4,457 results
50y · Male·Gunshot injury to the head
A 50-year-old man with depression, excessive alcohol use, and cardiac defibrillator died by self-inflicted gunshot injury after a drink-driving incident and receipt of an eviction notice. The coroner found his treating g…
88y · Female·Multisystem organ failure in the context of exposure, humeral fracture, and clin…
An 88-year-old woman with Alzheimer's dementia resident in aged care left the facility undetected on a hot day and collapsed 800-900 metres away with a humeral fracture. She died nearly two months later from multisystem …
18y · Male·Drowning
An 18-year-old Malaysian visitor drowned in a hotel swimming pool after entering water despite being unable to swim. He was attempting to rescue a colleague who had also gotten into difficulty. The pool was unattended by…
57y · Male·Sepsis from ischemic bowel due to superior mesenteric artery thrombus
Trevor Peterson, a 57-year-old with chronic gut ischemia, underwent mesenteric artery stenting in February 2020. Discharge instructions emphasising dual antiplatelet therapy (DAPT) were not clearly communicated to the va…
71y · Female·ischaemic cardiovascular disease
Diane Eastcott, a 71-year-old involuntary mental health patient, died of ischaemic cardiovascular disease on 10 July 2018 at Macquarie Hospital. Following an unwitnessed fall on 22 June 2018, she was admitted to Ryde Hos…
49y · Male·Complications of a right superficial femoral artery injury (operated) following …
A 49-year-old man died from complications of a right superficial femoral artery injury sustained when he was struck by a circular saw at a landscaping worksite. Despite receiving immediate first aid, emergency transport …
25y · Female·self-immolation
Marlene Sako, a 25-year-old woman struggling with alcohol dependence following a traumatic marriage breakdown, presented to Northern Hospital on 29 November 2015 with threats of self-harm and suicide attempts. Despite a …
65y · Female·Plastic bag asphyxia
Carol Austin, 65, died by plastic bag asphyxia at her home in Wangaratta in August 2018. She had a 20-year history of depression and had recently experienced suicidal ideation, a suicide attempt, and burns injury requiri…
34y · Male·Hypoxic/ischaemic brain injury following resuscitated cardiac arrest and hanging
Stuart Brant Garten, a 34-year-old man with complex psychiatric diagnoses including borderline personality disorder, post-traumatic stress disorder, and schizophrenia, died by hanging in the courtyard of a secure extende…
41y · Male·exsanguination (hypovolemic shock complicating acute blood loss) due to fistula …
Andre Marc Lavoipierre, age 41, died on 26 June 2019 from exsanguination due to internal bleeding (ureter-iliac artery fistula or steady renal/bladder bleed). He fell at his supported residential unit on the morning of d…
61y · Male·Neck injuries in the setting of a dog attack
Leonardo Biancofiore, 61 years old with longstanding syringomyelia requiring mobility aids, died from massive neck injuries sustained in a dog attack by his American Staffordshire Terrier at his home. The attack occurred…
28y · Male·Gunshot wounds of the neck, chest and abdomen
Tyson Jessen, a 28-year-old man wanted for armed robbery in Victoria, was arrested in Queensland and admitted to Ipswich Hospital with cardiac symptoms. While in police custody, he remained under guard in hospital. Senio…
80y · Male·Dehydration and the effects of heat with contributing Alzheimer's dementia
An 80-year-old man with advanced Alzheimer's dementia disappeared from a respite care facility on a day of extreme heat (39°C) and died from dehydration and heat exposure. Key failures included: (1) relocation of the day…
32y · Male·crush injuries sustained in a rock fall
Nathaniel Beesley, a 32-year-old rope access technician, was fatally struck by a rock weighing approximately 44 tonnes whilst undertaking manual scaling operations on the East Wall of an open-pit iron ore mine in Tasmani…
Unknown·Amber Rose Rigney: external airway occlusion with compression of the neck; Korey…
Two children, Amber Rose Rigney (6) and Korey Lee Mitchell (5), were murdered on 30 May 2016 by their mother's partner Steven Graham Peet. The Coroner found their deaths were preventable. The children's mother had been u…
45y · Male·bronchopneumonia and combined drug toxicity
Boris Drleski, a 45-year-old with treatment-resistant chronic paranoid schizophrenia, antisocial personality disorder, and polysubstance use disorder, died from bronchopneumonia and combined drug toxicity. He was managed…
20y · Female·multi-organ failure due to polypharmacy overdose
A 20-year-old woman with depression and borderline personality disorder died from multi-organ failure following a large polypharmacy overdose (13 grams of paracetamol among 78 tablets). She was admitted to the ED where i…
1y · Female·Blunt head injuries
Tateolena Tauaifaga, a 17-month-old child, died from blunt head injuries when a stolen vehicle pursued by police during a high-risk vehicle intercept (HRVI) crashed through her home's fence into her backyard. Critical fa…
22y · Male·Hanging
A 22-year-old man with depression, alcohol addiction, and recent significant losses (parents, sister, friend) presented to Frankston ED on 14 January 2018 with active suicidal ideation and a specific plan to hang himself…
69y · Male·right lower lobe pneumonia as a complication of diabetes mellitus
Michael Wayne Reardon, aged 69, died at home from right lower lobe pneumonia as a complication of diabetes mellitus. He was entirely dependent on his siblings for care, with his sister Julie administering medications. He…
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