2,762 results
83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…
An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…
10y · Female·Ischaemic large bowel; large bowel obstruction secondary to chronic constipation
Child W, aged 10, died from ischaemic large bowel secondary to chronic constipation and faecal impaction. She had lifelong constipation and encopresis (soiling) from infancy, presenting to her GP twice (2008, 2010) with …
29y · Male·Unascertained
AR was a 29-year-old man with autism, developmental disability and epilepsy living in a residential disability care facility. He was found unconscious and died suddenly on 30 August 2010. Initial post-mortem findings sug…
39y · Male·respiratory failure and cardiac arrest
Bradley Karl Coolwell, a 39-year-old Indigenous Australian with schizo-affective disorder and significant comorbidities (obesity, respiratory infection, diabetes), presented to Logan Hospital after police noted concernin…
44y · Female·unascertained (consistent with Streptococcus dysgalactiae and Staphylococcus aur…
Maureen Mandijarra, a 44-year-old Aboriginal woman with poorly controlled diabetes and recurrent skin infections, was arrested at Male Oval on 29 November 2012 for street drinking under a zero-tolerance police approach. …
72y · Male·Metastatic bladder cancer; likely mechanism pulmonary embolism from combined eff…
A 72-year-old male underwent hip replacement despite undiagnosed metastatic bladder cancer. Following referral from his GP in May 2014 for an ultrasound showing bladder wall irregularities suspicious for cancer, urologis…
55y · Male·cardiac tamponade resulting from proximal aortic dissection due to hypertension
A 55-year-old man presenting with acute severe chest pain, headache and jaw pain to a regional hospital was evaluated for aortic dissection. A CT angiogram was performed but the radiologist's verbal report contained ambi…
49y · Male·complications of non-small cell carcinoma of the lung
Keith Howlett, 49 years old, died from complications of non-small cell carcinoma of the lung while in custody at Junee Correctional Centre after 5 weeks of incarceration. He had complex medical needs including HIV, perip…
75y · Female·septic complications following surgical resection of duodenal ampullary adenoma
A 75-year-old woman died of sepsis from bile leaking into her abdomen after elective surgery to remove a pre-malignant tumour adjacent to the bile duct. The coroner found multiple preventable failures: inadequate pre-ope…
40y · Male·Gunshot wound to the head, self-inflicted
Tony Loguancio, a 40-year-old man with a history of serious violent and sexual offences, died from a self-inflicted gunshot wound during a 43-hour police siege at a residential property in Glenroy, Victoria. He was a hig…
60y · Male·single gunshot wound to the head, self-inflicted
A 60-year-old man with bipolar disorder, depression, and recent bereavement made a 000 call stating suicidal intent with a firearm. A PoliceLink telephonist (Mr Tant) engaged him for 17 minutes in skilled de facto negoti…
55y · Male·Septicaemia due to hydronephrosis and infection
A 55-year-old man with complex medical and social problems died of septicaemia from renal infection. He had a history of cardiac disease requiring anticoagulation, alcohol dependence, depression, and chronic hoarding beh…
0y · Female·acute necrotising pneumonia
Masaly Mosby, a 36-day-old Aboriginal infant, died from acute necrotising pneumonia after presenting to Broome Hospital Emergency Department three times in four days but never being seen by a doctor for formal assessment…
66y · Female·retroperitoneal haemorrhage due to anticoagulation following right cerebrovascul…
A 66-year-old woman died from retroperitoneal haemorrhage following anticoagulation for stroke caused by intra-arterial central venous catheter placement. The catheter was mistakenly inserted into the right carotid arter…
60y · Male·Congestive Cardiac Failure
A 60-year-old Aboriginal man with end-stage COPD, congestive cardiac failure, and ischaemic heart disease died in prison custody. He likely suffered cardiac collapse around 8:30-9:00pm on 25 October 2014, pressed his cel…
1y · Female·aspiration of gastric contents due to recent gastroenteritis and vomiting leadin…
Bridgett Currah was a 19-month-old girl with complex medical needs including cyanotic congenital heart disease, gastro-oesophageal reflux, and feeding difficulties. She presented to Mildura Base Hospital on 21 May 2013 w…
44y · Female·Acute bronchopneumonia complicating multi-drug toxicity (alprazolam, opiates, be…
Meaghan Gardner, a 44-year-old woman with a history of respiratory problems, pneumonia, schizophrenia, and substance abuse, died from acute bronchopneumonia complicated by multi-drug toxicity (alprazolam, opiates, benzod…
20y · Male·ligature compression of the neck (hanging)
Jayden Stafford Bennell, a 20-year-old Aboriginal man and sentenced prisoner at Casuarina Prison, died by ligature compression of the neck (hanging) in a cleaning storeroom on 6 March 2013. He had a complex psychiatric h…
22y · Male·Penetrating head injury
Leonard Gordon, a 22-year-old compliant prisoner, was fatally assaulted two days before his release date by another inmate in the protection unit at Maryborough Correctional Centre. The assault occurred while cell search…
40y · Male·Injuries sustained in a fall from height
Daniel McKindley, 40, died from injuries sustained in a fall from the 16-metre platform of Poppet Head Lookout tower in Bendigo. He had depression and anxiety treated by his GP with antidepressants (mirtazapine then sert…
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