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NThome2004-12-24

Inquest into the death of Marie Kirwin

39y · Female·drowning associated with drug toxicity

Marie Kirwin, aged 39, died by drowning in her home swimming pool in the early hours of 15 September 2002. Toxicological analysis revealed a toxic level of temazepam (1.2 mg/L) and therapeutic level of promethazine in he…

general practicetoxicologytemazepam
NTcommunity2004-12-14

Inquest into the death of Nikita Anderson

0y · Female·bronchopneumonia caused by hypoxic brain damage caused or contributed to by meni…

A 9-month-old Aboriginal girl died from bronchopneumonia caused by hypoxic brain damage following cardiorespiratory arrest due to meningitis and seizures. During resuscitation at a rural GP clinic, a CO₂ cylinder was ina…

general practicepaediatricsproceduralsystemadrenaline
SAhome2004-11-18

Coroner's Finding: CUNNINGHAM Tracey-Lee

26y · Female·morphine toxicity complicated terminally by bronchopneumonia

A 26-year-old woman with chronic migraines and depression died from morphine toxicity complicated by aspiration pneumonia. She had a documented history of drug-seeking behaviour, forged prescriptions, and doctor-shopping…

general practiceneurologymedicationdiagnosticmorphine
WAhome2004-11-09

Inquest into the Death of Marlene Faye Ware

56y · Female·Cardiac Failure Secondary to Atherosclerotic Heart Disease, Systemic Hypertensio…

Marlene Faye Ware, a 56-year-old Aboriginal woman serving home detention for traffic offences, collapsed suddenly at home on 24 November 2002 and died in the Emergency Department of Royal Perth Hospital. She had Type II …

general practiceemergency medicine
QLDcommunity2004-10-28

Cif Shoobridge Gr 20041028

25y · Male·Cardiorespiratory failure due to unpredictable additive effect of combination of…

George Shoobridge, a 25-year-old man with a long history of polydrug addiction, died from cardiorespiratory failure caused by the unpredictable additive effect of multiple drugs in combination (diazepam, morphine, codein…

general practiceaddiction medicinecommunicationsystemdiazepam
WAhome2004-10-28

Inquest into the Death of Kelly

33y · Female·Combined drug toxicity, with thioridazine as the principal component, in the con…

Lou Ann Kelly, aged 33, died on 3 April 2003 at Royal Perth Hospital ICU from combined drug toxicity, primarily thioridazine, after consuming large quantities of prescription medications with alcohol. She collapsed at he…

general practicepsychiatrysystemthioridazine
WAcommunity2004-10-08

Inquest into the Death of Morgan

31y · Male·Lymphocytic Myocarditis in association with Acute Pericarditis (viral origin, ae…

Norman John Morgan, aged 31, died at Carnarvon Airport on 21 December 2001 from lymphocytic myocarditis with acute pericarditis (viral origin). He presented to Carnarvon Regional Hospital on 20 December with chest and sh…

general medicineemergency medicinecommunicationsystemceftriaxone
SAcommunity2004-09-10

Coroner's Finding: CORNISH Peter Henry

43y · Male·aspiration of vegetable matter with occlusion of the upper airway

Peter Cornish, a 43-year-old man with a 17-year history of bipolar disorder, died on 25 September 2001 from aspiration of vegetable matter while experiencing a severe manic episode. In the two weeks before his death, mul…

psychiatryemergency medicinediagnosticsystemcannabis
WAhospital2004-08-16

Inquest into the Death of Gregory Andrew Furniss

25y · Male·cerebral craniopharyngioma

Gregory Andrew Furniss, a 25-year-old male with a history of asthma and congenital cataracts, presented to Swan District Hospital on 11 August 2002 with a persistent headache. He was seen by Dr H. (registrar) who diagnos…

emergency medicinegeneral practicediagnosticdelayterbutaline
SA2004-08-06

Coroner's Finding: FREDERICKS Jeffrey Ronald

41y · Male·haemorrhage due to incised wounds to left and right cubital fossae

Jeffrey Ronald Fredericks, aged 41, died in Adelaide Remand Centre custody from haemorrhage due to self-inflicted incised wounds to both cubital fossae. Critical clinical lessons: screening tools identified significant s…

general practiceemergency medicinediagnosticcommunicationdosulepin
NThome2004-08-05

