1,172 results
36y · Male·Combined effect of gunshot wounds to the chest and abdomen
Paul Lambert, 36, was shot by NSW Police on the Pacific Highway after attacking and stabbing his former girlfriend Dr J. multiple times. He had a longstanding pattern of intimate partner violence, stalking, emotional abu…
89y · Female·Blunt force head injury on a background of ischaemic and valvular heart disease
An 89-year-old woman with dementia and cardiac disease died from blunt force head injury sustained during an assault by another resident with alcohol-related dementia in an aged care facility. The resident had a document…
Ligature compression of the neck (hanging) in 12 cases; one open finding
This complex coronial inquest examined 13 Aboriginal children and young persons who died by suicide in the Kimberley Region between 2012–2016. The coroner found 12 deaths were suicides and one open finding. Common contri…
83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…
Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly contributed to her death. Dr C. tripled her dose from 15mg to…
24y · Male·Multiple injuries
Zhikai Liu, a 24-year-old Chinese international student at Melbourne University, died by suicide in March 2016 after falling from his apartment balcony. He had relocated to Australia in November 2015 and experienced sign…
55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…
Nigel Douglas Roberts, a 55-year-old man with chronic schizophrenia, COPD, and cardiomyopathy, died from cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and olanzapine) in the presence of adv…
36y · Female·Nicotine toxicity
Rachel Mihail, a 36-year-old with a complex psychiatric history including PTSD, depression, anxiety, and agoraphobia, ingested liquid nicotine at home on 22 November 2017 after calling mental health triage expressing sui…
24y · Male·seizure (epileptic)
Mohammad Nasim Najafi, a 24-year-old Afghan detainee with well-controlled epilepsy, died from a seizure after missing multiple doses of carbamazepine in the days preceding his death. He was held in immigration detention …
96y · Female·Pseudomonas aeruginosa sepsis secondary to infected leg ulcers, complicated by m…
A 96-year-old woman with diabetes, dementia and a chronic blistering skin condition developed progressively worsening leg ulcers with exposed tendons while resident in an aged care facility. Despite multiple medical revi…
72y · Female·undetermined
Stella Hamilton, 72, died at Ozcare Malanda aged care facility on 31 July 2016. She had advanced Alzheimer disease, undiagnosed necrotising bronchopneumonia, and coronary atherosclerosis. She was receiving palliative car…
92y · Male·heart failure secondary to ischaemic heart disease/arrythmia aggravated by a fal…
A 92-year-old man with dementia, Alzheimer's disease and COPD died following a fall from a defective princess chair in aged care. The chair's right armrest had a worn spring mechanism that failed to lock properly, allowi…
27y · Male·combined drug toxicity (U-47700 and etizolam)
Mark Sach, aged 27, died from combined drug toxicity involving U-47700 (a synthetic opioid 7.5 times more potent than morphine) and etizolam (a benzodiazepine 10 times more potent than diazepam), obtained via internet pu…
19y · Female·self-inflicted hanging
Sabrina Di Lembo, a 19-year-old law student, died by suicide after experiencing anxiety and panic attacks during exam preparation. Over nine weeks, she had 17 medical contacts but received inadequate assessment, no detai…
22y · Female·septic shock complicating osteomyelitis secondary to cellulitis in a woman with …
Sarah Hammoud, aged 22 with cerebral palsy and intellectual disability, died from septic shock complicating osteomyelitis secondary to cellulitis. She resided in a supported residential service and had recurrent elbow in…
50y · Male·methadone and alprazolam intoxication
Michael John Taylor, aged 50, died from methadone and alprazolam intoxication on 13 May 2016. He had chronic back pain and had been prescribed methadone and oxazepam since 2005. Evidence suggests he was crushing and inje…
0y · Female·Sudden infant death while bed-sharing
A 7-week-old premature infant died of sudden infant death while bed-sharing with her mother on a couch. The infant was born at 33 weeks gestation weighing 1.7kg and discharged home after achieving adequate growth. She wa…
37y · Male·Haemopericardium secondary to aortic dissection
Alexander Costello, 37, presented to Gunnedah Hospital ED with acute onset severe chest pain, back pain, diaphoresis and nausea. Dr G., the sole ED physician, conducted initial assessment including ECG and troponin testi…
19y · Female·Stab wounds to the abdomen
Ms Abuk Derder Akek, a 19-year-old South Sudanese refugee, was fatally stabbed by her former de facto partner Makeny Banek during a violent assault at her home in Melton, Victoria on 13 March 2016. The finding identifies…
55y · Male·probable sepsis in the setting of immunosuppression, a skin wound and chronic di…
David Paul Unwin, a 55-year-old kidney transplant recipient with polycystic kidney disease, died of sepsis in January 2017. He presented with progressive symptoms including chronic diarrhoea, weight loss (16kg in 8 weeks…
85y · Female·ischaemic heart disease due to stenosis of coronary bypass grafts
An 85-year-old woman with significant cardiac history (prior coronary artery bypass graft) presented with gastrointestinal symptoms. Her GP ceased rosuvastatin without direct communication to nursing staff. Care staff id…
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