2,427 results
82y · Female·acute peritonitis, ruptured bowel and incarcerated bowel herniation
An 82-year-old woman admitted with bowel obstruction recovered well initially but suffered a preventable fall in the radiology department when left unattended with heavy IV pumps on her wheelchair, fracturing her hip. Af…
37y · Male·Posterior myocardial infarction consequent upon right coronary artery thrombosis…
Anthony Costelloe, a 37-year-old Aboriginal prisoner, died from myocardial infarction on 25 October 2002, less than 24 hours after presenting to the prison medical centre with chest pain. A registered nurse assessed him …
62y · Female·gastric necrosis and perforation due to strangulated diaphragmatic hernia
Joyce Wilman, 62, died from gastric necrosis and perforation due to strangulated para-oesophageal hernia whilst detained under Mental Health Act at Queen Elizabeth Hospital. She presented with vomiting and abdominal pain…
27y · Male·external blood loss due to laceration of right axillary artery from single gunsh…
Gregory Biggs, age 27, died from a gunshot wound to the upper right back inflicting a laceration of the right axillary artery. He was shot by Sergeant Samuel Cahir after being observed wielding samurai swords in Carlton …
14y · Male·gunshot wound to the head
Andrew Scott Anderson was a 14-year-old boy placed in Department of Child Safety care following his father's physical assault. He had a longstanding history of behavioral difficulties, ADHD, depression, and substance use…
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…
49y · Male·hanging (suicide)
Antonio Rodriguez, aged 49, died by hanging on 16 September 2006, two hours after discharge from Ward B8 (psychiatric short-stay unit) at Royal Adelaide Hospital. He had been admitted with severe depression and active su…
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…
Unknown·Severe hypoxia due to bilateral pneumonia and severe ischaemic heart disease
Donald Ian Fairbairn, a resident of Yagoona Nursing Home, died at Bankstown Hospital on 23 September 2006 from severe hypoxia due to bilateral pneumonia and severe ischaemic heart disease. The coroner's inquest identifie…
1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)
Jezelle Lisa Gordon, a 1-year-old child, died of staphylococcal pneumonia on 26 February 2006 in Port Hedland, Western Australia. She presented to Halls Creek Hospital on 25 February with fever, elevated respiratory rate…
59y · Male·ischaemic heart disease due to coronary atherosclerosis
Brian Raymond Turner, 59, died from ischaemic heart disease due to coronary atherosclerosis following an out-of-hospital cardiac arrest in a medical clinic car park. He experienced symptoms of chest discomfort and breath…
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…
39y · Male·Strychnine toxicity
Randall Coleman, 39, died from strychnine toxicity after deliberately ingesting poison while in custody at Kingaroy watchhouse on 18 January 2007. He had secreted the vial on his person at arrest on 16 January, despite p…
87y · Male·multi organ failure due to septic shock complicating urinary tract infection and…
An 87-year-old man with atrial fibrillation on warfarin developed septic shock and multi-organ failure following traumatic bladder catheterisation. Two catheterisation attempts occurred on 15 July 2005: an unsuccessful a…
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…
33y · Male·Gunshot wound to the head (manner of death remains open: suicide or homicide can…
Shane Nielsen, a 33-year-old man associated with outlaw motorcycle gangs, was found deceased with a gunshot wound to the head on 1 January 2006. Police concluded suicide within 30 minutes without adequate investigation. …
46y · Male·Heatstroke
Ian Ward, a 46-year-old Aboriginal man, died from heatstroke on 27 January 2008 while in custody, transported by GSL Custodial Services in a Mazda E2500 prisoner van from Laverton to Kalgoorlie. The rear pod in which he …
29y · Female·Multisystem organ failure following postpartum haemorrhage due to atonic uterus
Rebecca Murray, 29, died from multisystem organ failure following postpartum haemorrhage after an emergency caesarean section at Bathurst Base Hospital on 24–25 June 2007. The coroner found her death preventable. Key cli…
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