Coronial
VIChospital2022

Finding into death of Ms S

63y · Female·Sepsis complicating cellulitis following skin cancer excision and skin graft pro…

A 63-year-old woman died from sepsis complicating cellulitis following elective skin cancer excision and skin graft performed in a general practitioner's clinic. The lesion was a squamous cell…

general practiceplastic and reconstructive surgeryantibiotics
VIChospital2015-02-17

Finding into death of Margaret Teresa O'Donnell

69y · Female·Congestive cardiac failure

Margaret O'Donnell, a 69-year-old woman with complex medical history including heart failure, diabetes, obesity and hypertension, died from congestive cardiac failure. She was admitted to Austin Hospital on 16 March 2013…

cardiologygeriatric medicine
VIChospital2014-06-20

Finding into death of Rosalie Anne King

29y · Female·Bronchopneumonia in a woman with brain injury

A 29-year-old Aboriginal woman suffered a motor vehicle collision resulting in severe multi-system injuries requiring multiple surgical interventions. Eleven days after transfer to the trauma ward, she experienced sudden…

trauma surgeryintensive care
TAShome2026-02-17

Coroner's Finding: Gregory and Diane Burkhalter

73y · Male·Gregory Frank Burkhalter: carbon monoxide toxicity due to inhalation of carbon m…

Two elderly US-born residents died in a house fire caused by a 120-volt electric blanket operating on Australia's 230-volt grid, resulting in insulation failure and combustion. Mr Burkhalter (73) died from carbon monoxid…

emergency medicineanaesthesiasystem
SAhospital2019-03-08

Coroner's Finding: PETERS Clinton Neal

40y · Male·metastatic malignant melanoma

A 40-year-old man with metastatic melanoma died at Queen Elizabeth Hospital on 2 September 2015. He had atypical nevi removed in 2009 and melanoma diagnosed in 2013, initially undergoing surgery with curative intent. How…

oncologyemergency medicinediagnosticdelay
QLDhospital2026-04-14

Inquest into the death of Francis Michael Fahey

70y · Male·Metastatic melanoma with ischaemic heart disease as a contributing condition

Francis Michael Fahey, a 70-year-old prisoner, died from metastatic melanoma with contributing ischaemic heart disease. He presented with a rapidly enlarging axillary mass in February 2023, confirmed as metastatic melano…

oncologygeneral medicinesystemdelayimmunotherapy
SAhospital2011-08-05

Coroner's Finding: SEMMLER Howard Malcolm

60y · Male·cardiorespiratory failure due to malignant pleural effusion due to metastatic ma…

A 60-year-old man with diabetes presented with a plantar heel ulcer in March 2007 that was initially treated as a diabetic foot ulcer. The lesion failed to heal over 16 months despite standard care including wound dressi…

general practiceorthopaedic surgerydiagnosticdelay

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