1,175 results
42y · Male·incised wound to the neck
Wesley Robert Jennings, a 42-year-old male with long-standing depression, anxiety, hepatitis C and substance use history, died by suicide by incised neck wound whilst on remand in prison. The coroner found no demonstrabl…
34y · Male·Hypoxic-ischaemic brain injury caused by hanging
Craig Stevens, aged 34, died from hypoxic-ischaemic brain injury following a suicide by hanging on 17 June 2008. Despite police intervention, critical delays in cutting the ligature around his neck prevented timely resus…
0y · Male·failure to thrive due to insufficient caloric intake
Kalib died from failure to thrive due to insufficient caloric intake at 7 weeks old. He was born to a mother with a documented history of severe neglect and physical abuse of multiple children over 5 years, during which …
14y · Male·head injuries when struck by a train
Mikael Rohan, a 14-year-old with a history of separation anxiety, attachment disorder, and sleep disturbance, died after stepping in front of a train on 16 November 2010. He had recently been distressed about a reported …
42y · Female·Complications of cutaneous burns
Nicole Joy Millar, 42, died from severe burns inflicted by her intimate partner in a premeditated attack at a petrol station. She had disclosed prior intimate partner violence to support services but remained isolated an…
77y · Male·hypoxic-ischaemic encephalopathy and cerebral infarction due to upper airway obs…
A 77-year-old man with advanced dementia died from hypoxic-ischaemic encephalopathy caused by upper airway obstruction from a handkerchief. An agency carer placed a handkerchief in his breast pocket during morning care, …
68y · Male·coronary atherosclerosis worsened by heat stroke
Leon Streader, a 68-year-old man with schizophrenia, epilepsy, obesity, and coronary artery disease, died from coronary atherosclerosis worsened by heat stroke whilst residing in a level-3 accredited hostel on an extreme…
17y · Male·fatal asphyxia resulting from severe upper airway obstruction secondary to acute…
Kieran Watmore, a fit 17-year-old male, died from fatal asphyxia at Albany Regional Hospital on 28 August 2008 while being treated for acute tonsillitis. He presented to ED on 27 August with severe throat pain and was pr…
45y · Female·aspiration of vomitus with bowel obstruction due to faecal impaction
Vicki Margaret Greeuw, a 45-year-old woman with schizoaffective disorder, died on 13 May 2007 at Albany Regional Hospital from aspiration of vomitus secondary to bowel obstruction due to severe faecal impaction. She had …
55y · Female·hypoxic brain injury complicated by aspiration pneumonia
A 55-year-old woman with chronic schizophrenia died from hypoxic brain injury after suffocating herself with a plastic bin liner while hospitalised in a rural hospital. She was admitted following a disturbance where she …
65y · Male·acute right subdural haematoma
Sidney Brunt, aged 65, died from an acute right subdural haematoma caused by excessive, unmonitored anticoagulation with warfarin. His general practitioner, Dr A., prescribed warfarin for atrial fibrillation but failed t…
0y · Female·Group B Streptococcus infection
A 7-hour-old neonate died from early-onset Group B Streptococcus (GBS) infection contracted during labour. The mother's GBS screening test at 35-37 weeks gestation was reported negative, and no antibiotic prophylaxis was…
10y · Male·sepsis (fusobacterium necrophorum) complicating right otitis media
Jarrad Roberts, a 10-year-old with learning disabilities and likely ADHD, died from sepsis due to untreated right otitis media caused by Fusobacterium necrophorum. He had been acutely ill for 5-7 days before finally seei…
45y · Male·intracerebral haemorrhage caused by rupture of arterial aneurysm
A 45-year-old man with an intracerebral haemorrhage from a ruptured aneurysm presented to an emergency department and general practice on multiple occasions in October 2005 with headache, vomiting, dizziness, and neck st…
41y · Male·Dilated cardiomyopathy
Raleigh Hoy, a 41-year-old man with schizophrenia and autistic spectrum disorder, died of dilated cardiomyopathy at a residential care facility (Tarampa After Care Centre) in Queensland in January 2007. While his mother …
17y · Female·Multi System Failure following acute onset (Acute Diabetic Ketoacidosis) Diabete…
Lee Rebecca Halford, a 17-year-old girl, died of acute diabetic ketoacidosis (DKA) following undiagnosed Type 1 diabetes. She initially presented to a GP with vomiting on 27 February 2007, diagnosed with gastroenteritis.…
43y · Male·intra-abdominal haemorrhage due to traumatic rupture of splenic blood vessels du…
Michael Joseph Joy, a 43-year-old man with Wilson's disease requiring wheelchair mobility and residential care, died from intra-abdominal haemorrhage due to splenic vessel rupture following a fall in his bathroom on 24 F…
7y · Female·streptococcus pneumoniae sepsis complicating retropharyngeal abscess
A 7-week-old infant died from streptococcus pneumoniae sepsis complicating retropharyngeal abscess. Three days before death, a report was made to child protection services alleging the father had shaken the infants. A ge…
Male·acute myocardial infarction due to coronary artery disease (all four); specific …
Four rural South Australian men (aged 42-76 years) died from acute coronary syndrome in 2004-2006. All presented to country medical practitioners with symptoms suggestive of acute coronary syndrome but were not identifie…
0y · Male·Respiratory insufficiency; interstitial fibrosis and low-grade pneumonitis of pr…
Zakaria Tartoussi died at age 43 days from respiratory insufficiency due to interstitial fibrosis and low-grade pneumonitis of probable viral aetiology. He presented for medical attention five times in six weeks with sym…
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