Coronial
VIChome2011-09-15

Finding into death of Geordie Rose Duguid

16y · Female·Myocardial fibrosis (post myocarditic) resulting in fatal cardiac arrhythmia

Geordie Rose Duguid, 16 years old, collapsed and died at a private party after vomiting in a toilet. She had a history of glandular fever diagnosed late 2009. Post-mortem examination revealed myocardial fibrosis with wid…

cardiologyemergency medicineadrenaline
TAS2021-02-05

Coroner's Finding: Greene, Yvonne Beverley

73y · Female·head injuries suffered in a fall; skull fractures with bruising to the brain and…

…al skull fractures with subarachnoid haemorrhage. Pacemaker data showed brief ventricular tachycardia and asystole occurring as a consequence of the fall rather than preceding it. The coroner found no evidence of stair n…

cardiologygeneral practice
VICcommunity2012-08-16

Finding into death of Janice King

45y · Female·Epilepsy

45-year-old woman with chronic epilepsy and intellectual disability died following a prolonged seizure with cardiac arrest at a supported accommodation facility. She was found fitting, became unresponsive and apnoeic wit…

intensive careemergency medicinesodium valproate
NSWhospital2021-02-08

Inquest into the death of Simone O'Donnell

24y · Female·Cardiac conducting system disease leading to asystole against a background of a …

…l with a respiratory tract infection and bradycardia with left bundle branch block. She deteriorated into asystole during overnight monitoring. Cardiac telemetry alarms sounded for approximately 25-30 minutes but nursing…

cardiologyemergency medicinesystemcommunicationoxycodone
VIC2016-06-20

Finding into death of Elizabeth Joy Whelan

63y · Female·Cardiomegaly in a woman with aortic stenosis

…spiratory tract infection treated with antibiotics. On 18 May 2016, she collapsed with cardiac arrest and asystole while at the group home. Post-mortem examination confirmed enlarged heart with left ventricular hypertrop…

cardiologygeneral practiceroxithromycin
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
NSWcommunity2011-03-11

Coroner's Finding: Shayne Hamilton McMahon

20y · Male·Widespread hypoxic brain injury secondary to cardiac arrhythmia, ventricular fib…

Shayne McMahon, 20, died on 7 April 2007 from cardiac arrhythmia and hypoxic brain injury after exposure to butane from a severed LPG gas line at North Star Holiday Resort. As an unlicensed apprentice plumber/gasfitter, …

emergency medicineintensive careproceduralsystem
NSW2024-07-03

Inquest into the death of Charles Yan

30y · Male·mixed drug toxicity (MDMA, methylamphetamine and methoxyamphetamine)

…exemplary and no alternative treatment would have altered the outcome, as Charles developed non-shockable asystole (a nearly universally fatal rhythm). Key clinical lessons: stimulant toxicity can progress rapidly to sud…

emergency medicinetoxicologyMDMA
NSWcommunity2024-07-08

Finding into death of Jesse Lee Christopher EDWARDS

20y · Male·Prone restraint asphyxia in the setting of alcohol intoxication and centripetal …

Jesse Edwards, a 20-year-old Yorta Yorta and Mutthi Mutthi man, died from prone restraint asphyxia following a physical altercation outside a nightclub in Swan Hill. He was restrained face-down by a security officer for …

forensic medicineemergency medicineproceduralalcohol
VICcommunity2015-07-01

Finding into death of Robert Peter Ferrier

47y · Male·Drug toxicity in the setting of restraint

Robert Ferrier, aged 47, died from drug toxicity in the setting of restraint after ingesting excessive quantities of prescription antidepressants and other medications during a mental health crisis. The expert panel conc…

emergency medicinetoxicologyamitriptyline
VICmental health2021-08-20

Finding into death of Marilyn

62y · Female·Unascertained

…e at 7:30am after being given olanzapine 2.5mg at 1:00am the previous night. Despite CPR, she remained in asystole and died. No autopsy was performed due to family religious objections. The coroner identified no clear de…

psychiatrygeriatric medicinefluoxetine
SAhome2020-01-10

Coroner's Finding: PEARCE Heather Diane

47y · Female·Carbon monoxide toxicity

A 47-year-old woman died from carbon monoxide toxicity while showering in a bathroom equipped with a non-compliant, unflued instantaneous gas hot water heater installed circa 1996. The heater, at least 45 years old when …

VICcommunity2012-01-19

Finding into death of Jimmy Nguyen

15y · Male·drowning

A 15-year-old boy with poor swimming ability drowned at South Melbourne Beach on 29 December 2009 in rough conditions (45-75cm waves, active rips and gutters). He had consumed minimal alcohol and fish and chips before sw…

emergency medicinepathologysystem
TAShome2022-05-18

Coroner's Finding: Masters, Shane Anthony

40y · Male·Sudden Unexpected Death in Epilepsy (SUDEP) resulting from post-traumatic brain …

Shane Masters died from Sudden Unexpected Death in Epilepsy (SUDEP) 12 years after sustaining a severe traumatic brain injury at work. On 19 May 2008, a hydraulic jack dislodged while repairing a fully loaded truck in a …

neurosurgeryrehabilitation medicinesystemprocedural
VIChospital2014-10-01

Finding into death of Raymond John O_Brien

71y · Male·acute myocardial infarction due to coronary artery disease

Raymond O'Brien, a 71-year-old forensic patient with a history of ischaemic heart disease, hypertension, and dyslipidaemia, was admitted to hospital with chest pain in August 2013. Initial diagnosis of non-ST elevation a…

cardiologypsychiatryaspirin
VICaged care2011-09-05

Finding into death of Neil Charles Bethune

83y · Male·Ischaemic heart disease secondary to coronary atherosclerosis

…vestigations, he was discharged to Normanby House where he died suddenly during sleep 24 hours later with asystole confirmed. The coroner found no clinical care failures contributed to death. A family concern regarding f…

psychiatrygeriatric medicineoxazepam
TAShome2023-10-25

Coroner's Finding: de-identified IY

54y · Male·Acute exacerbation of chronic obstructive pulmonary disease due to inhalation of…

A 54-year-old male with chronic obstructive pulmonary disease died from acute exacerbation triggered by inhalation of xylene during hobby spray-painting work. He was not wearing protective equipment despite warnings on p…

respiratory medicinecardiologytramadol
VIC2024-11-12

Finding into death of Master K

2y · Male·Drowning

Master K, a two-year-old, drowned in a hotel pool after falling from a step into the deeper adult pool section. He remained unnoticed underwater for over nine minutes while his mother was distracted by her mobile phone, …

communicationsystemmorphine
TAScommunity2023-12-15

Coroner's Finding: Macpherson James Edward

29y · Male·blunt trauma of the chest

A 29-year-old male died from blunt chest trauma sustained in a mountain bike crash at Maydena Bike Park, Tasmania. He was an intermediate rider on an appropriate blue-trail track when he crashed, likely due to his front …

emergency medicineretrieval medicine
VICcommunity2021-08-18

Finding into death of David Perry

35y · Male·unascertained - multifactorial: underlying ischaemic heart disease, drug intoxic…

David Perry, aged 35, died from unascertained causes during police arrest at Bellbrae on 11 January 2019. He presented to The Alfred with acute paranoia, hallucinations and agitation following synthetic cannabis use, and…

emergency medicinepsychiatrysynthetic cannabinoids

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