2,762 results
68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…
A 68-year-old woman with oculopharyngeal muscular dystrophy died from sepsis due to peritonitis following dislodgement of a PEG tube inserted on 27 February 2018. She presented to a rural hospital 5.5 hours post-discharg…
23y · Male·Neck compression as a result of hanging
Jonathon Hogan, a 23-year-old Aboriginal man of Wiradjuri, Ngiyampaa and Murrawarri descent, died by hanging at Junee Correctional Centre on 3 February 2018 while serving remand. He had longstanding schizophrenia with pr…
60y · Male·Injuries sustained in a motor vehicle incident (driver)
Richard Gaudion, a 60-year-old Wild Dog Controller, died when his 4WD vehicle rolled down a steep embankment in remote bushland. WorkSafe identified seven contributing factors: outdated 4WD training (last completed in 20…
76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …
John Hayle, a 76-year-old with Alzheimer's dementia, ischaemic heart disease, and spinal fractures sustained a T11/12 flexion-distraction fracture on 9 June 2017. Over three weeks, he developed progressive bilateral lowe…
52y · Male·ischaemic heart disease
Hassan Bechara, a 52-year-old prisoner, died from ischaemic heart disease in July 2017. He had complex cardiac history including dilated cardiomyopathy, triple-vessel coronary disease, and previous cardiac procedures. Cl…
60y · Male·Mixed drug toxicity
A 60-year-old man with schizophrenia and depression presented to Maroondah Hospital ED with acute psychotic symptoms after stopping his antipsychotic medication (trifluoperazine) due to manufacturer discontinuation. He w…
59y · Male·atherosclerotic coronary vascular disease
Michael Lewis Petterwood, a 59-year-old zinc smelter worker with 32 years at his employer, collapsed suddenly at work and died of atherosclerotic coronary vascular disease. Autopsy revealed severe coronary stenosis (80% …
33y · Female·Hypoxic ischaemic encephalopathy complicating mixed drug toxicity
Jessica Higgins, a 33-year-old woman with chronic pain on high-dose opioids, underwent ketamine infusion with planned opioid rotation to methadone in May 2017. She was discharged on 23 May on methadone 5mg twice daily pl…
71y · Male·disseminated fungal (Cryptococcus) infection of the lungs, brain and meninges
A 71-year-old man presented with fever, confusion, and gait disturbance in October 2017. A lung mass was identified on chest X-ray and presumed malignant, but inflammatory markers were unremarkable. Despite clinical dete…
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…
67y · Female·bronchopneumonia and acute liver failure on a background of liver cirrhosis and …
Valerie Kelly, a 67-year-old woman with cirrhosis, hepatocellular carcinoma, and multiple comorbidities, died at Royal Perth Hospital from bronchopneumonia and acute liver failure. She was in custody at Bandyup Women's P…
61y · Male·Suicide
Richard Lakeman Ryall, a 61-year-old mechanic, disappeared in November 1986 after leaving a letter indicating his intention to end his life due to perceived cancer pain. His vehicle was found abandoned near Lake Muir, We…
7y · Female·Explosion caused intentionally by Charlie Hinder; children died instantly from b…
Three deaths resulted from an intentional explosion caused by Charlie Hinder in a caravan containing himself and his two children (ages 4 and 7) during marital separation. Charlie had perpetrated coercive controlling dom…
28y · Male·MRSA sepsis
Mahmoud Allam, a 28-year-old man, died from MRSA sepsis whilst in custody at Parklea Correctional Centre. He initially presented with upper respiratory symptoms on 11 June 2016, followed by increasing symptoms including …
55y · Female·Mixed drug toxicity in a woman with cardiomegaly and chronic obstructive airway …
Janet Foster, 55, died from mixed drug toxicity involving heroin/morphine combined with benzodiazepines in the context of cardiomegaly and chronic obstructive airway disease. She was a voluntary palliative care patient a…
18y · Female·Generalised tonic-clonic seizure and cardiac arrest arising from severe hyperten…
An 18-year-old pregnant woman presented in labour at 41 weeks and 2 days gestation. From 23 September onwards, she experienced intermittent headaches, epigastric pain, proteinuria and peripheral oedema. At 1755 hours on …
11y · Male·Sepsis
An 11-week-old premature infant presented to the ED with fever, lethargy and poor feeding. Despite initial suspicion of sepsis at 1:15pm, antibiotics were not administered until 4pm—a three-hour delay. Key failures inclu…
34y · Male·Haemopericardium due to dissecting thoracic aortic aneurysm
A 34-year-old man with a bicuspid aortic valve presented to ED twice on 5 September 2017 with chest pain. On both occasions, the ED was at full capacity ('Access Block'). He left without being seen both times, before a c…
38y · Male·death not established
This finding concerns Charles O'Neill, who disappeared from Dampier, Western Australia in April 1969. No medical or clinical issues were involved. The coroner was unable to establish beyond reasonable doubt that Mr O'Nei…
86y · Female·complications of femoral, radial and ulnar fractures; antecedent cause Alzheimer…
86-year-old Hazel Brockett died from complications of fractures inflicted by a fellow dementia-affected resident in a locked Memory Support Unit (aged care dementia facility). Over months prior, the other resident demons…
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