4,457 results
44y · Male·Multiple blunt force injuries from fall from height
Michael Murray, aged 44, died following a fall from Landslide Lookout in the Blue Mountains. He had been diagnosed with borderline personality disorder (BPD) and chronic suicidality. His death highlighted critical gaps i…
14y · Female·blunt trauma of the chest
A 14-year-old girl died from blunt chest trauma after losing control of an unregistered Polaris Ranger ATV on her landlord's property. She was ejected from the vehicle due to the absence of doors and failure to wear a se…
55y · Male·Hanging
Craig Geoffrey Rickard, aged 55, died by hanging on 15 January 2020, three days after release from custody serving a Community Corrections Order. He had presented to mental health services multiple times in September 201…
0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …
Everett Carleton died at birth following an emergency caesarean section complicated by unexpected placenta praevia and umbilical cord transection. The placenta was incorrectly reported as posterior on ultrasound, though …
58y · Male·drowning
A 58-year-old man died by drowning while hookah diving off the Tasmanian coast. He was using second-hand equipment purchased online that had multiple safety deficiencies: inadequate filtration allowing contaminants and r…
57y · Male·cerebral arterial gas embolism (CAGE)
A 57-year-old experienced commercial diver died from cerebral arterial gas embolism (CAGE) while recreational hookah diving near St Helens Island, Tasmania on 24 December 2021. His diving equipment had multiple critical …
13y · Female·complications of a head injury sustained when she deliberately stepped in front …
A 13-year-old with emerging emotionally unstable personality disorder (EUPD) died by suicide after deliberately stepping in front of a car on 21 July 2020, two days after a positive appointment with mental health clinici…
86y · Female·Cardiogenic shock
Adelaide Wilson, 86 years old, presented to an urgent care centre with two days of chest pain and vomiting. A point-of-care troponin test (i-STAT) returned 0.4 ng/L, interpreted as normal, and she was discharged with gas…
27y · Male·unascertained
Neil Lindsay Kobelt, a 27-year-old man with diagnosed schizophrenia, disappeared from Kalgoorlie, Western Australia in February 1982, shortly after discharge from hospital for acute psychiatric crisis. He had relocated t…
22y · Unknown·sudden death associated with volatile substance inhalation (butane and propane)
A 22-year-old Yolngu person with a well-documented history of volatile substance abuse (VSA) and mental illness was involuntarily admitted to Royal Darwin Hospital for acute psychosis. Due to COVID-19 bed-block, they wer…
68y · Male·Traumatic asphyxia due to entrapment between shipping container wall and semi-tr…
A 68-year-old man with 17 years' experience died from traumatic asphyxia when unloading semi-trailer axles from a shipping container at work. He failed to position the forklift tines to support the axle pack as required …
40y · Male·gunshot wounds
Todd McKenzie, a 40-year-old man with treatment-resistant schizophrenia, died of gunshot wounds after a nine-hour police siege at his Taree home on 31 July 2019. Todd became acutely psychotic, waving a knife and expressi…
66y · Male·Complications of metastatic lung adenocarcinoma, with terminal palliative care, …
Karl Frederick Dominic Holmes, a 66-year-old prisoner with metastatic lung adenocarcinoma and hepatocellular carcinoma, died from complications of his terminal cancer while serving a 7-year sentence. He received excellen…
11y · Male·unascertained
An 11-year-old child with Cornelia de Lange Syndrome and severe congenital heart disease died alone at home while his mother was intoxicated and unwell. He had complex care needs and was non-verbal. The Department of Com…
85y · Female·Complications of a left ankle fracture (operated)
An 85-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, hypertension, prior stroke) sustained a left ankle fracture requiring surgical repair. A significant delay occurred in removing her pla…
39y · Female·Complications from burns, such burns being from acid doused over 80% of Ms Chett…
Monika Chetty, aged 39, died from complications of severe acid burns covering 80% of her body sustained in early December 2013. She was found in bushland in West Hoxton on 4 January 2014 and died 27 days later at Concord…
50y · Female·Multiple stab wounds to the abdomen and chest
Michelle Michell, a 50-year-old woman, was stabbed to death by her estranged husband Neville in a premeditated domestic violence homicide on 30 June 2021. Critical lessons include: (1) police failed to recognise escalati…
17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…
Kane Mathew Leary, 17, died from a stroke (left middle cerebral artery infarction) following a motorbike collision. The critical clinical lesson involves a missed diagnosis of left internal carotid artery dissection on i…
30y · Female·tricuspid valve bacterial endocarditis
Jennifer Collins, a 30-year-old intravenous methylamphetamine user, died from tricuspid valve bacterial endocarditis on 6 September 2018. She presented to Noarlunga Hospital ED on 20 August 2018 with chest tightness, fev…
43y · Male·Crush injuries (chest and abdominal injuries and chest compression) sustained in…
Daniel Thomas Knight, aged 43, died from crush injuries sustained while attempting to clear a blockage in a wastepaper compactor (model TCU 660) at a printing business. The compactor had never functioned correctly due to…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.