158 results
36y · Male·perforated duodenal ulcer
Ricky Douglas Hampson, a 36-year-old First Nations man, presented to Dubbo Base Hospital on 14 August 2021 with sudden onset severe abdominal pain and a reported sensation of something popping in his abdomen. He had two …
1y · Female·viral respiratory tract infection (Parainfluenza and Respiratory Syncytial Virus…
Matilda Armstrong, a 12-month-old previously well child, died from viral respiratory tract infection (Parainfluenza and RSV) complicated by Streptococcus pyogenes sepsis following recent COVID-19 infection. She presented…
1y · Male·acute meningitis from Streptococcus pneumoniae, associated with diffuse brain sw…
Noah Souvatzis, a 19-month-old boy, died from Streptococcus pneumoniae meningitis on 31 December 2021 after presenting to Northeast Health Wangaratta ED on 29 December. Critical failures in his first ED presentation incl…
29y · Male·Mixed drug toxicity, most significantly methamphetamine and buprenorphine, with …
Dion Moore, a 29-year-old Aboriginal man, died on 5–6 January 2019 from mixed drug toxicity (methamphetamine and buprenorphine), with heat and dehydration as significant contributing factors. After running out of fuel wi…
2y · Female·Complications of bacterial chest infection (Staphylococcus aureus)
A 2-year-old Aboriginal and Torres Strait Islander girl died from complications of bacterial chest infection (Staphylococcus aureus) with concurrent Human metapneumovirus infection, presenting as left empyema and bilater…
8y · Female·Unascertained; circumstances suggest possible mechanical asphyxia in co-sleeping…
An 8-month-old premature infant died of unascertained causes while co-sleeping with her mother on a fold-out couch. Post-mortem examination revealed no significant injuries or toxins, but the sleeping position raised the…
47y · Female·insulin and mixed drug toxicity, the result of actions undertaken by the decease…
A 47-year-old woman with depression and a history of suicidal ideation died from insulin and mixed drug toxicity after deliberately injecting insulin from her daughter's insulin pens. She had been seen by her GP seven ti…
26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia
Ashleigh Rebecca Hunter, a previously healthy 26-year-old, died from meningococcal septicaemia (W strain) within 3 hours of arriving at Royal Perth Hospital. She presented with severe generalised pain (10/10), tachycardi…
57y · Male·Chronic Coronary Artery Atherosclerosis in the context of mirtazapine toxicity
A 57-year-old male prisoner died of chronic coronary artery atherosclerosis in the context of mirtazapine toxicity. He had been incarcerated for over 40 years following conviction for two murders committed at age 16. The…
7y · Female·Pneumonia complicating a viral respiratory illness with acute combined drug effe…
Child ML, aged 7, died of pneumonia complicating viral respiratory illness with acute combined drug effect. She had severe cerebral palsy with complex care needs including PEJ tube feeding and multiple medications. At th…
15y · Male·Electrocution
JH, a 15-year-old with Autism Spectrum Disorder and Major Depressive Disorder, died by electrocution at home on 16 September 2019. He had been experiencing suicidal ideation for months and was discharged from inpatient p…
Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…
This coronial finding examined four police suicides in Tasmania between 2016-2020. Constable Hunt died by gunshot wound after being stood down from duty without welfare support; his personal phone was unlawfully seized, …
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…
46y · Male·Opioid toxicity (tapentadol and oxycodone)
Bradley Liefvoort, 46, died from opioid toxicity (tapentadol and oxycodone) at home in Dandenong. Over a decade of prescription medication misuse began with ibuprofen for headaches, escalating to opioid dependence follow…
1y · Female·sudden cardiac death on a background of rhinovirus infection
Harriet Ostler, a 19-month-old toddler, was admitted to Port Macquarie Base Hospital with viral respiratory symptoms and died from sudden cardiac death due to underlying myocarditis/cardiomyopathy precipitated by rhinovi…
8y · Male·ischaemic bowel due to strangulated small bowel obstruction secondary to congeni…
An eight-year-old boy with autism spectrum disorder (level 1) died from ischaemic bowel due to strangulated small bowel obstruction from a rare congenital band adhesion. He presented to a regional hospital with abdominal…
58y · Male·coronary artery arteriosclerosis (natural causes)
Philip Sulley, 58, died of coronary artery arteriosclerosis on 27 April 2020 at Bentley Mental Health Unit. He presented to Royal Perth Hospital emergency department on 19 April 2020 with psychotic behaviour but was disc…
3y · Male·Disseminated Staphylococcus aureus infection
A 3-year-old Aboriginal boy died from disseminated Staphylococcus aureus infection with sepsis. He presented to a remote clinic on 10 April with fever and dizziness, then returned on 13 April with irregular fever, lethar…
66y · Male·Ruptured abdominal aortic aneurysm
A 66-year-old man presented to the Emergency Department with left-sided abdominal pain on 14 July 2021. After waiting over 6 hours in a crowded ED with restricted access to treatment spaces, he left without medical asses…
40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…
Micky Craig Revera, a 40-year-old man with chronic heroin addiction, died in Melbourne Assessment Prison on 18 February 2019 from unascertained causes. He was arrested on 12 February after erratic driving, underwent poli…
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