848 results
32y · Male·ligature compression of the neck (hanging)
Aaron Luke Prisgrove, a 32-year-old man with depression, alcohol abuse, and acromegaly, died by hanging on 12 July 2011, shortly after involuntary admission to Graylands Hospital's Smith Ward. He had presented to Tom Pri…
32y · Male·Gunshot wound to the neck
Brian Bottomley, 32, was shot and killed by Wayne Joannou on 2 February 2005 after being accused of informing police about an unregistered car transaction. Joannou discharged one shot from a black handgun into Bottomley'…
26y · Male·Gunshot wound to head
Wayne Joannou, 26, died from a gunshot wound to the head on 18 February 2005 when the Special Operations Group attempted his arrest. He was a known violent offender with a 10-year criminal history and substance abuse iss…
76y · Female·Immersion (with underlying cause undetermined in circumstances of a fall into a …
76-year-old woman with vascular dementia and wandering behaviour was found submerged in a courtyard water fountain at an aged care facility after a fall. She remained unattended in a hazardous area for approximately 51 m…
46y · Male·Consistent with exhaust fumes toxicity (suicide by carbon monoxide)
A 46-year-old teacher, Gavin Lyle Woods, died by suicide after prolonged workplace stress and an undertreated major depressive disorder. He had been a deputy principal at Burpengary State School for only five months. Cli…
17y · Female·Combined Drug Toxicity (heroin, alprazolam and diazepam)
A 17-year-old female with complex mental health and substance use disorders died from combined drug toxicity (heroin, alprazolam, and diazepam) following release from youth detention. Despite extensive involvement from d…
26y · Male·Injuries sustained when struck by a train (pedestrian)
Christopher Clough, a 26-year-old man, was struck by a train while running on a railway track reserve near Pakenham. He was wearing earphones and listening to music, which prevented him from hearing the train approaching…
31y · Male·Multidrug overdose including heroin
LP, a 31-year-old man with depression, severe anxiety, and substance use disorder, died from multidrug overdose including heroin. He had long-standing benzodiazepine (Xanax) abuse since his late teens, complicated by met…
45y · Female·Combined Drug Toxicity
Christina Mifsud, aged 45, died from combined drug toxicity including methadone, diazepam, paroxetine and cannabis. She accessed methadone prescribed to her partner stored unsecured in their home. The coroner identified …
38y · Male·Aspiration of Gastric Content and Combined Drug Toxicity (Methadone, Benzodiazep…
A 38-year-old man died from aspiration of gastric content secondary to combined drug toxicity involving methadone, benzodiazepines, olanzapine and alprazolam. He had confused the day of the week and self-administered two…
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…
27y · Male·Hanging
Richard Hilton, a 27-year-old with longstanding bipolar affective disorder and benzodiazepine dependence, presented to Werribee ED three times in two months with suicidal ideation and self-harm attempts. Each time he was…
87y · Female·heart failure and probable pneumonia in an elderly lady complicated by morphine …
An 87-year-old woman with dementia, heart disease, and hypertension presented with chest pain and hypoxia. A locum doctor (Dr B.) administered 20mg morphine intramuscularly without reviewing the patient's notes, medical …
28y · Male·Overdose of Clozapine
A 28-year-old man with schizophrenia and substance abuse history died from clozapine overdose. Key clinical failures included: inadequate assessment of suicide risk when prescribing one month's supply to a patient presen…
27y · Female·opiate toxicity (fentanyl)
Hayley Fisher, a 27-year-old midwife at King Edward Memorial Hospital, died from accidental opiate toxicity after injecting a fatal quantity of fentanyl she obtained from a patient-controlled analgesia device. She had a …
34y · Female·Mixed drug toxicity (ethanol, methadone, diazepam and risperidone)
Cassilla Ellen Dooley, a 34-year-old woman with chronic mental illness and substance dependence, died from mixed drug toxicity involving ethanol, methadone, diazepam, and risperidone at a supported housing facility. She …
41y · Male·multi-organ failure due to severe lactic acidosis due to metformin toxicity
A 41-year-old man with depression, anxiety, and substance abuse history deliberately ingested 390 metformin tablets on 24 December 2009 in a suicide attempt. He presented to the ED conscious and coherent, reporting the o…
38y · Male·mixed drug toxicity and arrhythmogenic right ventricular dysplasia
Shane Andrew Kromwyk, aged 38, died at home on 14 March 2009 while on home detention bail. Post-mortem examination revealed mixed drug toxicity (methadone, diazepam, alprazolam) combined with pre-existing arrhythmogenic …
47y · Male·Severe Community Acquired Pneumonia; Aspiration; Critical Care Neuropathy; Cereb…
Peter Mallia, a 47-year-old man with cerebral palsy and intellectual disability, died of severe community-acquired pneumonia, aspiration, and critical care neuropathy on 31 July 2011, while in intensive care at Northern …
26y · Female·Hypoxic brain injury in the setting of immersion
Amy Hauserman, a 26-year-old woman with schizophrenia and anorexia, was admitted to a psychiatric ward with acute psychosis due to non-compliance with clozapine. Over two days, she developed severe abdominal pain and con…
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