4,457 results
78y · Female·Bronchopneumonia
CFT, a 78-year-old woman with chronic schizophrenia, intellectual disability, and dementia, died of bronchopneumonia with hypothermia and coronary atherosclerosis. She lived with her nephew RDS who was her carer. Multipl…
2y · Male·Penetrating injuries to the head and neck caused by multiple dog bites
Jyedon Pollard, a 2-year-old Wiradjuri boy, died from penetrating injuries to his head and neck after being attacked by two dogs (a Rottweiler and Red Heeler cross) at a motel where his family was staying in emergency ac…
38y · Male·Compression of the neck (hanging)
Jason Muir, a 38-year-old Aboriginal man, died by suicide 24 days after release from custody. He had complex psychosocial needs including mental health issues, substance use history, and prior suicide attempts. While rei…
82y · Male·Ischaemic heart disease due to coronary atherosclerosis with significant contrib…
An 82-year-old man with advanced ischaemic heart disease and emphysema died from myocardial infarction while in custody in the Acute Care Management Unit of a correctional facility. Correctional officers failed to read h…
Female·drowning (all three deceased)
This coronial finding examined three flood-related deaths in Tasmania during June 2016 following exceptional rainfall. Mary Allford drowned when her Latrobe home was inundated; Trevor Foster was swept away at Ouse; Peter…
46y · Male·Respiratory arrest secondary to acute exacerbation of bronchial asthma caused by…
A 46-year-old man with poorly controlled asthma and known ibuprofen hypersensitivity presented to a rural hospital with chest pain. A remote on-call doctor prescribed aspirin without knowledge of the allergy or availabil…
0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…
Mia Rose Iskander died at 8 hours of age from ascending uterine infection (Klebsiella pneumoniae) with chorioamnionitis following maternal premature pre-labour rupture of membranes (PPROM) at 32 weeks. Maternal managemen…
77y · Male·Injuries sustained in a motor vehicle collision (driver)
Frank Cecil Baker, 77 years old, died in a motor vehicle collision on wet roads with poor surface conditions. While not a clinical case, this coronial finding highlights the importance of recognising environmental hazard…
39y · Male·Complications of a right upper arm penetrating injury in the setting of a motor …
Grant Dimitrijevic, a 39-year-old truck driver, died from exsanguination due to transection of the right axillary artery after striking a black cow on Hendy Main Road, Moriac, in dark, foggy conditions. His vehicle veere…
35y · Male·Hyponatraemia, with psychogenic polydipsia and schizophrenia/schizoaffective dis…
Daniel Turnbull, aged 35, died in custody from hyponatraemia secondary to psychogenic polydipsia whilst in a 24-hour surveillance cell at Bathurst Correctional Centre. He had a long history of schizophrenia managed with …
27y · Male·Multiple blunt force injuries from jumping off a cliff
A 27-year-old involuntary mental health patient absconded from a hospital transfer vehicle and subsequently died by jumping from a cliff. Critical failures included: absence of clinical assessment before transfer despite…
47y · Female·acute respiratory failure in the context of known underlying chronic obstructive…
Rita Alimankinni (Pukumani), aged 47, died from acute respiratory failure while an involuntary mental health patient in the Joan Ridley Unit. Her death was preventable. She had COPD, obesity, and received multiple high-d…
42y · Male·Multiple injuries sustained in a light plane incident (pilot)
Mathew Farrell, a 42-year-old pilot with limited powered aircraft experience (24.4 total hours), crashed in a light sports aircraft in remote mountainous terrain near Lucyvale, Victoria on 18 September 2022. The coroner …
67y · Male·Head injuries sustained in falls
Martin Barlow, 67, died from head injuries sustained in two falls on 5 August 2022 while intoxicated (BAC 0.17 g/100mL). He suffered subarachnoid haemorrhage and subdural haemorrhage. After Ms Burrell called emergency se…
34y · Male·Head injury
Charles Clarence Howkins, a 34-year-old labourer, died from head injuries sustained in a trench collapse at a construction site on 21 March 2018. The coroner found that Pipecon Pty Ltd failed to provide a safe workplace,…
21y · Male·Complications of injuries sustained when a trench wall collapsed
Jack Brownlee, 21, died from crush injuries sustained in a workplace trench collapse at a construction site. Despite family concerns that excavator use during rescue exacerbated his injuries, expert geotechnical and resc…
24y · Male·Multiple gunshot wounds
Mohamad Ikraam Bahram, a 24-year-old man with schizophrenia managed under a community treatment authority, died after being shot by police on Mary Street Brisbane following an unprovoked assault on a tourist. He had pres…
30y · Female·Acute ethanol toxicity on a background of chronic alcoholism
Kathleen Arnold, aged 30, died from acute ethanol toxicity on a background of chronic alcoholism. She had a 20-year history of alcohol dependence, complex trauma from a childhood near-drowning incident, eating disorders,…
15y · Male·Combined heroin and methamphetamine toxicity
T, a 15-year-old boy subject to a Care by Secretary Order, died from combined heroin and methamphetamine toxicity on 24 November 2019. He had experienced multiple placement instability (over 20 placements in two years), …
13y · Male·asphyxia as a result of hanging
MS, a 13-year-old Year 8 student, died by suicide by hanging on 16 February 2020. In the weeks before his death, MS engaged in self-harm by cutting his arms and expressed suicidal ideation to close friends through online…
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