1,172 results
22y · Male·combined mixed drug intoxication
A 22-year-old medical student with chronic spinal cord pain and depression died from combined drug intoxication involving U-47700 (a potent uncontrolled synthetic opioid 7.5 times more potent than morphine), venlafaxine …
62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …
In September 2013, Mr John Evans (62) killed his wife Jillian after he experienced psychosis manifesting as delusions about chemical infestation of their home. The coroner found Mr Evans was psychotic at the time of deat…
36y · Male·Multi-organ failure complicating injecting drug use
A 36-year-old man with a 13-year history of schizophrenia and substance abuse was admitted involuntarily to a psychiatric unit on 15 September 2012 after community deterioration. He improved over several weeks and was tr…
79y · Male·hypoxic brain injury due to cardio-respiratory arrest caused by opioid toxicity
Yongxing Wang, 79, died from hypoxic brain injury caused by opioid toxicity from combined morphine and oxycodone. After a minor back injury on 21 August, he received a cortisone injection on 22 August with complications.…
28y · Female·complications of epilepsy
Carney Schultz, a 28-year-old woman with severe cerebral palsy, hydrocephalus, and epilepsy, died on 21 April 2015 at a group home. She experienced a seizure around 3:20am managed by a disability support worker (DSW) wit…
21y · Male·asphyxia from inhalation of helium
21-year-old Devlin Duffy died from asphyxia due to helium inhalation. He had connective tissue disease causing chronic pain and disability. In May 2016, his GP Dr N. diagnosed moderate depression and prescribed desvenlaf…
67y · Female·perforated sigmoid volvulus with peritonitis upon a background of spinocerebella…
Betty Irene Ball, aged 67, died from perforated sigmoid volvulus with peritonitis on 2 February 2016. She had spinocerebellar ataxia and was resident in aged care. She developed constipation from 15 January 2016, but med…
45y · Male·Stab wound to the chest, self-inflicted
Shane Lockwood, a 45-year-old man with chronic schizophrenia, died by self-inflicted stab wound in April 2009, approximately two months after discharge from psychiatric hospital on a Community Treatment Order. He was dis…
64y · Male·Aspiration pneumonia in a man with dysphagia and acquired brain injury
John Gale, a 64-year-old man with acquired brain injury and severe intellectual disability living in state care, died from aspiration pneumonia following a fall and pneumonia diagnosis in May 2016. He was transferred bac…
35y · Male·Active rheumatic pancarditis complicated by pulmonary arterial hypertension, pne…
A 35-year-old Aboriginal man died from rheumatic pancarditis complicated by pulmonary hypertension, pneumonia and unspecified connective tissue disease. He had presented repeatedly to Katherine Hospital with symptoms sug…
31y · Male·Hypoxic ischaemic brain injury secondary to hanging
Craig Akerblom, a 31-year-old man with depression, anxiety, substance abuse, and selective eating disorder, died by hanging resulting in hypoxic-ischaemic brain injury. He had been under care of multiple clinicians (GP, …
49y · Female·Bronchopneumonia, hypoxic brain injury, and combined drug toxicity (oxycodone an…
Karen Moore, aged 49, died from bronchopneumonia following hypoxic brain injury caused by combined drug toxicity (oxycodone and diazepam). She was found unconscious at home after an overdose and did not regain consciousn…
61y · Male·mixed prescription drug toxicity (methadone, diazepam, promethazine) with aspira…
A 61-year-old man with chronic alcoholism, dilated cardiomyopathy and cirrhosis died from mixed prescription drug toxicity (methadone, diazepam, promethazine) with aspiration pneumonia. He consumed significant alcohol on…
48y · Male·Coronary artery disease precipitating acute myocardial infarction resulting in c…
Roy Rodney Jacobs, a 48-year-old Aboriginal man with cirrhosis and coronary artery disease, died of acute myocardial infarction at Cherbourg Hospital after presenting three times over 28-30 August 2016 with chest pain an…
75y · Female·pyelonephritis and pneumonia
Molly Jessie Smith, a 75-year-old woman with longstanding severe mental illness, died of pyelonephritis and pneumonia on 16 August 2009. She had been in state psychiatric care continuously for 53 years. During her final …
31y · Male·carbon monoxide toxicity
Shaun Martin Keane, aged 31, died by carbon monoxide toxicity while on home detention bail following arrest for assault. He had a documented history of suicidal ideation, including a previous gassing attempt in 2010, and…
35y · Male·Fentanyl toxicity
David Veech, aged 35, died of accidental Fentanyl toxicity while residing at Tarlo Intensive Residential Support Service. He extracted Fentanyl from prescribed transdermal patches and injected it intravenously. Despite b…
37y · Male·cardiac arrhythmia
A 37-year-old man died in custody from cardiac arrhythmia, with morbid obesity and concurrent psychotropic medications carrying QT-prolongation risk identified as contributing factors. Key clinical lessons include: (1) p…
48y · Male·Injuries sustained in an explosion
Glenn Sanders died from injuries sustained in explosions on his property during a police siege. Sanders had severe mental illness (Delusional Disorder/Schizophrenia), polysubstance abuse, and had rigged his house and far…
44y · Male·Multiple traumatic injuries sustained in a fall from height
Ashley Bryant, a 44-year-old former NSW police officer with 24 years service, died by suicide at Minyon Falls on 16 December 2013 while suffering from PTSD, depression and alcohol dependence. The coroner found these cond…
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