4,457 results
26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia
Ashleigh Rebecca Hunter, a previously healthy 26-year-old, died from meningococcal septicaemia (W strain) within 3 hours of arriving at Royal Perth Hospital. She presented with severe generalised pain (10/10), tachycardi…
27y · Male·unascertained
William Mainprize, a 27-year-old stockman, died when the livestock carrier Gulf Livestock 1 sank during Typhoon Maysak on 2 September 2020 off Japan. The vessel, which had experienced multiple safety breaches in the prec…
47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…
Ricky Broughton, a 47-year-old man with chronic treatment-resistant schizophrenia, died during police restraint while being transferred for involuntary psychiatric assessment. After moving from Geelong to Ballarat in Feb…
36y · Female·Blunt force injuries to the neck due to a motor vehicle accident
Delvene Thompson, 36, died in a motor vehicle crash on Trower Road, Darwin, after the driver (Peter Lynch) evaded police during a traffic stop and pursued at extreme speed through red lights. The coroner found the crash …
37y · Male·mixed drug toxicity with fentanyl as the principal agent
37-year-old Jason Cullen died from mixed drug toxicity with fentanyl as the principal agent. He had chronic idiopathic intracranial hypertension requiring multiple neurosurgeries and was prescribed opioids and benzodiaze…
36y · Female·plastic bag asphyxia
A 36-year-old woman with longstanding severe mental illness, including recurrent suicidal ideation and self-harm, died in custody at Dame Phyllis Frost Centre from plastic bag asphyxia on 29 August 2020. She was housed i…
17y · Female·Gamma hydroxybutyrate (GHB) toxicity
JZA, a 17-year-old in residential out-of-home care, died from GHB toxicity after returning to her residential unit intoxicated in the early morning. She was monitored by residential support workers throughout the day but…
53y · Male·Gunshot wound to the left thigh with transection of femoral artery and vein; exs…
Jacob Carr died from a gunshot wound to his left thigh sustained during a police operation at his home. He had assaulted his elderly mother, and police responded to a domestic violence call. During confrontation, Mr Carr…
46y · Male·Aspiration pneumonia in an obese man with a history of diabetes mellitus, obstru…
Samuel Edward Ashby, a 46-year-old prisoner with treatment-resistant schizophrenia, died from aspiration pneumonia complicated by clozapine effect. Key clinical lessons: (1) smoking cessation dramatically increases cloza…
6y · Male·Complications of Head Injury following a fall from a Fairground Ride
Six-year-old Eugene Mahauariki was ejected from the Cha Cha ride at a carnival in Rye, Victoria on 17 April 2017 and died from head injuries four days later. The coroner found the death was preventable due to three criti…
59y · Female·Asphyxial aspiration with upper airways obstruction by vomitus
Ms Prenc, a 59-year-old woman with spina bifida, died from asphyxial aspiration with upper airway obstruction by vomitus while hospitalised for urosepsis. The critical clinical issue was a Goals of Care (GOC) document co…
48y · Male·Multiple Injuries
Andrew Stark, a 48-year-old Aboriginal man, died in a single-vehicle motor accident while being pursued by police for an unregistered vehicle in Gunnedah, NSW. During a 3:22-minute pursuit, speeds reached 174 km/h in a 5…
71y · Male·Chest and neck injuries and mechanical asphyxia from being crushed under a bus
Raymond Henry Millington, a 71-year-old semi-retired bus operator, died from mechanical asphyxia after being crushed under a bus while attempting to remove the gearbox. He had activated the park brake but fatally failed …
31y · Male·Multiple injuries sustained in a motor vehicle incident (passenger)
A 31-year-old male passenger died from multiple injuries sustained in a motor vehicle collision. The driver, after consuming alcohol at a pub (blood alcohol level estimated 0.233-0.278% at time of collision), drove the v…
31y · Female·Compression of the neck
Caitlin O'Brien, a 31-year-old nurse, was murdered by her intimate partner Shea Sturt via compression of the neck on 25 June 2019. The coroner identified multiple systemic failures in family violence recognition and risk…
54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…
A 54-year-old male was assaulted in a nightclub with a single punch causing orbital and facial fractures and posterior epistaxis. He presented to the Royal Hobart Hospital ED with active bleeding. Critical deficits in hi…
43y · Male·Gunshot wounds to the chest, with other significant conditions noted as thermal …
Omid Molayee, a 43-year-old Iranian-born Australian resident, died from gunshot wounds to the chest on 6 April 2020 after a domestic violence incident escalated into a confrontation with police. Following an argument wit…
51y · Male·Stab wounds to the chest
A 51-year-old man with documented mental health issues including psychosis, paranoia, and delusions died from self-inflicted stab wounds during a police siege at his mother's home. He had breached a domestic violence ord…
33y · Male·Contact range shotgun injury to the head
A 33-year-old man died from a contact range shotgun injury to the head while subject to a Mental Health Act apprehension order. Police conducted a six-hour operation involving 120 members across multiple units after he p…
52y · Male·hanging
A 52-year-old man with a history of depression, ankylosing spondylitis, and severe obstructive sleep apnoea died by hanging in custody. He had requested a CPAP machine for over 9 months without receiving one, which he be…
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