2,765 results
41y · Female·Intracerebral haemorrhage secondary to Posterior Reversible Encephalopathy Syndr…
Kerri Gunn, a 41-year-old woman five days post-caesarean delivery, presented to emergency with frontal headache, elevated blood pressure, proteinuria, abnormal liver function and lower limb oedema. She was admitted under…
24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway
Renee Treen, aged 24, died by suicide from the Bulla Road overpass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-adjacent behaviour not weighte…
45y · Male·metastatic malignant melanoma
Craig Lingwood, a 45-year-old prisoner, died from metastatic melanoma in May 2011. He first complained of a suspicious mole (red, itchy, bleeding) in 2005-2006, but the prison doctor (Dr C.) assessed it as benign in Augu…
40y · Male·Ligature compression of the neck in circumstances of being hanged
Adam Omerovic, a 40-year-old man with a long history of depression, substance abuse, and prior suicide attempts, died by hanging in a Melbourne Assessment Prison cell on 23 March 2010. He had been remanded on armed robbe…
0y · Female·Pulmonary hypoplasia in the setting of ascending maternal genital tract infectio…
Hannah McNeil, a term neonate, died from pulmonary hypoplasia secondary to ascending maternal genital tract infection. She was born via emergency caesarean section after induction of labour for brow presentation. Despite…
Unknown·Injuries sustained in violent attack by Antony Waterlow (stab wounds caused by k…
Nicholas Waterlow and his daughter Chloe Heuston were fatally attacked by Antony Waterlow, Nicholas's son and Chloe's brother, in November 2009. Antony suffered from untreated paranoid schizophrenia, characterized by per…
48y · Female·head injuries from multiple blunt force trauma including punching, elbowing and …
A 48-year-old woman, Kathy Tranter, was killed by her 20-year-old son who was an involuntary psychiatric patient at Orygen Youth Health (OYH) with acute paranoid schizophrenia. The son was granted overnight leave on 3 Ma…
28y · Male·ligature compression of the neck (hanging)
Robert Kenneth Scott, a 28-year-old man with schizophrenia, died by hanging on 22 May 2008 after absconding from Graylands Hospital where he was an involuntary patient. He was last seen at 4:30pm on an open ward with 60-…
33y · Female·multiple organ failure complicating sepsis in a woman with cirrhosis of the live…
Amy Tinker, a 33-year-old Aboriginal woman with unrecognised cirrhosis from chronic alcohol abuse, died from sepsis-related multi-organ failure while imprisoned. She had been admitted to Royal Perth Hospital in 2004 with…
14y · Female·Acute cerebral hypoxia arising out of suffocation due to inhalation of toxic vap…
Haley Diamond, 14, died from acute cerebral hypoxia following inhalation of volatile substances (deodorant spray) in Kununurra, WA. She suffered acute brain damage and bronchopneumonia. Clinical lessons: volatile substan…
57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …
A 57-year-old woman with COAD, hypertension, and unrecognized severe coronary atherosclerosis presented with appendicitis. Surgery was performed by an unsupervised surgeon operating on friable tissues with limited visibi…
57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy
A 57-year-old man with multiple comorbidities (obesity, diabetes, hypertension, COAD, sleep apnoea) underwent elective laparoscopic cholecystectomy at a regional hospital. The procedure was converted to open due to dense…
55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis
A 55-year-old woman with complex medical history including chronic pain, previous multiple abdominal surgeries, gastrointestinal disorders, mental health issues including DID, and suicidal ideation died from multiple dru…
38y · Male·Ligature compression of the neck (hanging)
Peter Philip Humes, a 38-year-old Aboriginal man, died by suicide by hanging in Hakea Prison while on remand. He was assessed by prison officer Trevena and nurse Lee on admission using the MR011 'At-Risk' checklist and d…
26y · Female·Unlawful Homicide - positional asphyxia during violent assault and sexual attack
A 26-year-old Aboriginal woman died from positional asphyxia during a violent assault and sexual attack by her intimate partner. She sustained traumatic brain injuries causing concussion/unconsciousness, rendering her vu…
47y · Female·bronchopneumonia in context of ischaemic heart disease, chronic renal failure, a…
Amanda Gilbert, aged 47, died from bronchopneumonia with background ischaemic heart disease, chronic renal failure, and hypoxic brain injury from a 1985 hanging attempt. She had been an involuntary patient at Graylands H…
51y · Male·congestive cardiac failure in association with ischaemic and hypertensive heart …
Tom Foski, a 51-year-old man with chronic schizophrenia, died from congestive cardiac failure associated with ischaemic and hypertensive heart disease. He had multiple medical comorbidities including diabetes, COPD, prev…
28y · Male·ligature compression of the neck (hanging)
Luke Isaac Forkin, a 28-year-old man with a long history of substance abuse and mental health issues, died by suicide while absent without leave from Graylands Hospital. He had been admitted involuntarily due to psychoti…
26y · Male·Gunshot wound to head
Wayne Joannou, 26, died from a gunshot wound to the head on 18 February 2005 when the Special Operations Group attempted his arrest. He was a known violent offender with a 10-year criminal history and substance abuse iss…
25y · Male·Cerebral hypoxia and multisystem organ failure from heroin (morphine) toxicity
Jade Dorogi, a 25-year-old man with a history of drug addiction but no prior heroin use, died from cerebral hypoxia and multisystem organ failure following heroin toxicity. He ingested heroin on 4 May 2009 with his cousi…
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