1,175 results
26y · Male·Unascertained on an unequivocal medical or pathological basis; likely multifacto…
Nick Karagiannis, a 26-year-old man with schizophrenia, obesity, and significant hepatic steatosis, died unexpectedly at Thomas Embling Hospital's secure psychiatric unit. He was found unresponsive in bed after having no…
33y · Male·complications from blunt force trauma to head consequent upon being struck by a …
A 33-year-old man with long-standing substance abuse and acute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Assessment and Treatment (CAT) Team assessed him at 5pm …
24y · Male·Combined drug toxicity (morphine and diazepam)
James, aged 24, died from combined drug toxicity (morphine and diazepam) following intentional overdose. He had engaged in prescription shopping across 19 doctors and 32 pharmacies over three years, obtaining large quant…
43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…
David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compr…
48y · Male·drowning
John Tuffy, 48, died by drowning after absconding from a mental health waiting room at Bayview House while awaiting transfer to hospital. He had returned from Ireland with acute psychosis triggered by his mother's sudden…
53y · Female·Multiple stab wounds inflicted by an unknown assailant
Linda Parker, 53 years old, died from multiple stab wounds inflicted by an unknown assailant. She lived with her 16-year-old daughter, Nicky Sweet, in a relationship characterised by severe family violence. Ms Sweet was …
33y · Male·Longstanding atheromatous coronary artery disease with severe stenosis and cardi…
A 33-year-old Aboriginal man died in custody from longstanding atheromatous coronary artery disease with cardiac hypertrophy. On presentation to the prison clinic with non-specific symptoms (headache, throat pain, arm an…
37y · Female·exsanguination from incised wounds to right wrist and elbow
Tracey Inglis, a 37-year-old woman with chronic pain from multiple orthopaedic injuries, hepatitis C, and a history of suicidal ideation, died by suicide while imprisoned. Critical clinical lessons include: the Initial R…
33y · Male·acute hydrocephalus following ventricular blockage by a colloid cyst
Daniel Johnson, a 33-year-old Aboriginal man, died of acute hydrocephalus caused by a colloid cyst in the brain while in custody at Darwin Correctional Centre. He had complained of severe, recurring headaches for months …
18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…
An 18-year-old remand prisoner died from acute liver failure secondary to Hepatitis B and C infection. He presented with fever and malaise on 15 February but was assessed only for boils and not thoroughly evaluated. Clin…
4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet
Four-year-old Rory died from oxycodone toxicity after ingesting an 80mg OxyContin tablet from his father's prescribed medication. The tablet was not appropriately stored and remained accessible to the child. His parents …
Male·Ashton Michael Sunfly: ligature compression of the neck (hanging); Mitchell Nana…
This coronial inquiry examined five deaths in Balgo Aboriginal Community over a 24-month period: four suicides by hanging and one death from volatile substance abuse. The suicide rate in Balgo was more than 100 times the…
Unknown·Multiple injuries from motor vehicle accident; Anthony Paul Thomson died from ru…
Motor vehicle accident involving 4 deaths on 8 May 2009 at Nambour Connection Road and Blackall Street intersection, Queensland: 5-year-old twins, a 60-year-old female driver, and 43-year-old male driver Anthony Paul Tho…
6y · Male·Drowning due to epileptic seizure while bathing
A 6-year-old boy drowned in a bath at home during an apparent epileptic seizure. He had a history of recurrent seizures since infancy attributed to febrile convulsions, with eight hospital admissions between 2003-2008 ac…
52y · Female·Multiple stab injuries
Lynette Ann Kent, 52, was fatally stabbed by her partner Peter Griffin during a domestic violence incident. The case reveals critical systemic failures in family violence intervention. Despite multiple warning signs—Pete…
54y · Male·Hanging (self-inflicted), following the death of Lynette Ann Kent from stab woun…
Peter Griffin, aged 54, fatally stabbed his partner Lyn Kent and then hanged himself in November 2009 following relationship breakdown. The finding documents a 10-year relationship characterised by escalating family viol…
36y · Male·Gunshot wound to chest
Adam Quddus Salter, aged 36, experienced acute psychiatric decompensation on 18 November 2009 while living at his family home. After stabbing himself multiple times, paramedics and police were called. While paramedics tr…
Unknown·Incineration from a house fire. The children were subject to poor supervision fr…
Two young children (aged 3 and 2 years) perished in a house fire in 2008 while under the supervision of their grandmother, who had been previously determined by the Department of Child Safety to be inappropriate for this…
2y · Male·Group A Streptococcal toxic shock syndrome which probably originated in the thro…
Ryan Saunders, a 2-year-old boy, died from Group A Streptococcal toxic shock syndrome after a 72-hour presentation with fever, pain, and systemic illness. Initial GP care was appropriate given the presentation and diagno…
47y · Female·risperidone toxicity
Rosa Sinapi, a 47-year-old woman with delusional disorder, died from risperidone toxicity after ingesting an overdose of her antipsychotic medication. She had self-escalated her risperidone dose from 3mg to 6mg daily wit…
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