2,762 results
42y · Male·Incised injury to the neck resulting in exsanguination and air embolism
Naser Vukovic, a 42-year-old prisoner with severe psychotic symptoms and dual P1/S3 risk ratings, died by self-inflicted neck laceration in Melbourne Assessment Prison on 8 June 2016. Despite two prior self-harm incident…
32y · Male·Drowning
Andrew Powell, a 32-year-old volunteer lifesaver, drowned on 21 April 2019 while performing a rescue operation in rough seas at Port Campbell, Victoria. A tourist became trapped in strong currents at Sherbrook Beach. The…
71y · Male·Drowning
Ross Powell, a 71-year-old experienced volunteer lifesaver, died by drowning on 21 April 2019 while operating the Pelican rescue vessel during a maritime emergency at Port Campbell, Victoria. A tourist (Mr Bhaskar) had e…
26y · Female·hypoxic ischaemic encephalopathy and bronchopneumonia in a woman with methylamph…
Ms Cherdeena Wynne, a 26-year-old Noongar Yamatji woman, died from hypoxic ischaemic encephalopathy and bronchopneumonia following cardiac arrest during police restraint on Albany Highway. She was intoxicated with methyl…
38y · Female·haemorrhage from stab wounds
Maria James was murdered in her home bookshop in Thornbury on 17 June 1980, stabbed 68 times. The killer has never been identified. This coronial inquest examined the adequacy of the original police investigation and ide…
76y · Male·Intracranial haemorrhage
Charles Bertram Squires, a 76-year-old prisoner on anticoagulant therapy (apixaban and aspirin), fell and struck his head on 26 January 2017. Nursing staff at the correctional facility inadequately assessed his traumatic…
24y · Male·Hypoxic brain injury secondary to hanging
BJ, a 24-year-old with paranoid schizophrenia, substance abuse disorder, and anti-social personality disorder, died by hanging in a psychiatric unit after a suicide attempt. He was admitted on 4 January 2016 with suicida…
38 and 3y · Female and male·Stacey: hanging; Seth: undetermined causes (likely suffocation, drowning, or str…
Stacey Docherty, a 38-year-old woman with complex post-traumatic stress disorder and borderline personality disorder resulting from childhood sexual abuse, killed her 3-year-old son Seth before taking her own life in Mar…
33y · Male·Drowning (unascertained - possible injury sustained upon reaching dinghy)
Michael Grubb, age 33, died by drowning in Cockburn Sound, Western Australia on 16 August 2019 after jumping from a yacht without a lifejacket to retrieve an adrift dinghy during severe weather conditions with gale-force…
31y · Male·Complications in association with intestinal volvulus
31-year-old Morgan Edwards with Smith-Magenis Syndrome, cerebral palsy and Crohn's disease was discharged from Fiona Stanley Hospital ED on 14 August 2018 without definitive diagnosis despite elevated respiration rate, u…
54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…
Anthony Barrett died from bowel ischaemia caused by acute thrombosis of his superior mesenteric artery and coeliac artery stents post-operatively. He had undergone left total knee replacement surgery at Fairfield Hospita…
83y · Female·decompensated right heart failure (cor pulmonale) immediately following mitral v…
An 83-year-old woman died from decompensated right heart failure (cor pulmonale) immediately following mitral valve replacement surgery. She had chronic pulmonary hypertension secondary to severe mitral regurgitation fro…
87y · Female·Pulmonary artery rupture complicating pulmonary artery catheter insertion in a w…
Mrs Jones, an 87-year-old woman with severe ischaemic heart disease, died from pulmonary artery rupture during elective off-pump coronary artery bypass surgery. A Swan-Ganz pulmonary artery catheter (PAC) was inserted pr…
53y · Male·multiple injuries sustained in a fall from the first floor
Kelvin Forrest, a 53-year-old man with Down syndrome and dementia, died from multiple injuries sustained in a fall from the first floor of Byron Central Hospital on 28 July 2018. He had been admitted as a medical patient…
43y · Female·choking on a food bolus
Joanne Callahan, a 43-year-old woman with intellectual disability and autism, died from choking on a food bolus while attending a disability day program. Critical failures in communication between her residential care pr…
50y · Female·Hanging
A 50-year-old woman died by hanging in December 2017 after a relationship characterised by family violence and her own depression. She had been in an intimate partner violence situation for years, had presented to ED wit…
51y · Female·Aspiration pneumonia
A 51-year-old woman with Sturge-Webber syndrome and poor swallowing ability presented to hospital with a cough and was admitted on 15 December 2017, following a choking incident at her group home. She died on 23 December…
57y · Male·Ischaemic and valvular heart disease
David Charles Shaw, 57, died of ischaemic and valvular heart disease with severe coronary artery atherosclerosis. He was enrolled in MePACS, a medical alarm service requiring daily button activation between 6-11am. When …
77y · Female·Haemoperitoneum following cholecystectomy
A 77-year-old woman died from haemoperitoneum (intra-abdominal bleeding) three days after elective laparoscopic cholecystectomy. Bleeding from the left inferior epigastric artery was a recognised surgical complication bu…
20y · Male·head and neck injuries sustained when struck by train
Jordan James Williams, 20, died after being struck by a train following two absconsions from Kalgoorlie Health Campus mental health unit on 24 August 2018. He was involuntarily admitted with first-episode psychosis. Crit…
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