2,762 results
53y · Male·Traumatic brain injury sustained from police use of force on 25 February 2016, t…
Neil Banjo, a 53-year-old Aboriginal man, died from traumatic brain injury sustained during a police confrontation on 25 February 2016 in Normanton, Queensland. Officers attended a family birthday party to arrest his int…
92y · Male·Ischaemic heart disease and cardiomegaly in the setting of a fall in a man with …
A 92-year-old C4 quadriplegic man with ischaemic heart disease and cardiomegaly died following a fall at home. Two scheduled disability support shifts (1:00pm and 8:30pm) failed on 31 January 2019 due to staff rostering …
30y · Male·ligature compression of the neck (hanging)
Paul Strange, aged 30, died by suicide through ligature compression of the neck eleven days after discharge from Royal Perth Hospital (RPH) for depression with chronic suicidality. He had a documented history of multiple…
87y · Female·combined effects of ischaemic heart disease and chronic obstructive pulmonary di…
Epenesa Pahiva, 87-year-old resident with dementia at an aged care facility, suffered severe chemical burns from inappropriate bleach treatment prescribed by dermatologist Dr B.. The coroner found the treatment itself (h…
87y · Female·Natural causes in the context of multiple co-morbidities including a sacral ulce…
87-year-old woman died in aged care with a stage 4 sacral ulcer and multiple comorbidities. Key clinical lessons: (1) Systematic communication failures—family was not informed that a healed sacral wound re-emerged in Mar…
35y · Female·Unascertained
A 35-year-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements and was induced on Sunday evening. She e…
16y · Male·pulmonary embolism secondary to nephrotic syndrome
Dylan Riley, a 16-year-old with steroid-responsive minimal change nephrotic syndrome, died from a massive pulmonary embolism (PE) on 1 August 2015. He presented to Rockingham Hospital with dyspnoea, hypoxia, tachycardia …
45y · Male·Abdominal injuries from being struck by reversing front-end loader
Sean Morgan-Smith, a 45-year-old Australia Post delivery worker, was struck by a reversing front-end loader while delivering mail on a residential footpath in Huntingdale, Western Australia on 24 June 2015. He sustained …
76y · Male·Hypothermia and multiorgan failure complicating compound left tibia and fibula f…
Leslie Roberts, a 76-year-old man with intellectual disability under DHHS care, died from hypothermia and multiorgan failure following a compound fracture of the left tibia and fibula sustained in a fall at home. He was …
57y · Female·multi-organ failure due to sepsis caused by streptococcus pneumoniae infection
Joanne Craig, a 57-year-old Aboriginal woman, presented to Katherine District Hospital on 24 January 2018 with fever, vomiting, and cough. She had streptococcus pneumoniae sepsis with elevated inflammatory markers from 1…
37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof
Daniel Bleaney, 37, experienced acute psychosis with command hallucinations while at sea and attempted suicide by jumping overboard. He was rescued and admitted involuntarily to Cowdy Ward, an open psychiatric ward, foll…
44y · Male·Hanging
Colin Wayne Blair, a 44-year-old Aboriginal man with a history of mental illness and substance use, died by hanging in the High Dependency Unit of Brisbane Correctional Centre on 13 November 2015. He was on hourly observ…
76y · Female·multisystem organ failure due to or as a consequence of ischaemic small intestin…
A 76-year-old woman presented to hospital with abdominal pain and was found on CT scan to have ischaemic colitis with signs of profound shock. The Consultant Surgeon decided on conservative management with fluid resuscit…
51y · Male·Sepsis due to or as a consequence of right lower limb necrotising fasciitis due …
A 51-year-old man with metastatic renal cell carcinoma died from sepsis following necrotising fasciitis of the lower limb, which developed after a pseudo-aneurysm complication from coronary angiography. Key clinical less…
Male·Drowning (confirmed for Luke Davies and Magnus Ritter; suspected but unproven fo…
Four young men drowned when their recreational fishing boat sank in Frederick Henry Bay on 31 July 2016. None held motor boat licenses despite this being a legal requirement. The boat was a 50-year-old fibreglass vessel …
Unknown·multiple physical injuries sustained in a mid-air collision during skydiving
Three skydivers died in a mid-air collision near Mission Beach, Queensland on 13 October 2017. Tandem instructor Peter Dawson and customer Kerri Pike (in drogue-fall) collided with solo sport jumper Tobias Turner whose m…
18y · Female, female, male·Caitlin: suicide by hanging; Talieha: suicide by hanging; William: suicide by tr…
Three adolescent patients (aged 18 at death) died by suicide within four months of the Barrett Adolescent Centre (BAC) closure in January 2014. Caitlin had complex mental health needs including bipolar affective disorder…
FV Cassandra: vessel capsize likely whilst retrieving snagged trawl net from sea…
Joint inquest into eight fishermen lost at sea from FV Cassandra (2016, two deceased) and FV Dianne (2017, six deceased). FV Cassandra capsized while attempting to retrieve snagged trawl net caught on seabed reef; likely…
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…
20y · Male·sudden unexplained death in epilepsy (SUDEP); right frontal lobe epidermal cyst …
A 20-year-old man with a history of seizures and a previously resected frontal lobe cyst presented to hospital with severe headaches. Despite his significant medical history of epilepsy and prior neurosurgery, he was dis…
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