2,765 results
41y · Male·Shotgun wound to the left side of the chest with laceration of the heart and hae…
Geoffrey Douglas Nicholls, aged 41, was shot by police during an armed incident at Oodnadatta, South Australia. He had a history of mental illness including depression with suicidal ideation, Bartter's syndrome (causing …
16y · Male·fresh water drowning
Jason Sammut-Smith, a 16-year-old boy, died by fresh water drowning on 1 December 2001. The coroner found extensive evidence of physical abuse inflicted over months, including numerous bruises, abrasions, and injuries co…
48y · Male·Acute cardiac dysrhythmia of unknown cause; acute alcohol toxicity was a signifi…
Mark Corbett, a 48-year-old Aboriginal man, died from acute cardiac dysrhythmia while in police protective custody in Tennant Creek. He was apprehended twice for public intoxication on 10 July 2002. After leaving a sober…
39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…
Richard Christopher Jankowski, a 39-year-old man, died from hypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment with antibiotics, …
Unknown·Multiple injuries from motor vehicle collision due to loss of control of tanker …
On 26 January 2001, five people died when a petrol tanker driven by Ranjith Naranpanawa lost control on the South Gippsland Highway near Koo Wee Rup, Victoria. The tanker collided with two oncoming vehicles carrying the …
29y · Female·severed spinal cord between the first and second cervical vertebrae sustained wh…
29-year-old Aboriginal woman died when thrown from a vehicle during a police pursuit that lasted 3-4 minutes over 9.2 km on Alice Springs Airport Road. She suffered a severed spinal cord between C1-C2 vertebrae, consiste…
67y · Male·acute renal failure with associated severe acidosis and hyperkalemia
A 67-year-old Aboriginal male with dementia was discharged from Royal Darwin Hospital on 4 November 2001 following cystoscopy and bladder neck incision for suspected obstruction. Critical communication failures meant the…
43y · Male·Drowning
Lindsay Dack, aged 43, drowned on 26 December 2000 while crewing the yacht Spirit of Downunder in the Big Bay Race 2000 in Port Phillip Bay. He was thrown overboard during a sudden squall while working on the foredeck, w…
66y · Female·acute necrotising haemorrhagic mediastinitis
Mrs Pratt, aged 66, underwent elective gastroscopy at Kapunda Hospital. During the procedure she heaved, and blood was noted at the gastro-oesophageal junction. She was discharged the same afternoon with pain, only to re…
23y · Male·neck compression due to hanging
A 23-year-old male with drug-induced psychosis died by hanging. He had a long history of substance abuse and behavioural problems, with multiple presentations to hospital and mental health services. In March 2001, he was…
5y · Female·disseminated candidiasis secondary to protein-energy malnutrition
Eliana Diskin, aged 5 months, died from disseminated candidiasis secondary to severe protein-energy malnutrition. After ceasing breastfeeding in late October 2000, her parents fed her exclusively with unfortified rice mi…
38y · Female·Multiple injuries sustained in a motor vehicle accident in which the deceased wa…
Rita Dandy, a 38-year-old Aboriginal woman with chronic alcohol use disorder, died from multiple injuries after being struck by a motor vehicle while lying on the Stuart Highway near Darwin. She had been released from pr…
72y · Female·haemorrhage from penetrating duodenal ulcer
A 72-year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not properly acted upon by the a…
24y · Male·hanging
Alexander Varcoe, a 24-year-old Aboriginal man, died by hanging in Yatala Labour Prison while on remand awaiting trial for serious charges. He had a complex history including prior self-harm in 1995-96, alleged prison ra…
28y · Male·Ligature compression of the neck (hanging)
Evan Charles Slater, 28, died by ligature compression of the neck (hanging) in Cell D7, Unit 10 of Hakea Prison on 12 March 2001. He was on remand facing assault and restraining order breach charges stemming from domesti…
59y · Female·multiple cerebral infarction due to infective endocarditis
A 59-year-old woman with known mitral valve disease presented to the Emergency Department on 19 October 2000 with widespread body pain, severe back pain, and fever. She was undoubtedly suffering from staphylococcus aureu…
41y · Female·intra-abdominal haemorrhage caused by a ruptured spleen due to blunt force traum…
A 41-year-old Aboriginal woman died from a ruptured spleen caused by blunt force trauma from her intoxicated boyfriend after police failed to provide adequate care and protection. Officers Goldstein and Cook took her int…
Multiple severe traumatic injuries sustained in motor vehicle accident
Two people died when a car lost control on a recently resealed rural road with loose aggregate still present. The female driver was traveling at approximately 90 km/h on a straight sealed section, but lost control about …
29y · Male·Hanging
Craig Mark Allen, aged 29, died by hanging in cell 211 of Yatala Labour Prison on 16 October 2000, six days after admission for assault. Critical failures in prisoner management contributed to this preventable death. The…
77y · Male·bilateral pulmonary emboli complicating deep vein thrombosis (left calf)
A 77-year-old man with dementia died from bilateral pulmonary emboli complicating deep vein thrombosis of the left calf. He was hospitalised for dehydration and diabetes management, then returned to psychiatric care. On …
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