2,765 results
0y · Female·Perinatal asphyxia
Poppy Louise Habgood was born at 0100 hours on 10 July 2008 by emergency caesarean section at 42 weeks gestation, weighing 3968g. She was born severely asphyxiated with a heart rate of 60bpm and died at 0126 hours despit…
5y · Female·Cardiac and respiratory arrest probably connected with embolic stroke
A 5-year-old Aboriginal child with complex congenital heart disease (DORV with asplenia and situs inversus) died of cardiac arrest from embolic stroke. She had undergone initial BT shunt surgery but required a Glenn shun…
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…
33y · Male·acute hydrocephalus following ventricular blockage by a colloid cyst
Daniel Johnson, a 33-year-old Aboriginal man, died of acute hydrocephalus caused by a colloid cyst in the brain while in custody at Darwin Correctional Centre. He had complained of severe, recurring headaches for months …
64y · Male·Postoperative intra-abdominal bleeding from pancreatic artery injury and its con…
John Reginald Beech, 64, died at Sydney Adventist Hospital on 24 April 2007 from postoperative intra-abdominal hemorrhage following colonic surgery. One week earlier, he underwent high anterior resection and hernia repai…
Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…
Concurrent coronial inquests into six Aboriginal deaths in Ceduna, South Australia between 2004-2009. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and se…
34y · Male·Air embolism and severe haemorrhage due to perforation of the right subclavian v…
Darryl Smith, aged 34, died following emergency surgery for a fractured clavicle at Sunnybank Private Hospital. During the final drilling of the sixth screw hole, the surgeon's drill penetrated the underlying right subcl…
40y · Male·gunshot wound to the head
A 40-year-old man died from a gunshot wound to the back of his head on 11 May 2006. Initial investigation concluded accidental self-infliction but subsequent inquest revealed major deficiencies in the police investigatio…
76y · Female·aspiration of gastro-intestinal contents as a result of small bowel obstruction …
A 76-year-old woman with Alzheimer's dementia and psychiatric illness collapsed on 1 January 2009 and was assessed in the Emergency Department. Dr B. diagnosed vasovagal syncope with gastroenteritis based on the patient'…
18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…
An 18-year-old remand prisoner died from acute liver failure secondary to Hepatitis B and C infection. He presented with fever and malaise on 15 February but was assessed only for boils and not thoroughly evaluated. Clin…
22y · Female·cardio-respiratory arrest as a consequence of drowning in freshwater
Natasha Charlesworth, 22, died from drowning following entrapment in the Tully River during a white water rafting tour with Raging Thunder. The raft capsized while navigating rapids, and Ms Charlesworth became trapped un…
45y · Male·single penetrating stab wound to the chest
James Smith, a 45-year-old man with a history of violence and alcohol use, died from a penetrating stab wound to the chest sustained during an altercation with his partner Jacqui Holmes in January 2008. The incident occu…
4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet
Four-year-old Rory died from oxycodone toxicity after ingesting an 80mg OxyContin tablet from his father's prescribed medication. The tablet was not appropriately stored and remained accessible to the child. His parents …
56y · Male·Thoracic Crush Injuries
Peter Ross, a 56-year-old hatch foreman, died from thoracic crush injuries when steel bundles being unloaded from a cargo ship became snagged, swung uncontrollably, and struck him. Critical clinical lessons include: inad…
Male·Ashton Michael Sunfly: ligature compression of the neck (hanging); Mitchell Nana…
This coronial inquiry examined five deaths in Balgo Aboriginal Community over a 24-month period: four suicides by hanging and one death from volatile substance abuse. The suicide rate in Balgo was more than 100 times the…
56y · Male·Cardiogenic shock, end stage ischemia due to chemo related cardiomyopathy, fulmi…
Andrew Westley, 56, underwent heart transplantation at The Alfred Hospital for dilated cardiomyopathy secondary to chemotherapy for Hodgkins lymphoma and prior cardiac surgery. The procedure involved a 9-hour ischaemic t…
36y · Male·Gunshot wound to chest
Adam Quddus Salter, aged 36, experienced acute psychiatric decompensation on 18 November 2009 while living at his family home. After stabbing himself multiple times, paramedics and police were called. While paramedics tr…
34y · Male·Asphyxia consistent with plastic bag asphyxia
A 34-year-old male in pre-trial custody at Arthur Gorrie Correctional Centre died by asphyxiation using a plastic bag on 3 September 2008. He had a psychiatric history with prior suicide attempts and was on olanzapine. H…
26y · Female·compression of the neck consequent upon hanging
Amanda Kennedy, a 26-year-old woman with a history of trauma, substance abuse, depression, and multiple suicide attempts, died by hanging in the Northern Psychiatry Unit on 24 June 2010 while under involuntary psychiatri…
Unknown·Incineration from a house fire. The children were subject to poor supervision fr…
Two young children (aged 3 and 2 years) perished in a house fire in 2008 while under the supervision of their grandmother, who had been previously determined by the Department of Child Safety to be inappropriate for this…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.