29 results
58y · Female·Complications of poorly controlled type 2 diabetes
Ms Kathleen Earl, aged 58, died from complications of poorly controlled type 2 diabetes in June 2022. She had an intellectual disability and received support from IHCS (Individual Support Worker) since 2005. Critical def…
34y · Female·multiple drug toxicity
Katherine Alexander, a 34-year-old woman with chronic suicidality and complex mental health conditions including bipolar II disorder, borderline personality disorder, and PTSD, died from multiple drug toxicity on 7-8 Feb…
46y · Male·Cardiomegaly
Aleksander Kojic, 46 years old, collapsed at a supported residential service for people with intellectual disabilities and died from cardiomegaly (enlarged heart weighing 802g with biventricular dilation). The autopsy fo…
59y · Female·Myocardial infarction secondary to ischaemic heart disease
Colleen Mary Chapman, a 59-year-old woman with intellectual disability living in a community residential unit, died of myocardial infarction secondary to ischaemic heart disease, with WHO Class IV obesity as a contributi…
51y · Female·Mixed drug toxicity
A 51-year-old woman with longstanding treatment-resistant depression, chronic pain, and suicidal ideation died from mixed drug toxicity. She intentionally overdosed on multiple medications including benzodiazepines, anti…
56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
Daniel Frawley, a 56-year-old former AFL player and coach, died in a single-vehicle collision when his utility struck a tree at high speed (minimum 132 km/h) on a rural road. The coroner found he intentionally took his o…
58y · Male·Multifocal hepatocellular carcinoma due to cirrhosis of the liver due to hepatit…
Michael Leslie Burrell, a 58-year-old prisoner with terminal hepatocellular carcinoma secondary to hepatitis C and cirrhosis, died in the Princess Alexandra Hospital Secure Unit. He was admitted to the ED on 17 September…
61y · Female·respiratory failure consistent with end-stage chronic obstructive airways disord…
A 61-year-old woman with chronic obstructive airways disease, liver disease, depression, and alcohol dependence died from respiratory failure. Her general practitioner prescribed a contraindicated combination of central …
26y · Female·Multiple drug toxicity
Alissa Campbell, aged 26, died from accidental drug overdose caused by multiple prescription medications—predominantly codeine and doxepin in combination with benzodiazepines. She had accessed prescription drugs from at …
62y · Male·undetermined
Thangarajah Sithamparapillai, a 62-year-old accountant, disappeared on 9 October 2015 after being last seen in bed appearing unwell. His car was found at Coogee beach car park. The coroner found he died on or about 9 Oct…
51y · Female·combined effects of ischaemic and valvular heart disease and combined drug (doth…
Leanne Maree Stacey, aged 51, died on 25 November 2014 at her home in Latrobe, Tasmania. She was discovered lying on the floor by her mother and sister the following morning. The coroner found the cause of death to be th…
60y · Male·medication overdose
Bruce Andrews, a 60-year-old man with major depression and anxiety, died from medication overdose following relationship breakdown and acute alcohol intoxication. He fell from his porch, called his granddaughter reportin…
50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…
Joel Kenneth Anderson, aged 50, died from hepatic encephalopathy secondary to advanced liver cirrhosis complicated by hepatitis C and hepatocellular carcinoma. He presented to hospital with end-stage liver disease, ascit…
53y · Female·Combined drug toxicity (propranolol and insulin)
A 53-year-old registered nurse with longstanding depression, anxiety and benzodiazepine dependency died from combined drug toxicity (propranolol and insulin) in what was determined to be an intentional overdose. Ms Webst…
52y · Female·ischaemic and hypertensive heart disease
A 52-year-old woman with depression, diabetes, and hypertension died at home from ischaemic and hypertensive heart disease. She was prescribed dothiepin 225mg daily for depression management. Following gallbladder surger…
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 …
35y · Male·Choking due to impaction of soap in airway
A 35-year-old man with treatment-resistant depression and complex psychiatric presentation died from choking on a bar of soap while in involuntary psychiatric care. He had attempted multiple suicides previously. Clinical…
34y · Male·Mixed drug toxicity
Rajesh Pala, a 34-year-old man with polysubstance abuse disorder, borderline personality disorder, and chronic depression, died from mixed drug toxicity following discharge from The Alfred psychiatric unit. He was admitt…
37y · Female·exsanguination from incised wounds to right wrist and elbow
Tracey Inglis, a 37-year-old woman with chronic pain from multiple orthopaedic injuries, hepatitis C, and a history of suicidal ideation, died by suicide while imprisoned. Critical clinical lessons include: the Initial R…
62y · Male·Ischaemic heart disease due to coronary atherosclerosis
Peter Albert Begg, a 62-year-old prisoner, died of ischaemic heart disease due to severe coronary atherosclerosis with contributing dothiepin toxicity. He collapsed while pushing a food trolley and did not respond to res…
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