18 results
58y · Male·acute myocardial infarction caused by ischaemic heart disease
Gregory Merriman, a 58-year-old Aboriginal man, died from acute myocardial infarction caused by advanced ischaemic heart disease while in custody at Metropolitan Reception and Remand Centre on 27 December 2022. He experi…
24y · Male·Hypoxic Ischaemic Encephalopathy due to hanging
Jayke Aleckson, 24, died by hanging in a non-BDRP compliant prison health cell while on remand at Marngoneet Correctional Centre in October 2018. Key clinical lessons: (1) Multiple unmet requests for antidepressant medic…
55y · Male·ischaemic heart disease
Stefan Wakeman, aged 55, died of ischaemic heart disease while in custody at Metropolitan Remand and Reception Centre on 9 June 2019. Autopsy revealed significant coronary artery narrowing (40-50% to 70-80%) with emphyse…
35y · Male·Hanging
Brett McDonnell, a 36-year-old man, died by hanging in January 2018 while subject to a Community Corrections Order and facing pending criminal charges. He had a history of depression treated with Pristiq since 2015, but …
28y · Male·MRSA sepsis
Mahmoud Allam, a 28-year-old man, died from MRSA sepsis whilst in custody at Parklea Correctional Centre. He initially presented with upper respiratory symptoms on 11 June 2016, followed by increasing symptoms including …
49y · Male·bronchopneumonia
49-year-old male seaman died of bronchopneumonia with secondary pericarditis on a cargo vessel 30 nautical miles off Port Hedland. He developed acute abdominal pain and vomiting on 29 September 2012 and deteriorated rapi…
86y · Male·Sepsis with septic shock, due to urinary tract infection, pyelonephritis (kidney…
An 86-year-old man died from sepsis and septic shock secondary to urinary tract infection, pyelonephritis and prostatic infection. He presented to his GP in March 2015 with dizziness and reported urinary incontinence and…
44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)
Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…
33y · Male·presumed fatal cardiac arrhythmia in the presence of coronary artery atheroscler…
Dr D., a 33-year-old physicist, was admitted to Hornsby Hospital on 27 December 2012 with abdominal pain, nausea, vomiting and joint pain. His presentation included hypotension (97/61), tachycardia (116/min), hyponatraem…
66y · Male·Peritonitis secondary to bowel perforation from small bowel obstruction caused b…
A 66-year-old man with a history of appendectomy presented with vomiting and diarrhoea. His GP, Dr D., ordered an abdominal X-ray on 23 June 2010, suspecting bowel obstruction but did not mark it urgent. The radiologist,…
Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…
This landmark inquest examined three deaths involving prescription drug toxicity: Christopher Salib (24, ischaemic heart disease with drug toxicity), Nathan Attard (34, multi-drug toxicity), and Shamsad Akhtar (35, multi…
43y · Male·Acute bacterial meningitis
Robert Spencer, a 43-year-old man, died from acute bacterial meningitis on 3 October 2009. He presented with back pain, fever, and paraesthesia on 25 September, attended Benalla Hospital (discharged home), saw GP Dr S. o…
32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage
A 32-year-old woman with schizophrenia presented to the emergency department with chest pain radiating to both arms, profuse sweating, and vomiting black material for several days. She also reported black stools. The fir…
45y · Male·Fulminant cardio-pulmonary decompression sickness incidental to deep water techn…
Dr B., a 45-year-old experienced recreational diver with multiple medical conditions including obesity, hypertension, Conn's syndrome, and severe obstructive sleep apnoea, died from fulminant cardio-pulmonary decompressi…
31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…
Karl Scholz, 31-year-old male, died from upper airway obstruction due to pharyngeal abscess originating from untreated dental infection. He presented with severe facial cellulitis and abscess following dental procedures …
25y · Female·Ligature Compression of the Neck (Hanging)
Natasha Quartermaine, a 25-year-old female prisoner at Bandyup Women's Prison in Western Australia, died by suicide via ligature compression of the neck on 27 August 2001. She had a long history of mental illness, person…
56y · Female·subarachnoid haemorrhage complicating berry aneurysm of the right middle cerebra…
Margaret Joyce Taylor, aged 56, died from subarachnoid haemorrhage due to rupture of a berry aneurysm on the right middle cerebral artery. She presented to three medical practitioners over 6 days with progressive occipit…
24y · Male·Aspiration of vomit associated with combined drug effect
Martin Raymond Coffey, 24, died from aspiration of vomit associated with combined drug effect while on home detention after serving a prison sentence for traffic offences. He had a history of depression (following the de…
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