4,457 results
73y · Female·Multi organ failure due to adhesions related bowel perforation (surgically treat…
Sharyn Kaine, a 73-year-old woman, died from multi-organ failure due to adhesions-related bowel perforation and paracetamol-induced liver failure. She was prescribed intravenous paracetamol 1g four times daily post-opera…
46y · Male·neck compression due to hanging
Matthew Wade Sulley, aged 46, died by hanging while on home detention under Department for Correctional Services supervision. He had a significant psychiatric history including previous suicide attempt by hanging (1997),…
75y · Male·End stage myelodysplastic syndrome and end stage renal failure on a background o…
A 75-year-old man died in prison custody from end-stage myelodysplastic syndrome and renal failure on a background of ischaemic heart disease, hypertension, valvular disease, and metastatic prostate cancer. He was admitt…
Female·Multiple injuries sustained in a motor vehicle collision
Two teenage girls, Claire Sankey (15) and Susanna Kopysiewicz (14), died in a motor vehicle collision on the Monaro Highway on 9 October 2022. An unlicensed learner driver, operating without a supervising licensed driver…
74y · Female·Post-operative exacerbation of delirium and terminal functional deterioration du…
Jane Ann Chapman, 74, presented to hospital with delirium, fever and suspected urinary tract infection. She fell from an Emergency Department trolley bed, sustaining a neck of femur fracture requiring surgery. Post-opera…
24y · Male·multiple injuries
Andrew Seton, an experienced 24-year-old backcountry skier, died on 3 September 2022 following an accidental fall while skiing alone at Watsons Crags in Kosciuszko National Park in icy conditions. He was not reported mis…
0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…
Baby X, born at Canberra Hospital after a prolonged labour, died at age 2 days from injuries sustained during birth. Two interlinked pathologies contributed to death: hypoxic-ischemic encephalopathy (HIE) from prolonged …
Unknown·VAD oral substance toxicity; underlying conditions: ischaemic heart disease, emp…
An elderly person (ABC) died from self-administering a voluntary assisted dying (VAD) oral substance that had been prescribed for their spouse but not collected for return after the spouse died. ABC was grieving, suffere…
52y · Male·Neck compression (ligature strangulation)
Geoffrey Fardell, a 52-year-old man with schizophrenia, HIV, and substance abuse history, died from neck compression (strangulation) while in remand custody at Mid North Coast Correctional Centre. He was placed in a cell…
29y · Male·butane and propane toxicity from inhalation of canola oil spray propellants
Robert Parnell, aged 29, died from butane and propane toxicity after inhaling propellants from a can of canola oil spray in a prison kitchen toilet. He had a long history of polysubstance use including solvent sniffing d…
33y · Male·Aspiration pneumonia in the setting of recent COVID-19 infection
Russell Hewat, a 33-year-old man with autism, Down syndrome, intellectual disability, and dysphagia, died from aspiration pneumonia following COVID-19 infection. He was discharged from Frankston Hospital on 1 November 20…
49y · Male·Traumatic head injury sustained in a fall from the roof of a work vehicle
A 49-year-old air conditioning contractor died from traumatic head injury sustained when he fell from the roof of his work van while securing equipment. He was working at height without a harness or fall protection, and …
48y · Male·Gunshot wound to the chest during a police operation
Corey Selby, aged 48, died from a gunshot wound to the chest on 19 January 2023 outside Tenterfield Police Station after deliberately provoking police to shoot him. He had a complex mental health presentation comprising …
14y · Male·Brain infarction caused by hypoxia following self-inflicted hanging by rope liga…
PT was a 14-year-old boy with a history of anorexia nervosa and bulimia who died by hanging in April 2022. He had been discharged from eating disorder treatment in November 2021 after maintaining appropriate weight. In t…
23y · Female·stab wound of the chest
Kunmanara May, aged 23, was killed by her partner SK in a domestic violence homicide in 2015. Multiple agencies—South Australia Police, Families SA, Aboriginal Family Support Service, and Centacare—knew of escalating vio…
19y · Female·sodium nitrite toxicity
This finding concerns the death of a 19-year-old transgender woman (referred to as 'AS') who died from sodium nitrite toxicity on 9 May 2021. She ingested sodium nitrite during a video call with a friend in NSW. AS had a…
28y · Female·compression of the neck and hanging
28-year-old Bridget Flack, a transgender woman experiencing complex mental health issues including depression, anxiety, borderline personality disorder and PTSD, died by suicide in December 2020 after becoming increasing…
33y · Female·neck compression and hanging
Natalie was a 33-year-old transgender woman with a long history of mental health conditions including severe social anxiety, agoraphobia, borderline personality disorder and PTSD, with suicidal ideation since age 17 and …
56y · Male·Complications, including sepsis, of left leg infection (operated), in a man with…
Matthew John Pickin, a 56-year-old prisoner with metastatic lung adenocarcinoma, died from sepsis complicating a left leg infection. His lung cancer was appropriately investigated following haemoptysis in October 2021, w…
Multiple injuries sustained in a helicopter incident
Five people died in a helicopter crash at Mount Disappointment on 31 March 2022. The pilot, Dean Neal, had no instrument flying training and was only authorised for visual flight rules (VFR). Despite weather forecasts in…
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