2,762 results
54y · Male·Ischaemic cardiomyopathy following a period of restraint on a background of morb…
A 54-year-old man with schizophrenia, homelessness, and morbid obesity was arrested for wilful exposure and disorderly conduct. During restraint in the prone position with handcuffs, he struggled for several minutes. Alt…
86y · Male·multi-organ failure due to sepsis on a background of sacral pressure ulcer
An 86-year-old man died from multi-organ failure due to sepsis from a stage 4 sacral pressure ulcer after 61 days in a regional hospital. Critical failures included delayed pressure injury risk assessment (7 days overdue…
40y · Female·The medical cause of death was unable to be determined. Manner of death: uninten…
Christine Young, a 40-year-old Aboriginal woman with paranoid schizophrenia, absconded from a locked mental health inpatient unit and walked into desert scrubland where she died. Critical clinical lessons include: (1) fa…
66y · Male·carbon monoxide poisoning due to inhalation of exhaust gases from a lawn mower
Paul William Green, a 66-year-old retired engineer with longstanding depression, anxiety, PTSD, and chronic alcohol abuse, died by intentional carbon monoxide poisoning from a lawn mower exhaust. He had a prior suicide a…
31y · Male·hanging
MC, a 31-year-old male with a history of drug-induced psychosis and substance abuse, died by hanging in May 2015 at the Metropolitan Reception and Remand Centre while in lawful custody. He had been transferred to the Men…
39y · Male·Hypoxic/Ischaemic Encephalopathy due to Cerebral Arterial Gas Embolism
Phillip Ibrahim, a 39-year-old man recovering well from community-acquired pneumonia in ICU, suffered a fatal cerebral air embolism on 28 October 2014. A CVAD removal order was given at midday but the device remained in …
62y · Female·carbon monoxide toxicity
Sonia Sofianopoulos, a 62-year-old public housing tenant, died from carbon monoxide toxicity on 21 July 2017. A 25-year-old Vulcan OFG (open flued gas) heater in a sealed unit with inadequate ventilation spilled high lev…
64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…
RD, a 64-year-old man with diabetes, amputation, and COPD, presented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaem…
Male·Multiple injuries including subarachnoid haemorrhage and left pleural effusion s…
Timothy Smith-Brown died from multiple injuries sustained in a motor vehicle collision after a police pursuit on 4 September 2015 in Canberra, ACT. The pursuit lasted approximately 3 minutes and involved speeds exceeding…
38y · Female·Complications of decompensated liver failure due to cirrhosis secondary to Hepat…
Jay Maree Harmer, 38, died in custody from decompensated liver failure secondary to Hepatitis C cirrhosis. She had advanced hepatic encephalopathy, opioid dependence, and obesity. Despite specialist recommendations to re…
23y · Female·Penetrating and blunt force trauma to the head
Sharnee Ngatai, aged 23, died from penetrating and blunt force trauma to the head inflicted by her domestic partner during a violent assault. She had a documented history of family violence from this partner, including m…
24y · Male·Combined drug toxicity (heroin, benzodiazepine and others)
Samuel Morrison, 24, died from combined drug toxicity involving heroin, benzodiazepines and other substances. He had a long history of depression, anxiety and illicit drug use, and had recently been discharged from psych…
28y · Male·multiple traumatic head injuries sustained in a fall from height
Kurt Gorrie, a 28-year-old experienced roof plumber, died from multiple traumatic head injuries after falling approximately 6 metres from an unmeshed roof section onto a concrete slab while working on an airport extensio…
71y · Male·aspiration bronchopneumonia as a consequence of traumatic brain injury from a fa…
Kenneth Wright, a 71-year-old prisoner with acquired brain injury and cognitive impairment from a prior suicide attempt, died of aspiration bronchopneumonia in the Advanced Care Unit of Southern Queensland Correctional C…
60y · Female·strangulation and suffocation by James Mulhall
Joy Maree Rowley, aged 60, was murdered by her partner James Mulhall in October 2011, following a serious assault in February 2011. The coroner found multiple systemic failures in Victoria Police's response to the family…
24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …
Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…
26y · Female·asphyxia and compression of the neck due to manual strangulation; death was a ho…
Snezana Stojanovska, 26, died from asphyxia due to manual neck strangulation on 27 November 2010. The death was initially misrepresented as a weightlifting accident involving a barbell entrapment. Forensic pathology reve…
22y · Female·gunshot wound to the chest
Courtney Topic, a 22-year-old woman with undiagnosed schizophrenia in acute psychosis, was fatally shot by police in February 2015 after leaving home with a large knife. She was unable to understand or respond to police …
26y · Female·Multiple drug toxicity
Alissa Campbell, aged 26, died from accidental drug overdose caused by multiple prescription medications—predominantly codeine and doxepin in combination with benzodiazepines. She had accessed prescription drugs from at …
38y · Female·Unable to be determined
Kellie Anne Levitski disappeared on 31 March 2014 from her father's property near Bega, NSW. She had schizoaffective disorder requiring intensive mental health support, depot antipsychotic injections, and multiple medica…
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