2,765 results
Female·Hypoxic ischaemic encephalopathy following hypovolaemic shock and multi-organ fa…
Helani Sirianni, born 8 February 2008, died less than 3 days later from subgaleal haemorrhage and multi-organ failure. She was delivered by vacuum extraction after labour complicated by fetal distress. The vacuum extract…
29y · Female·Multiple stab wounds to the neck
A woman was fatally stabbed 12 times in the neck by her husband during an escalating family violence situation. She had disclosed family violence to Victoria Police on multiple occasions and to her General Practitioner. …
16y · Male·Internal injuries received when struck by a motor vehicle
A 16-year-old intoxicated boy was handcuffed on a major roadway at night after police responded to a report of an armed person. While officers activated emergency lights, one officer attempted to warn an oncoming vehicle…
Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…
Two neonates died from complications of subgaleal haemorrhage following ventouse extraction. Jessica Stemmer (7 hours old) died from disseminated intravascular coagulation after subgaleal haemorrhage. Thomas Mahar (8 day…
32y · Male·Cardiac arrest as a result of the combined effects of severe coronary atheroscle…
Tofia Mataia, a 32-year-old male with schizophrenia, died in custody at Capricornia Correctional Centre following restraint after assaulting officers. He collapsed during a 2-minute prone restraint by five officers. The …
9y · Male·Drowning
A 9-year-old boy with poor swimming ability and mild intellectual impairment drowned at a waterpark after entering the deep end to use an inflatable device (Rocket), despite explicit instructions not to. Contributing fac…
40y · Male·Head injury from assault
George Edgar Challis, a 40-year-old remand prisoner, died on 12 July 2006, eleven days after being assaulted by another inmate at Woodford Correctional Centre. He sustained a severe head injury from stomping to the head,…
68y · Female·Anaphylactoid reaction to intravenous CT scan contrast medium leading to cardior…
A 68-year-old woman with asthma presented to hospital with abdominal pain suggestive of biliary obstruction. A CT scan with intravenous contrast was ordered to clarify the diagnosis before potential surgical transfer. Sh…
32y · Female·Opiate toxicity; toxic combination of morphine and codeine causing respiratory d…
Mrs Edwards, a 32-year-old woman with severe depression and psychiatric history, was found dead in bed. Autopsy revealed opiate toxicity with high levels of morphine and codeine. Toxicology expert opinion indicated morph…
45y · Male·overdose of quetiapine (Seroquel) augmented by alcohol
A 45-year-old man with schizophrenia and a decade-long history of repeated overdoses died from quetiapine (Seroquel) toxicity combined with alcohol. Critical failures occurred: multiple doctors prescribed large quantitie…
37y · Male·Gunshot injury to head
Senior Constable Anthony Hogarth Clarke, a 37-year-old experienced police officer, was shot and killed during a drink-driving intercept on 24 April 2005. The offender obtained Clarke's revolver from his holster during a …
79y · Female·Sepsis due to urinary tract infection with Group B streptococci
A 79-year-old nursing home resident died of sepsis from urinary tract infection with Group B streptococci after waiting 6 hours in the Emergency Department without being seen by a doctor. She arrived at 8pm with normal v…
8y · Male·bacterial meningitis that had not been diagnosed by a number of clinicians who h…
Eight-year-old Isaraelu Pele died of bacterial meningitis missed by multiple clinicians despite three hospital presentations and two GP visits between 14–17 December 2007. Critical failures included: inadequate different…
32y · Male·traumatic subdural haemorrhage resulting from blunt head trauma
A 32-year-old Aboriginal man died from subdural haemorrhage caused by blunt head trauma sustained when climbing over a fence while evading police. He was arrested and brought to Alice Springs watch house in an unresponsi…
63y · Male·Metastatic carcinoma of the lung
Lawrence Jeffrey, a 63-year-old inmate at Lotus Glen Correctional Centre, died from metastatic lung carcinoma on 11 May 2008. He presented with symptoms consistent with his known chronic conditions (asthma, COPD, silicos…
80y · Female·Acute upper airway obstruction secondary to aspiration of food bolus
Beatrice Ivy Brown, aged 80, died at an aged care facility from acute upper airway obstruction and aspiration of a food bolus following a choking episode. Clinical lessons include: (1) documentation of prior choking epis…
36y · Male·Intra-abdominal haemorrhage due to rupture of liver and portal vein; also sustai…
Cameron Doomadgee (Mulrunji), a 36-year-old Aboriginal man from Palm Island, died in police custody on 19 November 2004 from intra-abdominal haemorrhage due to rupture of his liver and portal vein. This inquest, re-opene…
39y · Female·heart failure connected to a massive pulmonary embolus as a result of deep vein …
A 39-year-old woman died from acute heart failure due to massive pulmonary embolus from deep vein thrombosis two days after laparoscopic appendicectomy. She presented to ED with abdominal pain and nausea, was diagnosed w…
Unknown·Motor vehicle rollover crash. Davy: head and neck injuries; Dell'Angelo: head an…
Three young foreign tourists died in two separate vehicle rollovers on Fraser Island's eastern beach. Both crashes involved hired four-wheel-drive vehicles driven by inexperienced drivers attempting sudden manoeuvres on …
44y · Male·Unknown. Possible causes: suicide, foul play, natural causes, or accident
Wayne Anthony Gillis was reported missing in 1997 and declared deceased in 2010 based on circumstantial evidence. He disappeared after leaving his de facto partner's home in early August 1997, stating he would visit his …
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