1,172 results
84y · Female·Positional asphyxia due to head and neck entrapment between mattress and bed pol…
Barbara Westcott, aged 84, died of positional asphyxia on 31 March 2012 when her head and neck became trapped between her mattress and a bed pole at Vaucluse Gardens aged care facility in Hobart, Tasmania. The bed pole, …
17y · Male·Global cerebral ischaemic injury and aspiration pneumonia post cardiac arrest du…
Nathan Dimech, a 17-year-old with intellectual disability and substance abuse issues, died from methadone toxicity after consuming his father's opioid replacement therapy (ORT) dose from a refrigerator. Nathan's father, …
44y · Female·Combined drug toxicity (oxycodone, diazepam, and pregabalin)
Melissa May, a 44-year-old woman with chronic pain and opioid dependence, died from combined drug toxicity on 16 December 2013. She had been prescribed oxycodone, diazepam, and pregabalin by doctors at Rich River Health …
57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)
A 57-year-old man died from mixed drug toxicity, predominantly propoxyphene (Doloxene), combined with benzodiazepines. His GP of 13 years prescribed Doloxene for 10 years despite documented alcohol abuse history, which w…
36y · Female·Hanging
A 36-year-old woman with borderline personality disorder and alcohol use disorder died by hanging approximately one month after discharge from St Vincent's Hospital. She had been admitted involuntarily following threats …
45y · Female·Combined effects of widely metastatic (end-stage) carcinoma of the cervix and br…
Teressa Maree Beswick, a 45-year-old woman with end-stage metastatic cervical cancer, died from the combined effects of her cancer and bronchopneumonia accelerated by a critical medication error. On 23 October 2014, she …
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…
This tragic case involved a mother with severe untreated psychosis who killed her two daughters and then herself. Ms Glendinning had a longstanding history of paranoid delusions, cannabis use, and mental health difficult…
46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…
Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court proceedings, killed her daughters Jane and Jessica on 5 December 2011, then took her o…
Unknown·Multiple injuries (road crash)
Three family members died on 1 February 2015 when a car was deliberately driven into a tree: Darren Milne (42), his wife Susana Estevez Castillo (39, pregnant), and their son Liam (11). Darren, an electrical engineer, pr…
43y · Male·acute neck compression due to hanging
Geoffrey Noakes, a 43-year-old man with a long history of depression and suicide attempts, was detained under the Mental Health Act on 19 February 2013 after multiple suicide attempts (knife to throat, jumping from vehic…
91y · Female·kidney impairment and dehydration following thermal injury to right leg in an el…
A 91-year-old woman with cerebrovascular disease and right-sided paralysis sustained a significant second-degree burn to her lower right leg when it fell against a hydronic heater beside her bed at an aged care facility.…
75y · Male·Burns
75-year-old John Drane, a resident of Masonic Care Queensland, died from extensive burns on 9 January 2014. The coroner concluded he intentionally set himself alight using a cigarette lighter shortly after receiving his …
33y · Male·Mixed drug toxicity (heroin, buprenorphine and benzodiazepines)
A 33-year-old man with polysubstance abuse disorder and mental illness died from mixed drug toxicity (heroin, buprenorphine, and benzodiazepines). He engaged in 'prescription shopping' across multiple medical practices, …
30y · Male·Mixed drug toxicity (methadone, amitriptyline, alprazolam, diazepam, oxazepam, n…
Benjamin Appelman, 30, died from mixed drug toxicity in a creek in December 2010. He had engaged in prescription shopping across multiple GPs and pharmacies to obtain benzodiazepines, obtaining 1050 alprazolam, 1540 diaz…
6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…
Sebastian Parman, a 6-year-old boy, died from pneumonia complicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an inf…
Male·neck compression due to hanging
Two men died by suicide within five months of emergency department assessments at Lyell McEwin Hospital. Both had been brought in by police under Mental Health Act section 57 but were not detained and discharged after mi…
69y · Female·multi-organ failure due to sepsis of unknown origin
A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 June 2012 with vomiting, dehydration, and …
43y · Female·mixed drug toxicity including methadone
43-year-old woman with long-standing opioid and benzodiazepine dependence died from mixed drug toxicity including methadone, amitriptyline, pregabalin, duloxetine, diazepam and paracetamol. Two GPs prescribed drugs witho…
77y · Female·combined effects of ischaemic heart disease and calcific aortic valve sclerosis
Margaret Wynne Newett, 77, had moderate aortic stenosis diagnosed in 2011 but was never monitored with follow-up echocardiography as guidelines recommend. On 30 December 2013, she collapsed in a supermarket. At West Coas…
43y · Female·Stab wounds to the chest
Kelly Thompson was fatally stabbed by her estranged partner Wayne Wood on 9 February 2014 after he forcibly entered her home. Over 39 days from initial police contact on 1 January 2014, multiple system failures contribut…
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