2,762 results
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…
Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court proceedings, killed her daughters Jane and Jessica on 5 December 2011, then took her o…
32y · Male·Gunshot wound to the head (Benjamin Green: homicide by William Markee; William M…
This inquest examined the deaths of Benjamin Green (aged 32) and William Markee (aged 58) on 15 May 2015 in Nimmitabel, NSW. Markee shot Green in his sleep, then shot himself. Clinical lesson: Markee had clear, untreated…
72y · Female·probable sepsis complicating chemotherapy for non-Hodgkin's lymphoma
A 72-year-old woman died of sepsis complicating chemotherapy for non-Hodgkin's lymphoma. She presented to ED with severe abdominal pain, elevated lactate (6.1 mmol/L), and signs of shock. The surgical team failed to reco…
75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …
A 75-year-old woman with advanced frontal lobe dementia died from hypovolaemic shock following uncontrolled bleeding after an unproven stem-cell liposuction procedure. Critical failures included: failure to cease anticoa…
43y · Male·acute neck compression due to hanging
Geoffrey Noakes, a 43-year-old man with a long history of depression and suicide attempts, was detained under the Mental Health Act on 19 February 2013 after multiple suicide attempts (knife to throat, jumping from vehic…
48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)
Garnett Mickelo, aged 48, died from myocardial infarction due to coronary atherosclerosis while in custody at Woodford Correctional Centre on 24 November 2012, shortly after discharge from Princess Alexandra Hospital fol…
30y · Male·Cause of death remains uncertain; likely drug-related but not established
Jason Britten, a 30-year-old man with a long history of heroin use and mental health issues including previous suicide attempts, was found dead at his home in February 2015 after approximately three months of decompositi…
46y · Male·Multiple blunt traumatic injuries sustained in motor vehicle crash; manner deter…
Jeremy Ball, aged 46, Deputy Mayor of Launceston, died on 15 September 2014 when he deliberately steered his vehicle into the path of a loaded truck on the Bass Highway, sustaining fatal blunt traumatic injuries. The cor…
91y · Female·kidney impairment and dehydration following thermal injury to right leg in an el…
A 91-year-old woman with cerebrovascular disease and right-sided paralysis sustained a significant second-degree burn to her lower right leg when it fell against a hydronic heater beside her bed at an aged care facility.…
23y · Male·combined drug toxicity (methadone, clozapine, quetiapine, diazepam, chlorpromazi…
Geoffrey Reid, 23, died from combined drug toxicity while hospitalised for schizophrenia management. He was re-inducted onto methadone at 30mg with 10mg daily increments to 50mg over four days, escalated more rapidly tha…
21y · Male·injuries sustained when struck by train
Michael Sean Daly, 21, died after being struck by a train on 22 August 2015 whilst under the influence of LSD. The coroner found he was incapable of forming suicidal intent due to the drug's effects. Clinical lessons: th…
64y · Male·Small bowel infarction due to a volvulus owing to adhesions in the small intesti…
Mr P, aged 64, presented to Royal Hobart Hospital's Emergency Department in October 2012 with severe central abdominal pain. The ED consultant diagnosed bowel obstruction but failed to consider critical complications suc…
65y · Male·staphylococcal sepsis (secondary to Staphylococcus aureus infection seeding rect…
A 65-year-old man presented with quad bike accident injuries and had markedly elevated inflammatory markers (CRP 329–556, WCC 12.3–18) during his first hospital admission. These were suggestive of developing infection, p…
0y · Female·Persistent pulmonary hypertension in the newborn (PPHN)
Summer Jamsek was born at 4pm on 4 April 2010 with persistent pulmonary hypertension of the newborn (PPHN) and died 5 April 2010 at Royal Children's Hospital. The coroner found Baby Summer died from PPHN but was not sati…
51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…
Mark Gordon, 51, presented to Royal Hobart Hospital Emergency Department on 20 March 2015 with sudden onset chest pain. Initial assessment suspected acute coronary syndrome with elevated troponin. Over 36 hours he experi…
53y · Male·Bilateral ACA stroke
A 53-year-old man presented to the emergency department with acute stroke symptoms (left-sided hemiplegia and dysphasia) with onset around 10:30 am. Due to fluctuating symptoms and delays in stroke team referral, he was …
38y · Male·hanging in custody
Two deaths investigated together: Sandeep Kaur Thind (30F) killed by her husband Ranjit Singh (38M) by strangulation in a McDonald's toilet on 10 August 2013. Singh was remanded in custody and died by hanging in a mental…
55y · Male·Complications of right middle cerebral artery infarction
Simon Mark Everill, a 55-year-old man with intellectual disability and epilepsy, suffered a right middle cerebral artery infarction on 3 September 2014 after experiencing two falls during a day service activity. His symp…
20y · Male·ventricular fibrillation secondary to electrocution
Ryan Donoghue, a 20-year-old deckhand, died from ventricular fibrillation following electrocution on a fishing vessel in the Gulf of Carpentaria. He was using a 240-volt angle grinder on a wet deck when a wave washed ove…
5y · Male·Acute bronchopneumonia and diffuse alveolar damage due to acute rheumatic cardit…
A 5-year-old boy with rheumatic heart disease and acute mitral valve regurgitation presented to Mt Isa Hospital with acute heart failure. Although initially recognised as deteriorating by the paediatrician on-call, the s…
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