Coronial
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TAShospital2026-02-24

Coroner's Finding: Bradley, Steven Basil

65y · Male·Acute on chronic subdural haematoma caused by accidental falls

Steven Basil Bradley, 65, died from acute on chronic subdural haematoma following an unwitnessed fall in hospital. He had metastatic prostate cancer, ischaemic heart disease, and diabetes. On admission for chest sepsis, …

oncologygeneral medicinesystemdelay
TAShospital2024-09-30

Coroner's Finding: Newell, Warren James

71y · Male·raised intracranial pressure caused by left frontal-temporal-parietal subdural h…

Warren James Newell, a 71-year-old man with oesophageal cancer, presented with acute coronary syndrome on 29 September 2022 and was appropriately diagnosed and treated with anticoagulation and dual antiplatelet therapy. …

cardiologyemergency medicinemedicationsystemenoxaparin
TAShome2024-08-05

Coroner's Finding: de-identified TJ

82y · Male·Self-inflicted partial contact shotgun wound of the head

An 82-year-old man with recently diagnosed myeloma died by self-inflicted shotgun wound. He had undergone intensive chemotherapy causing significant deterioration in physical health, mental state, and independence. Six w…

oncologygeneral practicecommunicationsystem
TAShome2023-05-04

Coroner's Finding: Chuah Soo Lan

65y · Female·undetermined; possibly ischaemic heart disease or squamous cell carcinoma of ton…

A 65-year-old Malaysian woman with advanced squamous cell carcinoma of the tongue refused medical treatment due to visa concerns and preference for alternative therapy. She deteriorated over months with worsening oral sy…

oncologydentistrydelaysystem
TASaged care2022-11-09

Coroner's Finding: Tate, Barry Ronald

75y · Male·bronchopneumonia

Barry Ronald Tate, 75, died of bronchopneumonia following a fall at a palliative care ward. He sustained an unwitnessed fall on 26 September 2019 while attempting to shave himself without assistance, despite being advise…

palliative careoncology
TAShome2022-10-28

Coroner's Finding: O'Shea, Amie Maree

39y · Female·mixed prescription drug and alcohol toxicity (ethanol, tapentadol, tramadol, pro…

Amie Maree O'Shea, aged 39, died from mixed prescription drug and alcohol toxicity on 19-20 May 2019. She consumed excessive alcohol at a social gathering then ingested multiple CNS depressants (tapentadol, tramadol, pro…

pathologytoxicologytapentadol
TAShome2022-09-20

Coroner's Finding: Hill, Sandra Germaine

67y · Female·mixed prescription drug toxicity (oxycodone and oxazepam); central nervous syste…

Sandra Germaine Hill, 67, died from mixed prescription drug toxicity (oxycodone and oxazepam) combined with alcohol on 26-27 April 2019. She had multiple chronic conditions including Waldenstrom's macroglobulinaemia, ost…

general practiceoncologyoxycodone
TAShospital2022-08-09

Coroner's Finding: Mann, David

75y · Male·Pneumonia due to metastatic mesothelioma following exposure to asbestos at workp…

David Cecil Mann, aged 75, died of pneumonia as a complication of metastatic mesothelioma on 8 September 2020. The mesothelioma resulted from asbestos exposure during his 45-year career at the New Norfolk paper mill. His…

oncologyrespiratory medicine
TAShospital2022-04-13

Coroner's Finding: Callinan, Damian Francis

51y · Male·progressive high-grade right frontal glioma (glioblastoma multiforme)

Damian Callinan, aged 51, died from progressive high-grade glioblastoma multiforme on 3 February 2021 after 12 days of admission to Royal Hobart Hospital. He had undergone maximal therapy (surgery, radiation, chemotherap…

oncologyneurosurgery
TASmental health2021-05-21

Coroner's Finding: Hanson, Sungwaan

64y · Female·stage IVB metastatic adenocarcinoma of the rectum

Sungwaan Hanson, a 64-year-old woman with a 35-year history of treatment-resistant schizophrenia, died from stage IVB metastatic adenocarcinoma of the rectum at the Roy Fagan Centre on 27 May 2020. She had been subject t…

psychiatrygeneral medicine
TAShome2020-07-16

Coroner's Finding: Alsop, Olaf Paul

54y · Male·asphyxia due to hanging

A 54-year-old man with long-standing mental health issues, substance use disorder, and terminal lung cancer died by hanging. He had a history of suicide attempts and was receiving palliative care. In his final months, he…

general practicepalliative carecodeine
TAShospital2019-03-22

Coroner's Finding: Morris, Jason Simon

48y · Male·metastatic squamous cell carcinoma of the lung

Jason Simon Morris, a 48-year-old man with a history of heavy smoking and alcohol abuse, was diagnosed with stage four metastatic small cell lung cancer while imprisoned in June 2018. He declined chemotherapy due to feel…

oncologypalliative care
TAShospital2018-10-19

Coroner's Finding: Dufty, David Richard

58y · Male·metastatic carcinoma of the pancreas

David Dufty, aged 58, died from metastatic pancreatic cancer while detained under a Mental Health Act treatment order in the ICU of Royal Hobart Hospital. He was admitted with psychosis in December 2016. On 5 January 201…

psychiatryanaesthesia
TAShospital2018-09-21

Coroner's Finding: Patrick, Robert David

65y · Male·ruptured abdominal aortic aneurysm

A 65-year-old man with recently diagnosed small cell lung cancer presented to a rural hospital with acute back pain. He had a known abdominal aortic aneurysm (73mm) identified on staging scans. The attending nurse docume…

emergency medicinegeneral practicediagnosticcommunicationmorphine
TAShospital2018-03-19

Coroner's Finding: Bessell, Lynne

67y · Female·metastatic carcinoma of the colon

Lynne Maree Bessell, aged 67, died of metastatic colon cancer at North West Regional Hospital on 13 March 2016. She had a history of bipolar affective disorder managed at the Spencer Clinic and was subject to a mental he…

oncologypsychiatry
TAShospital2016-07-18

Coroner's Finding: Henriksen, Wendy Margaret

72y · Female·probable sepsis complicating chemotherapy for non-Hodgkin's lymphoma

A 72-year-old woman died of sepsis complicating chemotherapy for non-Hodgkin's lymphoma. She presented to ED with severe abdominal pain, elevated lactate (6.1 mmol/L), and signs of shock. The surgical team failed to reco…

emergency medicinesurgerydiagnosticdelaypiperacillin/tazobactam

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