Coronial
VIChome2017-12-04

Finding into death of Leigh Thomas Aiple

31y · Male·Pulmonary thromboembolism

A 31-year-old man with obesity (BMI 40.2) and sleep apnoea underwent extensive cosmetic surgery in Malaysia (liposuction, abdominoplasty, chest lipectomy, and subsequent facial procedures) across two operations within fi…

plastic and reconstructive surgerygeneral surgerydiagnosticmedicationenoxaparin
QLD2006-02-24

Hendy, Albert William

41y · Male·Coronary artery thrombosis due to or as a consequence of coronary atherosclerosi…

Albert William Hendy, a 41-year-old prisoner, died suddenly in custody from coronary artery thrombosis due to coronary atherosclerosis. He sustained a minor head laceration on the day of death which received appropriate …

emergency medicineforensic medicine
SAaged care2026-06-19

Coroner's Finding: Fowle, Colleen Margaret

78y · Female·urinary tract infection and pneumonia on a background of facial fractures and de…

A 78-year-old woman with mixed dementia living in aged care suffered an unwitnessed fall on 22 March 2023, sustaining facial fractures and eye laceration. The fractures were not identified during her initial hospital ass…

general practicegeriatric medicinediagnostic
NSWhospital2014-05-09

Inquest into the death of Tama GALIERE

0y · Unknown·focal ventricular myocarditis and myonecrosis resulting from migration of a Peri…

…e migration is essential; using image intensification during insertion reduces risk; and consideration of suturing in specific contexts. The hospital implemented comprehensive improvements including daily PICC line check…

paediatricsanaesthesiaproceduralcommunication
SAcommunity2019-03-27

Coroner's Finding: AMOS Serina May

34y · Female·Blunt force trauma on a background of contributing ischaemic heart disease

A 34-year-old Aboriginal woman died from blunt force trauma inflicted by her domestic partner over a prolonged period. Critical failures in police coordination and communication systems delayed apprehension of the perpet…

communicationsystem
SAhospital2000-02-25

Coroner's Finding: STONEHOUSE Jarrod William (aka Scott)

23y · Male·aspiration of blood due to stab wound to trachea

23-year-old man with self-inflicted stab wound to neck presenting to emergency department while intoxicated and agitated. Ambulance noted 3cm laceration to midline trachea with minimal external bleeding. Registered nurse…

emergency medicinesurgerydiagnosticcommunicationalcohol
VIChospital2015-12-02

Finding into death of Justin Damien Connell

37y · Male·Multiple injuries (motor vehicle impact – pedestrian)

Justin Connell, a 37-year-old man with schizophrenia, died from multiple injuries sustained in a pedestrian–motor vehicle collision on 13 February 2013. He had been diagnosed with schizophrenia in October 2012 and prescr…

psychiatryemergency medicinecommunicationsystemaripiprazole
NSWhospital2025-08-14

Inquest into the death of Margaret Mariani

88y · Female·Complications of cholecystectomy surgery

…y for gallstone-induced pancreatitis. An iatrogenic small bowel perforation, likely caused by inadvertent suturing during closure, led to peritonitis and aspiration pneumonia. Critical failures in post-operative care at …

surgerygeneral surgerycommunicationdelayfentanyl
SAcommunity2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

John Matthew Murray, aged 35, died from pulmonary thromboembolism caused by deep vein thrombosis following a severe motorcycle accident that resulted in pelvic and leg fractures. He was treated surgically at Royal Adelai…

orthopaedic surgeryemergency medicinemedicationsystemheparin
SAhospital2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

John Matthew Murray, aged 35, died of pulmonary thromboembolism complicating pelvic and leg fractures sustained in a motorcycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic sur…

orthopaedic surgerytrauma surgerymedicationsupervisionheparin
SAhospital2000-11-20

Coroner's Finding: MIDDLETON Geraldine Ruth

45y · Female·haemorrhage due to traumatic rupture of the liver

A 45-year-old woman with a long history of bipolar disorder and personality disorder presented to the ED at 2:30 AM after cutting her wrist deeply with a carving knife. The treating casualty officer did not properly docu…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
VIC2022-06-03

Finding into death of Micky Craig Revera

40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…

Micky Craig Revera, a 40-year-old man with chronic heroin addiction, died in Melbourne Assessment Prison on 18 February 2019 from unascertained causes. He was arrested on 12 February after erratic driving, underwent poli…

emergency medicineforensic medicinediagnosticcommunicationheroin
QLDhospital2007-10-29

Cvitic, Nardia Annett

30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…

Ms Cvitic, a 30-year-old woman with cervical cancer, underwent radical hysterectomy on 11 February 2002. She collapsed on 14 February with signs of hypovolaemic shock (haemoglobin 5.3 g/dL). Dr W. performed emergency lap…

oncologygeneral surgerydiagnosticmedicationheparin

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