1,172 results
45y · Female·combined drug (tapentadol, nortriptyline, venlafaxine, codeine, oxycodone, queti…
QD, a 45-year-old woman with significant comorbidities including obesity, obstructive sleep apnoea, COPD, depression, and substance abuse history, died from mixed drug and alcohol intoxication. Toxicology revealed toxic/…
34y · Male·ischaemic heart disease secondary to coronary atherosclerosis as an antecedent c…
Reuben Button, a 34-year-old Aboriginal man, died in custody from ischaemic heart disease secondary to coronary atherosclerosis. During his 5-year imprisonment, his weight increased from 86kg to 162kg despite attempts at…
59y · Female·complications of abscesses following dental extraction, in a woman with cerebral…
Angela Cuthbert, a 59-year-old woman with severe cerebral palsy and dysphagia, died from complications of abscesses following extraction of all 14 teeth under general anaesthetic. Surgery occurred 20 June 2022; she devel…
43y · Male·Hanging
GS, a 43-year-old man with complex mental health history (depression, anxiety, borderline personality disorder, substance use), died by hanging in Goulburn Correctional Centre after 183 days in custody. The critical fail…
73y · Male·unknown
A 73-year-old man with dementia and frontal lobe impairments disappeared from a nursing home on 5 January 2018; his remains were discovered a year later in a nearby river. Critical clinical and organisational failures oc…
36y · Male·Mixed prescription drug toxicity (morphine, lignocaine, amiodarone and midazolam…
Damian Crump, aged 36, was an intensive care paramedic with Ambulance Tasmania who died by suicide on 23 December 2016 by deliberately consuming fatal quantities of morphine, lignocaine, amiodarone and midazolam stolen f…
5y · Male·multiple stab wounds
A 5-year-old boy died from multiple stab wounds inflicted by his father during an acute psychotic episode. The father, diagnosed with schizophrenia in 2003, was admitted to Hornsby Hospital in April 2018 following deteri…
Female·Betty: cardiac arrhythmia complicating heart failure due to consequences of past…
This inquest examined three deaths of young Aboriginal women from Doomadgee (ages 18, 37, and 17) from rheumatic heart disease (RHD) complications between September 2019 and September 2020. All three deaths were preventa…
11y · Female·Complications of E. coli sepsis in association with intestinal obstruction due t…
Child R, an 11-year-old Aboriginal girl with congenital anorectal anomalies causing chronic severe constipation, presented to Halls Creek Hospital on 5 January 2017 with severe abdominal pain and vomiting. She died 12 ho…
47y · Male·combined acute effects of multiple drugs in obese man with enlarged heart and ar…
Nicholas Cripps, a 47-year-old man with treatment-resistant schizophrenia, substance use disorder, and antisocial personality disorder, died from combined acute effects of multiple drugs (methylamphetamine, quetiapine, p…
89y · Female·Complications of fractured neck of femur in the setting of a fall in a woman wit…
An 89-year-old woman with dementia and high falls risk sustained a fall at an aged care facility on 24 August 2019. The enrolled nurse in charge, on her third unsupervised shift, lacked electronic medical record access a…
58y · Female·Mixed drug toxicity (oxycodone, temazepam, diazepam, oxazepam, citalopram, fluox…
Amanda Jane Stapledon, 58, died from mixed drug toxicity after intentionally taking her life. She was a former councillor and community advocate who became a person of interest in an IBAC anti-corruption investigation (O…
31y · Female·Plastic bag asphyxia
31-year-old Veronika Kouros, a voluntary inpatient at Northern Psychiatry Unit with bipolar affective disorder, obsessive-compulsive disorder, and depression, died by plastic bag asphyxia on 19 March 2018. Despite hospit…
56y · Male·hanging (neck compression)
CJ, a 56-year-old man, died by hanging in custody at Bathurst Correctional Centre on 31 December 2020, shortly after the suicide of his son in June 2020. He had recently been remanded in custody on domestic violence char…
29y · Female·acute myocardial infarction due to stenotic coronary vessel (left anterior desce…
Rebecca Richardson, a 29-year-old with type 1 diabetes and coronary artery disease, died of acute myocardial infarction on 7-9 May 2019. She presented to NWRH ED on 6 May with abdominal pain and vomiting, initially attri…
47y · Male·Multidrug toxicity (ethanol, quetiapine, baclofen, benzodiazepines)
Stuart Noble, 47, died from multidrug toxicity involving baclofen, quetiapine, benzodiazepines, and ethanol in an intentional overdose. He was prescribed baclofen off-label by his GP for alcohol use disorder despite it l…
69y · Male·amitriptyline and alcohol toxicity with ischaemic heart disease
A 69-year-old man with longstanding anxiety, depression, heavy alcohol use, and multiple prior intentional overdoses of amitriptyline died from combined amitriptyline and alcohol toxicity with underlying ischaemic heart …
46y · Male·Opioid toxicity (tapentadol and oxycodone)
Bradley Liefvoort, 46, died from opioid toxicity (tapentadol and oxycodone) at home in Dandenong. Over a decade of prescription medication misuse began with ibuprofen for headaches, escalating to opioid dependence follow…
76y · Female·Effects of fire in a woman with head and neck injuries
Mrs Emma Weidemann, aged 76, died from burns sustained in a fire deliberately set by her husband Rudolf at their home on 11 December 2019. Rudolf had recently been diagnosed with terminal cancer, experienced cognitive de…
87y · Male·Metastatic carcinoma of the prostate with complications (end-of-life palliative …
Errol Warren Bartlett-Torr, aged 87, died of metastatic prostate cancer on 20 June 2021 whilst in prison custody and receiving palliative care at Bethesda Hospital. Clinical lessons include: (1) elevated PSA findings sho…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.