2,762 results
31y · Male·Hypoxic brain injury caused by the exogenous administration of insulin, resultin…
Jesse Drabsch, 31, died from hypoglycaemia after self-injecting insulin in a gym bathroom. A competitive bodybuilder using performance and image enhancing drugs (PIEDs), Jesse entered the bathroom at 5:30pm on 16 Novembe…
69y · Male·Hypoxic ischaemic brain injury secondary to right facial artery pseudoaneurysm r…
69-year-old male with tonsillar squamous cell carcinoma presenting with throat pain and trismus 12 days after completing chemoradiotherapy. On presentation to emergency department with bleeding, airway risk was under-rec…
46y · Male·Hypoxic ischaemic brain injury complicating a cardiac arrest during anaesthetic …
A 46-year-old male underwent elective inguinal hernia repair at a private hospital. During anaesthetic induction, he experienced cardiac arrest. The endotracheal tube (ETT) was visualized passing through the vocal cords,…
38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…
Russell Brockliss, a 38-year-old Aboriginal man with severe treatment-resistant schizoaffective disorder and significant cardiovascular risk factors (obesity, smoking, focal coronary atherosclerosis), died from acute car…
34y · Male·hanging
A 34-year-old man died by hanging in a correctional centre in December 2018. He was placed on a mental health waitlist in June 2018 but was never seen by a mental health nurse due to insufficient staffing—only 1.5 FTE po…
68y · Male·Metastatic Pancreatic Adenocarcinoma
Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…
54y · Male·Multiple injuries from collision with motor vehicle
Terence Gray, a 54-year-old man with chronic alcohol abuse and depression, was removed from a train at Grafton by a Passenger Services Supervisor (Mr Beadman) who lacked required authorization. The supervisor cited Mr Gr…
57y · Male·Clozapine toxicity on a background of right lower lobe of lung lesion (unspecifi…
Joshua Brown, a 57-year-old man with treatment-resistant schizophrenia managed in the community, died from clozapine toxicity. He had accumulated over 50 tablets of clozapine at home despite being prescribed 550mg daily …
18y · Male·Multiple injuries due to motor vehicle collision
Logan Dreier, 18, was killed after a police pursuit of a stolen vehicle ended in a rollover crash on Queen Street, Southport. The crash occurred during a high-speed pursuit of a Toyota utility vehicle stolen from Movie W…
78y · Male·cardiorespiratory failure due to complications of tracheal stenosis
Bruce Hodges, a 78-year-old man with a 20-year-old tracheostomy following laryngeal cancer surgery, presented to hospital with progressive shortness of breath and tracheal stenosis. Over 48 hours of admission, his respir…
49y · Female·combined prescription drug intoxication (zopiclone, amitriptyline, periciazine)
Karen Tracey Reaks, aged 49, died from combined prescription drug intoxication involving zopiclone, amitriptyline, and periciazine, with systemic lupus erythematosus as a contributing factor. She ingested medications in …
Unknown·Mr Christensen: stab wound to the chest. Mr Davy: blood loss caused by stab woun…
Two men died following stab wounds sustained while forcing entry to a dwelling in the early hours of 1 October 2018. The deceased had been misled about the circumstances of an injured woman they believed needed urgent as…
73y · Male·Disseminated malignancy (advanced lung carcinoma and mouth carcinoma) in a man w…
Robert Craig, aged 73, died from disseminated malignancy (advanced lung and mouth carcinoma) while in prison custody. He received suboptimal cancer treatment at Fiona Stanley Hospital due to communication failures betwee…
60y · Female·acute cerebral bleed resulting from blunt trauma and late haemorrhagic progressi…
Gwenith Elkington, aged 60, died from acute cerebral bleed resulting from haemorrhagic progression of a traumatic brain injury sustained in a bathroom fall on 21 September 2015. The injury caused a contre coup contusion …
42y · Female·Traumatic right subdural haematoma
A 42-year-old woman died from a traumatic right subdural haematoma sustained on 22 January 2015. She was found unresponsive at home with severe head and facial injuries after falls. Critical delays in medical assessment …
46y · Male·blunt force injuries from motor vehicle collision with a tree
A 46-year-old Aboriginal man died by suicide following a motor vehicle collision with a tree while being pursued by police responding to a welfare check. He had a complex history of depression, amphetamine addiction (ice…
47y · Female·complications of rapidly progressing motor neurone disease
A 47-year-old woman with motor neurone disease died from respiratory complications while in immigration detention, residing in aged care. She collapsed at 1:00am with respiratory distress. Nursing staff did not attempt C…
70y · Female·Gunshot wounds to the head and chest
Marilyn June Burdon, aged 70, was fatally shot by her intimate partner Charles Bisucci on 21 August 2017 in Kew, Victoria. Bisucci subsequently took his own life. Critical systemic failures enabled this preventable intim…
37y · Male·Mixed Drug Toxicity (Oxycodone, Quetiapine, Pregabalin and Clonazepam)
A 37-year-old man died from mixed drug toxicity (oxycodone, quetiapine, pregabalin, clonazepam) after ingesting unknown quantities of his own medications in an ED. He presented with trauma symptoms four days post-motor v…
varied: sudden unexpected death in infancy (unsafe sleeping environment); drowni…
Coroner's joint inquest into deaths of seven children (six infants and one child aged 16 years) between 2014 and 2018 in Tasmania. All families had history of Child Safety Services (CSS) involvement. Coroner found no dir…
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