2,765 results
30y · Female·bronchopneumonia complicating anoxic encephalopathy due to neck compression due …
Julia Marie Baylis, a 30-year-old woman, died from bronchopneumonia complicating anoxic encephalopathy due to hanging after being placed in custody at Elizabeth Police Station. Critical failures in prisoner supervision a…
asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …
Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…
Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…
Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed David Gerard in 2001 after being discharged from Glenside Hospital without Community T…
63y · Male·ruptured abdominal aortic aneurysm
Norman Eric Keith Steele, 63 years old, collapsed at work on 28 May 2004 and was transported to Merredin District Hospital at 9:10am with a presenting complaint of severe abdominal pain (9/10) radiating to his back, dizz…
51y · Male·ischaemic heart disease
A 51-year-old prisoner died from ischaemic heart disease after suffering a cardiac event while being transferred between prison units. He had complained of chest pain to correctional officers, was directed to walk to the…
27y · Male·Airway obstruction due to sublingual and submandibular cellulitis (Ludwig's angi…
A 27-year-old man died from airway obstruction due to Ludwig's angina (bilateral sublingual and submandibular cellulitis) following a tooth extraction. Critical failures included: delayed treatment with inadequate timely…
20y · Female·injuries received from a fall from the viewing platform at Perriwen Lookout at M…
Anita Elsa Ali-Haapala, a 20-year-old with a long history of mental health issues, presented to Nambour Hospital on 17 May 2005 expressing suicidal ideation. She was admitted to the psychiatric ward with initial diagnosi…
27y · Female·Intracranial haemorrhage with associated blunt head, chest and abdominal trauma
A 27-year-old Aboriginal woman was killed by her violent partner while he was on parole with conditions explicitly prohibiting contact with her. Despite documented escalating domestic violence over 12 years (including bo…
Neck compression due to hanging (self-inflicted)
Two men, Barry Michael Turner (35) and Troy Michael Glennie (28), died by hanging in Adelaide Remand Centre while on remand. Both had expressed suicidal ideation and were being monitored via 'yellow sheet' daily nursing …
56y · Male·Crush asphyxia (Petrus Jong); multiple injuries with crush asphyxia (Helena Jong…
A fatal motor vehicle collision between a Ford Explorer towing a Galaxy caravan and a B-double prime-mover on a straight road in South Australia resulted in three deaths from crush asphyxia. The coroner was unable to det…
36y · Male·intra-abdominal haemorrhage due to rupture of liver and portal vein
Mulrunji (Cameron Francis Doomadgee), a 36-year-old Aboriginal man, died from intra-abdominal haemorrhage due to liver rupture following an encounter with Senior Sergeant Christopher Hurley at Palm Island Police Station …
28y · Male·Acute Dopamine Imbalance Syndrome
A 28-year-old man with first-episode psychosis presented with command auditory hallucinations after a motor vehicle accident. An EEG ordered to exclude organic causes showed very abnormal findings suggestive of partial s…
13y · Female·cerebral oedema and infarction secondary to extensive subdural empyema
Elly McCarthy, a 13-year-old girl, died from cerebral oedema and infarction secondary to subdural empyema. She developed fever, headache and neurological symptoms on 24 January 2004 and was initially seen at a GP and Noa…
43y · Male·suffocation by plastic bag (Neil Brooks); neck compression due to strangulation …
Two deaths investigated in joint inquest: Tracy Jayne Foster died by strangulation in December 2002; Neil James Brooks, her partner charged with her murder, died by suffocation while on remand in May 2003. The coroner id…
36y · Male·Cerebrovascular accident (stroke) - massive intracranial haemorrhage
An Aboriginal man with chronic alcoholism and cirrhosis died from a massive stroke (cerebrovascular accident) while in prison custody. He presented with non-specific symptoms including vomiting on 9 March 2005 and was pl…
54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus
Terence James Robinson, 54, died from status epilepticus causing global cerebral hypoxic injury after 16 days at Belmont Private Hospital. He was admitted following a violent altercation with police and attempted suicide…
Unknown·Stephen Rowe: atlanto-occipital fracture dislocation (broken neck); Charmaine Hu…
This inquest examined four deaths in three separate motor vehicle collisions on Main South Road at Cactus Canyon, South Australia between May 2000 and March 2002. All three collisions involved southbound vehicles losing …
68y · Male·pulmonary embolism secondary to immobilisation as a result of subdural haemorrha…
A 68-year-old man with cardiac history presented to Rockhampton Hospital after a fall with head trauma, found unconscious with alcohol intoxication. CT scanning revealed a right subdural haematoma and skull fracture. Con…
29y · Female·respiratory depression caused by morphine intoxication on a background of upper …
A 29-year-old woman with infectious mononucleosis and severe sore throat died from respiratory depression caused by morphine intoxication with concurrent upper airway narrowing. A GP administered 30mg intramuscular morph…
Smoke inhalation due to fire
On 23 June 2000, a fire deliberately set by arsonist Robert Paul Long at the Palace Backpackers Hostel in Childers killed 15 people through smoke inhalation. The coroner's investigation identified multiple systemic failu…
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