4,457 results
1y · Male·Global cerebral ischaemic injury following cardiorespiratory arrest of unknown c…
A 22-month-old boy died from global cerebral ischaemic injury following cardiorespiratory arrest of unknown cause in the setting of detected methylamphetamine exposure. He had multiple healing traumatic injuries (rib fra…
43y · Female·Multisystem organ failure and hypoxic/ischaemic encephalopathy following anaphyl…
Peta Hickey, a 43-year-old company executive with no cardiac history, died from anaphylaxis to CT coronary angiogram contrast after her employer commissioned an inappropriate screening program. The referral lacked clinic…
19y · Male·Hanging
Yohan Wepitiya-Gamage, a 19-year-old male remand prisoner with a history of psychosis and substance use, died by hanging in his cell at the Metropolitan Special Programs Centre in January 2016. Critical clinical lessons …
5y · Male·Hypoxic ischaemic encephalopathy due to near-drowning
A 5-year-old boy who could not swim drowned in a public aquatic centre after crossing from a shallow ramp area into a 1.2-metre deep main pool, unobserved by his parents. He was underwater for 90 seconds before being ret…
63y · Male·Drowning
Max Edward Loweke, aged 63, drowned after his car was washed off Delatite Road at Whiteheads Creek Ford during flooding on 4 January 2016. The coroner found that while drowning was the medical cause, the death was likely…
85y · Female·Staphylococcus bacteremia complicating multiple injuries sustained in a motor ve…
An 85-year-old woman sustained multiple serious injuries (bilateral rib and pelvic fractures, thoracic spine fractures) in a motor vehicle collision on 20 June 2018. She was treated with ICU admission, induced coma, and …
48y · Male·Ischaemic heart disease complicating restraint of an acutely agitated male
Daniel Richards, 48, died from ischaemic heart disease precipitated by restraint during a mental health assessment at home. He had underlying significant coronary artery disease with left ventricular hypertrophy and old …
29y · Male·acquired methaemoglobinaemia in association with sodium nitrite toxicity
Elia Wani, a 29-year-old man with bipolar affective disorder managed on a community treatment order, died from methaemoglobinaemia following sodium nitrite ingestion. He purchased 50g of sodium nitrite powder online on 1…
42y · Male·hanging, an action taken by himself with the intention of ending his life
A 42-year-old man with acute psychosis was hospitalised for 26 days and discharged from a psychiatric facility to an isolated rural island where his partner and children had left. He had poor insight into his mental illn…
33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury
Joshua Szczudlo, a 33-year-old man with morbid obesity (estimated weight 195kg), underwent shoulder fracture repair surgery on 17 March 2016 at Liverpool Hospital. He died 38 hours post-operatively from a fatal cardiac a…
45y · Male·Recurrence of ventricular fibrillation due to Brugada Syndrome
Craig Williams, 45, suffered an out-of-hospital cardiac arrest in 2015 due to presumptive Brugada Syndrome. He survived with severe hypoxic brain injury and spent 10 months rehabilitating at Cairns Hospital, where he was…
88y · Female·Head injury in a fall due to atrial fibrillation on anti-coagulants
An 88-year-old woman with atrial fibrillation on anticoagulation died from a subdural haemorrhage sustained in a fall at a rehabilitation hospital. She was assisted to the toilet by a single nursing student despite a doc…
38y · Male·Multiple gunshot wounds
A 38-year-old man with a history of methamphetamine use and mental health issues, subject to a violence restraining order, assaulted his father at home. The father reported to police that his son was armed with a knife, …
16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…
A 16-year-old Aboriginal girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdominal pa…
83y · Female·unascertained
Felicity Ruth Loveday, aged 83, disappeared and is presumed deceased after setting sail from Port Phillip Bay on 11 December 2019 with her son. Ms Loveday had significant medical and cognitive vulnerabilities including s…
9y · Female·suicide by hanging
A 9-year-old Aboriginal girl died by suicide while in out-of-home care. She had been removed from her Aboriginal parents at 10 months of age and placed with non-Aboriginal carers despite legislation requiring Aboriginal …
35y · Male·Gunshot wound to the head (self-inflicted)
Daniel Thomas, aged 35, died from a self-inflicted gunshot wound during a police siege. He had a history of substance-induced psychosis from ice use, with multiple psychiatric admissions in 2015-2016. Following discharge…
11y · Male·Combined effects of electrical shock and jack-knife body position
Brody Roy Wauchope-Dirdi, an 11-year-old boy, died from electrical shock combined with positional asphyxia after contacting a metal roof live with 240 volts in a remote Aboriginal community. The roof became electrified d…
81y · Male·metastatic rectal adenocarcinoma with infected necrotic sacral ulcer
Raymond Saxon Beahl, 81, died of metastatic rectal adenocarcinoma complicated by an infected necrotic sacral ulcer. He was admitted to Oakden Older Persons Mental Health Service with severe dementia-related behavioural d…
34y · Male·Neck compression by hanging
Frederick Row Row, a 34-year-old Aboriginal man, died by suicide in Capricornia Correctional Centre following a precipitous change in risk assessment from high to low in less than 48 hours. After assaulting another priso…
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