2,762 results
49y · Male·Complications of heatstroke; Hyperthermia
A 49-year-old man died from heatstroke and hyperthermia while on a guided dirt bike tour in Hawaii. He consumed significant alcohol the previous day, then engaged in strenuous physical activity in warm, humid conditions …
26y · Female·Toxicity to Pentobarbitone
Dannika Smith, aged 26, died from pentobarbitone toxicity after deliberate self-ingestion. She had Borderline Personality Disorder with documented suicidal ideation and had previously attempted suicide. She imported pent…
24y · Male·Unknown; most likely died in single vehicle accident in Brisbane River
Sean Sargent, a 24-year-old Army Lieutenant, disappeared in Brisbane on 20 March 1999. After extensive investigation, the coroner concluded he most likely died in a single vehicle accident, driving into the Brisbane Rive…
Female·Multiple injuries due to motor vehicle collision
Jo-Anne Fuller died in a head-on traffic collision when a fatigued driver crossed the centreline. The other driver, aged 20, had slept only 4-6 hours after socialising until 4 AM, showed multiple fatigue warning signs, a…
Male·Police use of lethal force; coroner found in each case the officers acted approp…
This multi-death inquest examined five police shootings in Queensland (2013-2014) where all deceased had mental health histories. The coroner found officers acted appropriately in each case but made 19 recommendations to…
Byron Crowley: fractured spine sustained in motor vehicle accident when car stru…
Two deaths occurred on the Bruce Highway near Townsville when vehicles collided with feral horses from adjacent state forest. Bernard Davis (43) died from chest trauma after his motorcycle struck a live horse; Byron Crow…
13y · Male·Self-inflicted (manner recorded as intentionally self-inflicted; specific method…
A 13-year-old boy with depression, migraine, school refusal and family instability died by intentional self-inflicted means. His general practitioner provided inadequate mental health assessment, initiated antidepressant…
37y · Female·Christine Nan Leonardi: massive soft tissue and bony injury due to motor vehicle…
A 37-year-old mother and her 6-year-old son died when struck by a Franna AT-20 mobile articulated steering crane that lost control on a downhill stretch of road. The crane operator, an experienced driver, was travelling …
59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…
59-year-old woman admitted with newly diagnosed grade 4 glioblastoma underwent surgery 16 days later after delays during consultant's planned leave. Post-operative complications included ischaemic stroke confirmed on ima…
41y · Male·Fulminant sepsis (Klebsiella pneumoniae) with multi-organ failure complicating s…
A 41-year-old man with newly diagnosed severe Crohn's colitis was prescribed 6-mercaptopurine (6-MP) after only 5 days of hospital treatment. He had a homozygous TPMT gene deficiency (present in ~0.3% of population) that…
34y · Male·Staphylococcus aureus sepsis and endocarditis
Jason Hosking, 34, presented to ED with vomiting, diarrhoea, fever, tachycardia and hypotension on 10 November 2014. Blood tests by 11.23am showed markedly elevated inflammatory markers (CRP 234.3, neutrophils 10.8, elev…
21y · Male·Combined effects of heroin toxicity and plastic bag asphyxia
A 21-year-old man with complex congenital heart disease (Fontan procedure) died from combined heroin toxicity and plastic bag asphyxia. He had a history of depression and suicidality since childhood. In August 2014, duri…
69y · Male·septic shock due to infected decubitus ulcers complicated by osteomyelitis
A 69-year-old man with Parkinson's disease died from septic shock caused by infected pressure ulcers (stage 4 decubitus ulcers with osteomyelitis) that developed in aged care. Pressure sores appeared within 31 days of ad…
83y · Female·Hyponatraemic encephalopathy due to adverse effects of citaprolam and duloxetine…
An 83-year-old woman with pre-existing SIADH-related chronic hyponatraemia died from hyponatraemic encephalopathy following antidepressant therapy. Critical clinical lessons include: (1) the importance of accessing prior…
42y · Male·Multiple injuries sustained in motor vehicle crash
A 42-year-old man with schizoaffective disorder subject to a Community Treatment Order died in a single-vehicle motor crash in rural Western Australia. He had poor insight, chronic medication non-adherence, and a pattern…
71y · Female·Haemothorax and haemopericardium secondary to ruptured dissecting aneurysm of th…
A 71-year-old woman with hypertension and prior myocardial infarction presented to emergency with sudden chest pain, jaw pain, and syncope. Aortic dissection was appropriately suspected and a contrast CT-aortagram was pe…
31y · Male·Hypoxic encephalopathy caused by neck compression due to hanging
David Wotherspoon, a 31-year-old Aboriginal man with schizophrenia, died from hypoxic encephalopathy following hanging in a prison mental health unit. Despite being psychotic and refusing medication, he was not transferr…
54y · Female·Opioid toxicity (predominantly fentanyl)
54-year-old woman with diabetes, obesity, and multiple opioid allergies underwent groin surgery at a private hospital. Anaesthetist Dr Y. prescribed a 75mcg/hr fentanyl patch post-operatively for chronic pain management …
0y · Male·hypoxia due to intrauterine pneumonia and haemorrhage with uterine rupture in a …
A neonate died shortly after birth from hypoxia due to intrauterine pneumonia, haemorrhage and uterine rupture following prolonged rupture of membranes during a planned vaginal birth after caesarean (VBAC). The mother at…
34y · Male·drowning
A 34-year-old man with schizoaffective disorder drowned after attempting to surf in dangerous conditions on 31 December 2015. He had been under community mental health care with fragmented coordination between public and…
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