2,765 results
29y · Female·Hypoxic Encephalopathy consequent upon Cardiorespiratory Arrest arising from eit…
Helen Grainger, 29, with polycystic kidney disease and asthma, underwent pregnancy termination at Lambton Road Day Surgery in April 2007. She developed anaphylaxis post-procedure (likely cephalosporin-triggered) with car…
Unknown·Multiple: Olanzapine toxicity, pulmonary thromboembolism, asphyxiation on food, …
This inquest examined six sudden deaths of residents at 300 Hostel, Marrickville, between June 2009 and August 2010. All residents had schizophrenia on multiple antipsychotic medications and severe, untreated physical co…
20y · Female·head and vertebrae injuries from falling tree branch
Rebecca Jolly, aged 20, died from head and vertebral injuries when a 7-metre limb from a large grey box tree dropped onto her car on Greenhill Road, Adelaide in January 2010. The tree was on council-managed roadside verg…
24y · Male·neck compression due to hanging
A 24-year-old man with depression and anxiety died by hanging in March 2009, three weeks after hospital discharge following an overdose. Critical clinical lessons emerge: (1) discharge summaries from psychiatric admissio…
4y · Male·drowning
A 4-year-old boy of Sudanese descent drowned at Lake Leanyer Recreation Park on 1 May 2011 despite lifeguard presence. While the facility had been extensively improved following earlier drowning deaths and met RLSSA stan…
50y · Male·Stab wound to the left side of the neck with transection of the carotid artery r…
Michael Condrick, a retired teacher, was found stabbed in the neck on 22 June 2010, dying from catastrophic haemorrhage within minutes of the wound being inflicted. This was an unlawful killing. Two suspects, Samual Wesa…
53y · Male·severe burns
Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act after threatening to self-immolate due to distress about power cuts at h…
51y · Female·Complications of anorexia nervosa
A 51-year-old woman with severe anorexia nervosa, BMI 12.1, was admitted to hospital acutely unwell with hypothermia, bradycardia, heart block, and extreme malnutrition. She was discharged after only 2 days with minimal …
0y · Female·perinatal pneumonia in association with meconium aspiration
Baby Sharinka Patricia Little, born prematurely at 35 weeks at Dalwallinu Hospital on 20 March 2008, died from perinatal pneumonia with meconium aspiration the same day. Critical clinical failures occurred during her nin…
4y · Male·Complications of cutaneous thermal burn injuries
Abdullah Kocoglu, age 4, died from complications of severe thermal burn injuries sustained in a house fire on 14 February 2011 at his grandparents' home in Hampton Park, Victoria. The fire was ignited when Abdullah playe…
85y · Female·Coronary artery disease and heat exposure
An 85-year-old woman with coronary artery disease was admitted to a low-care supported residential service following bowel surgery. She was frail, hard of hearing, wore spectacles, and showed signs of confusion and distr…
64y · Male·Acute anterior myocardial infarction and coronary artery occlusion
Leon James Thompson, a 64-year-old man with significant cardiac history including a recent myocardial infarction in December 2010, died from acute anterior myocardial infarction with coronary artery occlusion while resid…
0y · Female·Unascertainable
Shar Rose Benfield, a 7-month-old Aboriginal infant born prematurely to parents with significant psychosocial challenges, died unexpectedly on 24 June 2008 at Kalgoorlie Hospital with an unascertainable cause. The child …
25y · Male·Ligature compression of the neck (hanging)
David Peter Ellery, a 25-year-old man with long-standing amphetamine addiction and deteriorating mental health, died by hanging on 31 July 2007. He presented to Bentley Hospital on 31 July with active suicidal ideation, …
65y · Female·Injuries sustained in a motor vehicle collision (pedestrian)
Luiza Eftimova, aged 65, was struck by a motor vehicle while crossing an intersection in North Fitzroy on 9 November 2008. The red pedestrian lamp was not operational, having blown on 28 October 2008 and remaining unrepa…
28y · Male·neck compression subsequent upon hanging
Matthew Spalding, a 28-year-old psychiatric inpatient with borderline personality disorder and recent psychotic symptoms, died by hanging on 25 April 2009. He had been admitted to the Adult Acute Unit at Ballarat Health …
56y · Male·disseminated nocardiosis involving central nervous system, kidneys, liver and th…
Allan Kenneth Miller, 56, died from disseminated nocardiosis (rare bacterial infection) that was not diagnosed during his 12-day RAH admission. Clinicians initially suspected metastatic lung cancer based on presentation …
26y · Male·Unascertained on an unequivocal medical or pathological basis; likely multifacto…
Nick Karagiannis, a 26-year-old man with schizophrenia, obesity, and significant hepatic steatosis, died unexpectedly at Thomas Embling Hospital's secure psychiatric unit. He was found unresponsive in bed after having no…
45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…
Elsa Harrington, a 45-year-old woman, died from acute liver failure secondary to paracetamol toxicity in November 2002. She was admitted post-hysterectomy with bowel obstruction and underwent adhesion surgery. Following …
20y · Female·Head injuries sustained in motor vehicle accident
Roslyn Law, a 20-year-old passenger, died from severe head injuries sustained in a motor vehicle collision when the driver struck escaped cattle on a rural road, then collided with a stationary truck. The driver had used…
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