Inquest into the death of Stephen Power

35y · Male·left lower lobe pneumonia

Stephen John Power died of left lower lobe pneumonia on 5 September 2003 after two failed emergency calls requesting ambulance assistance. On Thursday 4 September, dispatcher Coralie Holland failed to send an ambulance d…

emergency medicineparamedicinecommunicationsystemflucloxacillin
SAhospital2004-07-30

Coroner's Finding: NOVAKOVIC Nikola

64y · Male·hypoxic encephalopathy, secondary to cardiac arrest, secondary to myocardial inf…

A 64-year-old man with paranoid psychosis, poorly controlled diabetes, ischaemic heart disease, atrial fibrillation, congestive cardiac failure, and chronic obstructive airways disease died from hypoxic encephalopathy fo…

psychiatrygeneral practicehaloperidol
SAmental health2004-07-30

Coroner's Finding: CURNOW Robert Norman

81y · Male·myocardial infarction

An 81-year-old man with dementia died of myocardial infarction while detained under Mental Health Act orders at Glenside Hospital. He was admitted for aggression and cognitive deterioration. Over three weeks, his psychia…

psychiatrygeneral practiceolanzapine
WAhome2004-06-04

Inquest into the Death of Paul John Long

37y · Male·Acute Aspiration Pneumonitis following on Quetiapine Ingestion

Paul John Long, a 37-year-old man with chronic schizoaffective disorder and alcohol dependence, died on 4 November 2002 from acute aspiration pneumonitis following quetiapine overdose. After presenting to Avro Clinic in …

psychiatrygeneral practicecommunicationsystemquetiapine
SA2004-04-06

Coroner's Finding: WALKER Robert Anthony

55y · Male·Ascent barotrauma resulting in cerebral arterial gas embolism (CAGE) and drownin…

A 55-year-old man with undiagnosed viral myocarditis and cardiomegaly died from cerebral arterial gas embolism (CAGE) during a scuba dive at 37 metres depth. Despite being advised by his cardiologist not to dive, he igno…

diving medicinecardiologydiagnosticcommunication
SAcommunity2004-04-06

Coroner's Finding: BARRINGTON Jennifer Lee

44y · Female·salt water drowning due to ascent barotrauma (cerebral arterial gas embolism)

Jennifer Lee Barrington, age 44, died from salt water drowning due to ascent barotrauma (cerebral arterial gas embolism/CAGE) during a recreational scuba dive. She had significant undisclosed medical conditions including…

diving medicinehyperbaric medicinediagnosticcommunication
WAcommunity2004-03-11

Inquest into the Death of Warren Bradley Jack

29y · Male·Head Injury

Warren Bradley Jack, 29-year-old fisherman, died from severe head injury after falling from a fishing vessel during a refuelling operation. On 24 April 2000, after returning from a fishing trip, he consumed approximately…

emergency medicineintensive carealcohol
WA2004-03-02

Inquest into the Death of Natasha Leanne Quartermaine

25y · Female·Ligature Compression of the Neck (Hanging)

Natasha Quartermaine, a 25-year-old female prisoner at Bandyup Women's Prison in Western Australia, died by suicide via ligature compression of the neck on 27 August 2001. She had a long history of mental illness, person…

psychiatrygeneral practicecommunicationsystemzuclopenthixol
NThospital2004-01-16

Inquest into the death of Souzana Afianos

41y · Female·secondary haemorrhage following gastric banding surgery

A 41-year-old enrolled nurse died from secondary haemorrhage eight days after laparoscopic gastric banding surgery in Darwin. She attended ED on 18 February with post-operative pain; Dr McNair discharged her after two ho…

general surgeryemergency medicinecommunicationsystemparacetamol/codeine
ACThome2003-12-23

Inquest Into The Manner And Cause Of Death Of Neil Summerell

34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…

Neil Summerell, a 34-year-old man with intellectual disability, epilepsy, and vision/hearing impairment, died from acute gastric erosions following severe scalding injuries sustained on 29 November 1999. He was scalded t…

emergency medicinegeneral practicesystemcommunication
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