including blood t…

emergency medicinesurgerydiagnosticcommunicationprochlorperazine
SAprison2005-05-31

Coroner's Finding: McLEOD Ian

45y · Male·bronchopneumonia and suppurative bronchitis complicating hypoxic brain damage

Ian McLeod, a 45-year-old lawyer with alcohol dependence and depression, died from hypoxic brain damage and bronchopneumonia following a hanging while in custody at Yatala Labour Prison. Multiple system failures contribu…

psychiatrycorrectional healthdiagnosticcommunicationdiazepam
WAhome2005-05-01

Inquest into the Death of Christopher Nigel Spinks

35y · Male·Acute Staphylococcus aureus Meningitis

Christopher Nigel Spinks, a 35-year-old tree surgeon, died of acute Staphylococcus aureus meningitis on 3 December 2002. He initially presented on 27 November 2002 with neck pain following a windsurfing accident. Dr R. n…

general practiceemergency medicinediagnosticdelaynurofen plus
WAcommunity2005-05

Inquest into the Death of Adam David McKay

31y · Male·Pulmonary thromboembolism arising from deep vein thrombosis

Adam David McKay, a 31-year-old geologist, died from pulmonary thromboembolism arising from deep vein thrombosis on 23 January 2003. He had recently completed extensive long-haul flights to West Africa and returned on 13…

general practiceemergency medicinediagnosticcommunication
SAcommunity2005-03-14

Coroner's Finding: Ryan Kunmanara

Unknown·Multiple; Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposu…

Four Aboriginal individuals died on Anangu Pitjantjatjara Lands between May 2003 and March 2004. Ward (19) and Ryan (25) died by hanging with evidence of petrol intoxication. Ken (35) died from exposure after wandering a…

psychiatryemergency medicinedelaysystempetrol
SAcommunity2005-03-14

Coroner's Finding: Cooper Kunmanara

Male·Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposure in cont…

Four separate inquests into the deaths of Kunmanara Ward (19), Kunmanara Ken (35), Kunmanara Ryan (25), and Kunmanara Cooper (27) on the Anangu Pitjantjatjara Lands between May 2003 and March 2004. Three deaths were by h…

psychiatrygeneral practicedelaycommunicationpetrol
NThospital2005-03-01

Inquest into the death of Debbie Douglas

3y · Female·Complications resulting from progressive right ventricular failure as a conseque…

Debbie Anne Douglas, a 3-year-old Aboriginal girl with DiGeorge syndrome and complex congenital heart disease, died from progressive right ventricular failure. She had been in state care since August 2003 due to parents'…

paediatricscardiologyamoxicillin
SAhome2005-01-18

Coroner's Finding: WILSON Anthony Trent

34y · Male·multiple myeloma

Anthony Trent Wilson, aged 34, died of multiple myeloma on 18 August 2003 while on compassionate leave from prison. He was diagnosed with multiple myeloma in December 2001 while in custody at Adelaide Remand Centre await…

haematologypalliative care
QLDhome2005

Shaw, Lillian Margaret

67y · Female·perforated gastric ulcer; morphine toxicity also made a significant contribution

Mrs Lillian Shaw, a 67-year-old obese woman with a history of NSAID use, presented with vomiting and abdominal pain over 36 hours. A GP visited three times without performing adequate physical examination, failed to insp…

general practicegastroenterologydiagnosticmedicationtramadol
193949599

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