2,762 results
18y · Female·neck compression due to hanging
An 18-year-old female with depression and anxiety was admitted to a psychiatric intensive care unit (PICU) following acute suicidal ideation. Clinically significant issues included: inadequate communication of previous s…
37y · Female·open finding - undetermined
Katherine Ackling-Bryen disappeared on 19 February 2016 and is presumed dead. She had a history of schizophreniform psychosis with a 2013 hospitalisation during which she expressed suicidal ideation. Post-discharge, she …
64y · Male·stab wound to the chest
Dermot O'Toole, a 64-year-old jeweller, was fatally stabbed by Gavin Perry during a robbery at his shop. Perry was on parole with a history of violent offending and drug abuse. The inquest examined whether systemic failu…
Male·Cesar Llanto: foul play (thrown overboard or killed); Hector Collado: multiple i…
Three deaths occurred on the bulk carrier MV Sage Sagittarius between August 30 and October 6, 2012. Cesar Llanto, the Chief Cook, disappeared in international waters; Hector Collado, the Chief Engineer, fell to his deat…
0y · Male·Urosepsis and renal failure in a child with acute on chronic pyelonephritis seco…
An 11-month-old boy with undiagnosed posterior urethral valves and hydronephrosis presented with fever, respiratory distress, and lethargy over three days. He was assessed by multiple GPs and presented to the ED at Werri…
75y · Male·left retroperitoneal haemorrhage associated with lumbar spine surgery
A 75-year-old man with complex comorbidities including Parkinson's disease and cognitive impairment underwent two-stage lumbar spine surgery for degenerative disc disease with stenosis. Post-operatively, he developed a r…
38y · Male·haemopericardium (pericardial tamponade) due to aortic dissection
James Maurice Smith, 38-year-old male, died from haemopericardium due to aortic dissection. He presented to ED on 9 June 2015 with severe back and abdominal pain, elevated lactate, and neurological symptoms suggesting va…
33y · Male·Decompensated congestive cardiac failure complicating acute myocardial infarctio…
A 33-year-old man with morbid obesity and steroid dependency presented with chest pain and light-headedness. Initial GP assessment missed acute coronary syndrome despite ECG changes on second visit. ED correctly diagnose…
35y · Male·bronchial asthma
A 35-year-old man with mild asthma died from severe bronchial asthma within hours of arriving at a Christmas Island immigration detention centre. He was initially identified as asthmatic at the jetty but not transferred …
86y · Male·Sepsis with septic shock, due to urinary tract infection, pyelonephritis (kidney…
An 86-year-old man died from sepsis and septic shock secondary to urinary tract infection, pyelonephritis and prostatic infection. He presented to his GP in March 2015 with dizziness and reported urinary incontinence and…
43y · Female·acute multiple drug toxicity on a background of chronic pain and morbid obesity
A 43-year-old woman died from acute multiple drug toxicity after 26 years of high-dose opioid therapy for chronic pain following a motor vehicle accident. Despite recognition by multiple clinicians that opioid doses exce…
61y · Female·Drowning due to asphyxia from saltwater ingestion
Ms Elizabeth Ann Higgins, aged 61, drowned at Little Howrah Beach on 14 March 2011. The coroner found she was an inexperienced swimmer who entered water beyond her depth. While her son-in-law Mr Lacroix shouted loudly at…
2y · Male·drowning
A 2-year-old child drowned in a backyard swimming pool at a rental property after inadequate supervision and faulty pool safety barriers. The child woke while his mother slept and accessed the pool via either an unlocked…
Tori Johnson: executed by gunshot wound inflicted by Man Haron Monis; Katrina Da…
On 15-16 December 2014, Man Haron Monis took 18 hostages at the Lindt Café in Sydney's Martin Place, claiming Islamic State affiliation and possession of explosives. Over 16.5 hours, police negotiators attempted peaceful…
32y · Male·Asphyxia in a man with Friedreich's Ataxia due to positional asphyxia; unable to…
Leslie Troy Ovens, a 32-year-old man with progressive Friedreich's Ataxia, died from positional asphyxia after falling from his wheelchair. He had deteriorated significantly after hospitalisation in June 2013 and was wea…
77y · Female·Large acute subdural haemorrhage leading to uncal herniation subsequent to an ac…
Barbara Sheedy, 77, died from acute subdural haemorrhage following an accidental fall in hospital. She fell while using a wheeled walker and initially appeared uninjured with normal neurological examination. However, she…
20y · Female·Asphyxia secondary to inhalation of helium
Lauren Pilkington, a 20-year-old postgraduate student, died by asphyxia from helium inhalation. She had a history of anxiety and previous suicide attempt, and was recently discharged from voluntary psychiatric admission …
51y · Male·Combined drug toxicity (methadone and benzodiazepines) in a man with coronary an…
Michael Darmody, 51, died in police custody from combined drug toxicity in the setting of underlying coronary and cerebrovascular disease. He was remanded overnight and found unconscious at 6.01am. Key clinical lessons: …
11y · Female·Acute Staphylococcal Septicaemia due to suppurative arthritis of the left ankle
An 11-year-old Aboriginal girl died from acute staphylococcal septicaemia following an ankle injury. She presented three times over three days with escalating signs of infection (fever, tachycardia, tachypnoea, swollen w…
18y · Male·catastrophic traumatic brain injury
Ashley Richards, 18, died from catastrophic traumatic brain injury sustained in a motor vehicle crash on 7 September 2015. He was a passenger in a stolen Commodore driven by Aaron Hyde, who was fleeing from police at exc…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.