2,427 results
40y · Male·Head injury from assault
George Edgar Challis, a 40-year-old remand prisoner, died on 12 July 2006, eleven days after being assaulted by another inmate at Woodford Correctional Centre. He sustained a severe head injury from stomping to the head,…
68y · Female·Anaphylactoid reaction to intravenous CT scan contrast medium leading to cardior…
A 68-year-old woman with asthma presented to hospital with abdominal pain suggestive of biliary obstruction. A CT scan with intravenous contrast was ordered to clarify the diagnosis before potential surgical transfer. Sh…
26y · Male·Gunshot injury to the head (self-inflicted)
Mark Bailey, a 26-year-old with obsessive compulsive disorder, anxiety, alcohol dependence, and a history of violence, died from a self-inflicted gunshot wound. He was under treatment by a psychiatrist and psychologist w…
37y · Male·Gunshot injury to head
Senior Constable Anthony Hogarth Clarke, a 37-year-old experienced police officer, was shot and killed during a drink-driving intercept on 24 April 2005. The offender obtained Clarke's revolver from his holster during a …
45y · Male·overdose of quetiapine (Seroquel) augmented by alcohol
A 45-year-old man with schizophrenia and a decade-long history of repeated overdoses died from quetiapine (Seroquel) toxicity combined with alcohol. Critical failures occurred: multiple doctors prescribed large quantitie…
79y · Female·Sepsis due to urinary tract infection with Group B streptococci
A 79-year-old nursing home resident died of sepsis from urinary tract infection with Group B streptococci after waiting 6 hours in the Emergency Department without being seen by a doctor. She arrived at 8pm with normal v…
8y · Male·bacterial meningitis that had not been diagnosed by a number of clinicians who h…
Eight-year-old Isaraelu Pele died of bacterial meningitis missed by multiple clinicians despite three hospital presentations and two GP visits between 14–17 December 2007. Critical failures included: inadequate different…
47y · Female·insulin overdose
Katherine Walton, a 47-year-old registered nurse, died from insulin overdose in April 2007. She had a complex medical history including hepatitis C, depression, chronic back pain, epilepsy, and substance use issues. Afte…
63y · Male·Metastatic carcinoma of the lung
Lawrence Jeffrey, a 63-year-old inmate at Lotus Glen Correctional Centre, died from metastatic lung carcinoma on 11 May 2008. He presented with symptoms consistent with his known chronic conditions (asthma, COPD, silicos…
32y · Male·traumatic subdural haemorrhage resulting from blunt head trauma
A 32-year-old Aboriginal man died from subdural haemorrhage caused by blunt head trauma sustained when climbing over a fence while evading police. He was arrested and brought to Alice Springs watch house in an unresponsi…
36y · Male·Intra-abdominal haemorrhage due to rupture of liver and portal vein; also sustai…
Cameron Doomadgee (Mulrunji), a 36-year-old Aboriginal man from Palm Island, died in police custody on 19 November 2004 from intra-abdominal haemorrhage due to rupture of his liver and portal vein. This inquest, re-opene…
73y · Female·neck compression by ligature
Sofija Dobrijevic, a 73-year-old woman detained under the Mental Health Act, died by ligature strangulation in a closed psychiatric ward at Glenside Hospital. She had chronic pain since a 2002 fall, depression, and histr…
32y · Male·plastic bag asphyxia
David Mathew Smith, 32, died by plastic bag asphyxia on 25 November 2007. He had schizophrenia, chronic motor tic disorder, sexual paraphilia, and a history of explosive-making offences. He was subject to concurrent bail…
84y · Female·small bowel obstruction due to gallstone ileus
An 84-year-old woman with dementia, diabetes, and chronic renal failure presented to the ED twice within 48 hours with abdominal pain and diarrhoea. Both times investigations showed only faecal loading without obvious ob…
60y · Female·Penetrating injury of the descending thoracic aorta complicating spinal stabiliz…
A 60-year-old woman died from a penetrating injury to the descending thoracic aorta sustained during spinal stabilisation surgery for a T12 burst fracture. During pedicle cannulation, the surgical awl fractured the left …
13y · Female·cardiac arrest resulting from dehydration
A 13-month-old girl with short bowel syndrome died from cardiac arrest due to severe dehydration. She had been deteriorating with diarrhoea and vomiting on 18 February 2009, prompting nursing staff to escalate concerns t…
20y · Female·food-induced anaphylaxis, likely to peanut allergen
Kylie Lynch, a 20-year-old woman with chronic asthma and a known peanut allergy, died from anaphylaxis on 2 September 2007 in Coral Bay, Western Australia. She consumed desserts at Fin's Café after dining at a nearby hot…
23y · Female·complications of ruptured ectopic pregnancy with massive intra-abdominal haemorr…
A 23-year-old woman with a ruptured ectopic pregnancy at a rural hospital required urgent transfer to a tertiary centre. The initial response was classified as routine, and the first ambulance crew arrived late without a…
52y · Male·hypoxic-ischaemic encephalopathy due to cardiac arrest due to unknown aetiology
James Halloran, age 52, collapsed during chiropractic treatment and suffered cardiac arrest of unknown aetiology. He remained unconscious despite resuscitation and died from hypoxic-ischaemic encephalopathy. Initially su…
Motor vehicle crashes during or following police pursuits
This is a coronial policy report synthesizing 10 inquests into deaths during or following police pursuits in Queensland, June 2005–July 2008. Deceased: Peter Ash, Nicole Ash, Matthew Cullen, Joseph Duncan, Caitlin Hanric…
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