182 results
32y · Male·neck compression in the circumstances of hanging
Jesse Bird, a 32-year-old Torres Strait Islander veteran, died by suicide in June 2017 after struggling to navigate the Department of Veterans' Affairs (DVA) compensation system. He served in Afghanistan in 2009, develop…
45y · Male·cardiac arrest due to profound blood loss causing hypovolaemia
Scott Cayirylys, aged 45, died from cardiac arrest due to profound blood loss after self-inflicting an arm wound. The death was preventable. Critical delays occurred in emergency response due to multiple system failures:…
57y · Male·Complications of multiple blunt force injuries in a man with ischaemic heart dis…
Stephen Johnston, a 57-year-old man with ischaemic heart disease, obesity, depression and alcohol dependence, was assaulted on 7 December 2016 by Kevin Knowles and Amanda Bourke after an evening of drinking. Johnston suf…
23y · Male·Multiple injuries sustained following collision with a train
A 23-year-old man with a history of schizophreniform disorder, depression, and previous suicide attempts absconded from a mental health triage facility after being involuntarily admitted. He had previously absconded in 2…
Kayla Ewin: Unascertained (SUDI 0+); Iziah O'Sullivan: Unascertained (SUDI 0)
Two infants died suddenly and unexpectedly at home with unascertained causes classified as SUDI (Sudden Unexpected Death in Infancy). Key clinical lessons include: improved documentation of scene temperature (relevant fo…
Unknown·MDMA toxicity (3,4-methylenedioxymethylamphetamine toxicity) in each case
Six young people died at NSW music festivals between December 2017 and January 2019 after consuming MDMA (ecstasy) at toxic levels. Nathan Tran (18), Diana Nguyen (21), Joseph Pham (23), Callum Brosnan (19), Joshua Tam (…
22y · Female·blunt force head injuries
Caitlyn Fischer, 22, died from blunt force head injuries after suffering an accidental fall at fence 2 during the cross country phase of a CCI one-star eventing competition at Sydney International Horse Trials on 30 Apri…
27y · Female·chest injuries
Olivia Inglis, 27, died from chest injuries sustained in a fall whilst competing in the cross country phase of eventing at the 2016 Scone Horse Trials. She successfully negotiated fence 8A but fell at fence 8B. The coron…
63y · Male·complications of an inverted positional event (asphyxia from airway occlusion)
A 63-year-old man with previous stroke and left-sided paralysis fell headfirst into his bedside drawer while attempting to open it from his motorised wheelchair. He became trapped with his airway occluded. An enrolled nu…
17y · Female·Arrhythmia due to myocardial scarring secondary to past myocarditis, possibly fr…
Holly Brown, 17, died of fatal cardiac arrhythmia from undiagnosed heart scarring likely due to childhood rheumatic fever. She collapsed at a regional mass gathering event (2000+ attendees) in remote Laura, Queensland. C…
36y · Male·Ligature compression of the neck (suicide by hanging)
A 36-year-old Aboriginal man with cluster B personality disorder, substance abuse, and chronic self-harm risk died by ligature suicide in prison 2 hours after admission. He pleaded guilty to arson charges and was remande…
50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus
A 50-year-old man with acquired brain injury and intellectual disability died from hypoxic-ischaemic encephalopathy following aspiration of a food bolus during lunch at his disability care residence. The carer appropriat…
44y · Female·Head injury sustained when exiting a moving vehicle
A 44-year-old Filipino woman died from head injuries after exiting a moving vehicle travelling at 100 km/h during an episode of domestic violence. Ms Blackmore had reported non-lethal strangulation and threats to police …
61y · Female·injuries sustained in a motor vehicle collision as a passenger
A 61-year-old woman died from hypovolaemic shock and cardiac arrest following a motor vehicle collision in rural Victoria. She was trapped in her vehicle for approximately 90 minutes with severe crush injuries and lower …
43y · Male·Complications of neck injury; specifically extensive brainstem infarction second…
Glenn William Strickland, an experienced Harley Davidson rider, died from brainstem infarction following severe cervical spinal injury sustained in a motorcycle crash on Julimar Road, Western Australia. He failed to nego…
25y · Male·Gunshot wound to the head
Jason Walter Challis, a 25-year-old rifleman with only 10 months of Defence Force training, was fatally shot in the head during an urban operations live fire exercise at Mount Bundey on 10 May 2017. He was positioned beh…
35y · Male·Acute asthma
Apollo George Papadopoulos, age 35, died from acute asthma during the Melbourne thunderstorm asthma event on 21 November 2016. He had known asthma and hay fever triggered by seasonal environmental factors, was highly sen…
46y · Female·hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest in the se…
Mrs Le Hue Huynh, 46, died from hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest during the November 21, 2016 Thunderstorm Asthma event in Melbourne. She had known asthma with poor medication compli…
49y · Male·acute asthma leading to hypoxic brain injury
Hoi-Sam Lau, 49, died from acute asthma leading to hypoxic brain injury during the unprecedented Melbourne thunderstorm asthma event of 21 November 2016. He had well-controlled asthma triggered by pollen and respiratory …
29y · Male·acute asthma
A 29-year-old male with known asthma and hay fever died from acute asthma during the November 2016 thunderstorm asthma event in Melbourne. He presented to Ballarat Hospital on 21 November with severe asthma, was treated …
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