52 results
86y · Male·ischaemic and hypertensive heart disease
An 86-year-old man died of ischaemic and hypertensive heart disease while serving a prison sentence. He had multiple comorbidities including atrial fibrillation, congestive cardiac failure, and cirrhosis. The coroner exa…
61y · Male·Intracranial haemorrhage and myocardial infarct
A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. Paramedics identified STEMI and administered heparin on advice from Austin…
58y · Male·Pulmonary thromboembolism complicating right calf deep venous thrombosis
Michael Burns, 58, presented to hospital with exertional chest pain and shortness of breath. He was diagnosed with stable angina and discharged home on cardiac medications. He returned the next day with dizziness attribu…
59y · Male·multiorgan failure complicating paracetamol toxicity
David James Dorling, a 59-year-old man with multiple sclerosis, ischaemic heart disease, and diabetes, ingested 90-100 paracetamol tablets on 1 February 2024 with suicidal intent. He attended court the next day and was r…
0y · Male·Complications of birth-related traumatic head injury
Tasman Murray Tribe, a neonate born at 36 weeks gestation, died at 7 days of age from complications of birth-related traumatic head injury. Labour was prolonged in the second stage; instrumental delivery was attempted bu…
55y · Male·Complications of liver cirrhosis and hepatocellular carcinoma in a man with mult…
Robert Exell, a 55-year-old Aboriginal man, died from complications of liver cirrhosis and hepatocellular carcinoma while in custody. He had chronic hepatitis C and alcohol-related liver disease since at least 2012. Key …
Female·Vlasta Wylucki: ischaemic heart disease due to coronary atherosclerosis (previou…
Two women died of natural causes in Queensland police watchhouses but supervisory failures raised serious concerns. Ms Wylucki (50) died from ischaemic heart disease after inadequate cell checks failed to detect her vomi…
76y · Male·Terminal pancreatic cancer
76-year-old Robert Leonard Morris died from terminal pancreatic cancer while serving a custodial sentence at Port Phillip Prison. He had been diagnosed with inoperable pancreatic adenocarcinoma in December 2020 and comme…
67y · Male·Ischaemic heart disease; coronary artery atherosclerosis (stented)
A 67-year-old man with extensive cardiac history presented to the ED with recurrent ischaemic-sounding chest pain. Despite multiple episodes of chest pain during admission, initial ECGs and troponins were normal. Followi…
68y · Male·Multi-organ failure due to gram-negative sepsis on a background of recent myocar…
A 68-year-old male prisoner with multiple comorbidities (diabetes, end-stage renal failure, COPD, morbid obesity) presented with acute myocardial infarction and underwent coronary artery bypass grafting. Post-operatively…
64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…
Peter Gretton, a 64-year-old man imprisoned at Junee Correctional Centre, died from metformin toxicity complicated by acute renal impairment and severe lactic acidosis. His renal function deteriorated in the three to fou…
46y · Male·atherosclerotic heart disease
Frank Albert, a 46-year-old Aboriginal man, died from atherosclerotic heart disease while incarcerated at West Kimberley Regional Prison. Although his death was caused by severe coronary artery disease unrelated to medic…
81y · Female·Cardiac tamponade secondary to dissection of ascending aorta
An 81-year-old woman with hypertension and hypercholesterolaemia presented to the ED with sudden-onset central chest pain radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrom…
50y · Male·ischaemic heart disease
Paul Reid, a 50-year-old Aboriginal man with severe ischaemic heart disease and poor medication compliance, died of a cardiac arrhythmia during his arrest by South Australian Police. He was highly intoxicated (BAC 0.25%)…
68y · Male·Complications following myocardial infarction and its treatment in a man with mu…
Salvatore Otranto, a 68-year-old prisoner with multiple severe comorbidities including ischaemic heart disease, diabetes, COPD, and chronic kidney disease, died from complications of myocardial infarction and its treatme…
43y · Female·Multisystem organ failure and hypoxic/ischaemic encephalopathy following anaphyl…
Peta Hickey, a 43-year-old company executive with no cardiac history, died from anaphylaxis to CT coronary angiogram contrast after her employer commissioned an inappropriate screening program. The referral lacked clinic…
55y · Male·Ischaemic heart disease in a man with multiple system atrophy (Parkinsonian type…
A 55-year-old man with ischaemic heart disease and multiple system atrophy (MSA) died suddenly in custody from natural causes. He presented with tremors and collapse in 2017, and was appropriately diagnosed with MSA Park…
1y · Male·Head injury in the setting of labour
Finn Moser was a one-day-old neonate who died from head injury sustained during labour and delivery at the Royal Women's Hospital. He was born to a mother with dichorionic diamniotic twins, induced at 36 weeks due to pre…
44y · Female·acute myocardial infarction due to coronary thrombosis
A 44-year-old Aboriginal woman died from acute myocardial infarction (heart attack) due to coronary thrombosis while in custody at Bandyup Women's Prison in Western Australia. She had multiple cardiovascular risk factors…
70y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis
A 70-year-old sentenced prisoner with severe ischaemic heart disease and prior myocardial infarctions died from acute myocardial infarction with coronary artery atherosclerosis. He presented with severe chest pain on 5 O…
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